What should I do if I feel like ejaculating as soon as I start?

Wanting to ejaculate immediately upon penetration usually refers to premature ejaculation, which may be caused by psychological factors, excessive glans sensitivity, endocrine disorders, prostatitis, seminal vesiculitis, and other factors. It can generally be treated through psychotherapy, behavioral therapy, medication, or surgical treatment. If abnormalities occur, timely medical consultation is recommended. Detailed analysis is as follows:

1. Psychological factors: Emotional fluctuations, tension, or disharmony in the marital relationship can lead to changes in the levels of neurotransmitters in the brain, thus affecting the ability to control ejaculation. It is recommended to adjust one's mindset, relax, and seek psychotherapy such as cognitive behavioral therapy when necessary to alleviate tension and anxiety, supplemented by relaxation training such as meditation and deep breathing, especially before sexual activity.

2. Excessive glans sensitivity: The glans remains covered by the foreskin for a long time with minimal external stimulation, leading to sensitive nerve endings, and even slight friction during sexual activity can trigger strong excitement transmitted to the ejaculation center, resulting in ejaculation. Daily foreskin retraction to increase friction and using desensitization trainers are recommended. In severe cases, circumcision may be considered to reduce sensitivity.

3. Endocrine disorders: Poor lifestyle habits such as staying up late and obesity may lead to imbalances in male hormones. Testosterone affects the stability of the ejaculation center, thereby causing premature ejaculation. Treatments include adjusting the sleep schedule, exercising to lose weight, treating underlying pituitary diseases, and taking testosterone preparations under medical guidance when necessary, along with regular hormone level monitoring.

4. Seminal vesiculitis: The main cause of seminal vesiculitis is infection. When the seminal vesicles are inflamed, the mucous membrane becomes congested, damaged, and bleeds, and inflammatory mediators disrupt nerve conduction and smooth muscle regulation, leading to premature ejaculation. It is recommended to take medications such as terazosin hydrochloride tablets, Qianlie Tongyu capsules, and Qianlie Jindan tablets under medical guidance. Sexual activity should be suspended during treatment, and regular ultrasound follow-ups are necessary.

5. Prostatitis: Prostatitis is generally caused by bacterial infection. The inflammation may lead to shortened sexual activity duration and may also cause symptoms such as frequent urination, chills, and fatigue. Medications such as ciprofloxacin hydrochloride tablets, minocycline hydrochloride capsules, and levofloxacin hydrochloride capsules can be used under medical guidance, along with warm sitz baths and Chinese patent medicine as adjunctive therapy.

In daily life, maintaining a balanced diet, eating more fruits, vegetables, and nuts, and reducing intake of spicy and greasy foods are beneficial for hormonal balance and prostate health. Additionally, focusing on emotional communication with one's partner and creating a relaxed and harmonious sexual atmosphere is also important.