Is premature ejaculation due to kidney yang deficiency or yin deficiency?

Written by Dong Zeng Sheng
Traditional Chinese Medicine
Updated on June 04, 2025
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Premature ejaculation may be caused by kidney yang deficiency or kidney yin deficiency, as both can lead to premature ejaculation. If premature ejaculation is due to kidney yin deficiency, there may also be other symptoms such as nocturnal emission, tinnitus, dry mouth, and dry tongue, among others. If premature ejaculation is caused by kidney yang deficiency, it may also be accompanied by symptoms such as decreased sexual desire, reduced erectile function, poor erection, and weak lumbar muscles. Therefore, it is difficult to determine whether premature ejaculation is due to kidney yin deficiency or kidney yang deficiency. In such cases, it is necessary to visit the department of traditional Chinese medicine in a hospital, where a comprehensive dialectical analysis through pulse-taking and tongue observation can be conducted to identify the specific type of kidney deficiency, followed by targeted conditioning.

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Is Viagra effective for premature ejaculation?

Premature ejaculation can be somewhat alleviated by taking Viagra, but it does not fundamentally solve the problem of premature ejaculation. For premature ejaculation accompanied by erectile dysfunction, taking Viagra can improve symptoms to some extent. However, for premature ejaculation caused by inflammation of the reproductive system, taking Viagra will not result in significant improvement. Therefore, whether premature ejaculation can be treated with Viagra should be determined based on different medical conditions.

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Premature ejaculation is classified into several types.

Generally, we classify premature ejaculation into two main categories: primary premature ejaculation and secondary premature ejaculation. Primary premature ejaculation means that the patient has experienced premature ejaculation since their first sexual encounter, and it has always been present. This is referred to as primary premature ejaculation. On the other hand, secondary premature ejaculation refers to those cases where previously, sexual activities were relatively satisfying without incidents of premature ejaculation, meaning the duration of sexual activity was relatively long and both partners were satisfied. However, premature ejaculation developed later due to some reasons. This is called secondary premature ejaculation.

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What to check for premature ejaculation

Cases of premature ejaculation should consult with specialized doctors for examination and consultation. Common examinations include: 1. Nervous system function tests, such as tests for the function of the dorsal nerve or the sacral nerve; 2. Prostate-related examinations, such as prostate ultrasound, routine prostate fluid analysis and culture, etc.; 3. Sexual hormone tests; 4. A comprehensive full-body examination.

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How is premature ejaculation treated? Is surgery needed?

The first treatment for premature ejaculation is to target the treatment based on the cause; The second is behavioral therapy, which includes improving sexual techniques and the penile squeeze technique; The third is pharmacological treatment, divided into topical and oral medications; The fourth is surgical treatment, including circumcision and dorsal penile nerve block surgery.

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Premature ejaculation symptoms

Based on the severity of the condition, premature ejaculation is divided into three categories: mild, moderate, and severe. Mild premature ejaculation is relatively minor, the symptoms of moderate premature ejaculation are more serious, and severe premature ejaculation is the most serious condition.