Premature ejaculation (PE), a common name in Chinese and Western medicine, refers to a type of ejaculation disorder and is one of the common conditions of male sexual dysfunction. In Chinese medicine, it is called “chicken sperm”, and in Western medicine, it is also called premature ejaculation. The incidence is about 9% to 42%, in recent years, PE research in Chinese and Western medicine has made great progress.
Definition.
1, persistently or repeatedly under very little sexual stimulation, ejaculation before, during or soon after penetration, earlier than the person’s desire, the doctor’s judgment is that various factors affecting the duration of sexual excitement should be considered, such as age, a new sexual partner, a new environment and the frequency of recent sexual intercourse.
2. This condition obviously causes pain and interpersonal (between partners) tension for the person himself.
3, This premature ejaculation condition is not caused by withdrawal of a certain psychoactive substance .
(I) Primary and secondary
Primary premature ejaculation (PPE): Premature ejaculation at the beginning of the first sexual intercourse. Sexual drive and sexual arousal are normal, often accompanied by intercourse anxiety. Also known as lifelong type.
Secondary premature ejaculation (SPE): Premature ejaculation occurs gradually after normal ejaculation in the past, and SPE often coexists with ED. It is also called the acquired type.
(B) Physiological type and psychological type
Physiological type is divided into
Neurological quality type – primary
Torso disease type – secondary
Torso injury type – secondary
Drug side effects – secondary
Psychological type
Psychological quality type-primary
Psychological emergency – secondary
Partner tension – secondary
Lack of psychosexual skills – primary
Common types
Neuroticism
Lack of psychosexual skills
Partner Stress
Psychological emergency
Co-morbidity type
Etiology: Modern medicine believes that there is a certain relationship with mental factors and certain neurological and organ lesions.
Psycho-behavioral, low frequency of sexual intercourse, physical factors
Modern research shows that masturbation is not the cause of PE, and alcoholism and spinal cord injury may lead to PE.
The organic causes of premature ejaculation are relatively rare.
Clinical manifestations
Ejaculation of the penis before or during vaginal penetration is a typical symptom of premature ejaculation.
Clinically, premature ejaculation is classified into three grades
Mild: the penis is inserted into the vagina and can be moved, but ejaculation occurs in less than a minute.
Moderate: ejaculation occurs when the penis is inserted into the vagina.
Severe: the penis is not inserted into the vagina, the two sides have not touched or just touched, and ejaculation occurs when the idea is moved.
A common complication of premature ejaculation is impotence.
Diagnostic points
There is no exact definition, but premature ejaculation can be diagnosed if one of the following symptoms persists for more than one month:
Ejaculation occurs before or during vaginal penetration.
Ejaculation occurs within one minute after vaginal penetration or within 15 strokes, resulting in the wife with normal sexual function not achieving orgasm and sexual satisfaction during sexual intercourse, earlier than she wishes.
Traditional Chinese Medicine Treatment
The principle of Chinese medicine treatment is based on the outline of “the deficient is tonified, the real is diarrhea”.
The external treatment method also plays an important role.
Focus on psychological counseling, give guidance on sexual life, often need to obtain the cooperation of the female partner, and the appropriate application of sexual behavior therapy.
Internal treatment principles
In the early stage of the actual evidence, more use of diarrhea, to clear the main; damp-heat patients, should be in the disease that stop, not overdose, to prevent bitter dry too much injury.
For patients with Yin deficiency and fire, do not overuse warm and hot products to prevent aggravation of the disease, but pay attention to nourishing Yin and taking into account the clearing of deficiency fire.
Yin deficiency for a long time, Yin loss and Yang, can cause Yin and Yang two deficiency, then should be Yin and Yang double tonic.
If the patient has been prematurely ejaculated for a long time, has a deficient body and is old and decrepit, the treatment should be based on nourishing the deficiency and fixing the essence.
Dampness and heat in the liver meridian
Main symptoms: hypersexuality, ejaculation upon intercourse, dizziness, bitterness in the mouth and dryness in the throat, yellow urine, irritability, itchy scrotum. The tongue is red with a yellowish coating and the pulse is stringy or slippery. Mostly seen in the early stage of onset.
Treatment: Clearing damp-heat in the liver meridian.
Remedy: Gentian and liver diarrhea soup with addition and subtraction.
Yin deficiency and Yang hyperactivity
Main manifestations: sleeplessness due to deficiency, easy to raise Yang, premature ejaculation, slippery emission, weakness of the waist and knees, hot flashes and night sweats. Red tongue with little coating and fine pulse.
Treatment: Nourishing Yin and submerging Yang.
Remedy: Zhi Bai Di Huang Wan plus or minus.
Kidney Qi is not consolidated
Main manifestations: decreased sexual desire, premature ejaculation and seminal emission, soreness and weakness of the waist and knees, excessive nocturia. Pale tongue with white fur, sunken and weak pulse.
Treatment: Benefit the kidney and consolidate sperm.
Remedy: Jin Kui Kidney Qi Pill plus or minus.
Deficiency of heart and spleen
Main symptoms: premature ejaculation, tiredness of the limbs, lack of color, palpitation and shortness of breath, emaciation of the body, forgetfulness and dreaminess. Pale tongue with white fur and thin pulse.
Treatment: Tonifying the heart and spleen.
Remedy: Add and subtract Gui Spleen Tang.
Western medicine treatment
Antidepressants Clomipramine
5-hydroxytryptamine inhibitors paroxetine, sertraline, cloxetine
a-blockers Phenazopyridine
Anxiolytics
Dopamine antagonists
Surgical treatment
Circumcision
Penile ligature release
Dorsal penile neurectomy
Psychotherapy
The most common psychological disorders associated with premature ejaculation are anxiety and depression.
We should teach you about the physiology of ejaculation, promote confidence in reestablishing the ejaculatory reflex, and master the rules of sexual life to avoid the occurrence of premature ejaculation.
Sexual behavior therapy
Intermittent method
Selecting the time of sexual intercourse
Sexual concentration training method
Improving the tolerance of sexual stimulation (Semans method)
Squeezing method