Data gathering
- Red flags – testicular lump
- Others – previous partners, masturbation, dysuria, penile discharge
- Examine – BP, pulse, external genitalia (CHAPERONE)
Clinical management
- Self – masturbating 1hr before sex, thicker/LA condom, thinking about boring things
- Techniques – squeeze technique – squeeze head of penis for 20 seconds, waits 30 seconds then resume”
- Medications – SSRI daily