Premature Ejaculation: Myths, Treatments, and Aging Effects

Premature ejaculation

1.
Is it correct that using toothpaste to clean the glans before sexual intercourse can help with endurance?
2.
How does Western medicine treat premature ejaculation? Is it solely through medication, and is this treatment temporary or long-lasting?
3.
Do men’s penises shrink and scrotums enlarge as they age? I’ve noticed this in older men at the hot springs.
4.
Does the Indian penis lengthening procedure really make men longer? Are there any side effects?
5.
Is it true that brushing the glans with a toothbrush for a period of time can reduce sensitivity?
6.
Is it normal to exert some effort to expel the last few drops of urine? Thank you.

Guai Guai, 30~39 year old female. Ask Date: 2009/01/10

Dr. Xu Weikai reply Urology

1.
Is it correct to use toothpaste to clean the glans before sexual intercourse for prolonged performance? I am not aware of such claims in this regard.
2.
How does Western medicine treat premature ejaculation? It relies on pharmacological treatment, which is only temporary.
The long-term solution depends on the underlying cause of premature ejaculation; sometimes, addressing the cause can lead to resolution within a few days.
3.
Do men’s penises shrink and scrotums enlarge as they age? Generally, both the penis and testicles may decrease in size.
After soaking in hot springs, the scrotum may appear larger due to skin laxity in older adults; the heat causes the skin to expand.
4.
Does penile lengthening surgery in India really make men longer? Are there any side effects? There is no research available on this topic.
5.
Is it correct that brushing the glans with a toothbrush for a period can reduce sensitivity? It can reduce sensitivity.
6.
Is it normal to exert some effort at the end of urination to expel residual urine? It varies by individual.
This situation may be more pronounced in winter.
If there are any unclear points, feel free to ask again for further discussion and research.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2009/01/10

More Info

Understanding premature ejaculation (PE) is essential for many men, as it can significantly impact sexual relationships and overall quality of life. Let's address your questions one by one, providing clarity on myths, treatments, and the effects of aging.

1. Using toothpaste to clean the glans for lasting effects: This is a myth. Toothpaste contains ingredients that can be irritating to sensitive skin, including the genital area. There is no scientific evidence to support that using toothpaste can help with premature ejaculation. In fact, it may cause discomfort or allergic reactions.

2. Western medicine treatments for premature ejaculation: Treatment for PE often includes behavioral techniques, topical anesthetics, and medications. Commonly prescribed medications include selective serotonin reuptake inhibitors (SSRIs) like paroxetine or sertraline, which can help delay ejaculation. While these medications can provide temporary relief, they may not address the underlying causes of PE. Long-term solutions often involve a combination of therapy and medication, focusing on both physical and psychological aspects.

3. Effects of aging on penis size and appearance: As men age, it is common to experience changes in the body, including the penis. While the penis itself does not shrink, the surrounding tissues may lose elasticity, and the pubic fat pad may increase, making the penis appear smaller. Additionally, erectile function can decline with age, leading to changes in the appearance of the penis during erection. These changes are normal and can vary widely among individuals.

4. Penile lengthening procedures: Surgical procedures aimed at increasing penis size, such as the "Indian method," can carry significant risks and potential complications, including infection, scarring, and dissatisfaction with results. Many of these procedures lack scientific backing and can lead to psychological distress if expectations are not met. It is crucial to consult with a qualified healthcare provider before considering any surgical options.

5. Using a toothbrush to reduce sensitivity: This is another myth. While some men may believe that desensitizing the glans can help with PE, using a toothbrush can cause irritation and injury rather than decrease sensitivity. Instead, there are safer methods, such as using topical anesthetics specifically designed for this purpose, which can help reduce sensitivity without causing harm.

6. Straining to urinate the last drops: It is not uncommon for men to experience difficulty fully emptying the bladder, especially as they age. However, straining to urinate can indicate underlying issues, such as prostate enlargement or urinary tract problems. If this is a frequent occurrence, it is advisable to consult a healthcare professional for evaluation and potential treatment options.

In summary, premature ejaculation is a complex issue influenced by various factors, including psychological and physiological aspects. It is essential to approach treatment holistically, considering both medical and behavioral strategies. If you have concerns about PE or related issues, consulting a healthcare provider specializing in sexual health can provide personalized guidance and support.

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