Premature Ejaculation: Seeking Treatment Options in Hualien - Urology

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Ejaculation occurs easily shortly after insertion without much movement?


Hello Doctor: I apologize for bothering you, but I am unable to find relevant treatment information in Hualien, or the information I found is outdated, so I am asking again.
Recently, when I am intimate with my girlfriend, I often experience premature ejaculation shortly after penetration.
This has not happened in the past, and I feel frustrated and unsure of what to do.
Therefore, I would like to ask if you could recommend any clinics in Hualien where I can seek consultation.
The information available online is quite old, and I am concerned that there may no longer be relevant clinics in Hualien.
Although I know there is a Traditional Chinese Medicine doctor at Tzu Chi Hospital who offers related services, I would still like to consult you for more information.
I truly apologize for bothering you, and I appreciate you taking the time to read my question.
Wishing you peace and safety.

Hualien Yi Xuezi, 20~29 year old female. Ask Date: 2024/02/16

Dr. Du Shixi reply Urology


Hello: You may need to first visit a urology department at a major hospital for an examination.
There are medications available that can help.
As for traditional Chinese medicine, please consult the Chinese medicine department.

Reply Date: 2024/02/16

More Info


Premature ejaculation (PE) is a common sexual dysfunction that can affect men of all ages, but it is particularly distressing for those who experience it unexpectedly. It can lead to feelings of frustration, embarrassment, and anxiety, especially when it occurs in intimate situations. The good news is that there are various treatment options available, and seeking help is a positive step towards managing the condition.

In Hualien, there are several avenues you can explore for treatment. First and foremost, it is advisable to consult with a healthcare professional who specializes in sexual health or urology. These specialists can provide a thorough evaluation to determine the underlying causes of premature ejaculation, which may include psychological factors such as anxiety or stress, or physiological factors like hormonal imbalances or nerve sensitivity.

1. Consultation with a Urologist: A urologist can assess your condition and recommend appropriate treatment options. They may suggest behavioral techniques, such as the "stop-start" method or the "squeeze" technique, which can help you gain better control over ejaculation.

2. Psychological Counseling: If anxiety or psychological factors are contributing to your premature ejaculation, speaking with a psychologist or sex therapist may be beneficial. They can help you address any underlying issues and develop coping strategies.

3. Medications: There are several medications that can be prescribed to help manage premature ejaculation. Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine or sertraline, are often used off-label for this purpose. These medications can help delay ejaculation and improve sexual satisfaction. Additionally, topical anesthetics, such as lidocaine or prilocaine, can be applied to reduce sensitivity and prolong the duration of intercourse.

4. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises, such as Kegel exercises, can also help improve control over ejaculation. A physical therapist specializing in pelvic health can guide you through these exercises.

5. Alternative Therapies: Some individuals find relief through alternative therapies, such as acupuncture or herbal supplements. However, it is essential to consult with a healthcare provider before trying these options to ensure they are safe and appropriate for you.

In terms of specific clinics or practitioners in Hualien, I recommend starting with local hospitals or medical centers that have urology or sexual health departments. You might also consider reaching out to the Tzu Chi Medical Foundation, as they have a reputation for providing comprehensive care and may have specialists in sexual health.

It is crucial to approach this issue with an open mind and a willingness to explore different treatment options. Premature ejaculation is a common condition, and many men experience it at some point in their lives. By seeking help, you are taking an important step towards improving your sexual health and overall well-being.

In summary, while it may feel daunting to address premature ejaculation, there are numerous treatment options available in Hualien. Consulting with a urologist, considering psychological counseling, exploring medication options, and engaging in pelvic floor exercises are all viable paths to managing this condition. Remember, you are not alone in this, and help is available.

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