How to treat premature ejaculation
Apr 14, 2022
Source: Cainiu Health
Dr. Wang Jianlong
Introduction
The treatment of premature ejaculation is a comprehensive approach primarily centered on oral medications, encompassing oral pharmacotherapy, behavioral therapy, psychological counseling, and surgical intervention. Specifically:
First, in pharmacotherapy, the representative drug is dapoxetine—a selective serotonin reuptake inhibitor (SSRI) that can significantly delay ejaculation by approximately 5–10 minutes. Topical anesthetics, such as lidocaine cream, are also used.
With increasing life stress today, some men develop premature ejaculation (PE), which not only impairs normal sexual function but—when severe—may also negatively affect marital happiness. How is premature ejaculation treated?
How Is Premature Ejaculation Treated?
The treatment of premature ejaculation primarily involves a comprehensive, multimodal approach centered on oral pharmacotherapy. This includes oral medications, behavioral therapy, psychological interventions, and—in select cases—surgical options. Specifically: First, in pharmacological treatment, dapoxetine is the representative agent. As a selective serotonin reuptake inhibitor (SSRI), it significantly delays ejaculation by approximately 5–10 minutes. Topical anesthetics—such as lidocaine cream—applied to the glans penis can also markedly prolong the intravaginal ejaculatory latency time (IELT). Second, psychological and behavioral therapies aim to enhance sexual technique, boost self-confidence, reduce performance-related anxiety, and thereby extend ejaculation latency. These include techniques such as the “squeeze technique” and functional training.
Surgical intervention—specifically selective dorsal nerve neurectomy of the penis—is another option. However, due to considerable individual anatomical variation in the distribution of the dorsal penile nerves, this procedure is not routinely recommended for PE treatment.
Premature ejaculation has multiple etiologies, both physiological and pathological. Physiological causes include two main factors: first, excessive tension or lack of confidence during intercourse, which may trigger PE; second, insufficient sexual experience in men, predisposing them to PE. Pathological causes include phimosis or redundant prepuce, which can heighten glans sensitivity and constitute a primary underlying cause of PE. We hope this information proves helpful to you!
