What about the problem of premature ejaculation? What should I do? Classification is the only way to treat it correctly! At present, there are different knowledge and understanding of the clinical classification of premature ejaculation in the medical community, and the relative consensus is to classify premature ejaculation into two types: primary and secondary. Primary premature ejaculation is characterized by: rapid ejaculation at the first intercourse; rapid ejaculation almost every time you have intercourse and with every sexual partner; ejaculation latency less than 2 minutes in most cases (90%). Secondary premature ejaculation is characterized by: normal ejaculatory latency prior to the appearance of premature ejaculation; premature ejaculation may be caused by another condition and may occur suddenly or gradually; the patient ejaculates quickly at some point; and it may resolve or be cured with treatment of the primary condition. The European Society of Urology developed new Guidelines for the diagnosis and management of premature ejaculation in 2015, which classify PE into 4 categories: primary premature ejaculation, secondary premature ejaculation, natural variant premature ejaculation, and premature-like ejaculatory dysfunction. The latter two are within the normal range of intravaginal ejaculation latency and strictly speaking cannot be considered as diseases. Natural variant premature ejaculation occurs irregularly and non-continuously, within the normal fluctuation range of sexual life, and occurs only occasionally, which may be related to the frequency of recent sexual intercourse, novelty to sexual partners and the environment of sexual intercourse; premature ejaculation-like ejaculatory dysfunction is subjectively described as having continuous or non-continuous occurrence of ejaculation earlier than expected, but the latency period is within the normal range and can be prolonged, which may be related to the patient’s misperception. Individualized treatment is the key! 1. psychological counseling First of all, we believe that psychological counseling of premature ejaculation patients is a particularly important aspect. This is because the premature ejaculation patients we see have some personality traits; they are introverted, sensitive, and most damagingly, pessimistic in character. Most men may not perform well in sex at first because they are inexperienced and unaccustomed to it, and most of them can adapt to it after a period of time and reach normal. And some of them do not adapt for a long time and develop premature ejaculation. We have to help this part of patients to carry out character analysis and help them to adapt and overcome psychological barriers as much as possible. 2.Couple education Couple education is also very important. Sometimes, premature ejaculation has a lot to do with the wife. Some lesbians are conservative, afraid of pain, unable to let go and squirm, which are factors that cause or aggravate premature ejaculation in men. When we come across such a situation, we also need to analyze it and unburden women’s minds so that the relationship between husband and wife can reach harmony. 3.Behavioral therapy In addition, there is also behavioral therapy. In the past, such as the 1950s and 1960s, this method was more popular, but now it is used less and less. We only use it as a supplement to medication, including the moving stop method, glans squeeze treatment, etc., which is usually carried out by a reproductive surgeon. 4, drug treatment With the development of science, we found that more and more patients with primary premature ejaculation are caused by pentraxin reinnervation metabolism disorder (abnormal regulation), and the treatment mainly applies pentraxin reuptake inhibitors, which are drugs that improve neuroenergetics and can prolong ejaculation time. If the duration of premature ejaculation is very short, for example, if it occurs within six months, early diagnosis and early treatment, after regular medication, there is a 50-60% chance of achieving a cure. If the duration of the disease is more than five years, it will be difficult to remove the root cause. At this time we have to carry out lifelong maintenance treatment or long-term maintenance treatment. 5, never surgery If you really have premature ejaculation problems, never use a surgery that claims to cure premature ejaculation – dorsal penile nerve blocking.