Can severe premature ejaculation be cured?

Most cases of severe premature ejaculation can be effectively improved through standardized treatment. Treatment methods mainly include behavioral training, local anesthetics, oral medications, psychological intervention and traditional Chinese medicine conditioning.

1. Behavior training:

Stop-Move and Squeeze are internationally recognized behavioral therapies. Through targeted training during sexual activities with partners, the ejaculation latency period can be gradually extended. With regular practice 2-3 times a week, the effectiveness can reach over 60% in 3 months. Care should be taken to avoid excessive fatigue training.

2. Local anesthetic:

Topical anesthetics, such as lidocaine gel, can reduce glans sensitivity. Apply 20 minutes before sexual intercourse and use a condom to avoid anesthesia of the partner's mucous membranes. Local burning sensation may occur, and the frequency of use needs to be controlled under the guidance of a doctor.

3. Oral drugs:

Selective serotonin reuptake inhibitors such as dapoxetine modulate nerve conduction. Paroxetine hydrochloride and other drugs need to be taken continuously for 2 weeks to take effect. Side effects such as dizziness and dry mouth may occur, and it is strictly prohibited to adjust the dosage yourself.

4. Psychological intervention:

Psychological factors such as anxiety and depression account for 30% of the causes of premature ejaculation. Cognitive behavioral therapy can improve sexual misconceptions, and partner therapy can alleviate performance anxiety. It is recommended to carry out 8-12 systematic interventions through formal psychological consultation.

5. Traditional Chinese Medicine conditioning:

For those with weak kidney qi, Jingui Shenqi Pills can be used, and for those with heart and spleen deficiency, Guipi Decoction can be used. Acupuncture selects acupuncture points such as Guanyuan and Shenshu, and the effect is better when combined with moxibustion. Syndrome differentiation and treatment need to last for more than 3 months, and blind supplementation should be avoided.

Establish a regular schedule to ensure adequate sleep, and do daily squats and Kegel exercises to enhance pelvic floor muscle control. Eat more zinc-containing foods such as oysters and walnuts to avoid spicy food. Partners should maintain adequate communication to reduce psychological pressure and try to extend the foreplay time before sexual intercourse. If symptoms persist without improvement, organic diseases such as chronic prostatitis need to be ruled out, and special andrological examinations are recommended to evaluate the effect of treatment. During the treatment period, regular follow-up visits are required to adjust the plan. After systematic intervention, most patients can extend their sexual life to a satisfactory level.