In order to prolong the latent period of ejaculation, most patients will turn their minds to other aspects during sexual intercourse, such as diet and play. In an attempt to delay the latent period of ejaculation, or use condoms, drinking alcohol and other methods, but the effect is not good, but it often leads to decreased sexual desire, sexual pleasure disorder, and even erectile dysfunction, thus aggravating the condition. Therefore, the treatment of premature ejaculation should choose the appropriate treatment according to the etiology.

1. Psychotherapy

It is very important for both husband and wife to cooperate, especially for the wife to participate in the treatment. Psychotherapy of premature ejaculation needs the cooperation of the patient's wife. Because the woman's misunderstanding or complaint will make the man's tension and anxiety rise and increase his psychological burden. The woman should take a caring attitude, give verbal and behavioral comfort, ease the man's nervousness and help him build confidence in healing. Both husband and wife should be informed that premature ejaculation is a common problem, and both husband and wife should understand the necessity and possibility of rebuilding ejaculation conditioned reflex, eliminate patients' abnormal psychology such as anxiety, anxiety and self-blame, and establish confidence in curing the disease. As long as both sides cooperate with the treatment, it can still be cured.

2. Behavior method guidance

Sexy concentrated training therapy aims to teach patients to experience and enjoy sexual pleasure and overcome psychological barriers through tactile stimulation such as hug, touch and massage. You can also pull the scrotum and testicles down before reaching orgasm, or squeeze the glans penis with your thumb and forefinger to reduce sexual excitement and erection hardness 10% ~ 25%. After long-term training, women have sex in the way of upper position, and still use the twitch-stop-twitch method to train repeatedly, and gradually increase the stimulation threshold of ejaculation to achieve satisfactory manual control before ejaculation.

(1)Semans technical training means stopping and starting treatment. When the woman stimulates the penis until it is about to ejaculate, the man sends a signal to stop the stimulation immediately, and then stimulates it again after the ejaculation premonition disappears completely, and so on, until the man can accept a lot of stimulation, the last ejaculation is allowed. This method can improve the ejaculation threshold, and after successful treatment, adhere to weekly control training.

(2) Penis head extrusion is also called endurance training. When the woman stimulates the penis until she has a premonition that ejaculation is coming, put the thumb pulp on the penis strap, the forefinger pulp and the middle finger pulp on the top and bottom of the coronal groove on the other side of the penis respectively, and apply pressure from front to back for about 3-4 seconds. The man can tolerate it, which can alleviate the sense of urgency of ejaculation, and persist in treatment for 3-6 months, which can obtain lasting and stable curative effect.

3. Oral method

At present, drug therapy is mainly serotonin reuptake inhibitors such as sertraline and paroxetine; Tricyclic antidepressants such as clomipramine and fluoxetine. However, these drugs have certain side effects, so they must be taken under the guidance of a doctor.

In recent years, selective serotonin reuptake inhibitors, such as dapoxetine, have achieved good results.

4. Local medication

It is mainly a local anesthetic, which can be applied to the penis head before sexual intercourse to delay the latent period of ejaculation through local anesthesia. Topical drugs such as 1% dyclonine solution, 1% tetracaine solution, 2% lidocaine gel, 3% ethyl aminobenzoate, etc. After using local anesthetic, condoms can be used or not. If you don't use condoms, wash the medicine left on your penis. It should be noted that prolonged anesthesia (30 ~ 45 minutes) will lead to the disappearance of erection, because prolonged anesthesia will make a considerable number of people feel numb. If the residual drugs on the penis are not thoroughly cleaned before sexual intercourse (without condoms), the diffusion of local anesthetic residues on the penis will also lead to numbness of the woman's vaginal wall and reduce sexual pleasure. This treatment is contraindicated if the patient or sexual partner is allergic to local anesthetics.

5. Transurethral administration

Can also be used for treating premature ejaculation.

6. Penile dorsal neurotomy

This method is still in the experimental stage abroad. Although its effect has been recognized to some extent, its safety and effectiveness still need to be studied. It is only suitable for married patients with primary premature ejaculation. Patients must receive long-term drug, psychological and behavioral treatment, with little effect. Surgery is not considered for patients who can improve ejaculation time through drugs or patients with secondary premature ejaculation.