Effective Treatments for Premature Ejaculation: Options and Insights - Urology

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Premature ejaculation treatment


I ejaculate within five seconds, meaning I have the urge to ejaculate as soon as I start.
I would like to ask: 1.
Is there a way to completely cure this condition? 2.
Are medications like Dapoxetine or Priligy effective? 3.
Are these medications harmful to health? 4.
Can urology offer any treatments? 5.
Is there a possibility for improvement through traditional Chinese medicine? I am more interested in a permanent solution or improvement rather than a temporary fix.
Is it possible to improve the situation to at least five minutes before ejaculation?

Niming, 20~29 year old female. Ask Date: 2016/05/25

Dr. Chen Jiansheng reply Urology


Hello: Currently, it is believed that the pathological mechanism of premature ejaculation is caused by a deficiency of serotonin in the brain.
The use of selective serotonin reuptake inhibitors can increase the concentration of serotonin in the brain, thereby improving premature ejaculation.
This is what you referred to regarding the mechanism of action of these medications.
Generally, these types of medications do not impose a significant burden on the body.
If there are any concerns, it is advisable to consult your physician.
In fact, many patients with premature ejaculation also experience anxiety and lack of confidence.
With the help of medication, they can build confidence and alleviate anxiety, which may allow them to avoid long-term medication use.
As for traditional Chinese medicine, please consult a TCM practitioner, such as Dr.
Chen Jian-sheng from the Urology Department at Xinying Hospital.

Reply Date: 2016/05/25

More Info


Premature ejaculation (PE) is a common condition that affects many men, and it can significantly impact quality of life and intimate relationships. Addressing your questions about effective treatments for premature ejaculation, let's explore the options available, their effectiveness, and potential side effects.

1. Is there a way to completely cure premature ejaculation?
While there is no one-size-fits-all "cure" for premature ejaculation, many treatment options can help manage and improve the condition. The effectiveness of these treatments can vary based on individual circumstances, including psychological factors, physical health, and relationship dynamics. Behavioral techniques, such as the "stop-start" method or the "squeeze" technique, can be effective in helping men gain better control over ejaculation. Additionally, therapy or counseling may address any underlying psychological issues contributing to PE.

2. Are medications like Dapoxetine (Priligy) or other options effective?
Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) specifically designed for the treatment of premature ejaculation. It has been shown to increase the time to ejaculation and improve control over ejaculation in many men. Other medications, such as topical anesthetics (like lidocaine or prilocaine creams), can help reduce sensitivity and delay ejaculation. However, it is essential to consult with a healthcare provider to determine the best option for your specific situation.

3. Are there significant side effects associated with medication treatment?
Like any medication, treatments for premature ejaculation can have side effects. Common side effects of Dapoxetine may include nausea, dizziness, headache, and diarrhea. Topical anesthetics can cause temporary numbness or irritation at the application site. It is crucial to discuss potential side effects with your healthcare provider and weigh the benefits against the risks before starting any medication.

4. Can urology specialists provide effective treatment?
Yes, urologists are specialists in male reproductive health and can offer various treatment options for premature ejaculation. They can evaluate your condition, rule out any underlying medical issues, and recommend appropriate treatments, including medications, behavioral therapies, or even surgical options in rare cases. A thorough assessment by a urologist can help tailor a treatment plan to your needs.

5. Can traditional Chinese medicine (TCM) help improve the condition?
Some individuals find relief from premature ejaculation through traditional Chinese medicine, which may include acupuncture, herbal remedies, and lifestyle changes. TCM focuses on balancing the body's energy (Qi) and addressing underlying health issues. While some studies suggest that acupuncture may help with sexual dysfunction, more research is needed to establish its effectiveness specifically for PE. If you are interested in exploring TCM, consult a qualified practitioner who can provide personalized treatment.

In conclusion, while there may not be a definitive "cure" for premature ejaculation, various effective treatments are available that can help manage and improve the condition. Behavioral techniques, medications like Dapoxetine, and consultations with urologists or TCM practitioners can all play a role in finding a solution that works for you. It is essential to have open discussions with healthcare providers to explore the best options tailored to your specific needs and to set realistic expectations for improvement. With the right approach, many men can achieve better control over ejaculation and enhance their sexual experiences.

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