Inclusion Criteria:

• Comply with the international medical premature ejaculation diagnostic criteria
• Individuals with a "heterosexual" orientation who engage in vaginal intercourse
• Having a stable relationship with "monogamy"
• The International Index of Erectile Function-5 scale is ≥17 points, indicating that the patient has no erectile dysfunction or only mild erectile dysfunction
• Be informed of the purpose of this study, support this study, and complete the informed consent form

Exclusion Criteria:

• Minors under the age of 18
• Individuals with a sexual orientation of "gay" or "bisexual"
• The judgment of "ejaculation too fast" is based only on masturbation or non-vaginal sexual intercourse
• The score of the premature ejaculation self-assessment scale is ≤8 points
• Suffering from diseases that may affect anxiety symptoms (hyperthyroidism/hypothyroidism, digestive diseases, malignant tumors, etc.)
• Within 2 months, have taken anti-anxiety drugs and/or drugs for PE treatment
• Those with a history of severe neurological diseases (such as epilepsy) and/or a history of schizophrenia, bipolar disorder, or other mental disorders
• Poor cooperation during diagnostic interviews