Can sertraline hydrochloride cure premature ejaculation?

Premature ejaculation generally refers to premature ejaculation, which is a relatively common sexual dysfunction. The harmfulness of premature ejaculation can be imagined. Ejaculation in a short period of time cannot satisfy the needs of the partner at all. If this continues for a long time, it may even lead to a breakdown in the relationship. Therefore, when many men find themselves ejaculating prematurely, they will try medication to treat it. So, can sertraline hydrochloride cure premature ejaculation? Let’s take a look below.

Sertraline is used to treat symptoms associated with depression, including depression with or without a history of mania, associated with anxiety. After satisfactory therapeutic effects are achieved, continuing to take sertraline can effectively prevent the recurrence and recurrence of depression.

Sertraline is also used to treat obsessive-compulsive disorder. After satisfactory therapeutic effects are achieved, continuing to take sertraline can effectively prevent the recurrence of the initial symptoms of OCD.

Premature ejaculation treatment

In order to prolong the ejaculation latency period, most patients turn their thoughts to other aspects such as diet and play during sexual intercourse in an attempt to delay the ejaculation latency period, or use condoms, drinking and other methods, but the effect is not good. On the contrary, it often leads to decreased libido, sexual pleasure disorders, and even erectile dysfunction, thereby aggravating the condition. Therefore, the treatment of premature ejaculation should be based on the cause of the disease and choose appropriate treatment methods.

It requires collaboration between husband and wife, and it is especially important for the wife to participate in the treatment. Psychological treatment for premature ejaculation requires the cooperation of the patient's wife. The woman's misunderstanding or complaints will increase the man's tension and anxiety, increasing his psychological burden. The woman should be considerate and caring, and give verbal and behavioral comfort to relieve the man's nervousness and help him build confidence in recovery. Both husband and wife should be informed that premature ejaculation is a relatively common problem. Both husband and wife need to understand the necessity and possibility of rebuilding the conditioned reflex of ejaculation, eliminate the patient's abnormal psychology such as anxiety, uneasiness, and guilt, and build confidence in curing the disease. As long as both parties cooperate with the treatment, it can be cured.

2. Behavioral method guidance

The purpose of sexual focus training therapy is to teach patients to experience and enjoy sexual pleasure and overcome psychological barriers through tactile stimulation such as hugging, caressing, and massage. You can also pull the scrotum and testicles downward before reaching orgasm, or squeeze the glans with your thumb and index finger to reduce sexual excitement, which can also reduce the hardness of the erection by 10% to 25%. After long-term training, sexual intercourse is performed with the woman on top, and the twitch-stop-twitch form is still used for repeated training to gradually increase the ejaculation stimulation threshold, so as to achieve more satisfactory artificial control before ejaculation.

(1) Semans technical training

That is, stop and start therapy. When the woman stimulates the penis until it is about to ejaculate, the man signals to stop stimulation immediately. After the premonition of ejaculation has completely disappeared, stimulation can be resumed. This process is repeated until the man can accept a large amount of stimulation, and then ejaculation is allowed. This method can increase the ejaculation threshold. After successful treatment, insist on performing controlled training once a week.

(2) Penis head squeezing method

Also called tolerance training. When the woman stimulates the penis until she feels that ejaculation is about to come, she places the tip of her thumb on the frenulum of the penis, and the tips of her index and middle fingers above and below the edge of the coronal sulcus on the other side of the penis. She applies pressure from front to back, to the degree that the man can tolerate, for about 3 to 4 seconds each time. This can relieve the sense of urgency during ejaculation. Persistent treatment for 3 to 6 months can achieve lasting and stable therapeutic effects.

Currently, the main drug treatments are serotonin reuptake inhibitors such as sertraline and paroxetine; tricyclic antidepressants such as clomipramine and fluoxetine, etc. However, these drugs have certain side effects and must be taken under the guidance of a doctor.

4. Topical medication

It is mainly a local anesthetic that can be applied to the glans penis before sexual intercourse to delay the ejaculation latency period through local anesthetic effect. Topical medications such as 1% dyclonine solution, 1% tetracaine solution, 2% lidocaine gel, 3% ethyl aminobenzoate, etc. After applying local anesthetic, you can use it with or without a condom. If you do not use a condom, wash any remaining medication off the penis. It should be noted that excessively extending the anesthesia time (30 to 45 minutes) may lead to the disappearance of erection. The reason is that too long anesthesia time will cause numbness in the penis of a considerable number of people. If the residual medicine on the penis is not thoroughly cleaned before sexual intercourse (without using a condom), the spread of the local anesthetic residue on the penis can also cause numbness of the woman's vaginal wall and reduce sexual pleasure. This treatment is contraindicated if the patient or sexual partner is allergic to local anesthetics.

5. Transurethral administration (MUSE)

It can also be used to treat premature ejaculation.

6. Dorsal Penile Nerve Section

This method is still in the trial stage abroad. Although the effect has been recognized to a certain extent, its safety and effectiveness still need to be studied. It is only suitable for married patients with primary premature ejaculation, and the patients must have received long-term drug, psychological and behavioral treatments with little effect. Surgery is not considered for patients whose ejaculation time can be improved by medication or for patients with secondary premature ejaculation.