1. What is premature ejaculation?
Premature ejaculation is usually considered to be too fast ejaculation, but in fact it is far from that simple. The negative effects of premature ejaculation are also very serious, not only affecting the quality of sexual life, but also affecting the relationship between husband and wife and the relationship between husband and wife, possibly causing negative emotions such as anxiety, tension and panic in patients. These bad mental states further aggravate the condition of premature ejaculation, which seriously affects the family life of patients as well as the quality of work. Premature ejaculation as a male sexual dysfunction is now internationally recognized as primary premature ejaculation and secondary premature ejaculation. In addition, two other types of premature ejaculation have been proposed: premature ejaculation with unstable ejaculation latency and premature ejaculation-like ejaculation disorder. Objective evidence of premature ejaculation is limited to vaginal intercourse in men. For oral sex, anal sex and same-sex sex there is a lack of clinical evidence and it is difficult to define.
2. What are the types of premature ejaculation?
Premature ejaculation can be divided into primary premature ejaculation and secondary premature ejaculation. The definition of primary premature ejaculation consists of the following three parts.
1) Ejaculation within about 1 minute (repeatedly or continuously) after contact with the vagina from the first sexual intercourse.
2) poor delayed ejaculation control, i.e., low or lack of ability to inhibit the ejaculation of semen when ejaculation is imminent
3) The presence of negative personal emotions, such as anxiety, worry, and avoidance of sexual behavior.
Primary premature ejaculation is characterized by the onset of the first sexual intercourse and the occurrence of premature ejaculation in every subsequent sexual intercourse. Secondary premature ejaculation is a process in which the ejaculation latency time (the time between the man’s penis entering the vagina and ejaculation) gradually decreases to 3 minutes or less, starting from the first sexual intercourse. The latency time of ejaculation is normal at the beginning, but maybe after a year or two, or maybe a decade or two, the latency time of ejaculation is slowly shortening, and finally gradually shortening to 3 minutes or less.) Also combine points 2 and 3 above. Secondary premature ejaculation is characterized by the gradual or sudden appearance of premature ejaculation after a period of normal sexual life; the normal ejaculation time before the occurrence of premature ejaculation may also be secondary to some other diseases.
There are also two other types of premature ejaculation that have been suggested by scholars.
1) Premature ejaculation with unstable ejaculation latency: the ejaculation time of such patients may be long or short, characterized by the fact that premature ejaculation does not occur every time, there is no regularity, and the ability to control ejaculation is poor.
2) Premature ejaculation-like ejaculation disorder.
Two other types of premature ejaculation.
1) Premature ejaculation with unstable ejaculatory latency.
2) premature ejaculation-like ejaculation disorder. Because these two types of premature ejaculation have not yet been included in treatment guidelines, they have attracted attention. These patients have a normal ejaculatory latency and the patient psychologically believes that he or she is prematurely ejaculating, not a pathological process, often with psychological problems or relationship problems with the sexual partner. It is characterized by the subjective self perception that ejaculation is too fast, but the ejaculation latency time is normal.
3. How long is considered premature ejaculation?
The definition of premature ejaculation is not based on the latency time of ejaculation to diagnose premature ejaculation. It is easy to misunderstand this “time to recognize the hero” argument. For example, if a person’s ejaculation latency time is shorter than 3 minutes, but both spouses are satisfied with their sexual life, it should not be diagnosed as premature ejaculation.
4. What are the common causes of premature ejaculation?
The cause of premature ejaculation is still unclear. In the past, premature ejaculation was thought to be closely related to psychological factors, but it is now believed that it is not so simple. The occurrence of premature ejaculation is multi-factorial, related to psychological factors, environmental factors and endocrine factors, such as overexcitement or tension during sex; fear caused by unsuccessful sex once and scolding by the wife; too noisy places where sex occurs, etc. In addition, drug use, long-term abstinence, inflammatory stimulation, long foreskin, prepuce, etc. may also cause premature ejaculation.
5.Does masturbation cause premature ejaculation?
There is no direct evidence of a direct relationship between the two. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. [This high point, we do not occupy it.
6, reduce intimate contact can prevent premature ejaculation?
