How should men with primary premature ejaculation be treated?
The treatment of primary premature ejaculation should integrate behavioral training, pharmacological intervention, psychological counseling, surgical correction, and traditional Chinese medicine (TCM) regulation, following an individualized and standardized approach. If symptoms persistently affect quality of life, it is recommended to seek timely medical evaluation at the urology or andrology department of a正规 hospital.
1. Behavioral training: Techniques such as the stop-start method and squeeze technique can be used to improve ejaculatory control. Combined with regular作息 and moderate exercise, pelvic floor muscle function can be enhanced, gradually prolonging the ejaculatory latency period. Long-term adherence is required to consolidate therapeutic effects.
2. Pharmacological intervention: Under medical supervision, selective serotonin reuptake inhibitors (SSRIs) or topical anesthetics may be used to alleviate rapid ejaculation. Medications must be taken strictly according to medical instructions, with close monitoring for potential adverse reactions.
3. Psychological counseling: Professional psychologists can help relieve negative emotions such as anxiety and inferiority, improve communication patterns between partners, reduce the psychological impact on ejaculatory function, and rebuild confidence in sexual life.
4. Surgical correction: For patients unresponsive to medication or behavioral therapy, selective dorsal penile nerve ablation may be considered. Strict indications must be followed, and postoperative care is essential to prevent infection.
5. TCM regulation: Based on syndrome differentiation, methods such as oral herbal medicine, acupuncture, and massage may be used to regulate organ functions, improve constitution, and assist in alleviating premature ejaculation symptoms. These should be conducted under the guidance of qualified TCM practitioners.
Daily self-care includes maintaining a regular sex life, avoiding excessive masturbation, practicing good genital hygiene, consuming foods rich in zinc, selenium, and high-quality protein, avoiding spicy and irritating foods, and maintaining a positive mental state to support recovery.
