More than 2,000 years ago, Confucius said in the Book of Rites, “Food, drink, and sex are the great desires of mankind.” This shows that food and sex are the two most basic things for human existence. This shows that a harmonious sexual life plays an important role in promoting human psychological and physical health, as well as harmonious family and social relationships. Premature ejaculation is the most common sexual dysfunction, 75% of men have experienced premature ejaculation in their lifetime, and a large sample of studies have shown that the incidence of premature ejaculation is 14% to 41%. The definition of premature ejaculation is generally accepted by the Diagnostic and Statistical Manual of Mental Disorders (4th edition) issued by the American Psychiatric Association: Ejaculation before, during, or shortly after penetration, consistently or repeatedly, under minimal sexual stimulation, earlier than one wishes. No time is specified in the definition of premature ejaculation because early or late is relative, and the reference standard here is the desire of both parties. The cause of premature ejaculation: the onset of many diseases is not only related to the organ itself, but also has a close relationship with psychosomatic, which is the same as many things in our daily life, for example, we all encounter the case of a broken bicycle axle, which requires not only a new axle, but also some lubricant to restore the car to a good state. The same is true for the onset of premature ejaculation, which involves not only organic but also psychological factors. Regarding organic causes, they are mainly related to high penile sensitivity, 5-hydroxytryptamine receptor dysfunction, high sexual arousal, highly excited ejaculatory reflex arc, certain endocrine diseases and genetic susceptibility. The first two of these factors are by far the most likely factors for premature ejaculation: the penis is highly sensitive, resulting in a relatively low ejaculation threshold, so that excitability gradually rises during sex and soon reaches or exceeds the threshold, leading to premature ejaculation; 2C receptors in 5-hydroxytryptamine receptors play an inhibitory role in the ejaculation process and 1A receptors play a facilitating role, so if 2C receptors are low in sensitivity and 1A receptors are high in sensitivity it will lead to Premature ejaculation can occur. Regarding psychological factors, the main ones are insufficient ejaculatory control skills, early bad sexual experiences, anxiety and psychodynamic aspects. The actual fact is that you will need to be able to do everything right, and this is also the case with sex life. We have a clinical behavior therapy of “moving and stopping”, which allows premature ejaculation patients to stop when they feel they are about to ejaculate and wait until their sexual excitement decreases, and many patients will get rid of premature ejaculation with this method. The actual fact is that there is no evidence that masturbation can cause premature ejaculation. The actual fact is that you can find a lot of people who are not able to get a lot of money from the internet. Some doctors or patients often have misconceptions about the diagnosis and treatment of diseases: if you have a disease, you use medicine, and medicine must be effective; if you do not have a disease, medicine will be stronger; if you have a problem, you go to the hospital for examination, and if the examination results are abnormal, you treat for the laboratory test. In fact, the treatment of disease is comprehensive treatment, drugs are only one side of the treatment, more attention should be paid to their own adjustment; sexual life is affected by both organ function and psychological impact, so it should be more comprehensive treatment. The treatment of premature ejaculation is the same, it should be mainly based on self-adjustment, supplemented by drugs, which only play the role of helping patients to adjust to a normal state. The key to treating premature ejaculation is self-adjustment. To treat premature ejaculation, one should first understand the normal process of sexual life, and to solve any problem, one must first understand the normal process, for example, we learn the treatment of diseases are first to learn the physiology, that is, the normal physiological process, and then to learn the pathology, that is, the treatment of pathological conditions. There are about two points for reference, appropriate increase in the number of sexual life may be conducive to the treatment of premature ejaculation; moving stop therapy, the process of sexual life, when once the excitement exceeds the threshold, it is not possible to control ejaculation, stop before this, the excitability is reduced and then proceed. This is the same as a person pulling a car up a slope. The first choice of oral western medicine is Baiyao or Zoloft (sertraline) and other 5-hydroxytryptamine reuptake inhibitors, these drugs were originally neurological treatment of depression, during the treatment of depression, it was found that these drugs can significantly delay ejaculation, so the male department used it as the first choice of drugs for the treatment of premature ejaculation, there are 2 ways to take these drugs: 1 continuous, 2 on demand, generally 4 hours before sexual intercourse The external drugs are mainly local anesthetics, which are applied or sprayed to the glans surface before sexual intercourse to prolong the intercourse time through local anesthesia, but may affect the comfort of sexual life and cause local numbness, and some new plant-derived preparations, such as Rockwill (Rock) lotion, are made from plant-derived substances. Topical lotion, which has a certain auxiliary effect. Surgical procedures, especially dorsal penile nerve amputation. Dorsal nerve block of the penis for premature ejaculation is not recommended in the current standardized treatment guidelines, and its safety and efficacy still need to be studied, so please be cautious. (Guo Yinglu and Hu Liquan, editors of Men’s Science, published by People’s Health Publishing House, page 725 clearly states that dorsal penile nerve dissection has been tried in some countries, and although its therapeutic effects have been recognized to some extent, its safety and effectiveness people are yet to be studied.) Emerson once said that self-confidence is the first secret of success. Yuan Yang Mengqiu also said, people are trees, confidence is the root. As long as attention is paid to their own adjustment, or supplemented with drugs, premature ejaculation patients will definitely get out of the disease.