1.What does premature ejaculation mean?
(1) Definition of premature ejaculation: Premature ejaculation is the disharmony of sexual intercourse that occurs before the penis enters the vagina or after the insertion of the vagina, before the woman reaches orgasm, while the man has intercourse for less than two minutes and ejaculates early.
(2) What kinds of clinical conditions can be defined as premature ejaculation.
Premature ejaculation is diagnosed for ejaculation before entering the vagina after erection of the penis.
Ejaculation soon after entering the vagina without moving a few times is also defined as premature ejaculation.
Premature ejaculation is also considered when the duration of sexual life is significantly shorter than in the past, for example, the duration of sexual life was 20-30 minutes in the past, but recently it has been reduced to 10 minutes or even shorter, and both you and your sexual partner are not satisfied with it. Yang Kai, Department of Male Medicine, Zhangjiagang City Hospital of Traditional Chinese Medicine
(3) Patients who should be diagnosed clinically are often not really premature ejaculation, but only fast ejaculation time, the wife is not satisfied with this can not reach orgasm, they are often caused by psychological factors or lack of skills and methods of sexual life.
The premise of the diagnosis of premature ejaculation: the couple must live together for a considerable period of time and the persistence of the above phenomenon before it can finally be identified as premature ejaculation.
2. How do you think about the length of ejaculation time?
The length of ejaculation time varies greatly among individuals, and even for the same person, the ejaculation time varies each time. The length of ejaculation time is affected by many factors, such as age, physical condition, health condition, sexual life experience, number of sexual intercourse, and the speed of female sexual desire and orgasm. According to the survey, normal male ejaculation time is generally more than 1 minute to about 3 minutes, some people can be in 20 minutes to more than 30 minutes, individual can be up to 1 hour, as for a couple of minutes ejaculation, but also to pay attention to whether both men and women can be satisfied, if both sides cooperate well, as far as possible in the female has been fully excited about the situation of sexual intercourse, after ejaculation both sides can be satisfied, should not be regarded as premature ejaculation.
3, several normal conditions of premature ejaculation phenomenon?
(1) Occasional premature ejaculation during sex when you are overly tired or in poor physical condition.
(2) Newlyweds or those who have just been in contact with sex for a short time have their first sex, and the man is too excited, often ejaculating faster and even causing premature ejaculation.
(3) Couples who live apart, the first night they meet will occasionally have premature ejaculation, but the second and third time is normal as usual.
(4) Some people are prone to premature ejaculation when they have sex before going to sleep, but when they have sex in the morning after waking up, it takes longer to ejaculate, which should not be considered premature ejaculation. But when the physical condition is poor, it is not recommended to use, otherwise it will cause the erectile function of men to decline, resulting in easy weakness after erection, poor hardness, can not achieve a satisfactory sex life, long-term will cause erectile dysfunction, decreased libido, sexual frigidity.
(5) After men are sexually stimulated, the urethral orifice secretes fluid, which is actually urethral bulb gland and paraurethral gland fluid secreted by the urethral bulb gland and paraurethral gland, which can play a role in lubricating the female vagina during sex, and cannot be considered as semen ejaculated during premature ejaculation.
4.What are the causes of premature ejaculation?
(1) Psycho-psychological factors: mainly lies in the fact that men have too strong feelings for their spouses, always want to reflect their manly image as much as possible in sexual life, so that their wives can get the maximum satisfaction, but often it is not what they want, due to excessive tension and anxiety, but let men collapse, the opposite situation is more understandable, occasionally go out to socialize, there is no tension and fear of sexual partners, but easy to achieve a satisfactory sex life.
(2) lack of sexual experience: this situation is mostly seen in newlywed couples, or young men who just contacted sex life, due to the influence of traditional Chinese rituals, lack of corresponding sexual knowledge, sexual life is not good at grasping each other’s psychological and physiological characteristics, lack of sexual experience, the lack of mutual cooperation tacit understanding, it is easy to cause the male ejaculation time is fast, some men may be due to a failure of one or several sexual life, resulting in a heavy Some men may have a heavy burden of thought due to one or several sexual failures, which can cause a series of fears and anxieties, which in turn can induce premature ejaculation.
(3) Masturbation psychology: influenced by the traditional ritual concept that masturbation is a shy thing, do not want to let people know, but at the same time it is difficult to refuse the temptation of great physical and mental pleasure brought by masturbation, so when masturbation often unconsciously developed a quick orgasm “fast shooter”, in addition to the influence of some masturbation harmful theory, often masturbation and sex. In addition to the influence of some of the harmful theory of masturbation, often masturbation and sexual dysfunction, especially premature ejaculation, also let some men in the sexual life is difficult to achieve satisfactory results.
