1, many people still confuse impotence and premature ejaculation, how to distinguish between the two? The way to differentiate is simple, ask the patient a few questions: first, do you want to do it? Second, can you do it? Third, how fast do you ejaculate? Can you control it? What is the pleasure and orgasm like? However, in one case, the patient may mistake severe premature ejaculation as impotence, because severe premature ejaculation can occur very quickly without or after vaginal penetration, especially if the patient ejaculates before vaginal penetration, and often he cannot get an erection within half an hour or an hour after ejaculation, so the patient may mistake himself for impotence. To put it simply, impotence means that you can’t do it, premature ejaculation is able to do it, just not enough satisfaction to do it. 2. On the level of medication, are the treatments for premature ejaculation and impotence completely different? The treatment methods are completely different. Impotence is treated with PDE5 inhibitor, which is commonly known as Viagra, with this drug. Premature ejaculation treatment is to improve a man’s ejaculatory control using drugs that control the nerve aspect. 3. Do the drugs that currently exist for premature ejaculation work fast? In the past, drugs for premature ejaculation were represented by drugs for depression, which needed to be taken daily. Now, after the new drugs come out, represented by dapoxetine, it is a single oral dose, one or two tablets may be effective within 1 and a half to 3 hours before sex. What do you think about the idea that surgical treatment of premature ejaculation can be a permanent solution? For the issue of surgical treatment of premature ejaculation, it is recommended to be cautious. First of all, because we have to cut the nerve, the nerve is irreversible and it is hard to grow well by cutting it off. I think since we can treat it with medication, we don’t need to do surgery, because surgery is the ultimate solution. Secondly, it is very difficult to regenerate after the nerve is severed, and there is no definite decision on how much to cut, what if there is more? Once again, there are complications with surgery, just like you don’t go bungee jumping and you won’t be dropped dead, you just have to bungee jump and there is a possibility of falling dead, although it may be one in ten thousand, but it is 100 percent when you run into it. Therefore, it is best not to do premature ejaculation surgery if you can.