The best method for treating premature ejaculation

Premature ejaculation is a common male sexual dysfunction in clinical practice, which may be caused by psychological factors, changes in the penis, or diseases of the external genital organs and prostate. There is no so-called best or fastest treatment method in clinical practice. Treatment approaches mainly include psychotherapy, behavioral therapy, and pharmacological treatment. Specific analyses are as follows:

1. Psychotherapy

Depression, anxiety, neurosis, bodily changes, hostile emotions, and other psychological factors may lead to uncontrollable ejaculation before or shortly after the start of sexual intercourse. Psychotherapy is recommended, and favorable outcomes can be achieved through the patient's willingness to seek help and cooperation from their sexual partner.

2. Behavioral Therapy

Methods such as the "stop-start" technique or the "squeeze" technique aim to increase the ejaculatory latency period. These methods can also enhance the patient's self-confidence and self-esteem.

3. Pharmacological Treatment

This is the preferred approach for managing premature ejaculation. Commonly used medications in clinical practice include fluoxetine hydrochloride tablets, paroxetine hydrochloride tablets, dapoxetine hydrochloride tablets, and sertraline hydrochloride tablets, which may help prolong the ejaculatory latency time. Topical agents such as lidocaine hydrochloride gel can reduce glans penis sensitivity through local anesthesia, thereby extending the time to ejaculation.

If premature ejaculation occurs frequently, it is recommended to visit the urology department at a hospital for diagnosis and treatment according to medical advice. If the above treatments are ineffective, selective dorsal nerve resection of the penis may be considered when necessary, under the guidance of a physician.