Post Date December, 02 2023
One thing bothers me: premature ejaculation. Since I got married, I have been able to have sex with my wife for about 5 minutes, but now it's only less than 1 minute, and sometimes I ejaculate just as I'm inserted into the vagina. "For this reason, I went everywhere to seek medical advice, but it all ended in failure.". I have come to your assistance today. Please give me some good advice—— Mr. Zha from Anhui Province
Premature ejaculation is a common male sexual dysfunction. It is generally believed that ejaculation immediately after contact with the woman's body or insertion into the vagina is a typical form of premature ejaculation. Typical cases of premature ejaculation and ejaculation less than 1 minute, especially those with persistent and habitual episodes, require clinical treatment. Common treatment methods include: sexual psychological behavior therapy, oral medication, topical medication, and so on. In the past, due to a lack of medication, doctors often recommended sexual behavior therapy. Such as the famous "stop move" method and "pinch and squeeze technique", which require patients and spouses to have high psychological quality and harmonious sexual relations. Patients often cannot persist for various reasons. In recent years, several oral drugs have been commonly used to treat premature ejaculation.
For example, the antidepressant chlorpromazine, 25 mg, twice a day, or 50 mg, is taken orally before bedtime for a total of 8 to 12 weeks, with a therapeutic effect of about 60% to 75%. 5-hydroxytryptamine reuptake inhibitors, such as sertraline, paroxetine, and fluoxetine, have a certain effect on delaying ejaculation time. The commonly used dose is 25-50 mg, and the course of treatment is 4-12 weeks. Trazodone is particularly suitable for patients with premature ejaculation accompanied by erectile dysfunction. The commonly used dose is 50 to 100 mg, taken orally daily before bedtime, for a total of 4 to 8 weeks, with a therapeutic effect of about 60% to 80%. Others are also useful α- Receptor blockers such as phenoxybenzidine, santa, and cortisol have been reported to be effective in treating premature ejaculation in some patients. The above drugs have some common side effects, such as nausea, dizziness, drowsiness, dry mouth, and postural hypotension. Therefore, how to choose treatment drugs, as well as the dosage and course of treatment, needs to vary from person to person, and it is up to the specialist to decide. Unauthorized medication is not allowed. Local medication involves applying a liquid (cream) to the head of the penis to reduce sensitivity. There are 1% dacron cream, 0.5% to 1% dicaine solution, etc., which can be used alone or in combination with oral medication.
