There is no most correct treatment for premature ejaculation in the elderly, but rather the appropriate method should be chosen according to their own situation. Commonly used methods include medication, psychotherapy, behavioral therapy, surgical treatment and so on.
1. Medication: Selective 5-hydroxytryptamine reuptake inhibitors such as sertraline and paroxetine can be used. If premature ejaculation is caused by the sensitivity of the penis head, local anesthetics such as lidocaine and oxybutynin can be used for local application. Thus prolonging the ejaculation time. All the above drugs need to pay attention to the side effects and adverse reactions of drugs, please use the above drugs under the guidance of a doctor.
2. Psychological factors: analyze the psychological barriers of patients with premature ejaculation, analyze and enlighten their psychological barriers, and eliminate patients’ nervousness and anxiety during sex.
3. Behavioral treatment: commonly used behavioral treatments include the squeeze method and the stop-action method, which can be gradually and progressively trained for the treatment.
4. Behavioral treatment: when the above treatment is not effective, surgical treatment can be considered, mainly referring to the selective cut-off of the dorsal penile nerve.
If there is premature ejaculation in the elderly, it is recommended to be actively diagnosed and treated in regular hospitals.