What can be done about premature ejaculation?

Jul 10, 2024 Source: Cainiu Health
Disease description:

I am a 40-year-old male. For the past year, I have been troubled by premature ejaculation. Previously, due to a busy work schedule and concerns about embarrassment, I didn't seek help. May I ask, what should I do about premature ejaculation?

Doctor's answer (1)
Dr. Luo Yong
Premature ejaculation is a common male sexual dysfunction, and there are various treatment options, mainly including the following aspects: 1. **Pharmacotherapy**: Under a doctor's guidance, oral medications such as dapoxetine hydrochloride tablets, and topical agents such as lidocaine gel can be used to prolong sexual activity by inhibiting central nervous system excitability or reducing glans sensitivity. 2. **Psychotherapy**: For premature ejaculation caused by psychological factors, symptoms can be alleviated through methods such as reducing anxiety, enhancing self-confidence, cognitive therapy, and involving the sexual partner in treatment. 3. **Behavioral therapy**: Techniques include squeezing the penis, the stop-start method, prolonging foreplay, using condoms, and scrotal stretching, all of which aim to extend ejaculation time through behavioral training. 4. **Surgical treatment**: For some patients with severe premature ejaculation caused by factors such as excessive foreskin or phimosis, surgical options such as circumcision may be considered.