Can premature ejaculation be completely cured?

In most cases, premature ejaculation can be significantly improved or completely cured through systemic treatment. Treatment methods mainly include psychological behavioral therapy, local anesthetics, oral medications, traditional Chinese medicine conditioning and partner collaborative intervention.

1. Psychological behavioral therapy:

Prolong ejaculation latency through stop-and-go technique training and the squeeze method. The stop-and-go technique refers to pausing when there is a premonition of ejaculation during sexual stimulation and continuing after the excitement level decreases. ； The squeeze rule is to gently press the glans frenulum when you are about to ejaculate. Coupled with cognitive behavioral therapy, anxiety can be relieved, and it takes 3-6 months of continuous training to see results.

2. Local anesthetic drugs:

Use a delay spray/cream containing lidocaine or prilocaine to reduce glans sensitivity. Common drugs include compound lidocaine cream, benzocaine gel, etc., which need to be used under the guidance of a doctor to avoid excessive anesthesia affecting erectile function. It is recommended to apply it 20 minutes before sexual intercourse and use it with a condom to prevent drug transfer.

3. Oral drug treatment:

Selective serotonin reuptake inhibitors can regulate nerve conduction. Commonly used drugs include dapoxetine, paroxetine, etc. Dapoxetine is a special drug for premature ejaculation and needs to be taken as needed. It takes about 1-3 hours to take effect. Some tricyclic antidepressants can also delay ejaculation, but attention should be paid to side effects such as drowsiness and dry mouth.

4. TCM syndrome differentiation and conditioning:

The type of kidney qi that is not consolidated can be treated with Jingui Shenqi Pills, and the type of liver qi stagnation can be treated with Xiaoyao Powder combined with acupuncture. Commonly used acupuncture points include Yuan, Shenshu, Sanyinjiao, etc., and the functions of the reproductive system can be regulated through moxibustion or electroacupuncture stimulation. It is recommended to continue the treatment for 2-3 menstrual cycles and combine it with Baduanjin and other health-preserving exercises to consolidate the curative effect.

5. Partner collaborative intervention:

Improve the coordination of both parties through sexy concentrated training, and use controllable positions such as woman-on-top to reduce stimulation intensity. Encouragement and support from a partner can effectively reduce the patient's psychological pressure. It is recommended to have regular sex 2-3 times a week to establish a normal ejaculation reflex and avoid deliberately extending the interval to cause sensitivity rebound.

Establishing a healthy lifestyle is crucial to recovery from premature ejaculation. Daily squats and Kegel exercises can enhance pelvic floor muscle control, and the diet should be rich in zinc, oysters, nuts, etc. and vitamin E. Avoid excessive masturbation ≤ 2 times a week and stay up late at night. You can try distraction methods before sexual intercourse. If accompanied by erectile dysfunction or chronic prostatitis, the underlying disease needs to be treated first. Regular reexaminations are conducted to evaluate the treatment effect. Most patients can achieve the goal of intravaginal ejaculation latency exceeding 3 minutes after 3 months of standardized treatment.