”The rate of premature ejaculation in male clinics has risen sharply, occupying the first trend of sexual dysfunction consultation rate, many people are unsuccessful or short, they self-diagnose themselves as “fast men” and rush to see premature ejaculation. The actual diagnosis and treatment of premature ejaculation is not a recognized standard, so there are many questions.
1, the definition of premature ejaculation?
Although there is no accepted satisfactory definition up to now, the International Society of Sexual Medicine (ISSM) has given a brand new definition: “Premature ejaculation is a male sexual dysfunction characterized by: always or almost always ejaculation before or within about 1 minute after entering the vagina, delayed ejaculation after all or almost all entering the vagina, and negative personal outcomes, such as distress, apprehension, frustration and/or avoidance of sexual activity”.2. Causes of premature ejaculation?
2. There are three causes of premature ejaculation (generally referring to regular sexual situations).
① Central sex. That is, sexual excitability is too high and ejaculation occurs before or soon after entry.
② Peripheral. That is, glans sensitivity is high, and ejaculation will be quickly after entering and pumping, but will be maintained for a longer time without pumping.
③Mixed sex. That is, both of the above conditions exist.
3. What is the self-diagnosis of “premature ejaculation”?
If you suspect that you have premature ejaculation, you should meet the following three criteria.
① Sexual life time <1 minute or ejaculation before entering (excluding long interval between sexual life);
② Inability to satisfy the male desire for conquest and significant distress;
③ female partner at least 50% of the sexual life is not satisfied.
Especially the third one is the main criterion. One patient, whose wife was not satisfied with 15 minutes of sex time, forced him to see premature ejaculation.
4.What tests should be done for premature ejaculation?
If you suspect that you have premature ejaculation, you must first go to a regular public large hospital male department for examination and treatment to avoid being duped. The doctor will usually give the patient a questionnaire after arriving at the hospital to conduct a premature ejaculation score to determine the severity of the condition.
Next, a penile nerve sensitivity check will be conducted to understand the sensitivity of the glans.
Finally, a primary disease examination that may cause premature ejaculation will be carried out, such as whether there is prostatitis, glansitis of the foreskin, etc.
5.How will the doctor treat premature ejaculation?
After determining the cause of premature ejaculation, the doctor will carry out the following treatment according to the condition.
① Actively treat the primary diseases such as prostatitis and glansitis.
②Perform psychological guidance and behavioral therapy to obtain the cooperation of the female partner and increase the sexual harmony of the couple.
③Guide the patient to improve sexual skills.
④ choose antidepressant western drugs (such as tricyclic antidepressants, 5-hydroxytryptamine reuptake inhibitors, dapoxetine hydrochloride tablets are drugs with premature ejaculation indications) or Chinese medicine to reduce sexual nerve excitability – remember ah, taking antidepressants is not that you have ” depression”!
The actual fact is that you can use a local anesthetic (such as compound lidocaine cream) or Chinese herbal medicine (clove preparation) to reduce the sensitivity of the glans.
6.Can circumcision cure premature ejaculation?
Theoretically, if the foreskin is not long and the glans is exposed, it can increase the friction amplitude of the glans, foreskin ties and other parts and underwear, increase the anti-friction ability during sex and prolong the sex time. But sex time is affected by sexual excitement, environment, atmosphere, physical condition, frequency of sex, tacit understanding of sex, female response condition, vaginal tightness and many other factors, not simply a problem of anti-friction. So, don’t just hope for circumcision to cure premature ejaculation, after all, there is no recognized “circumcision to cure premature ejaculation” may just be a beautiful bubble!
7. Can dorsal nerve blocking of the penis cure premature ejaculation?
Since the introduction of dorsal penile nerve blocking in China, it has quickly become popular throughout the country, especially in private hospitals that have made a lot of money with the help of dorsal penile nerve blocking. However, dorsal nerve block has neither reached the recognition of male doctors in public hospitals, nor has it been able to enter the national guidelines for premature ejaculation treatment. The reason is that there are high technical requirements and indications for doing dorsal penile nerve blocking surgery, and only doctors who regularly do this surgery in regular public large hospital men’s departments and choose the right patients for the surgery will have more satisfactory results.
The 15 minutes to do circumcision and dorsal nerve blocking of the penis, is certainly a lie! There are few people who regret after “being operated”.
8, can premature ejaculation be cured?
This is the most important question for patients, and often asked by patients. The actual fact is that there is no accepted standard for what kind of situation is considered to be cured of premature ejaculation, and the time and satisfaction of sexual life is affected by a variety of factors and is not simply a matter of time. Many clinical patients ask for “cure”, “complete treatment”, “no recurrence” and so on, which makes it difficult for doctors to answer.
9. What is the ultimate goal of premature ejaculation treatment?
Time is not the ultimate goal of patients, but a satisfactory and harmonious sex life should be the ultimate goal of premature ejaculation treatment, which requires the joint efforts of both spouses. After all, sex is the business of two sexual partners, and that wonderful music needs to be written by two people together.
Premature ejaculation is not terrible, to understand him correctly, adjust the mentality, and go to the regular hospital as soon as possible.