(4) Various diseases: organic premature ejaculation can be caused by high glans sensitivity of the penis, high central excitability of the brain and low central threshold of ejaculation, including inflammatory diseases of the urinary system such as prostatitis, vesiculitis, urethritis, glansitis of the foreskin, etc., diseases of the nervous system such as manic psychosis, underlying diseases such as diabetes, etc. In addition, tobacco, alcohol, morphine, poppy, methamphetamine, etc. may also lead to premature ejaculation.
(5) Others: such as long-term in vitro ejaculation, irregular sex life, overexertion, poor physical condition, lumbar disc herniation, etc.
In fact, specifically for each patient, the causes of premature ejaculation may be many, that is, there may be a variety of factors inducing premature ejaculation at the same time, so we know the causes of premature ejaculation, is to avoid these triggering factors in sexual life, in order to stay away from premature ejaculation.
5, what is the serious harm of premature ejaculation?
When men with premature ejaculation have sex, most of them can get sexual pleasure and achieve sexual satisfaction, which is determined by the sexual physiological characteristics of men. However, the short ejaculation time makes it difficult for the wife, who is not easily aroused to orgasm, to reach orgasm, and makes the man feel overwhelmingly frustrated and may lose control over sexual intercourse and sexual interest, which in the long run will give both men and women the beauty of sexual harmony In the long run, it can negatively affect the degree of sexual harmony between men and women.
Premature ejaculation makes sexual partners in the marriage sex life to get less than satisfied, can prompt individuals to look for extramarital affairs, promiscuity, third-party intercourse, etc., so that premature ejaculation is a small problem in the sexual life of couples, but also lurks a huge emotional crisis.
6, can excessive masturbation before marriage cause premature ejaculation after marriage?
The majority of people can naturally overdo it after marriage to the couple’s sex life, and for some special people, such as celibate people, the majority of people can naturally overdo it after marriage to the couple’s sex life, and for the majority of people, the majority of people can naturally overdo it after marriage to the couple’s sex life, and for the majority of people, the majority of people can naturally overdo it after marriage to the couple’s sex life, and for the majority of people, the majority of people can naturally overdo it after marriage to the couple’s sex life, and for the majority of people, the majority of people can naturally overdo it after marriage to the couple’s sex life. The reason why masturbation has become the target of many people who are not “sexual” is simply because masturbation is accompanied by a great degree of internal anxiety and a sense of guilt, and at the same time it is difficult to refuse the great physical and mental temptation that masturbation brings. The danger of masturbation lies not in masturbation itself, but in the various misconceptions about masturbation.
The actual fact is that you can find a lot of people who are not able to get a lot of money from the internet.
7, the relationship between prostatitis patients and premature ejaculation?
The actual fact that there is no doubt that prostatitis and premature ejaculation are not necessarily linked, but it is necessary to explain and correct the symptoms seen in this clinic.
8, what are the measures to treat premature ejaculation?
(1) The drugs for the treatment of premature ejaculation are relatively limited, such as antidepressants for depression such as sertraline, fluoxetine, paroxetine, etc., and locally applied surface anesthetics such as lidocaine cream, dacronin gum paste, etc.
(2) Premature ejaculation caused by organic diseases, first of all, we should actively treat the primary disease, such as prostatitis, urethritis, urinary tract infection caused by urogenital tract infection.
9, the wife is the best doctor to treat premature ejaculation, care is the best medicine for premature ejaculation.
Premature ejaculation often makes the wife unsatisfied in sexual life, and over time the wife may be dissatisfied and complain about the husband, which will not only affect the couple’s feelings, but also aggravate the husband’s condition.
The actual fact is that there are certain limitations of medication for premature ejaculation, so it is impossible to achieve a satisfying sex life simply by relying on medication, so you should not put all your hopes on medication, so as a wife to actively cooperate with your husband’s premature ejaculation treatment.
The wife should focus on care and help, do not blame blame, help men to correct their mindset, the wife’s comfort and understanding, can help husbands to overcome fear, anxiety, eliminate tension, reduce the husband’s sense of guilt and psychological burden, urge the husband to change the previous habitual position, action, try to let men reduce the amplitude and frequency of action of sexual life, learn basic sexual skills, etc.. It can be seen that more care, more consideration, will make the couple’s sexual life more a beautiful,, more a harmonious.
10, private male hospital vigorously promote the penile dorsal nerve blocking can bring new hope to premature ejaculation patients, but the efficacy is really so amazing?
In fact, dorsal penile nerve blocking is a method that has been used clinically in recent years, and is currently carried out more in private hospitals, but rarely in public hospitals. The erectile function becomes abnormal, and it is even difficult to have sex.
The reason for premature ejaculation is many, and there are many treatment methods, but each treatment method has its own indications, as does dorsal penile nerve blocking, which cannot fundamentally solve the problem as advertised, so the current view of male scholars is that premature ejaculation is never recommended for surgical treatment if other methods are effective.
