How should I treat premature ejaculation?

  The patient had a stable sexual partner for more than one year, normal sexual frequency, ejaculatory latency (time between penile insertion into the vagina and ejaculation) of less than 2 minutes in more than 50% of sexual activities, and the duration of the disease was more than 6 months. And genitourinary infection, alcohol dependence and abuse of psychotropic drugs are ruled out”, is called premature ejaculation. The treatment of premature ejaculation has several aspects.  I. Treatment drugs 1. dapoxetine: strong evidence 2. selective 5-hydroxytryptamine reuptake inhibitors (SSRIs) such as paroxetine, sertraline, citalopram, fluoxetine and serotonin-containing tricyclic chlorpromazine – strong evidence 3. local anesthetic drugs: such as lidocaine – proparacaine cream, SS cream.  4, phosphodiesterase 5 inhibitors : Viagra, etc., with ED patients (not recommended in combination with premature ejaculation drugs)  5, tramadol: can not be used in combination with SSRI. –The actual fact is that you will be able to get a lot more than just a few of these.  Other treatment methods 1, psychological, behavioral treatment: psychological communication, counseling, couples education, penis squeezing method, condom method, pause and start therapy, change of sexual skills (such as doing enough foreplay, change of insensitive posture, action soothing point), distraction (playing cell phones while making love, watching TV, etc.), drink a glass of warm water after sex.  2, dorsal penile nerve excision: may lead to permanent loss of sexual function, so major XX male specialist medical institutions to carry out dorsal penile nerve blocking, routinely not recommended for the treatment of premature ejaculation (weighing the pros and cons).  1, daily attention 1, life: correct the bad lifestyle, life should be regular, quit smoking and alcohol, actively participate in physical exercise, usually more running, such as qigong exercises, can improve the physical and mental quality, enhance the ability to control the idea.  2, psychological aspects: strengthen psychological regulation, avoid inferiority complex anxiety and other emotions, and sexual partners more communication to face together, enhance the confidence to improve the disease, and gradually improve the improvement.  The mood before sexual intercourse has a great impact on the speed of ejaculation, should avoid worry, excitement and tension, to build confidence, do not give themselves too much psychological pressure.  3, behavior: avoid using repeated sexual intercourse to prolong the second intercourse, which is detrimental to health. Acquire some knowledge of sexual life, understand and master the normal method of sexual intercourse and the process of sexual reaction, should not over abstain from sex, because the number of sex is too little, which is not conducive to the release of androgens.  Try to wear condom method, pause and start therapy, change of sexual skills (such as doing enough foreplay, change of insensitive posture, action soothing point), diversion (such as playing cell phones while making love, watching TV, etc.) way to improve, drink a glass of warm water after sex.  4, the correct view of premature ejaculation, do not avoid the disease. It is best to inform the woman, both men and women trust each other to understand, under the guidance of a professional physician to cooperate with the treatment, the effect is more significant. And should not just believe in what kidney aphrodisiac prescriptions and various small ads.  5, you can often eat coarse grains, black sesame, yam, eggs, mutton, oysters, etc., you can also try some dietary therapy recipes.