”Premature ejaculation”, “can’t control ejaculation”, “ejaculate too soon”, “very sensitive, can’t hold ejaculation “, “early ejaculation, the woman is not satisfied”, “short sex time, no self-confidence” are common complaints heard in urogynecology clinics from patients who think they have premature ejaculation. Premature ejaculation (PE) is the most common sexual dysfunction disease in men, and the reported incidence varies from 15% to 50% in various regions and countries, with wide variations, mainly due to the lack of uniform diagnostic criteria. Personally, I strongly agree with the International Society of Sexual Medicine (ISSM) that the definition of premature ejaculation should follow several principles, including the following: 1. Difficulty in suppressing ejaculation and inability to artificially control the urge to ejaculate; 4. Adverse effects on the mood and quality of life of both men and women. The key to whether premature ejaculation needs to be treated is the harmonious satisfaction of the sexual life of both men and women, focusing on whether the female partner can be satisfied, followed by the psychological satisfaction of the male partner. It is estimated that only 7% of all premature ejaculation patients are seen in outpatient clinics, which means that the majority of premature ejaculation patients do not seek help from regular urological male departments. According to different periods of sexual life, different environments, different objects, and different expectations, premature ejaculation is often divided into: primary premature ejaculation (since the first sexual life, most of the sexual life is very fast ejaculation), secondary premature ejaculation (after a period of normal sexual life, due to a trigger phenomenon of rapid ejaculation), situational premature ejaculation (different objects, different environments are normal or fast ejaculation), premature ejaculation-like ejaculation (different objects, different environments are normal or fast ejaculation), and premature ejaculation. ), premature ejaculation-like ejaculation disorder (self-conscious control is much less than before, and actual sexual life is often longer than 10 minutes). Secondary premature ejaculation can often find a clear cause, and symptomatic treatment while targeting the secondary cause can have an ideal effect, with an efficiency rate of up to 90%. The two types of premature ejaculation and premature ejaculation-like ejaculation disorder are mainly psychological treatment and change of expectations. The most difficult to treat is primary premature ejaculation. In my clinical work, my insights on the treatment of premature ejaculation are summarized as follows: 1. Medication is often very effective during treatment, and easy to rebound after stopping. 2. Behavioral training is the only way to achieve the possibility of real cure. 3. It is best to have a regular partner and regular sex (2-4 nights per week) during the treatment period. 4, for circumcision combined with premature ejaculation, in the long term (6 months after surgery) circumcision about 30 to 50% has a significant improvement effect. 5, local anesthetic drugs are effective, circumcision is often effective. 6.Vacuum negative pressure suction is a good supplement to behavioral training, especially for those who have irregular sex life, or no sex life during treatment. 7.Patients with poor erection, in order to achieve better penile erection hardness, need stronger sexual excitement and are prone to rapid ejaculation, and simply giving drugs to improve erection can prolong ejaculation time. 8, Some patients with premature ejaculation often have combined endocrine abnormalities, such as hyperthyroidism. Premature ejaculation can be treated, but long-term medication in conjunction with behavioral training is needed to achieve better results, so treatment generally takes 12 consecutive weeks, and if there is no regular and normal frequency of sex, treatment takes even longer. Premature ejaculation generally does not affect fertility, but of course the more harmonious the sexual life, the chances of the woman conceiving will increase slightly, but the difference is not significant.