How to treat psychological premature ejaculation

Psychological premature ejaculation can be treated through psychological counseling, behavioral training, medication therapy, traditional Chinese medicine regulation, and partner cooperation. Psychological premature ejaculation is usually caused by anxiety, tension, lack of sexual experience, disharmony in partner relationships, incorrect sexual attitudes, and other reasons.

1. Psychological counseling

Psychological counseling is a fundamental method for improving premature ejaculation, which helps patients alleviate anxiety and tension through psychological counseling or cognitive-behavioral therapy. Patients may have excessive concerns about sexual performance or stress caused by past failures. Professional psychologists will guide patients to establish correct cognition and reduce self doubt. Common methods of guidance include progressive muscle relaxation training, mindfulness meditation, etc., which should be accompanied by regular follow-up evaluations to assess their effectiveness.

2. Behavioral Training

Behavioral training mainly extends ejaculation control ability through stopping techniques and squeezing methods. Stopping technique refers to consciously pausing movements during sexual stimulation to reduce excitement, while squeezing technique involves lightly pressing the coronal sulcus of the penis just before ejaculation. This type of training needs to be done gradually. In the initial stage, it can be practiced alone, and in the later stage, it requires the cooperation of a partner to complete. After 4-8 weeks of continuous training, most patients can significantly improve their control.

3. Drug therapy

Selective serotonin reuptake inhibitors such as dapoxetine hydrochloride tablets and paroxetine tablets can regulate neurotransmitters and delay ejaculation, and should be used for a short period of time under the guidance of a doctor. Local anesthetics such as lidocaine gel can reduce penile sensitivity. Before use, it is necessary to test whether it is allergic. Traditional Chinese medicine such as Jin Suo Gu Jing Wan can also assist in regulation, but it should be avoided from being mixed with Western medicine.

4. Traditional Chinese Medicine Conditioning

Traditional Chinese medicine believes that premature ejaculation is mostly related to the deficiency of kidney qi or both heart and spleen. acupuncture and moxibustion at Guanyuan, Shenshu and other acupoints can be used together with decoction for conditioning. Common prescriptions include Zhibai Dihuang Wan, Guipi Tang, etc., and treatment should be based on the differentiation of physical constitution. Moxibustion at Shenque or Sanyinjiao points can also help warm and tonify kidney yang. It is recommended to treat 2-3 times a week and observe the effect continuously for one month.

5. Partner cooperation

The understanding and participation of partners are crucial for the effectiveness of treatment. Both parties can rebuild trust through non sexual intimate behavior and gradually adapt to stimulus intensity through sensory focus training. Avoid complaining or applying pressure, and jointly set phased goals. When necessary, partners can receive guidance from sex therapists to learn correct interaction skills and communication styles. Patients with psychological premature ejaculation should maintain a regular daily routine, avoid excessive fatigue and frequent masturbation. In terms of diet, one can consume zinc containing foods such as walnuts and oysters in moderation, and avoid spicy and stimulating foods as well as alcohol. It is recommended to engage in 30 minutes of aerobic exercise such as jogging or swimming every week, which can help alleviate anxiety. Regular follow-up visits are required during treatment to assess progress and avoid self adjustment of medication dosage or interruption of behavioral training. If accompanied by erectile dysfunction or other physiological symptoms, organic diseases should be promptly investigated.