What to do about premature ejaculation caused by masturbation

Most men will use masturbation to satisfy their sexual needs. Because many men think masturbation is very convenient, and they can accurately control the strength and speed to achieve the feeling they want most. This feeling is something that women cannot experience during sex. However, frequent masturbation will damage the male body, so what should we do if masturbation causes premature ejaculation?

In order to prolong the latent period of ejaculation, most patients turn their attention to other aspects such as eating, playing, etc. during sexual intercourse, or use condoms, drink, etc., but the effect is not good. On the contrary, it often leads to decreased libido, sexual pleasure disorders, and even erectile dysfunction, which aggravates the condition. Therefore, the treatment of premature ejaculation should be based on the cause of the disease and choose the appropriate treatment method.

1. Psychological therapy

The cooperation of both husband and wife is required, especially the wife's participation in the treatment is very important. The psychological treatment of premature ejaculation requires the cooperation of the patient's wife. Because the woman's misunderstanding or complaint will increase the man's tension and anxiety, and increase the psychological burden. The woman should be considerate and caring, give verbal and behavioral comfort, relieve the man's tension, and help him build confidence in the cure. The couple should be informed that premature ejaculation is a relatively common problem. Both husband and wife need to understand the necessity and possibility of rebuilding the conditioned reflex of ejaculation, eliminate the patient's abnormal psychology such as anxiety, uneasiness, and guilt, and build confidence in curing the disease. As long as both parties cooperate with the treatment, it can still be cured.

2. Behavioral method guidance

The purpose of the sexual concentration training therapy is to teach patients to experience and enjoy sexual pleasure and overcome psychological barriers through tactile stimulation such as hugging, caressing, and massage. You can also pull the scrotum and testicles downward before reaching orgasm, or use the thumb and index finger to press and squeeze the glans to reduce sexual excitement, and the erection hardness can also be reduced by 10% to 25%. After long-term training, sexual intercourse is performed in the woman-on-top position, and the training is still repeated in the form of twitching-stopping-twitching again, gradually improving the ejaculation stimulation threshold, so that ejaculation can be achieved only after a more satisfactory artificial control.

(1) Semans technique training is a stop-and-start therapy. When the woman stimulates the penis until she is about to ejaculate, the man signals to stop stimulation immediately. When the premonition of ejaculation disappears completely, stimulation is resumed. This is repeated until the man can accept a large amount of stimulation, and then he is allowed to ejaculate. This method can increase the ejaculation threshold. After successful treatment, control training should be performed once a week.

(2) Penis head squeezing method is also called tolerance training. When the woman stimulates the penis until she feels that ejaculation is imminent, she places the tip of her thumb on the frenulum of the penis, and the tip of her index and middle fingers on the upper and lower edges of the coronal sulcus on the other side of the penis, applying pressure from front to back, to the extent that the man can tolerate, for about 3 to 4 seconds each time, which can relieve the urgency of ejaculation. If the treatment is continued for 3 to 6 months, a long-lasting and stable therapeutic effect can be achieved.

3. Oral medication

At present, drug treatment mainly includes 5-hydroxytryptamine reuptake inhibitors such as sertraline and paroxetine; tricyclic antidepressants such as clomipramine and fluoxetine, etc. However, these drugs have certain side effects and must be taken under the guidance of a doctor.

4. Topical medication

It is mainly a local anesthetic, which can be applied to the glans penis before sexual intercourse to delay the latent period of ejaculation through local anesthetic effect. Topical drugs include 1% dyclonine solution, 1% tetracaine solution, 2% lidocaine gel, 3% ethyl aminobenzoate, etc. After using local anesthetics, condoms can be used or not. If condoms are not used, wash the residual drugs on the penis. It should be noted that excessive extension of anesthesia time (30 to 45 minutes) can lead to the disappearance of erection, because long anesthesia time will make the penis feel numb for a considerable number of people. If the residual drugs on the penis are not thoroughly cleaned before sex (without condoms), the diffusion of local anesthetic residues in the penis can also cause numbness of the vaginal wall of the woman, reducing sexual pleasure. This treatment is contraindicated if the patient or sexual partner is allergic to local anesthetics.

5. Transurethral drug administration (MUSE)

It can also be used to treat premature ejaculation.

6. Dorsal penile neurectomy

This method is still in the trial stage abroad. Although the effect has been recognized to a certain extent, its safety and effectiveness still need to be studied. It is only suitable for married patients with primary premature ejaculation, and the patients must have received long-term drug, psychological and behavioral treatments with little effect. For patients who can improve ejaculation time through drugs or patients with secondary premature ejaculation, surgery is not considered.