What should men do about premature ejaculation?

Aug 22, 2025 Source: Cainiu Health

Dr. Cao Zhiqiang

Introduction

In general, premature ejaculation in males may be caused by psychological tension, insufficient sexual experience, phimosis, seminal vesiculitis, or erectile dysfunction accompanied by premature ejaculation. It is recommended to seek timely medical consultation, identify the underlying cause, and then improve the condition under a doctor's guidance through general treatment, medication, and other methods. In daily life, maintaining a regular作息 (作息 should be translated as "routine" or "daily regimen"), avoiding late nights and excessive fatigue, and engaging in appropriate swimming exercises are advised.

Generally, premature ejaculation in males may be caused by psychological tension, lack of sexual experience, phimosis, seminal vesiculitis, erectile dysfunction accompanied by premature ejaculation, and other factors. It is recommended to seek timely medical consultation, identify the underlying cause, and improve the condition under a doctor's guidance through general treatments, medication, and other methods. A detailed analysis is as follows:

1. Psychological tension: Excessive worry about poor performance during sexual activity, unfamiliar environments, or emotional anxiety may accelerate the ejaculation reflex, leading to rapid ejaculation. In daily life, becoming familiar with the sexual environment in advance, creating a relaxed atmosphere with one's partner, listening to calming music before sexual activity, and reducing psychological stress can help alleviate this issue.

2. Lack of sexual experience: Individuals experiencing their first sexual encounter or engaging in sexual activity infrequently may have a low tolerance for sexual stimulation, making them prone to rapid ejaculation due to heightened excitement. Gradually increasing the frequency of sexual activity, accumulating experience through practice, cooperating with one's partner to explore a suitable rhythm, and progressively improving ejaculation control can help address this issue.

3. Phimosis: Long-term coverage of the glans by the foreskin results in a lack of external stimulation, increasing sensitivity and leading to rapid ejaculation during sexual activity. If symptoms are significant, circumcision may be performed as directed by a physician. After surgery, the glans becomes exposed and repeated friction over time can reduce sensitivity.

4. Seminal vesiculitis: Bacterial infection traveling up the urethra into the seminal vesicles causes inflammation, which shortens the ejaculation latency period and may be accompanied by symptoms such as painful ejaculation and hematospermia. Patients should follow medical advice to use medications such as Cefuroxime Axetil Tablets, Levofloxacin Hydrochloride Capsules, Azithromycin Capsules, and others to control the infection.

5. Erectile dysfunction combined with premature ejaculation: When penile erection hardness is insufficient, men may rush to ejaculate out of concern that the erection will subside, resulting in premature ejaculation. Patients should follow medical advice to use medications such as Sildenafil Citrate Tablets, Tadalafil Tablets, or Dapoxetine Hydrochloride Tablets. The former improves erectile function, while the latter prolongs ejaculation time.

In daily life, maintaining a regular routine, avoiding staying up late and excessive fatigue, and appropriately engaging in exercises such as swimming and squats to strengthen pelvic floor muscle function are recommended. Diet-wise, consuming more fresh fruits and vegetables, nuts, and other nutrient-rich foods while reducing tobacco and alcohol intake is advised.

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What causes premature ejaculation and how is it treated?

Premature ejaculation may be caused by psychological stress, balanoposthitis, hyperthyroidism, etc. Excessive secretion of thyroid hormones accelerates body metabolism and increases nervous system excitability, making the ejaculation center more sensitive and leading to premature ejaculation, accompanied by symptoms such as palpitations and excessive sweating. Patients can follow medical advice to use medications like Methimazole Tablets, Propylthiouracil Tablets, or Propranolol Tablets to regulate thyroid function to normal levels.

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What causes premature ejaculation, and how is it treated?

The prostate gland is stimulated by bacterial or non-bacterial inflammatory factors. The inflammatory mediators spread to areas such as the seminal vesicles and urethra, affecting the ejaculatory reflex pathway, leading to premature ejaculation, accompanied by symptoms such as frequent urination and urgency. Treatment should be conducted under a physician's guidance using medications such as tamsulosin hydrochloride sustained-release capsules, Qianlieshule capsules, and levofloxacin tablets to improve urinary and ejaculatory function.