What should I do about severe premature ejaculation?
Dec 10, 2025
Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Severe premature ejaculation requires comprehensive interventions such as lifestyle adjustments, physical therapy, psychological counseling, medication, and surgical treatment. The key is first identifying the underlying cause and then applying targeted treatments. If symptoms persist for more than three months and affect sexual quality of life, it is advisable to seek timely medical evaluation at a reputable hospital's department of urology or andrology. Maintain regular sleep patterns, avoid staying up late, and abstain from...
Severe premature ejaculation requires comprehensive interventions such as lifestyle adjustments, physical therapy, psychological counseling, medication, and surgical treatment. The key is first identifying the underlying cause and then applying targeted treatments. If symptoms persist for more than three months and affect sexual quality of life, it is recommended to seek timely evaluation at a reputable hospital's department of andrology or urology.
1. Lifestyle adjustments: Maintain regular sleep patterns and avoid staying up late; quit smoking, limit alcohol intake, and reduce consumption of spicy or irritating foods; engage in moderate exercise regularly to strengthen pelvic floor muscles; control the frequency of sexual activity to prevent overexcitement; improve reproductive health through a healthy lifestyle.
2. Physical therapy: Use behavioral techniques such as the stop-start method and squeeze technique to enhance ejaculatory control. Physical methods like low-energy extracorporeal shockwave therapy may also be used to stimulate local blood circulation and help reduce neural hypersensitivity.
3. Psychological therapy: Alleviate negative emotions such as anxiety and inferiority. Through psychological counseling, correct cognitive distortions and encourage open communication between partners to reduce psychological stress during sexual activity and prevent symptom worsening due to mental factors.
4. Medication: Under medical supervision, selective serotonin reuptake inhibitors (SSRIs) or topical anesthetics may be prescribed. Strict adherence to medical instructions is essential, with attention to potential side effects and contraindications. Do not adjust dosage without consulting a physician.
5. Surgical treatment: For severe cases unresponsive to medications or other therapies, procedures such as selective dorsal penile nerve block may be considered. Surgery carries certain risks and should only be pursued after thorough evaluation and discussion with a specialist.
Daily care should focus on maintaining genital hygiene, avoiding excessive friction or irritation, keeping a positive mood to prevent emotional fluctuations, and following a balanced diet rich in high-quality protein and vitamins. Gradually improve overall health and progressively enhance sexual quality of life.
