Premature ejaculation is the most common sexual dysfunction in men, with a prevalence rate of 20-30%, while circumcision, which is about 30% in the general population in China, is also a common problem for men, with a large number of patients suffering from both problems. However, due to the national conservative for “sexual problems”, as well as the interference of the Internet, newspapers and other media misinformation, resulting in the public for the two issues is not correct and comprehensive cognition, the network discussion between the two topics are often more, how to correctly understand the relationship between the two for the treatment of the disease is extremely important.
1.What is circumcision?
The prepuce is the head of the penis is covered by the foreskin, the penis erect after the glans can not be fully exposed, but can use the hand to flip back the foreskin to expose the glans, prepuce is generally by the parents genetic decision. Usually, after the birth of a newborn male, there are adhesions between the inner plate of the foreskin and the head of the penis, after which the adhesions are gradually absorbed and the inner plate and the glans can be gradually separated, until the head of the penis is naturally exposed before puberty.
2.Does circumcision cause premature ejaculation?
To clarify this issue, first of all, we should understand the normal physiology of male ejaculation: during sex, people receive signals of sexual stimulation through visual, auditory, tactile and other receptors, and then the nervous system transmits these signals to the brain, and when our sexual stimulation reaches a certain level and exceeds the ejaculation threshold, the brain makes the command to ejaculate, which is transmitted to the reproductive organs to appear ejaculation, accompanied by strong pleasure. Among the receptors involved in ejaculation, the sex organ receptors are the most important, and they are mainly distributed in the foreskin, foreskin ties, foreskin mouth and penis head. If the sensitivity of these receptors increases, it will increase the signals transmitted to the brain, shorten the time to reach the ejaculation threshold and cause premature ejaculation.
The foreskin covers the sensitive area of the glans and the coronal sulcus area, and an excessively long foreskin is a risk factor for increased sensitivity of the glans sex receptors. The reason is: (1) the foreskin itself has the role of a sex receptor, the foreskin is stimulated more than normal during sexual intercourse; (2) due to the wrapping of the foreskin, the glans cannot be well exposed, lacking the normal frictional stimulation from outside, so that its sensitivity to sexual stimulation is maintained at a high level; (3) the foreskin is prone to inflammation of the foreskin or glans, and these inflammations can cause additional stimulation to the glans, increasing its sensitivity. These inflammations can cause additional stimulation to the glans and increase its sensitivity. Therefore, for patients with premature ejaculation who are combined with overcircumcision or even circumcision, the overcircumcision may be a trigger for premature ejaculation, and accordingly, circumcision becomes an option for these patients to treat premature ejaculation. Removing excessive foreskin can destroy part of the sexual receptors, making the overall sensitivity of the sexual organs decrease, also avoiding the recurrent inflammation of the glans of the foreskin and reducing the bad stimulation, thus achieving the purpose of treating premature ejaculation.
3. Will premature ejaculation definitely get better after the removal of the foreskin?
The ejaculation is a very complex physiological process, which requires the cooperation and participation of the reproductive system, the nervous system, the endocrine system and many other systems, any abnormality in any place will cause the ejaculation to speed up, the sexual receptors are only one of the links. The actual fact is that many of the patients who are circumcised do not have premature ejaculation, and the patients who have premature ejaculation are not all circumcised, and circumcision is only one of the causes of premature ejaculation, not the inevitable cause. In view of the fact that circumcision is prone to inflammation and can have a negative psychological impact on patients, which is not conducive to the treatment of premature ejaculation patients, we still recommend circumcision for premature ejaculation patients with combined circumcision. For patients whose premature ejaculation is not relieved after circumcision, do not lose confidence in the treatment, there are many mature treatment methods for premature ejaculation, such as oral medication, local spray local anesthetic, etc., which can achieve good results.