Understanding Premature Ejaculation: Insights and Solutions
More young people are experiencing what is often referred to as "sexual embarrassment." They encounter issues such as loss of libido, inability to perform, and diminished pleasure, all leading to a lack of confidence in enjoying life to the fullest. In this article, we invite a renowned sexology expert to help address these sensitive topics.
Meet the Expert
Our featured specialist is Dr. Guo, the Secretary of the Sexual Medicine Professional Committee of the Chinese Sexual Society and the Director of Urology at the Xiyuan Hospital of the Chinese Academy of Chinese Medical Sciences. Dr. Guo will discuss the treatment and prevention of premature ejaculation (PE), along with insights into surgical options.
The Role of Behavioral Therapy in Treating PE
Dr. Guo highlights that traditionally, **behavioral therapy has been the predominant method for treating premature ejaculation**. This approach is relatively simple and can be outlined in a few key steps:
- Gradually stimulate the penis, stopping immediately just before ejaculation.
- Cease stimulation for 30 to 60 seconds.
- Resume stimulation, reducing intensity until the sensation of ejaculation fades.
- Repeat the above steps four to five times, allowing the individual to gain awareness of their ejaculation timing before finally allowing ejaculation.
While effective, this method requires consistent cooperation from a partner, which can make it challenging to complete the treatment cycle. Additionally, the success rate of medications, such as oral antidepressants for treating PE, is around 50%, but they often come with significant side effects. Local medications can also pose problems, as controlling the dosage is difficult and may lead to issues like sexual pleasure disorders or erectile dysfunction.
Innovative Surgical Methods for PE
As for surgical treatments, Dr. Guo introduces the **dorsal nerve resection technique**. This procedure aims to reduce sensitivity in the penile glans by elevating the ejaculation threshold, ultimately extending the duration of intercourse. Since its introduction in recent years, this surgical method has become more refined and has shown promising results.
The surgery involves local anesthesia, making a horizontal incision of 1 to 2 cm on the dorsal skin of the penis, and then exposing the radially distributed dorsal nerve of the penis. The number of nerve branches to be excised is determined based on the nerve distribution to achieve a balanced reduction in sensitivity. The incision is then sutured, allowing for recovery within a week, with the possibility of resuming sexual activities after approximately 30 days.
Conclusion
Though premature ejaculation remains a common concern, understanding the various treatment options—both behavioral and surgical—can empower individuals struggling with this issue. Through expert advice and modern medical techniques, it is possible to regain control and enhance sexual satisfaction once more.