How to treat premature ejaculation caused by glans hypersensitivity

Generally, premature ejaculation caused by glans hypersensitivity can be treated through local medication, behavioral training, lifestyle adjustments, dietary support, and surgical interventions. Choosing the appropriate treatment based on the degree of sensitivity and individual conditions can effectively reduce sensitivity and improve ejaculatory control. The detailed analysis is as follows:

1. Local medication: Under a doctor's guidance, apply topical anesthetic drugs such as compound lidocaine cream or tetracaine hydrochloride gel approximately 30 minutes before sexual activity. Applying the medication to the glans and coronal sulcus can temporarily reduce the sensitivity of the glans nerves, prolonging the ejaculation latency period.

2. Behavioral training: Improve ejaculatory control through the "start-stop" and "squeeze" techniques. The "start-stop" method involves pausing sexual stimulation when nearing ejaculation, waiting until excitement decreases before resuming. The "squeeze" method involves using fingers to squeeze the junction between the glans and penile shaft when nearing ejaculation, suppressing the ejaculation reflex. Long-term practice can increase the glans' tolerance to stimulation.

3. Lifestyle adjustments: Avoid wearing tight underwear for prolonged periods to reduce excessive friction between the glans and clothing. Control masturbation frequency and avoid rapid ejaculation, which may increase sensitivity. Maintain a regular sleep schedule, avoid staying up late, and reduce nervous tension to create favorable physical conditions for improving glans sensitivity.

4. Dietary support: Consume foods rich in zinc, selenium, and B vitamins, such as oysters, lean meats, nuts, and whole grains, to help maintain stable nerve function in the reproductive system. Reduce intake of spicy and irritating foods, which may stimulate the body and indirectly increase glans sensitivity. A proper diet can enhance the body's ability to regulate stimulation.

5. Surgical intervention: If glans hypersensitivity is caused by excessive penile dorsal nerve branches and conservative treatments are ineffective, a dorsal nerve neurectomy may be considered. This surgery reduces glans nerve conduction speed by cutting part of the dorsal nerves, thereby decreasing sensitivity. However, the procedure carries certain risks and should only be performed after a specialist's evaluation and confirmation of surgical indications.

Patience is essential during treatment, and one should avoid rushing for results. Regularly monitor symptom improvement, adjust treatment plans based on personal experience, and communicate frequently with your partner to jointly participate in training, thereby enhancing treatment effectiveness and alleviating premature ejaculation symptoms.