​Can Premature Ejaculation Be Cured Without Medication? Effective Treatment Strategies​

Premature ejaculation refers to uncontrolled ejaculation occurring within 1 minute of penetration (lifelong PE) or under 3 minutes (acquired PE), causing personal distress. Many Singaporean men seek non-medical solutions due to cultural preferences or concerns about side effects.
早泄指持续性交插入后1分钟内（终生性早泄）或3分钟内（获得性早泄）发生不可控射精，并造成困扰。基于文化偏好或担心药物副作用，许多新加坡男性寻求非药物治疗。

​Can PE Improve Without Medication? Evidence-Based Answers

​
​不吃药能改善早泄吗？科学依据​
✅ ​Possible cases:
Mild PE caused by psychological factors (stress/performance anxiety) or behavioral habits often responds well to non-drug therapies. Studies show 60-75% of men see improvement with dedicated training.
✅ ​可能改善的情况​：
由心理因素（压力/表现焦虑）或行为习惯引起的轻度早泄，通常对非药物疗法反应良好。研究显示，通过专业训练60-75%的男性可获得改善。

❌ ​Limited effectiveness:
PE with neurological/biological causes (e.g., hormonal imbalances, prostate inflammation) may require integrated treatment. Consultation with Singapore Urology Association-registered doctors is advised.
❌ ​效果有限的情况​：
神经/生物因素导致的早泄（如荷尔蒙失衡、前列腺炎症）可能需要综合治疗，建议咨询新加坡泌尿协会注册医师。

​Proven Drug-Free Treatment Methods 非药物疗法实证方案​

​1. Behavioral Training 行为训练​
• ​Start-Stop Technique: Stimulate until near climax, pause for 30 seconds, resume. Repeat 3-5 times per session. Gradually extend duration over weeks.
• ​开始-暂停法​：刺激至临近高潮时暂停30秒，继续。每次重复3-5次，逐周延长时长。
• ​Squeeze Method: Apply thumb-forefinger pressure at the frenulum when nearing climax. Hold for 10-15 seconds before resuming.
• ​挤捏法​：临近高潮时用拇指食指捏压系带部位10-15秒后再继续。

​2. Pelvic Floor Muscle Exercises 盆底肌训练​
Kegel exercises strengthen bulbocavernosus muscles controlling ejaculation:
凯格尔运动增强控制射精的球海绵体肌：

• Contract as if stopping urine flow (3 sec hold)
• 收缩如憋尿动作（保持3秒）
• Daily 3 sets of 10-15 repetitions. Use Singapore HealthHub’s “Kegel Trainer” app for guidance.
• 每日3组，每组10-15次。可使用新加坡HealthHub官方APP指导训练。

​3. Cognitive Behavioral Therapy (CBT) 认知行为疗法​
Address performance anxiety through:
缓解表现焦虑：
• ​Sensate Focus: Non-goal oriented touch exercises with partner
• ​感官聚焦​：与伴侣进行无目标的触摸练习
• ​Mindfulness: Meditation apps like “MindFi” to enhance body awareness
• ​正念训练​：使用”MindFi”等本地应用增强身体感知

​4. Lifestyle Optimization 生活调整​
Singapore-specific tips:
新加坡适用建议：
• Limit spicy cuisine (e.g., laksa, curry) affecting prostate
• 减少辛辣饮食（如叻沙、咖喱）以免刺激前列腺
• Swap bubble tea for zinc-rich foods (oysters, pumpkin seeds)
• 用锌含量高的食物（牡蛎、南瓜籽）替代高糖奶茶
• Cool showers before intimacy to reduce sensitivity
• 性行为前冲凉降低敏感度

​When to Seek Medical Help? 何时需要就医？​​
If after 2-3 months of consistent training:
若坚持训练2-3个月后：
• Ejaculation latency remains under 1 minute
• 射精潜伏期仍＜1分钟
• Causes relationship conflicts
• 引发伴侣关系危机
Consult Mount Elizabeth Or Gleneagles Hospital andrology specialists for personalised treatment plans.
建议前往伊丽莎白或鹰阁医院男科制定个体化方案。