Severe premature ejaculation is mainly treated by drugs, psychological or surgical methods, but the efficacy of treatment can vary from person to person, the specific diagnosis and treatment must follow the doctor’s instructions.
1. Drug treatment: including local anesthetics, 5-hydroxytryptamine reuptake inhibitors and so on.
(1) Local anesthetics: such as lidocaine, proparacaine, etc., can prolong ejaculation time by reducing the sensitivity of the penis.
(2) 5-hydroxytryptamine reuptake inhibitors: such as dapoxetine, citalopram, etc., also found to have a certain effect on premature ejaculation.
2. Psychotherapy: such as sexual health education, psychological guidance, and functional – sexology therapy, stimulation stop – re-stimulation and other behavioral training methods. It is an important auxiliary treatment measure.
3. Surgical treatment: Most of them adopt the dorsal penile nerve selective amputation and other surgical procedures. It is suitable for the supplemental treatment of those who are ineffective in conservative treatment.
However, it should be noted that the specific efficacy of the above methods may vary depending on the individual’s physical condition, treatment program, and the severity of the disease. In addition, patients with premature ejaculation may have chronic prostatitis, depression and other primary illnesses, and those diagnosed with premature ejaculation need to be treated for the primary illnesses in addition to the premature ejaculation itself.
In summary, the diagnosis of premature ejaculation, must be under the guidance of the doctor according to the actual situation of individual choice of treatment and adjustment, in order to strive for a good prognosis. Do not blindly dispose of yourself, in order to avoid improper intervention, resulting in adverse consequences.