Premature ejaculation is mainly categorized into primary premature ejaculation as well as secondary premature ejaculation. The treatment of primary premature ejaculation includes psychological treatment, drug treatment and surgical treatment. Secondary premature ejaculation, usually related to organic lesions, such as prostatitis, glansitis, etc., need to target the primary disease treatment, including drug treatment, physical therapy.
1. Primary premature ejaculation:
(1) Psychological treatment: eliminating tension and anxiety, communicating and exchanging with sexual partners, and correctly understanding sexual life can be combined with behavioral therapy, such as extrusion method and stop-motion method.
(2) Drug treatment: before sex, you can apply lidocaine gel on the glans to reduce sensitivity. Dapoxetine, fluoxetine and other drugs can be taken orally for treatment to prolong the ejaculation latency time.
(3) Surgery: When the nerve sensitivity in the penile area is too high and the effect of using the above therapies is not satisfactory, surgical treatment can be considered, such as dorsal penile nerve block.
2. Secondary premature ejaculation:
When glans inflammation exists, erythromycin ointment, clotrimazole ointment and other medications need to be applied to eliminate bacteria as well as fungi and promote recovery. For prostatitis, medication and physical therapy can be carried out, commonly used drugs for tamsulosin, levofloxacin, physical therapy, including manual massage, heat therapy, microwave physiotherapy.
To summarize, if you have premature ejaculation, you should consult a doctor in time. During the treatment period, you need to follow the doctor’s instructions, reasonable use of medication.