How is premature ejaculation treated?

Feb 24, 2025 Source: Cainiu Health

Dr. Cao Zhiqiang

Introduction

Premature ejaculation may be caused by psychological factors,不良 lifestyle habits, prostatitis, urethritis, diabetes, etc. It can usually be treated through adjustment of sexual frequency, psychological counseling, medication, surgical treatment, and lifestyle modifications. At the same time, avoiding excessive fatigue and emotional fluctuations, maintaining adequate sleep, and staying in a good mood can help alleviate symptoms of premature ejaculation.

Premature ejaculation may be caused by psychological factors, unhealthy lifestyle habits, prostatitis, urethritis, diabetes, and other conditions. It can usually be treated through adjustment of sexual frequency, psychological counseling, medication, surgical treatment, and lifestyle modifications. If symptoms persist, prompt medical attention is recommended. A detailed analysis is as follows:

1. Psychological factors: Psychological stress such as anxiety or depression may interfere with the male sexual response process, lowering the ejaculation threshold and thus making premature ejaculation more likely. Psychotherapy is recommended, and both partners should cooperate, engaging in sexual education and counseling to relieve negative emotions.

2. Unhealthy lifestyle habits: Long-term熬夜 (staying up late), excessive fatigue, heavy alcohol consumption, smoking, and other unhealthy lifestyle habits may lead to physical weakness and affect sexual function. It is recommended to adjust lifestyle habits, maintain sufficient sleep and moderate exercise, avoid excessive fatigue and staying up late, quit smoking and drinking alcohol, and reduce the intake of spicy and irritating foods.

3. Prostatitis: Prostatitis is an inflammatory disease of the prostate that may cause prostate congestion and edema, compressing the nerves and thereby causing premature ejaculation, often accompanied by frequent urination, urgency, and painful urination. Under a doctor's guidance, medications such as levofloxacin hydrochloride capsules, ciprofloxacin hydrochloride tablets, and amoxicillin-clavulanate potassium tablets may be used for treatment.

4. Urethritis: Urethritis is an inflammation of the urethral mucosa that may lead to urethral narrowing and difficulty urinating, which can affect sexual function and cause premature ejaculation. Symptoms may include redness and swelling at the urethral opening, painful urination, and increased urethral discharge. Follow medical advice to use sodium bicarbonate solution, compound phellodendron liquid topical agent, compound sophora root wash, or other local disinfectants for cleaning.

5. Diabetes: Diabetes is a metabolic disorder that may damage the nervous and vascular systems, thereby affecting sexual function and leading to premature ejaculation. Associated symptoms may include increased thirst, frequent urination, and weight loss. Treatment may involve following medical advice to use medications such as metformin hydrochloride tablets, gliclazide modified-release tablets, and repaglinide tablets to control the condition.

In addition, avoiding excessive fatigue and emotional fluctuations, maintaining adequate sleep and a pleasant mood, can help alleviate symptoms of premature ejaculation.

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What are the treatments for premature ejaculation?

Treatment options for premature ejaculation include medication, behavioral therapy, psychological intervention, surgery, and lifestyle adjustments. If premature ejaculation persistently affects sexual quality of life or causes psychological distress, it is recommended to seek timely medical consultation at the urology or andrology department of a reputable hospital. Medication: Use selective serotonin reuptake inhibitors as prescribed by a physician.

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The difference between primary premature ejaculation and secondary premature ejaculation

The differences between primary premature ejaculation and secondary premature ejaculation are reflected in onset time, underlying causes and mechanisms, symptom presentation, past sexual history, and treatment focus. If symptoms arise that affect quality of life, it is recommended to seek timely evaluation and care at the urology or andrology department of a正规 hospital. Primary premature ejaculation is present from the first sexual experience and persists without improvement; secondary premature ejaculation develops later in life.

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How should men with primary premature ejaculation be treated?

Treatment of primary premature ejaculation should combine behavioral training, pharmacological intervention, psychological counseling, surgical correction, and traditional Chinese medicine regulation, following the principle of individualized and standardized therapy. If symptoms persistently affect quality of life, timely consultation at a reputable hospital's department of andrology or urology is recommended. Exercises such as the stop-start technique and squeeze technique can help improve ejaculatory control.

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How to manage and调理 (regulate/treat) premature ejaculation

Premature ejaculation can be managed through lifestyle adjustments, psychological regulation, behavioral training, dietary modifications, and medication assistance. If there is no improvement after 1–3 months of management, or if other urogenital symptoms are present, timely medical consultation is necessary. Maintain a regular sleep schedule and avoid staying up late, engage in moderate exercise to improve physical fitness, control tobacco and alcohol consumption to reduce irritation to the reproductive system, and avoid excessive fatigue.