Psychological factors of premature ejaculation
(a) People who have premature ejaculation often worry about developing impotence. Most male patients with premature ejaculation have fear, tension and anxiety, and every time they have sex they are worried about whether premature ejaculation will happen again, and they are not yet excited psychologically to form a burden, and this psychological burden is precisely the main factor that leads to premature ejaculation. It is often seen clinically that the psychological burden has a greater impact on premature ejaculation patients than the disease itself. In fact, a few premature ejaculation does not mean anything, fatigue, overexcitement are able to cause premature ejaculation, adjust your body, most premature ejaculation can be avoided.
Anxiety is a big taboo for sexual life. Anxiety, worry, and fear can interfere with the mental state needed for normal sexual life, especially the ability to focus on the control of sexual intercourse, and thus, this mental state tends to diminish the important power of erectile stimulation, which in turn contributes to a weak erection or immediate weakness (this is medically known as paradoxical weakness). We can’t help but see that some people seem to have an over-reactive or hypersensitive autonomic nervous system, and they seem particularly nervous or have a rapid heart rate and increased blood pressure during sex.
(B) The fear that their sexual ability to have premature ejaculation will make their wife’s sexual demands unsatisfied. This snowballing psychological state will make the husband feel guilty, and if there are several consecutive premature ejaculations, many men will start to worry about their sexual ability and sometimes get discouraged. This worry is likewise an anxious state of mind, which has a great impact on sexual life and often leads to psychogenic impotence. As mentioned earlier, a few premature ejaculations do not indicate a problem with your sexual ability, but rather that these problems are temporary because you have not adjusted yourself well.
(C) Communicate more with your wife. Sexual communication between husband and wife in sexual life is a major advancement in recent scientific research on sex. This sexual communication of feelings, experiences, hopes and requirements can not only improve the quality of sexual life, but also promote the relationship between husband and wife and better promote the development of scientific research on sex. If you have premature ejaculation, your wife is your best doctor, she understands you best and can help you best. The key is to communicate with your wife in a timely manner, so that she understands your situation and feelings, and discuss ways to solve the problem together. Many methods of treating premature ejaculation through massage between couples are very effective. This way you can put down your baggage and perform control training.
(The actual fact is that you will find a lot of people who are not sure what to do with their own kidneys, so you can buy all kinds of medicines and listen to the nonsense of the doctors, which often results in bleeding nostrils, swollen gums and “fire”. In fact, the majority of young people are “not deficient”, there is no need for tonic, I can say that there is no kidney deficiency in premature ejaculation patients.
Seven, the treatment of premature ejaculation
(a) Treatment principles
1, prolong the ejaculation latency of the male partner and shorten the wife’s orgasm latency, so that the two try to unify.
2, for male premature ejaculation treatment.
(1) Inhibit the sensitive area of the ejaculatory center of the brain.
(2) Reduce the sensitive area of local stimulation of the penis.
(3) Conduct control training and learn to prolong the ejaculatory latency.
(2) Target the center
(1) Divert attention from sexual stimulation and improve control; reduce the intensity of sexual excitement and thus moderate the onset of orgasm. At the same time, clarify the parts of the wife’s sensitive area, according to the wife’s request, multiple stimulation of the woman’s sexually sensitive area, prompting the wife to reach orgasm before ejaculation.
2, choose a different time for intercourse, such as a few moments of nap or when rising in the morning. Practice inhibiting ejaculation, change the position of intercourse, choose a position suitable for prolonging the latency period, and strive to achieve better results.
(C) drug treatment
(1) Chlorpromazine 25mg, 3/day for 1 month.
(2)Luminal 0.03-0.06mg, 3/day.
(3)Trazodone Mysuru 50mg, 2 hours before bedtime, once a day for 5 days. after 5 days 100mg, 2 hours before bedtime, once a day. After the 11th day, if the effect is not good, add 50mg at noon, recommended for about 6 weeks.
