Secondary premature ejaculation is related to psychological factors, erectile dysfunction, chronic prostatitis, chronic pelvic pain syndrome, etc. It should be treated with medication as prescribed by the doctor.
1. Psychological factors: some people can be induced to secondary premature ejaculation due to lack of self-confidence and anxiety. Usually, no special treatment is needed, and if necessary, psychotherapy can be performed.
2. Erectile dysfunction: the disease can cause some patients to secondary premature ejaculation, can follow the doctor’s instructions to apply sildenafil, vardenafil and other type 5 phosphodiesterase inhibitor treatment, but also feasible androgen therapy, spongy body active drug injection therapy. For those who are in serious condition, you can take the superficial dorsal penile vein ligation, penile artery reconstruction surgery and other surgical treatments.
3. Chronic prostatitis: the disease can also induce secondary premature ejaculation. The bacterial infection can be treated with antibacterial drugs such as levofloxacin and azithromycin. It can be treated with alpha-blockers such as tamsulosin hydrochloride to relax the prostate muscles, and M-blockers such as solanacin and tolterodine to help control the condition and improve premature ejaculation.
4. Chronic pelvic pain syndrome: the disease will cause some patients secondary premature ejaculation, for prostate pain syndrome patients, can be prescribed by the application of terazosin, doxazosin and other alpha-receptor blockers, Pulsatilla, salbutamol and other botanical preparations for treatment. Some patients may also be treated with antimicrobial agents such as ciprofloxacin and tetracycline, and anti-inflammatory agents such as celecoxib, as prescribed by the physician.
In addition to the above symptomatic treatment, patients with secondary premature ejaculation can also be prescribed local injection of anesthetic drugs, such as lidocaine, proparacaine and so on. It is recommended that patients follow the doctor’s instructions for treatment, and not to use drugs or prescriptions on their own.