How Should Premature Ejaculation in Men Be Treated?
May 29, 2022
Source: Cainiu Health
Dr. Li Mingchuan
Introduction
Premature ejaculation is typically managed through a comprehensive treatment approach, including psychological therapy, behavioral therapy, pharmacological therapy, and surgical intervention. Specific strategies are as follows:
- **Psychological therapy**: Requires joint participation by both partners under the guidance of a physician.
- **Behavioral therapy**: Includes using double or multiple condoms, modifying sexual positions, and appropriately increasing the frequency of sexual activity—all under physician supervision.
Premature ejaculation (PE), the most common ejaculatory dysfunction, is primarily characterized by an inability to engage in normal sexual intercourse and affects over one-third of adult men. So, how should premature ejaculation in men be treated?
How Should Premature Ejaculation in Men Be Treated?
A comprehensive treatment approach is typically adopted, incorporating psychological therapy, behavioral therapy, pharmacotherapy, and surgical intervention. Specifically: 1. Psychological therapy: Requires joint participation by both partners under the guidance of a physician. 2. Behavioral therapy: Includes using double or multiple condoms, modifying coital positions, appropriately increasing the frequency of sexual activity, and employing partner-assisted exercises designed to modulate penile glans sensitivity—all conducted under medical supervision.
Pharmacotherapy commonly employs selective serotonin reuptake inhibitors (SSRIs), such as dapoxetine hydrochloride and sertraline. Additionally, alpha-1 adrenergic blockers (e.g., tamsulosin, doxazosin), phosphodiesterase type 5 (PDE5) inhibitors (e.g., vardenafil, tadalafil), and topical anesthetics may also offer therapeutic benefits for PE. Surgical interventions include circumcision and selective dorsal nerve branch neurectomy of the penis.
The choice of a single modality or combination therapy should always be made under the professional guidance of a qualified physician. We hope this information proves helpful to you!