11, what are the preventive measures for premature ejaculation?
(1) Try to avoid indulging in sex, reduce bad erotic stimulation, overcome the bad habit of excessive masturbation, and develop good habits of life and living.
(2) Adjust the emotions of tension, anxiety and fear, pay attention to emotional well-being, combine work and rest, and actively participate in physical exercise.
(3) Occasional premature ejaculation is not worth the fuss, any man with normal sexual ability may encounter sexual frustration, mutual understanding between husband and wife, mutual consideration, do not blame, blame the male partner.
(4) understand the relevant sexual knowledge and sexual physiology, learn the basic sexual skills, understand the normal method of sexual intercourse and sexual response process.
(5) to achieve a regular sex life, should not be excessive abstinence from sex
(6) Quit smoking and alcohol, avoid spicy stimulation. Eat more seafood, soy products, fish and shrimp and other foods to enhance physical fitness.
(7) the usual bath, available cool water and warm water repeatedly stimulate the testicles, can play a role in the exercise of men’s sexuality.
12, for premature ejaculation what sexual behavior therapy?
(1) do enough before intercourse caressing, kissing, so that the woman first into the excitement period or even platform, it is easier to meet the sexual requirements of the woman.
(2) Wearing a double condom, the condom covers the glans of the penis, so that the stimulation it receives is not very strong, which can reduce the sensitivity of the penis and prolong the ejaculation time, if a condom is not satisfactory, you can also add another one.
(3) Change the time of intercourse. People generally arrange sex at night, but if you change it to wake up in bed, physical fatigue has been lifted, high energy, I believe the quality of coitus will be improved.
(4) Adjust the position of sex life, adopt male under female on top position or side lying position, so that men are in relaxed passive position for sex, which not only can relieve the husband’s tension, but also can increase the adaptability to vaginal stimulation.
(5) For young patients, the duration of sex can be prolonged by increasing the number of times of sex, i.e., having second intercourse within an hour after ejaculation can significantly delay the time of ejaculation.
(6) intermittent method, that is, the woman strokes the penis with her hand to the extent of imminent ejaculation, then stop stimulating, after the feeling of ejaculation disappears from the excitement high, then stimulate the penis, and so on repeatedly until the man can tolerate a lot of stimulation and not ejaculate. As time progresses, the number of intervals to delay the onset of ejaculation can be gradually reduced, finally reaching the point where it is possible to withstand continuous stimulation for a long enough period of time without the need for a break to treat premature ejaculation.
(7) Pulling the scrotum and testicles method: before high excitement and imminent ejaculation, the female partner assists in pulling the scrotum and testicles downward with appropriate force and softness, which can reduce excitability and have the effect of delaying ejaculation.
(8) penis squeezing method, when the male partner feels about to ejaculate, hastily pull the penis out of the vagina, the female partner with appropriate force squeeze the head of the penis, put the thumb on the penis tether, index finger and middle finger on the dorsal side of the penis, so that just located on the coronal groove, below, squeeze pressure for 15-20 seconds and then relax. The strength of the squeeze used is proportional to the degree of erection, hard erections squeeze hard, the penis is soft with medium strength squeeze, application, the man should focus on the feelings generated by the squeeze, and do not worry about when ejaculation occurs. The initial application, failure is inevitable, once the ejaculation occurs, but also to focus attention on the experience of erotic orgasm, do not have guilt, uneasiness and apologies.
13, why can’t unmarried young people rely on the length of masturbation time to diagnose premature ejaculation?
Often unmarried men report having masturbated with some frequency, and the duration of masturbation ejaculation is getting shorter and shorter, so they worry whether they are suffering from premature ejaculation or whether they will have premature ejaculation in the future. For unmarried young people, we do not consider the diagnosis of premature ejaculation because the diagnosis of premature ejaculation is based on the length of sexual life, not on the length of masturbation time, and the “concealment” of masturbation has the characteristic of avoiding people, so they always want to ejaculate as soon as possible and get pleasure, while men are in the process of pleasure during sex and do not feel guilty, enjoying the pleasure and pleasure of sex. The man is in the process of pleasure and enjoys the pleasure and enjoyment of sexual life. If they are rashly given the title of “premature ejaculation” by the short duration of masturbation, it will bring them unimaginable pain and depression, and may really cause disharmony in their future sexual life, and the diagnosis of premature ejaculation requires a fixed sexual partner, a certain frequency of sexual intercourse, and a long period of time after which it is still difficult to ejaculate too quickly. The diagnosis of premature ejaculation is only considered when the person has a regular sexual partner, has a certain frequency of intercourse, and still has difficulty controlling rapid ejaculation after a considerable period of time.
The majority of men can actually figure out how to control ejaculation and improve ejaculation time during their sexual life after marriage.