Premature ejaculation in your 20s is treatable. Patients can improve their symptoms through general treatment, medication and surgery. 1. General treatment: quit smoking and drinking, increase aerobic exercise in moderation, and actively adjust your mindset to maintain an optimistic attitude towards life. You can first try to use condoms to increase the time, or when you are about to reach orgasm, pull out the penis and knead it repeatedly, which can prolong the time of sexual intercourse. 2. medication: you can use 5-hydroxytryptamine reuptake inhibitors and other medications under the guidance of a doctor, such as dapoxetine. In addition, you can also apply lidocaine cream on the inside of the condom, which can reduce the sensitivity of the glans, thus improving the symptoms of premature ejaculation. 3. Surgery: According to the specific conditions of patients, you can undergo surgical treatment of premature ejaculation in regular hospitals, such as circumcision, dorsal penile nerve dissection, penile prosthesis implantation and so on. Patients with premature ejaculation in their 20s should actively go to the urology department of the regular hospital, after clarifying the cause of the disease under the guidance of a professional doctor to carry out targeted treatment, follow the doctor’s instructions for the use of drugs, avoid blindly using drugs.