Is traditional Chinese medicine or Western medicine better for treating premature ejaculation

The choice of traditional Chinese medicine or Western medicine for treating premature ejaculation should be determined based on individual circumstances. Traditional Chinese medicine is suitable for physical conditioning and chronic disease progression, while Western medicine is suitable for rapid relief and organic problems.

TCM treatment of premature ejaculation focuses on overall conditioning, improves the deficiency of kidney qi through Chinese herbal compounds such as Jinsuogujing Pill, Wuzi Yanzong Pill, and promotes the movement of qi and blood with acupuncture and moxibustion at Guanyuan and Shenshu points. When some patients have liver depression and qi stagnation, Xiaoyao San can be used to soothe the liver and relieve depression. At the same time, it is recommended to adjust their daily routine and practice traditional exercises such as Ba Duan Jin. Western medicine treatment mainly focuses on selective serotonin reuptake inhibitors such as dapoxetine hydrochloride tablets, which can rapidly extend the ejaculation latency, and local anesthetics such as lidocaine gel can reduce the glans sensitivity. The combination of stop and move training and pelvic floor muscle exercise in behavioral therapy has a significant effect on psychological premature ejaculation. The traditional Chinese medicine treatment cycle usually takes 3-6 months to take effect, and some patients may have poor tolerance to bitter Chinese herbal medicines. Western medicine drugs may have side effects such as headache and nausea, and there is a risk of recurrence after discontinuation. Invasive treatments such as dorsal penile nerve blockade may have complications such as decreased sensation, and should be carefully selected. Both treatments should exclude the influence of basic diseases such as diabetes and prostatitis.

It is recommended to combine professional evaluations in reproductive urology or traditional Chinese medicine urology. For acute symptoms, Western medicine can be prioritized for control, while for chronic conditioning, traditional Chinese medicine can be used for consolidation. Avoiding excessive masturbation in daily life, increasing lower limb exercises such as squats to improve blood circulation, and involving partners in psychological counseling can help improve therapeutic effects. During the treatment period, regular follow-up visits are required to adjust the plan, and self abuse of aphrodisiacs should be avoided.