It is common for couples to be overly excited about their sexual foreplay and excited and nervous to have premature ejaculation. If you deliberately reduce sexual contact and avoid foreplay, the psychological burden of sexual life is too heavy, but it is not conducive to a smooth sexual life. In addition, long-term abstinence is also likely to cause premature ejaculation.
7. What is the relationship between premature ejaculation and impotence?
Impotence is now internationally known as erectile dysfunction, which is completely different from premature ejaculation and cannot be generalized. Both are common male sexual dysfunctions. Both can occur separately or at the same time.
8. Is premature ejaculation just a man’s disease?
Many people think that premature ejaculation belongs to the man’s disease and has nothing to do with the female partner, this statement is one-sided. Sex is for both husband and wife, they should communicate and care for each other, and the woman should give understanding and tolerance and cooperate closely to achieve sexual harmony. Even if the man’s ejaculation latency time is short, but the woman feels satisfied, it does not belong to the category of premature ejaculation, so the woman should also actively participate in cooperation and give the man confidence to cure.
9.How to diagnose premature ejaculation?
Premature ejaculation should not be diagnosed only based on the length of ejaculation time, but should be evaluated comprehensively. During the consultation, the patient can be assessed with the Chinese premature ejaculation questionnaire, and then diagnosed according to the patient’s medical and sexual history, while meeting the three elements of premature ejaculation.
10.What are the treatments for premature ejaculation?
There are many causes of premature ejaculation and its treatment methods are different. They mainly include.
1) Psychological counseling: both husband and wife need to cooperate with each other in order to relieve the couple of various bad emotions in sexual life and build up a good confidence for both parties.
2) Behavioral therapy: sexual skill improvement, stop-and-start therapy, penis squeezing method, etc.
3) Medication: It can be divided into topical and oral medications, which have more definite effects. The most common drugs used externally are lidocaine-propivacaine cream; oral drugs mainly include sertraline, paroxetine, dapoxetine, etc.; there are also some herbal formulas effective in the treatment of premature ejaculation.
(4) Surgical treatment: surgical treatment of premature ejaculation is less clinically applied, and currently there are mainly circumcision, circumcision, selective dorsal nerve block, etc., but there is a lack of evidence-based medical evidence to support the efficacy and safety.
11.What are the common oral medications for premature ejaculation?
The main antidepressants currently available for the treatment of premature ejaculation are chlorpromazine, dapoxetine, paroxetine, sertraline, fluoxetine, citalopram and so on. Because these drugs were originally used to treat depression and were found to have a delaying effect on ejaculation, they can now be used to treat premature ejaculation. There is now evidence from several large clinical studies that support the definitive efficacy.
12. When do I need to choose surgical treatment for premature ejaculation?
The treatment of premature ejaculation is recommended to use behavioral therapy and medication first. If the appeal treatment is ineffective, surgical treatment can be considered, but the risks and complications should be fully informed before the operation.
13.Can circumcision improve premature ejaculation?
There are some studies showing that circumcision can indeed improve premature ejaculation. The keratinization of glans foreskin caused by circumcision can play a desensitizing role. However, circumcision is not applicable to all patients with premature ejaculation and should be treated differently.
14.Which circumcision patients need to be circumcised?
Under normal circumstances, the penis and foreskin of infants and young children are initially adhered together. As they grow older, the opening of the foreskin will slowly become larger and the foreskin will recede upward on its own to reveal the head of the penis, thus separating the foreskin from the head of the penis. Because the foreskin will affect the development of the penis, and easy to hide the foreskin scale, so before the development of puberty should be circumcised. Infants and young children can temporarily do without circumcision, but if the foreskin contains more foreskin scale, often causing inflammation of the foreskin and glans or urinary tract infection, such as redness and swelling of the foreskin, frequent urination, urinary urgency, painful urination, etc., you need to consider circumcision at this time.
15.How is the effect of dorsal penile nerve block for premature ejaculation?
Dorsal penile nerve block is not recommended for the treatment of premature ejaculation because of its inexact efficacy and many possible complications such as penile sensory loss, pain, permanent sexual dysfunction, etc.
16.How is the behavioral treatment of premature ejaculation performed?
