Treatment of Male Premature Ejaculation

1、 Behavioral training improves control
Stop and move method: During sexual activity, pause the stimulation when feeling close to ejaculation, continue after the impulse subsides, and repeatedly practice to extend the time.
Squeezing method: The partner lightly squeezes the coronal sulcus of the penis to reduce sensitivity, and both parties need to cooperate in training.
Kegel exercise: Enhance control by contracting pelvic floor muscles, 3 groups per day, 10-15 contractions per group.
2、 Drug therapy alleviates symptoms
Serotonin reuptake inhibitors (SSRIs), such as dapoxetine (as directed by a doctor), delay ejaculation by regulating neurotransmitters and are effective for short-term use. However, long-term side effects such as dizziness and nausea should be monitored.
Local anesthetics: For example, lidocaine spray or cream, smear the glans 15 minutes before sex to reduce sensitivity, and wash it after use to avoid contact with partners.
Other medications: Antibiotics for primary diseases such as prostatitis, or hormone replacement therapy for individuals with low testosterone levels (to be evaluated by a doctor). three
3、 Psychological regulation and partner support
Relieve anxiety: Sexual performance stress and excessive tension are common triggers that can be improved through psychological counseling or cognitive-behavioral therapy (CBT).
Partner communication: Participate in behavior training together, avoid blame, and establish a trusting relationship. For example, attempting non penetrative sexual behavior to alleviate psychological burden.
4、 Lifestyle adjustment assisted recovery
Regular exercise: Aerobic exercise (such as jogging) and strength training can improve physical fitness, blood circulation, and hormone levels.
Balanced diet: Supplement nutrients such as zinc (oysters, nuts), vitamin B (whole grains), and avoid excessive alcohol consumption and spicy stimulation.
Quit smoking: Smoking may affect vascular function and worsen premature ejaculation.