What should I do if my foreskin is too long and I have premature ejaculation?

Premature ejaculation caused by foreskin can be improved by keeping the area clean, using condoms, medication, circumcision, psychological counseling and other methods. Excessive foreskin may induce premature ejaculation due to factors such as poor local hygiene, increased sensitivity, psychological stress, etc. It often manifests as symptoms such as poor ejaculation control and short intercourse time.

1. Keep the area clean

Wash the foreskin and glans with warm water every day to avoid accumulation of dirt and inflammation. Keep dry after cleaning and choose cotton underwear with good breathability. If there is smegma or redness and swelling, dilute it with potassium permanganate solution and soak it as directed by your doctor.

2. Use condoms

Condoms can reduce the sensitivity of the glans and prolong intercourse. It is recommended to choose ultra-thin or delayed products and use an appropriate amount of lubricant to reduce friction and irritation. Latex allergy must be ruled out before use.

3. Drug treatment

People with severe premature ejaculation can use dapoxetine hydrochloride tablets, lidocaine gel and other drugs as directed by their doctor. Dapoxetine hydrochloride tablets should be taken 1-3 hours before sexual activity, and lidocaine gel should be applied and washed 20 minutes before sexual intercourse. Do not adjust the dosage yourself.

4. Circumcision

For patients with recurrent infections or phimosis, circumcision may be considered. The surgery uses laser or traditional resection, and strenuous exercise needs to be avoided for 1 month after surgery. Exposure of the glans after surgery may increase sensitivity in the short term, but will help reduce sensitivity in the long term.

5. Psychological counseling

When anxiety arises due to premature ejaculation, sexual behavior training can be used to improve control. Partners should avoid complaining and use techniques such as the stop-motion method to cooperate with treatment. Seek help from a psychological counselor to relieve stress when necessary.

Excessive masturbation should be avoided on a daily basis and the frequency of sexual intercourse should be controlled. The diet can be properly supplemented with zinc, such as oysters, nuts, etc. Regular review is required during the postoperative recovery period, and timely medical attention is required if abnormal bleeding or infection occurs. It is forbidden to drink alcohol during drug treatment. If the drug is not effective, the plan needs to be adjusted.