The definition of premature ejaculation is controversial. It is generally believed that men lose the ability to control ejaculation during intercourse, ejaculate before the penis enters the vagina, or just after vaginal penetration, or women achieve orgasm less than 50% of the time during intercourse. However, since women’s sexual response pattern is different from men’s, this definition needs to be further refined. The types of premature ejaculation are divided into primary premature ejaculation and secondary premature ejaculation. Primary premature ejaculation refers to premature ejaculation since the first sexual intercourse, while secondary premature ejaculation refers to men who had normal ejaculatory function for some time in the past and then gradually developed premature ejaculation often secondary to erectile dysfunction or genital tract infection. The traditional view is that the causes of premature ejaculation are mostly psychological, but now it is believed that physiological factors can also affect the ejaculatory function. 1, psychogenic: for example: long goodbye, newlywed honeymoon, excessive excitement or tension, excessive fatigue, depressed mood, after drinking, indiscreet intercourse, poor relationship between husband and wife, the husband’s potential hostility, resentment and irritation towards his wife, or excessive fear and worship of his wife, the existence of inferiority complex, etc. are factors that induce premature ejaculation. Some people are fearful during sexual intercourse, lest ejaculation too early, causing wife dissatisfaction; some people out of misunderstanding of sexual knowledge, unwarranted suspicion of their sexual ability is low, sexual intercourse is always ashamed of themselves. 2, the couple’s relationship is not harmonious: for example, suspicion, jealousy or excessive respect for the wife, can also lead to premature ejaculation. Some people place too much importance on sex life, expect too much, or worry too much about having had one or two occasional premature ejaculation, which may increase the psychological burden, forming a vicious cycle of tension, premature ejaculation, more tension, continuing premature ejaculation and making premature ejaculation fixed. Some kind of systemic diseases and physical weakness can also make sexual dysfunction and premature ejaculation. Premature ejaculation can usually be diagnosed through consultation. Physical examination and laboratory tests are not as important as history taking in the diagnosis of premature ejaculation. When physical and laboratory examinations are performed in patients with premature ejaculation, the findings are usually normal. Nevertheless, a simple external genital examination is necessary. With the increased pace of life and work pressure nowadays, the number of premature ejaculation patients is increasing day by day. For those who have premature ejaculation, the first thing you should do is ask your doctor to determine if it is true premature ejaculation. Some people mistakenly believe that they have premature ejaculation, but both parties are actually uncoordinated in the timing of their orgasm, and it is quite common for the woman to ejaculate prematurely while the man has not yet reached orgasm, which is not true premature ejaculation. From the treatment point of view, clinical treatment of premature ejaculation is currently difficult to achieve, and the self-psychological adjustment of premature ejaculation patients is more important. Corresponding countermeasures should be used for different etiologies. First of all, we should popularize the knowledge of sex, comprehensively understand the sexual life history of different couples, combine with the specific situation of the patient, make guiding suggestions, and overcome the anxiety in the mind; soothing before sexual intercourse is essential, the male partner should be properly distracted and should not be overly nervous, and both spouses should cooperate well and adopt various behavioral treatments to prolong the time to initiate ejaculation, together with drug treatment, so that both spouses have enough The couple can have enough time to reach the climax of sexual excitement and sexual pleasure during sexual intercourse. As there are many causes of premature ejaculation, corresponding countermeasures should be used for different causes. First of all, we should popularize the knowledge of sex, comprehensively understand the sexual life history of different couples, combine with the specific situation of patients, make guiding suggestions, and overcome the anxiety in the mind; the soothing time before sexual intercourse is essential, the male partner should be appropriately distracted and not overly nervous, and both spouses should cooperate well and adopt various behavioral treatments to prolong the time of initiating ejaculation, together with drug treatment, so that both spouses have enough time to reach orgasm of sexual excitement and sexual pleasure during sexual intercourse. The treatment of premature ejaculation is the responsibility of both partners. The treatment of premature ejaculation is a matter for both husband and wife, especially the participation of the wife in the treatment is very important. The psychological treatment of premature ejaculation requires the cooperation of the patient’s wife. Because the misunderstanding or complaint of the female partner will make the male partner’s tension and anxiety rise and increase the psychological burden. The female partner should have a sympathetic and caring attitude, and give verbal and behavioral comfort to relieve the male partner’s tension and help him establish confidence in the cure. At present, psychotherapy, especially behavioral therapy, is more respected both at home and abroad and is considered to be more effective. Through general psychotherapy, patients can be taught about sex to help them relieve their worries and reduce anxiety and tension, and can be taught to master muscle relaxation methods to eliminate fear and anxiety before sexual intercourse. Premature ejaculation patients can improve the ability of the penis to tolerate local sexual stimulation through self-training and establish a physiological reflex with a high ejaculation “threshold” to delay ejaculation, 1-2 times a week for more than 3 months. There are usually the following three methods: 1, by the wife for the husband’s penis massage, to appear ejaculatory urgency, immediately stop the massage, and pull the testicles towards the bottom of the back, so that the urgency disappears, after the urgency disappears, restart the massage, repeated 3-4 times, and then allowed to ejaculate. 2, by the wife to massage the husband’s penis with her fingers, to have ejaculation tension feeling, immediately stop massage, and thumb on the back of the head of the penis, index finger middle finger placed in the penis ventral coronal sulcus ties, towards the penis root direction squeeze 3-4 seconds, ejaculation urgency will completely disappear, so restart massage, repeated 3-4 times, and then allow ejaculation. 3, behavioral treatment (1) change to female on top or side intercourse, due to labor-saving, small movement and weak stimulation, can extend the duration of intercourse. (2) measures to extend prior caressing and shorten the time required for the woman to reach orgasm: such as prior cold towel wrapped around the penis and scrotum, the man will be able to do his best to caress, and when the woman is fully excited, the man will then slowly enter the reaction state, which can inhibit premature ejaculation. The usual bath, with cool water and warm water repeatedly stimulate testicles, can play a role in the exercise of sexuality. (3) adjust the time of sexual intercourse, such as changing in the early morning after waking up sex, energetic; first sleep after sex, to avoid tension; the second intercourse that night, the time is certainly extended; first masturbation ejaculation, after the period of inactivity and then sexual intercourse, can also extend the time. (4) the use of double condoms to reduce the friction between the penis and the vagina and the degree of stimulation, can extend the time of intercourse. (5) pubococcygeus muscle exercise method: you can experience the main point of pubococcygeus muscle exercise by interrupting urination method, that is, when urinating, first part of the discharge and then hold a pause, then discharge and then pause, in several times to finish. Premature ejaculation is precisely because of weak muscles and poor control, so this exercise method needs to be used. Generally speaking, in patients with premature ejaculation, if the sperm is normal and is not caused by worsening inflammation, it usually does not affect fertility. For patients with severe cases of premature ejaculation, if they ejaculate before entering the vagina, the sperm cannot enter the female womb, thus causing infertility. Also, premature ejaculation is often just a symptom of other physical illnesses, such as inflammation like prostatitis, which may then affect sperm quality and thus male fertility. In terms of fertility, those with sexual dysfunction can be relieved through psychological medication and surgery, and if they recover well and have no abnormal sperm quality, they can have a natural pregnancy; if they have oligospermia or weak sperm, they can be adjusted through medication; if the adjustment is not effective, artificial insemination by husband or IVF can be performed; if they have no sperm, they need to perform artificial insemination by donor sperm technique to help them conceive.