What is premature ejaculation Premature ejaculation, the incidence of which accounts for 35% to 50% of adult males, can be considered premature during sexual intercourse when either sex is dissatisfied with the ejaculatory latency (i.e., the time from penile insertion into the vagina to the appearance of ejaculation) or demands an extended ejaculatory latency. In fact, whenever a man is dissatisfied with his own or a woman’s ejaculatory control over her male partner, or ejaculates significantly earlier than before and wishes to prolong intercourse, it is necessary to receive proper guidance and treatment. The first affiliated hospital of Guangxi University of Traditional Chinese Medicine, the male department on behalf of the wave A few young people in love or couples reunited after a long time, often prone to premature ejaculation, serious embrace, kissing or even body has not yet contact that ejaculation, which is mainly due to excessive sexual excitement. In the beginning of a new marriage, due to excessive excitement, tension, lack of sexual experience and sexual skills, it is easier to ejaculate prematurely, with the gradual regularity of sexual life and the accumulation of sexual experience and sexual skills, most can better control ejaculation, there are a few men due to habitual reflexes to form a stubborn premature ejaculation phenomenon. What are the common causes of premature ejaculation Premature ejaculation has not only psychological abnormal causes, such as depression, restlessness, tension, overexcitement, habitual and other factors, but also pathological abnormal nerve function, such as penile sensory hypersensitivity or excessive excitability of penile sensory nerves and overly sensitive ejaculatory center. In addition, organic lesions such as circumcision, glansitis, prostatitis, vesiculitis, seminal vesiculitis, urethritis can also induce premature ejaculation. The long interval between sexual intercourse is also prone to premature ejaculation, which often occurs in couples living apart and in unmarried men who occasionally have sex. Pre-existing habits of rapid ejaculation (such as long-term masturbation under insecurity or the habit of rapid ejaculation and hasty ending during sex) may also be the cause of premature ejaculation. Excessive easy excitement or, from a TCM point of view, delusional phase fire and exclusive hyperactivity of the ruling fire are common causes of premature ejaculation in young men. It is also believed that premature ejaculation is evolutionary. In the early days of human society, the purpose of human coitus was only to prolong the race, and there was no purpose of pleasure. As a result of living in groups, men had to ejaculate quickly during coitus to complete the task, so as not to be attacked by competitors during coitus, and to have the opportunity to mate with more objects. As human society progressed, the more secondary the reproductive purpose of coitus became, and more for mutual pleasure, the habit of rapid ejaculation formed in the early days of human society became a bad thing. How to delay the ejaculation reaction in men First of all, men should not rush to penetrate, prolong the foreplay of sex, through hugging and kissing, caressing the woman’s lips, neck, chest, breasts, belly, inner thighs, vulva and buttocks, back and behind the ears and other sexually sensitive areas to prompt the woman to appear strong sexual excitement, the desire to be penetrated when the penis is inserted into the vagina. At first, only the glans penis should be inserted into the vaginal opening, and after a few moments to get used to the pressure and warm, smooth sensation of the vagina, then slowly insert the penis deeper into the vagina. When the penis is inserted deeply, you should pump less, and when it is inserted shallowly, you should pump slowly, the amplitude of the pumping should not be too big and the frequency should not be too fast. The woman’s sexual excitement is strong when the rapid pumping, can also be shallow, fast and slow, moving stop combination, such as the ancient house family advocated “nine shallow a deep” method is worth learning. The male should intentionally adjust his breathing during sexual intercourse, deep and slow breathing can make your sexual excitement become smoother and help maintain a longer intercourse time; using a comfortable, relaxed and less strenuous sexual position can also make your sexual response become soothing, the traditional male on female position for the coordination of the sexual response of both sides is not very favorable. In the case of kidney qi deficiency, the treatment is to tonify the kidney and fix the sperm. Commonly used chemical drugs that can delay ejaculation include amitriptyline, chlorpromazine (clomipramine), doxepin, fluoxetine (fluphenazine), paroxetine, trazodone, sertraline, etc. The use of these drugs may pose a risk to driving vehicles and working at height and fine work, so drivers must be careful with these drugs and should not work at height after taking them.