Can premature ejaculation be completely cured?

Aug 22, 2025 Source: Cainiu Health

Dr. Cao Zhiqiang

Introduction

In general, whether premature ejaculation can be completely cured depends on the specific underlying cause. Premature ejaculation caused by psychological stress, mild glans hypersensitivity, and similar factors can often be significantly improved, or even achieve clinical cure, through standardized interventions. However, cases resulting from pathological factors such as severe prostatitis or excessive sensitivity of the dorsal penile nerve are more difficult to cure completely and require long-term management to control symptoms.

Generally, whether premature ejaculation can be completely cured depends on the specific causes. Premature ejaculation caused by psychological stress, mild glans sensitivity, and other factors can often be significantly improved, or even achieve clinical cure, through standardized interventions. However, premature ejaculation caused by pathological factors such as severe prostatitis or high sensitivity of the dorsal nerve of the penis is more challenging to cure completely and usually requires long-term management to control symptoms. Detailed analysis is as follows:

If premature ejaculation is caused by psychological factors such as psychological stress, anxiety, or lack of confidence in sexual activity, or by mild glans sensitivity, without accompanying organic lesions, symptoms can usually be gradually improved, and some cases can even be cured completely, by alleviating negative emotions through psychological counseling, enhancing communication with the partner to build trust, maintaining regular作息 (作息 translates as作息 patterns), and avoiding excessive fatigue.

If premature ejaculation is caused by pathological factors such as severe prostatitis, hyperthyroidism, or heightened sensitivity of the dorsal nerve of the penis, treatment should primarily target the underlying disease. For example, medication is needed to control inflammation in cases of prostatitis, and heightened sensitivity of the dorsal nerve might require a dorsal nerve circumcision procedure. Complete cure is more difficult in these cases, and long-term management with medication, surgery, or behavioral therapy is often necessary to control symptoms and reduce recurrence.

Daily care is important for improving premature ejaculation. One should maintain regular作息 patterns, avoid staying up late and excessive masturbation, and engage in physical exercise such as jogging or swimming to enhance overall physical health.

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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.