How to treat erectile dysfunction and premature ejaculation
Dec 10, 2025
Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Treatment for erectile dysfunction and premature ejaculation requires a comprehensive approach based on the underlying causes, including basic management, medication, physical therapy, surgical intervention, and psychological counseling. Most patients experience significant improvement with standardized treatment. If symptoms persist for more than three months, it is advisable to seek timely evaluation and care at the urology or andrology department of a reputable hospital. Lifestyle modifications such as quitting smoking, limiting alcohol intake, and maintaining regular sleep patterns are also recommended.
Erectile dysfunction and premature ejaculation require a comprehensive treatment approach based on the underlying causes, including basic lifestyle management, medication, physical therapy, surgery, and psychological counseling. Most patients experience significant improvement with standardized interventions. If symptoms persist for more than three months, it is recommended to seek timely medical evaluation at a reputable hospital's department of andrology or urology.
1. Basic treatment: Adjust lifestyle habits by quitting smoking, limiting alcohol consumption, maintaining regular sleep patterns, engaging in moderate exercise, controlling body weight, and improving dietary structure. Additionally, manage chronic conditions such as hypertension and diabetes to reduce their impact on the reproductive system.
2. Medication: Under medical supervision, use targeted medications such as phosphodiesterase type 5 inhibitors to improve erectile function, or selective serotonin reuptake inhibitors to prolong ejaculation time. Avoid self-medicating without professional guidance.
3. Physical therapy: Utilize devices such as vacuum erection systems or treatments like low-intensity extracorporeal shockwave therapy to enhance local blood circulation, improve penile erectile function, and support overall treatment efficacy.
4. Surgical treatment: For severe cases unresponsive to medication or physical therapy, options such as penile prosthesis implantation or selective dorsal nerve resection may be considered. Surgery must be carefully evaluated according to strict indications.
5. Psychological therapy: Employ cognitive-behavioral therapy and psychological counseling to alleviate negative emotions such as anxiety and low self-esteem, improve partner relationships, and eliminate psychological factors affecting sexual performance.
Daily care should emphasize hygiene of the genital area, avoid excessive sexual activity and masturbation, maintain regular and moderate sexual stimulation, and cultivate a positive mental state. Avoid undue psychological stress due to occasional symptom exacerbation, and reinforce treatment outcomes through healthy lifestyle practices.