The behavioral treatment for premature ejaculation mainly includes
(1) change of sexual skills: for example, changing the position of intercourse, like female supremacy can reduce sexual stimulation to delay ejaculation; prolonging sexual foreplay to overcome psychological barriers; intermittent pumping or intermittent penetration, etc.
(2) condom method: bring more layers of condoms when sex is in progress to reduce the friction of the vagina on the penis and the stimulation of the penis during vaginal contraction to achieve the purpose of delaying ejaculation.
(3) stop-and-start therapy: stimulate the penis by the partner while sex is in progress, stop stimulating immediately when the penis is erect and the man feels the urgency of ejaculation, and restart sex after the urgency of ejaculation disappears, and repeat this several times before ejaculating.
(4) penis squeezing method: similar to the former, the female party repeatedly stimulates the penis, when the male party has a sense of ejaculation urgency, the head of the penis is pressed using the technique, so that the penis weakens, and then sexual stimulation is carried out, and ejaculation is repeated several times, through this method the ejaculatory excitement of the patient and the tolerance of sexual stimulation can be increased, so that the ejaculation time is delayed, and its requires the lasting and close cooperation of both husband and wife.
17, premature ejaculation means that the body does not work?
Premature ejaculation is not necessarily related to physical health. The causes of premature ejaculation are multi-factorial and should be analyzed on a problem-specific basis. Secondary premature ejaculation often has a psychological disorder, but the physical function may be normal; however, some secondary premature ejaculation is caused by endocrine factors or organic lesions, so the occurrence of premature ejaculation may only be a concomitant symptom of physical illness, which should be noted.
18.Does premature ejaculation have any effect on fertility?
Generally speaking, it has no effect. Patients with premature ejaculation still have vaginal ejaculation during sex, and as long as the sperm in the semen is combined with the woman’s egg, it is possible to achieve pregnancy.
19.What should I pay attention to if I am diagnosed with premature ejaculation?
Keep an optimistic and positive attitude, work and rest regularly, do not overwork, quit smoking and drinking, and do not avoid medical treatment. It is better to inform the female partner, both men and women trust each other and cooperate with the treatment, the effect is more significant.
20. Are aphrodisiac drugs effective in treating premature ejaculation?
Many people, after having symptoms of premature ejaculation, want to treat premature ejaculation through folk recipes, which is very harmful. Blindly taking aphrodisiacs and kidney tonics does not find the cause of premature ejaculation and cannot be individualized according to the type of premature ejaculation, which may delay treatment and also cause labor and injury, and is not recommended.
21.What foods should premature ejaculation patients eat more of?
The causes of premature ejaculation are complex, and although it is difficult to achieve a cure by nutritional conditioning, it is still beneficial for the recovery of premature ejaculation. As a general principle, premature ejaculation patients should eat a light and nutritious diet, quit smoking and drinking, and eat less spicy and greasy food. You can often eat coarse grains, black sesame, yam, eggs, mutton, oysters, etc. You can also try some food therapy recipes, etc.
22.How to prevent premature ejaculation?
(1) Don’t indulge in beauty, reduce sexual stimulation such as bad masturbation, develop good eating and living habits, and have a regular sex life.
(2) adjust the tension and anxiety, cultivate a relaxed mood, pay attention to the combination of work and rest, and actively participate in physical exercise.
(3) Occasional premature ejaculation, no need to make a fuss. Both husband and wife should face it frankly, understand each other, and make adjustments actively.
(4) Understand the general knowledge of sex and sexual skills, improve mutual understanding and eliminate misunderstandings.
23. Is it really difficult to cure premature ejaculation?
No, it is not. There are many different types of premature ejaculation, which should be treated according to the cause. For example, if a young person lacks sexual experience, does not know sexual skills or has premature ejaculation due to mental tension, he or she can learn about sexual life, and with the accumulation of sexual experience and maturity of sexual skills, the number of premature ejaculation can be slowly reduced or disappeared; patients with prostatitis or urinary tract infection with secondary premature ejaculation can be improved by treating the primary cause.
No matter what kind of premature ejaculation, it must be treated under the guidance of a doctor. At the same time, it is important to have a positive attitude towards premature ejaculation, mutual understanding and care between husband and wife, and elimination of tension, anxiety, depression and other negative emotions, all of which are helpful for the treatment of premature ejaculation.