Is premature ejaculation difficult to treat?

Aug 22, 2025 Source: Cainiu Health

Dr. Cao Zhiqiang

Introduction

In general, whether premature ejaculation is difficult to treat depends on the specific underlying cause. Premature ejaculation caused by psychological factors or mild physiological sensitivity is usually not difficult to treat and can be significantly improved through standardized interventions. However, cases resulting from complex pathological factors or long-term lack of intervention are more challenging to treat and require long-term, persistent management. Daily care plays an auxiliary role in treating premature ejaculation, and maintaining a regular作息 (daily routine) is necessary.

Generally speaking, whether premature ejaculation is difficult to treat depends on the specific cause. Premature ejaculation caused by psychological factors or mild physiological sensitivity is usually not difficult to treat and can be significantly improved through standardized interventions. However, premature ejaculation caused by complex pathological factors or long-term neglect is more challenging to treat and requires long-term commitment to management and调理. The detailed analysis is as follows:

If premature ejaculation is caused by short-term psychological stress, anxiety, poor communication with a partner, or mild glans sensitivity without accompanying organic lesions, treatment is relatively straightforward. Negative emotions can be alleviated through psychological counseling, and adjusting the rhythm of sexual activity often leads to symptom improvement within 1–3 months. Continued intervention enables effective control.

When premature ejaculation is caused by severe pathological factors such as prostatitis, abnormal thyroid function, or heightened dorsal penile nerve sensitivity, or if it has been long neglected and repeatedly recurs, the treatment becomes more challenging. In such cases, the underlying disease must be treated first, which usually involves a longer treatment period—often 3–6 months or even longer—and requires the patient's sustained cooperation.

Daily care plays an auxiliary role in treating premature ejaculation. It is important to maintain regular作息 habits, avoid staying up late, and refrain from excessive masturbation. Engaging appropriately in exercises such as Kegel exercises and jogging can strengthen the pelvic floor muscles and improve overall physical fitness.

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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.