The treatment of premature ejaculation for middle-aged and elderly people includes psychological treatment, drug treatment, physical therapy, etc. It is necessary to treat according to the specific causes, such as prostatitis, high sensitivity of the glans, mental overstress, etc., and take the appropriate way after a clear diagnosis. 1. Prostatitis: Premature ejaculation in middle-aged and old people may be due to prostatitis, which needs to be treated. 2. high sensitivity of the glans: middle-aged and old people due to age, resulting in high sensitivity of the glans can also cause premature ejaculation, can follow the doctor’s instructions in the glans coated with lidocaine gel, reduce the sensitivity of the glans, so as to improve the premature ejaculation of the middle-aged and old people, or oral drugs such as Paxil, sertraline, or dorsal penile nerve blocking surgery for treatment. 3. Excessive mental tension: During sexual life of middle-aged and old people, due to mental tension, psychological pressure and other factors, can also lead to premature ejaculation. The patient should make timely adjustments to the psychological state, relieve psychological pressure, and if necessary, go to the hospital for psychotherapy. 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. The causes of premature ejaculation in middle-aged and elderly people are different, the treatment is also different, it is recommended that middle-aged and elderly people go to the hospital in time to improve the examination, after a clear diagnosis to give standardized treatment.