How to treat prostatitis and premature ejaculation

Prostatitis and premature ejaculation can be treated by adjusting lifestyle, medication, physical therapy, psychological counseling, and traditional Chinese medicine conditioning. Prostatitis and premature ejaculation are usually caused by inflammatory stimulation, psychological factors, abnormal pelvic floor muscle function, hormone level disorders, increased nerve sensitivity and other reasons.

1. Adjust your lifestyle

Maintain a regular schedule, avoid staying up late, and reduce sedentary time by getting up and moving every hour. Avoid spicy foods and limit alcohol and caffeine intake. Moderate aerobic exercise such as brisk walking or swimming can help improve pelvic blood circulation. Make sure the perineum is clean and dry, and avoid wearing tight underwear. Regular ejaculation avoids excessive abstinence or frequent masturbation.

2. Drug treatment

For bacterial prostatitis, antibiotics such as levofloxacin tablets and azithromycin dispersible tablets can be used as directed by the doctor. Those with obvious symptoms of premature ejaculation may consider serotonin reuptake inhibitors such as dapoxetine hydrochloride tablets and paroxetine hydrochloride tablets. Tamsulosin hydrochloride extended-release capsules can be used to improve symptoms when accompanied by difficulty urinating. Nonsteroidal anti-inflammatory drugs such as celecoxib capsules can relieve inflammatory pain. Chinese patent medicines such as Qianlieshutong capsules also have auxiliary therapeutic effects.

3. Physical therapy

Warm water sitz bath can promote local blood circulation, 1-2 times a day for 15-20 minutes each time. Transperineal low-frequency pulse electrical stimulation can help improve pelvic floor muscle function. Biofeedback therapy can help patients master the skills of controlling ejaculation. Prostate massage needs to be performed by a professional physician, which can promote the discharge of inflammatory secretions. Magnetic therapy or microwave therapy has a certain relief effect on chronic prostatitis.

4. Psychological counseling

Psychosexual counseling can relieve anxiety and depression caused by premature ejaculation. Cognitive behavioral therapy helps establish correct sexual beliefs and expectations. Partner participation in therapy can reduce psychological stress. Relaxation training such as deep breathing can reduce sympathetic nerve excitability. Avoid paying too much attention to sexual performance and cultivate a positive and optimistic attitude.

5. Traditional Chinese Medicine Conditioning

Jinkui Shenqi Pills can be used for kidney qi deficiency type, and Longdan Xiegan Pills can be used for damp-heat type. Most of the acupuncture points are Guanyuan, Shenshu, Sanyinjiao and other acupoints. Moxibustion at Shenque and Qihai points can warm and nourish kidney yang. Traditional Chinese medicine fumigation and cleansing uses heat-clearing and detoxifying herbs such as Sophora flavescens and Cortex Phellodendron. Dietary preparation can include appropriate consumption of kidney-tonifying foods such as yam and wolfberry.

Patients with prostatitis and premature ejaculation should avoid overwork and emotional stress and maintain a moderately regular sexual frequency. The diet should be light and nutritious, with more fresh vegetables, fruits and high-quality protein. Strictly follow the doctor's instructions when taking medication, and do not adjust the dosage or stop medication on your own. Regular re-examinations are required to evaluate the treatment effect. If symptoms persist, it is necessary to seek medical treatment in time to adjust the plan. Pay attention to changes in urination and sexual function, and keep a diary of symptoms to help doctors judge the condition.