Congenital premature ejaculation, also known as primary premature ejaculation, needs to be further diagnosed in the hospital to see if it is consistent with having the characteristics of primary premature ejaculation. If the duration since intercourse has been short, the ejaculation latency time is less than 1 minute. Inability to control ejaculation or premature ejaculation occurs regardless of the sexual partner, or whenever intercourse occurs. If you meet the congenital premature ejaculation also known as primary premature ejaculation patients need to choose the appropriate treatment. First, medication. You can choose to treat with drugs such as paroxetine or sertraline, which are 5-hydroxytryptamine reuptake inhibitors. Clinically proven to improve premature ejaculation, but need to follow the doctor’s instructions to take medication not to buy their own medication for treatment. Secondly, you can use topical surface anesthetic preparations. Such as bupivacaine gel paste or lidocaine gel paste preparation coated on the glans, can achieve the effect of prolonging the ejaculation time, but the effect is short-lived need to be used every time. Thirdly, for patients who fail drug treatment or cannot tolerate drug treatment, they can choose to undergo dorsal penile nerve cutting surgery to achieve the therapeutic purpose.