
How to treat premature ejaculation
We've been married for several years now. Recently, I've been having some issues with my sex life with my wife; the duration is always very short. I suspect it might be premature ejaculation. I'd like to know what the best treatment options are for premature ejaculation.

For premature ejaculation caused by psychological factors such as anxiety, tension, or depression, patients can benefit from psychological counseling and behavioral therapies to adjust their mindset and reduce stress.
Oral medications such as Suoyang Gujing Pills, Yangyinsuo Capsules, and Dapoxetine Hydrochloride Tablets can help warm the kidneys, consolidate essence, enhance the immune system, and improve sexual function. These medications can prolong ejaculation time but should be used under a doctor's guidance.
Applying topical anesthetics such as lidocaine cream on the glans and coronal sulcus before sexual activity can numb the glans and thereby delay ejaculation. However, this method does not address the underlying cause and may lead to erectile dysfunction.
Sexual technique training, such as the squeeze method and stop-squeeze technique, involves controlling the intensity and frequency of sexual stimulation to improve control over ejaculation. Learning techniques to delay ejaculation, such as controlling breathing and exercising pelvic muscles, can help change the habit of rapid ejaculation through long-term training.
For patients with severe symptoms, surgical options such as dorsal nerve block of the penis or penile prosthesis implantation may be considered to improve the condition. However, surgery carries risks and should be performed under a doctor's guidance. Patients should seek timely medical consultation for comprehensive examination and diagnosis to develop an individualized treatment plan.