Treatment of diseases that caused PE is one of the main methods for prolonging a man’s sexual intercourse and treating PE. Among the diseases most often called: sexually transmitted diseases, diabetes, prostatitis, prostatic hyperplasia, systemic atherosclerosis, thyroid disease, hormonal imbalance, urethritis and inflammatory diseases of the urogenital system. Injuries to the brain or spinal cord result in PE.

Among the male diseases that lead to PE, prostatitis is most often in the first place. According to O. B. Loran, in 35% of 420 patients with chronic prostatitis in combination with urethritis and colliculitis, premature ejaculation occurred.

Clinical observations and experience working with patients allow us to note that people often turn to a sexologist for medical help about a premature ejaculation at the very last moment when nothing else helps the man.

A sexually healthy man is able to independently control the onset of ejaculation. This ability – ejaculatory control – is either given by nature, or acquired with experience. A man with high ejaculatory control is able to continue intercourse or frictions for as long as desired. Until that moment, until he wants to get an orgasm. Not all men are able to enjoy the rhythmic movements of the penis for a long time, remaining in the plateau phase, near the orgasm, for an arbitrarily long time. Ejaculatory control allows a man to enjoy himself without much tension, savoring his sensations.

A man suffering from premature ejaculation cannot choose whether to remain in an excited state or accelerate the onset of orgasm. The lack of ejaculatory control leads to the fact that ejaculation in such men occurs faster than he or his partner would like. Almost immediately after reaching his degree of arousal, he breaks down, and ejaculation occurs involuntarily, regardless of his own desire.

In the treatment of PE with drugs and surgical means, it is important to establish control over the ejaculation process, reduce penile sensitivity and normalize the activity of the central nervous system. In this section, we consider those that are most successfully used in sexological practice. Before they undergo analysis, it should be recalled that there is a conditional division into primary and secondary symptomatic premature ejaculation. The primary is treated independently, and the secondary is eliminated either in the process of treating the underlying causative disease, or additionally using various methods of treating the primary or true secondary.

In the correction of premature ejaculation, in addition to the use of psychological and psychotherapeutic methods and methods, it is important to use techniques and means to reduce the sensitivity of the receptor structures of the penis. In such cases, the prolongation of sexual intercourse in order to conduct full coition requires the use of therapeutic measures, which vary significantly among themselves by the means of exposure: from conservative biotechnology to microsurgical surgery (reverse denervation of the glans penis).

Most often, according to practitioners, patients with existing independent diseases: somatic, mental, urological, nervous, endocrine, etc., are referred to a sexologist. In this case, premature ejaculation is a secondary disease and diseases that lead to a reduction in sexual time Act due to premature ejaculation, require priority treatment, which significantly increases the recovery time.

If such a suspicion arises, you should try to identify its cause. What can be used for:

• a) laboratory diagnostic methods (sperm testing, detection of sexually transmitted infections, hormonal background studies);
• b) ultrasound examinations – ultrasound (prostate, scrotum organs);
• c) endoscopic examination of the urethra and especially the area of ​​the seminal mound (urethroscopy);
• d) other tests.

Due to the variety of reasons that cause the state of premature ejaculation, the examination is not short-term, but rather long. A specialist doctor – a urologist, cardiologist, andrologist, neurologist, endocrinologist – having completed his work and making sure that the cause of accelerated ejaculation has been eliminated, sends the patient to a sexologist.

Most often, eliminating the identified cause allows you to get rid of premature ejaculation with a higher probability by conservative or surgical methods. For example, premature ejaculation due to urological diseases is characterized by damage to nerve receptors and afferent pathways, which are located mainly in the glans penis, prostate gland, seminal vesicles, posterior urethra, and seminal tubercle. In these cases, the sensitivity of the corresponding receptor apparatus is impaired, and here without surgical intervention it will be quite difficult to normalize the situation.