What is premature ejaculation?
Aug 22, 2025
Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
In general, premature ejaculation may be caused by psychological stress, glans hypersensitivity, prostatitis, hyperthyroidism, or heightened sensitivity of the dorsal nerve of the penis. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. In daily life, maintaining a regular作息 (作息 should be translated as "routine" or "lifestyle habits"), avoiding excessive fatigue and frequent masturbation, and engaging in appropriate physical exercise to enhance physical health are advised.
Generally, premature ejaculation may be caused by psychological stress, glans hypersensitivity, prostatitis, hyperthyroidism, or heightened sensitivity of the dorsal nerve of the penis. It is recommended to seek medical attention promptly, identify the underlying cause, and undergo appropriate treatment under a doctor's guidance. Detailed explanations are as follows:
1. Psychological stress: Prolonged anxiety, tension, or lack of confidence in sexual activity can affect the brain's ejaculation control center, leading to rapid ejaculation. Emotional relaxation techniques, improved communication with one's partner, and, if necessary, consultation with a psychologist may help alleviate these issues.
2. Glans hypersensitivity: A naturally high concentration of nerve endings in the glans can cause ejaculation to occur quickly with minimal stimulation. Under a doctor's guidance, medications such as compound lidocaine cream, tetracaine hydrochloride gel, or daclonine chlorhexidine sulfur ointment may be used to reduce sensitivity. Alternatively, wearing a condom can also help reduce stimulation.
3. Prostatitis: Often caused by bacterial infection or prolonged sitting, inflammation can lower the ejaculation threshold and may be accompanied by symptoms such as frequent urination and urgency. Patients may follow medical advice to use medications such as levofloxacin hydrochloride capsules, Qianlieshutong capsules, or tamsulosin hydrochloride sustained-release capsules. Additionally, avoiding prolonged sitting and maintaining a regular lifestyle are recommended.
4. Hyperthyroidism: Excessive secretion of thyroid hormones accelerates metabolism and stimulates the sympathetic nervous system, which can interfere with ejaculation control and may be accompanied by symptoms such as palpitations and excessive sweating. Patients should follow medical advice to use medications such as methimazole tablets, propylthiouracil tablets, or metoprolol tartrate tablets to regulate thyroid function and maintain a low-iodine diet in daily life.
5. Excessive sensitivity of the dorsal nerve of the penis: An increased number of dorsal nerve branches or abnormal sensitivity can lead to rapid ejaculation, which may not respond well to conventional treatments. Dorsal nerve neurectomy may be considered, which involves cutting some sensitive nerve branches to raise the ejaculation threshold and prolong sexual activity time. Postoperative local care is necessary to prevent infection.
In daily life, maintaining a regular lifestyle, avoiding excessive fatigue and frequent masturbation, engaging in appropriate physical exercise to improve physical condition, and maintaining good sexual habits can help improve premature ejaculation.
