Patients with severe primary premature ejaculation can be treated through psychological intervention, the use of medication, surgery and other methods under the guidance of a doctor. 1. Psychological intervention: If the patient is suffering from severe primary premature ejaculation due to prolonged work pressure, the symptoms can be relieved through effective psychological intervention. 2. Medication: When the patient has severe primary premature ejaculation, it may be caused by abnormal hormone levels, erectile dysfunction and other factors, and can be treated with medications such as dapoxetine hydrochloride tablets and sildenafil citrate tablets under the guidance of a doctor. 3. Surgical treatment: If the patient is ineffective in psychological intervention and medication, the patient can be treated with surgical methods such as dorsal penile nerve selective dissection under the guidance of a doctor. Once the patient appears premature ejaculation, it is recommended to go to the hospital for examination in time, and under the guidance of the doctor to choose the appropriate treatment according to the actual situation.