How should premature ejaculation patients be treated?

  What is premature ejaculation?  Premature ejaculation is the most common male sexual dysfunction. Premature ejaculation is defined when a man loses the ability to control ejaculation during sexual intercourse and ejaculates before or just before penile penetration into the vagina, or shortly after the penis enters the vagina and before he wishes to ejaculate, resulting in a sense of dissatisfaction and loss for himself or his sexual partner.  The aim of treatment for premature ejaculation is not only to prolong intercourse, but more importantly to increase the sexual satisfaction of both men and women. Complete sex consists of three parts: sexual foreplay, intravaginal intercourse and sexual afterplay. Studies have shown that most couples consider the most appropriate time for intravaginal intercourse to be 7 to 13 minutes. During sex, both parties should be relaxed and extend the time of “sexual foreplay”, such as kissing, touching, talking and flirting, to apply rich and gentle stimulation to fully arouse women’s “empathy” to improve her probability of reaching orgasm, which is far more effective than vaginal intercourse. This is far more effective than the monotonous thrusting motion of intra-vaginal intercourse. Time is not the key factor in determining the quality of sex. A good rapport between the partners, open communication, mutual understanding of their sensitive areas, and as much foreplay and afterplay as possible can all help improve sexual satisfaction. Even if premature ejaculation occurs occasionally, the male partner should not be afraid and anxious, and the female partner should not blame and complain, but should show understanding and encouragement, so as to lay a good foundation for the next sexual life.  How to treat premature ejaculation?  Premature ejaculation patients need to perform “sexual skills training” with the help of medication to enhance the ability to control ejaculation. Most of the premature ejaculation can be significantly improved after 2 to 8 weeks of “medication” and “sexual skill training” treatment.  The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. It needs to be treated with antibiotics under the guidance of a specialist.  Masturbation can easily cause premature ejaculation. Patients with premature ejaculation should quit masturbation or try to reduce it.  There is no effective surgery for premature ejaculation, and domestic and international guidelines for the treatment of premature ejaculation do not recommend circumcision and dorsal penile nerve amputation, which are inaccurate and prone to complications such as impotence, which outweigh the losses. The majority of premature ejaculation patients are advised not to listen to the advertisements and go to those private clinics or private male hospitals to do surgery for premature ejaculation to avoid being duped.  The current drugs commonly used to treat premature ejaculation are divided into two categories: oral drugs and local topical drugs.  1, oral drugs mainly include: selective pentazocine reuptake inhibitors (SSRIs), such as Bilirim (dapoxetine hydrochloride), Zoloft (sertraline), Prozac, Sellett, etc.; Chinese traditional medicine; these drugs help to enhance the brain’s ability to control ejaculation. However, it should be noted that it is best to avoid driving and other driving tasks after taking oral selective pentothal reuptake inhibitors (SSRIs).  2. Topical topical drugs: mainly local anesthetics such as lidocaine gel, which are effective for treating premature ejaculation caused by over-sensitive penis and have no obvious side effects. How to use: After the penis is erect, apply a small amount of local anesthetic to the surface of the penis first, and then engage in sexual foreplay such as kissing, caressing and flirting with the female partner. After 10~30 minutes of applying the drug, put on a condom and you can insert the female partner’s vagina and have intercourse; if you don’t use a condom, you can wipe off the drug on the surface of the penis with a wet towel before intercourse to avoid the anesthetic causing numbness of the female partner’s vaginal wall and reducing sexual pleasure.  Three, sexual skills training Sexual skills training is essential for the treatment of premature ejaculation. Premature ejaculation is a behavioral habit. Patients with premature ejaculation need to repeatedly train for intra-vaginal intercourse under the guidance of a male physician to increase their experience and improve their skills, and then become proficient in controlling sexual excitement and ejaculatory impulses. Sexual skills training requires close long-term cooperation from the female sexual partner.