Premature ejaculation is a common male sexual dysfunction that has an important impact on the quality of life of couples. Many patients suffer from “fast men”, and some patients even “surrender” after 1 minute of intercourse, so how can you change from a “fast man” to a “happy” man who is free to relax? “The first step is to understand the differences between male and female responses. First, understand the difference between male and female responses. We say that men are “microwave ovens”, the heat is fast, to the time automatically stop also fast. But women are “electric irons”, slow to heat up, hot after the cold also slow. Understand this, we must cooperate with both sides in the same room, the man can not be too hasty, do not “straight to the point”, otherwise, the woman’s sexual feelings are not fully mobilized, will produce pain, do not feel the pleasure, and even sexual apathy. Second, to understand what exactly is considered a “fast man”. The majority of premature ejaculation is functional, according to the latest international guidelines, generally divided into persistent premature ejaculation that is primary premature ejaculation, secondary premature ejaculation, and premature ejaculation-like ejaculation disorder. Regardless of which one it is, it contains elements such as short ejaculation time, poor ability to control ejaculation autonomously, and produces negative subjective (mental and emotional) effects. Some episodic premature ejaculation, many of which are situational premature ejaculation-like ejaculation disorders, may not necessarily be premature ejaculation. Some patients experience premature ejaculation from the time they have sex, or even ejaculate when they touch the woman’s torso after having an erection, and this situation requires timely treatment. Once again, it is important to understand the treatment methods for premature ejaculation. The treatment of premature ejaculation is still a medical problem. Although there are some methods and drugs for treating premature ejaculation at home and abroad, there is no method or drug that is suitable for curing most premature ejaculation. This is partly because these treatments or drugs are not perfect, and partly because of the complex etiology of premature ejaculation. The principle of personalized treatment is generally used, and a combination of methods is more effective. At the same time, the cooperation of the spouse is also very critical, after all, the sexual life history of two people. Commonly used treatment methods include: 1. Behavioral therapy. Including the American urologist Semans introduced the “stop-squeeze method” (stop-start). Masters and Johnson created the sexy focus training method. This method is used to experience and enjoy sexual pleasure by means of tactile stimulation such as hugging, touching and massaging by both men and women to establish and restore the natural response of sexual life. The therapy is divided into two stages: non-genital erotic focus training and genital erotic focus training. During the treatment, only tactile sexual pleasure is allowed and no sexual intercourse is permitted, and the pleasure of the partner is increased to achieve its own pleasure. In addition, there is the “stop-pause method” proposed by Kaplan, in which stimulation is paused instead of squeezing the penis head when ejaculation is imminent during erotic focus training. This behavioral therapy simulates the natural behavior of prolonging the latency of ejaculation during sexual intercourse. 2. Oral Western medicine treatment. Including selective 5-hydroxytryptamine reuptake inhibitors (SSRIs), including fluoxetine (Prozac), 5 – 20 mg/day. Paroxetine (Paxil), 10,20,40mg/day or 20mg 3-4 hours before intercourse. Sertraline (Zoloft), 25-200mg/day or 50mg 4-8 hours before sexual intercourse. Recently, the newly marketed Piritin also belongs to this category and is the only drug with premature ejaculation indication approved by the current FDA. In addition, topical local anesthetics such as ointments, gels or sprays such as lidocaine and/or proparacaine can also be applied, as well as PDE-5 inhibitors such as Viagra for the treatment of patients with premature ejaculation with erectile dysfunction. The long-term results of dorsal nerve surgery are uncertain, therefore, the latest international guidelines do not recommend such surgery. It can also be supplemented with the combined application of herbal treatment, which should be done simultaneously with erectile dysfunction, urethritis, and chronic prostatitis. In short, the “fast man” is not the desire of men, and the successful “happy man” is the dream of men, for premature ejaculation, psychologically important, and to go to the regular hospital for standard treatment in time, should have a good effect.