(4) Benadryl, fluoxetine 20-40mg, once a night. The effect starts after 5 to 14 days of taking the medicine. A total of 48 cases with an efficiency of 60.42% (He Zhanju et al.).
(5) Doxorubicin.
①25mg, 3/day, 43 cases, total effective rate 88.3% (Wang Facheng et al.).
(2) 25mg, 1 hour before sexual intercourse, 3 days of continuous use, invalid change to 50mg, 1 hour before sexual intercourse. 3 days invalid abandon treatment. 148 cases, total effective rate 68.2% (Gaofa).
(6) Sertraline, paroxetine 20mg, 1 time per night.
(7) Sertraline 50mg, 1 time per night, gradually increase 50mg per night, up to 200mg, for 8 weeks, 22 cases were effective.
(8) Tamsulosin α1A receptor blocker, 0.4mg, 1 time daily, 1 to 2 hours before sexual intercourse, 62 cases, total efficiency 64.67% (Zhang Shuwu et al.).
(9) Phenobianamin 10mg, 3 times a day, or 10-30mg, half an hour before intercourse.
(IV) Behavioral therapy
Premature ejaculation is fundamentally due to the low threshold required for ejaculation. The threshold is the limit of the intensity of stimulation, which is like a “threshold”, and a low threshold can be crossed. So to treat premature ejaculation, you need to raise the threshold so that ejaculation occurs only after a fairly strong stimulus. Different people can be solved by different methods, but the more serious ones need behavioral treatment.
1.For the sensitivity of the penis
(1) Reduce the stimulation of the penis that is to slow down the speed, amplitude and strength of penile pumping, or to stop pumping temporarily before ejaculation. Or use the method of masturbation (masturbation), to stop when you want to ejaculate, wait for the feeling of ejaculation desire to subside, then masturbation practice, continuous training can improve the brain’s control over ejaculation, to further extend the latency of ejaculation.
(2) Change the position that is not conducive to rapid pumping, such as female superior position, side position. The main purpose is to train the ejaculatory control ability.
(3) Use a double-layered penis sleeve or glans to apply 1% Dicaine or 2% lidocaine jelly topically (use 10 minutes before intercourse).
2.Sexual concentration training method
During the treatment period, you are only allowed to enjoy the sexual pleasure brought by touch, but not sexual intercourse. By increasing the sexual pleasure of your spouse, you can obtain your own sexual enjoyment, overcome the fear of sexual behavior, and establish and restore the natural response of sex. For people with psychological erectile dysfunction and premature ejaculation.
(1) Non-genital sensual concentration training for 1 to 2 weeks.
(2) Genital sexual concentration training for 1 to 2 weeks.
The wife strokes the glans and body of the penis with her hand until ejaculation is imminent, then stops stimulating and waits until the feeling of ejaculation disappears, then restimulates. This is repeated so that the patient can gradually tolerate a lot of stimulation without ejaculation. Thereafter, such a test can also be performed during sexual intercourse to prolong the latency time of ejaculation. This is a simple, practical, and practically effective method that is recommended and often used in clinical practice. However, both parties must have patience and confidence.
(3) Penile squeezing therapy can improve the penile sensory threshold and delay and control the ability to ejaculate. If coupled with stimulation of the penis, when the man is about to ejaculate, the woman only puts her thumb on the tethered part of the penis and her middle index finger on the dorsal coronal groove of the penis and squeezes for 15 to 20 seconds to inhibit ejaculation. Repeat 3 times and ejaculation can be achieved on the 4th time. You can also practice intercourse using the female superior position method.
(4) Point method. When you want to ejaculate, use your middle finger to squeeze the middle of the small abdomen, contract the anal sphincter with force, stop breathing, and the desire to ejaculate disappears for a few moments.
(5) According to the previous introduction, if premature ejaculation patients are overcircumcised, the author suggests circumcision, which is really effective.