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What should men do about premature ejaculation?

Dec 02, 2024 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
In general, male premature ejaculation may be related to factors such as aging, lack of sexual experience, anxiety disorders, prostatitis, diabetes, and others. Patients can alleviate symptoms through lifestyle modifications, sexual education, and medication. In daily life, appropriate exercise can enhance physical endurance and control, which helps improve sexual function.

Generally, male premature ejaculation may be related to factors such as aging, lack of sexual experience, anxiety disorders, prostatitis, diabetes, and other causes. Patients can alleviate symptoms through lifestyle adjustments, sexual education, and medical treatments. It is recommended that patients seek timely medical consultation and follow medical advice for treatment. Detailed analysis is as follows:

1. Aging: With advancing age, men's sexual response abilities may gradually decline, including erectile function and ejaculation control. Lifestyle modifications such as healthy dietary habits, reduced alcohol and tobacco consumption are recommended.

2. Lack of sexual experience: Insufficient sexual experience may trigger a conditioned reflex, whereby the brain and body reach ejaculation too quickly during sexual activity. Sexual education and psychological counseling can help patients learn correct sexual knowledge and techniques, thereby improving sexual confidence.

3. Anxiety disorders: Emotional anxiety and tension caused by anxiety disorders may affect the brain's regulation of sexual activity, triggering premature ejaculation. This may be accompanied by persistent symptoms such as worry, fear, restlessness, irritability, and insomnia. Patients should follow medical advice to use medications such as compound diazepam tablets, estazolam tablets, or alprazolam tablets as appropriate.

4. Prostatitis: Inflammatory responses caused by prostatitis may increase sensitivity in the prostate area, thereby affecting ejaculation control. Symptoms may include frequent urination, urgency, painful urination, and perineal discomfort. Patients should follow medical advice to use medications such as levofloxacin tablets, ciprofloxacin hydrochloride tablets, or amoxicillin tablets to aid recovery.

5. Diabetes: Nerve and vascular damage caused by diabetes may impair the nerve and blood supply to the penis, leading to reduced ejaculation control. Symptoms may include erectile dysfunction, frequent urination, thirst, polydipsia, increased appetite, and weight loss. Patients are advised to follow medical guidance in using medications such as metformin hydrochloride tablets, repaglinide tablets, or glipizide tablets to manage their condition.

In daily life, appropriate exercise can improve physical stamina and control, helping to enhance sexual function. Techniques such as deep breathing and meditation may also help control emotional and physical responses, thereby prolonging ejaculation time.

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What are the common symptoms of premature ejaculation?
Premature ejaculation is generally characterized by a short ejaculatory latency, poor control over ejaculation, low sexual satisfaction, emotional and psychological distress, and secondary behavioral changes. During sexual intercourse, the time from penetration to ejaculation is consistently brief, cannot be voluntarily prolonged, and in most cases lasts less than one minute, with this situation recurring and disrupting normal sexual rhythm.
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Dr. Yang Guang
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What medication can be taken for premature ejaculation?
Commonly used medications for treating premature ejaculation include dapoxetine hydrochloride tablets, sertraline hydrochloride tablets, paroxetine hydrochloride tablets, fluoxetine capsules, and tadalafil tablets. These drugs assist treatment by regulating nervous system function or improving erectile status, and should be used only after professional evaluation. If symptoms of premature ejaculation persistently affect quality of life or are accompanied by other discomforts, timely medical consultation is recommended.
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What medications can be taken for primary premature ejaculation?
Primary premature ejaculation can be treated with medications such as dapoxetine hydrochloride tablets, sertraline tablets, paroxetine tablets, Jin Suo Gu Jing Wan, or Wuzi Yanzong Wan. The appropriate medication should be selected based on the individual patient's condition to avoid blind use of drugs. If premature ejaculation persistently affects quality of life or is accompanied by other urogenital discomforts, timely medical consultation is recommended.
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Is premature and easy ejaculation due to Yin deficiency or Yang deficiency?
Premature and rapid ejaculation is mostly caused by Yin deficiency; such symptoms rarely occur in Yang deficiency. In cases of Yang deficiency, the core issue is insufficient Yang Qi, which typically manifests as poor or difficult erection rather than easy arousal. It is often accompanied by symptoms such as aversion to cold, cold limbs, frequent nocturnal urination, and lethargy. Even when premature ejaculation occurs, it is usually related to deficient Yang Qi and loss of containment function, rather than being a typical presentation of easy arousal and rapid ejaculation.
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Dr. Sun Lianqing
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Is premature ejaculation due to yin deficiency or yang deficiency?
Premature ejaculation caused by yin deficiency is mostly due to kidney essence deficiency and internal generation of deficient fire, which scorches the seminal gate and leads to loss of containment, often accompanied by symptoms such as soreness and weakness in the lower back and knees, heat in the palms and soles, dry mouth, and night sweats. During intercourse, ejaculation tends to occur prematurely due to disturbance from the deficient fire. Premature ejaculation caused by yang deficiency mainly results from insufficient kidney yang and impaired warming function, leading to failure in securing the seminal gate, and is commonly associated with aversion to cold, cold limbs, frequent nocturia, and lethargy.
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Can premature ejaculation in men heal on its own?
In general, whether male premature ejaculation can resolve on its own mainly depends on its underlying cause and type. It is important to maintain a regular作息 (daily routine), avoid staying up late and excessive fatigue, and reduce tobacco and alcohol consumption. Stay relaxed during sexual activity and avoid excessive anxiety. Engage in appropriate physical exercise to improve physical fitness, and pay attention to genital hygiene to prevent inflammatory infections.
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Is premature ejaculation related to poor rest?
In general, whether premature ejaculation is related to poor rest depends on a comprehensive assessment of factors such as the severity and duration of inadequate rest, as well as individual physical conditions. It's important to develop regular sleep habits, avoid staying up late, and ensure sufficient daily sleep. Reduce screen time from phones and computers before bedtime, and create a quiet and comfortable sleeping environment.
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What is the purpose of taking Ningmitai and dapoxetine together?
Taking Ningmitai together with dapoxetine may synergistically improve genitourinary discomfort, alleviate premature ejaculation symptoms, regulate urination function, reduce inflammatory irritation, and enhance sexual quality of life. This combination is suitable for cases involving specific genitourinary system disorders accompanied by premature ejaculation. If dizziness, nausea, or worsening urinary abnormalities occur after taking the medication, prompt medical consultation is recommended.
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