What are the treatments for premature ejaculation?

Sep 03, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Premature ejaculation may be caused by excessive fatigue, emotional depression, seminal vesiculitis, balanitis, diabetic neuropathy, etc. It can usually be improved through general treatment, psychological intervention, and medication. In daily life, one should maintain a balanced diet, reduce the intake of spicy and irritating foods, and perform appropriate pelvic floor muscle exercises to enhance ejaculatory control.

Premature ejaculation may be caused by excessive fatigue, emotional depression, seminal vesiculitis, balanitis, diabetic neuropathy, and other factors. It can usually be improved through general treatment, psychological intervention, medication, and other methods. If abnormalities occur, timely medical attention is recommended. Detailed analysis is as follows:

1. Excessive fatigue: Long-term high-intensity work or strenuous exercise leading to physical exhaustion and decreased nerve regulation ability can weaken control over the ejaculation center, causing premature ejaculation. It is necessary to arrange rest reasonably, avoid fatigue, and ensure sufficient sleep to gradually alleviate symptoms.

2. Emotional depression: Prolonged negative emotions can affect the brain's emotional and ejaculation centers, lowering the ejaculation threshold and causing premature ejaculation. It is recommended to regulate emotions through hobbies and social activities; psychological counseling may be necessary when needed.

3. Seminal vesiculitis: Infection of the seminal vesicles by pathogens causes inflammation and abnormal contraction of the seminal vesicles, resulting in premature ejaculation, often accompanied by hematospermia and perineal pain. Doctors may prescribe medications such as cefixime dispersible tablets, levofloxacin capsules, and azithromycin tablets to control the infection.

4. Balanitis: Inflammation of the glans penis caused by pathogen infection or irritation increases sensitivity, leading to premature ejaculation, often accompanied by redness, swelling, and itching. Doctors usually recommend using mupirocin ointment, fusidic acid cream, or potassium permanganate solution to reduce inflammation, combined with behavioral training to decrease sensitivity.

5. Diabetic neuropathy: Poor long-term blood sugar control damages peripheral nerves, affecting penile nerve conduction and reducing ejaculation control, leading to premature ejaculation, often accompanied by limb numbness, polydipsia, and polyuria. It is necessary to follow medical advice to use insulin injection, metformin tablets, and mecobalamin tablets to control blood sugar and nourish the nerves.

In daily life, maintaining a balanced diet, reducing intake of spicy and irritating foods, and appropriately performing pelvic floor muscle exercises can help enhance ejaculation control.

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