Premature ejaculation is a difficult topic for men to talk about, leaving many patients with a heavy psychological burden. For untimely treatment, often the condition will worsen. The actual fact is that you’ll be able to find out the symptoms in time and go to the regular medical institution as soon as possible, so don’t lose your health because of “face”.
What is premature ejaculation? Many people think that premature ejaculation means ejaculating too quickly during sex. This is true, but it is not comprehensive. Currently, the definition of premature ejaculation varies from organization to organization worldwide.
According to the definition of premature ejaculation by the International Society of Sexual Medicine in 2014, there are three main aspects: first, shortened ejaculatory latency (ejaculatory latency refers to the time from penile insertion into the vagina to ejaculation): for patients with primary premature ejaculation (primary premature ejaculation refers to premature ejaculation from the first sexual intercourse), ejaculation often or always occurs around one minute after vaginal insertion; for patients with secondary premature ejaculation (secondary premature ejaculation refers to no previous In patients with secondary premature ejaculation (secondary premature ejaculation means no previous premature ejaculation and premature ejaculation occurs at a certain time or stage), there is a significant reduction in ejaculation latency, usually less than three minutes. It should be noted that the time mentioned in the definition is only relative, and different versions of the definition define it differently; the feelings, experience and satisfaction of the patient himself and his sexual partner during sexual intercourse are more important.
Second, it is always or almost always impossible to delay ejaculation. This refers to the male’s control over ejaculation, which is the core and most important factor in the whole definition and diagnosis of premature ejaculation.
Third, negative physical and psychological effects such as distress, worry, frustration, and/or avoidance of sex.
If these three factors were ranked in order of importance, it would be control over ejaculation that would be most important, with physical and mental effects second and ejaculatory latency time third.
Therefore, patients do not need to be too obsessed with the issue of ejaculation time; control and personal feelings are more important.
I. Etiology
1, premature ejaculation is a mental illness or physical disease? Can exertion or bad mood lead to premature ejaculation?
Premature ejaculation has both mental and organic factors. Mental factors such as anxiety, distress, excessive pressure, etc., also include factors such as harmonious relationship between husband and wife and harmonious sexual life.
As the male ejaculation process is affected by mental state, emotions and psychological factors, it is possible to cause or aggravate premature ejaculation when you are tired and in a bad mood.
Second, the symptoms
1. What kind of premature ejaculation needs to be taken seriously and needs to be examined in the hospital? What tests are needed?
The definition of premature ejaculation includes three main factors: first, shortened ejaculation time; second, inability to delay ejaculation and decreased ejaculatory control; and third, negative physical and psychological effects such as distress, apprehension, frustration and/or avoidance of sex. Of these three factors, ejaculatory control is the most important, the physical and mental effects are second, and ejaculation time is third. Therefore, when having sex, if a man cannot delay ejaculation, has decreased ejaculatory control and brings about disharmony in the sexual life of both men and women, or even brings about negative physical and mental effects, then he needs to pay attention and go to the hospital for examination.
The tests that need to be undergone include.
First, ask the patient about his medical history, including sexual life, previous diseases, surgeries, medications, etc.
Second, a score is given for premature ejaculation. We mostly use the Premature Ejaculation Diagnostic Tool (PEDT), which is a scale to understand the degree of premature ejaculation.
Third, physical examination, mainly genital system examination, such as penis, testicles, epididymis, prostate, male secondary sexual characteristics, and the presence of circumcision.
All the above three are recommended examinations. In addition, depending on the specific situation of different patients, some other tests may be recommended, such as routine prostate fluid examination, sex hormone level testing, etc.
2. Can other male diseases, such as prostatitis, also cause premature ejaculation? Does erectile dysfunction also accompany premature ejaculation?
Some patients with prostatitis and erectile dysfunction may be combined and accompanied by premature ejaculation. For these patients, active treatment of prostatitis and erectile dysfunction is required. However, it is important to emphasize that not all patients with prostatitis and erectile dysfunction will have combined or concomitant premature ejaculation. Therefore, we suggest that patients with related diseases actively go to the hospital for examination and clear diagnosis; if the disease is ruled out through examination and diagnosis, there is no need to worry too much; sometimes unnecessary too much worry and anxiety can affect the sexual function condition instead.
III. Treatment
1. Is it necessary to receive treatment for premature ejaculation? Can it be cured by itself if there are mild symptoms?
If the symptoms of premature ejaculation are not serious, some patients can improve through self-regulation, such as psychological state adjustment, stress relief, and improvement of the relationship between husband and wife; some patients can improve premature ejaculation by adjusting their sexual life style. If the symptoms are serious, the impact is obvious, or cannot be improved through self-regulation, you need to seek medical attention and receive treatment.
2.Does premature ejaculation only need to be treated with medication? What are the common treatment drugs? Are there any other treatment methods?
Premature ejaculation treatment includes medication, psychological/behavioral therapy and surgery; the choice of the specific method depends on the patient’s specific situation. The most commonly used medication is dapoxetine, which is the only imported medication approved by the State Food and Drug Administration for the indication of premature ejaculation. Other drugs include certain antidepressants (such as Zoloft), lidocaine-propivacaine cream for topical application, tramadol, etc., but they are not used much at present. If the premature ejaculation is caused by other primary diseases, it is necessary to actively treat the primary disease.
3. Can premature ejaculation be completely cured?
Through targeted active treatment, some patients can be cured.
4.Does it affect the reproductive function if I eat more drugs to cure premature ejaculation?
It depends on what kind of medicine is taken. For the most commonly used dapoxetine, there is no evidence-based medical evidence to evaluate its effect on fertility. Therefore, for couples who are planning to have children in the near future, it is better not to take this drug for the time being.
What are the common misconceptions?
1. Does masturbation cause premature ejaculation?
Generally masturbation does not lead to premature ejaculation, but if masturbation is too frequent, it will have some effect. In addition, the wrong way to masturbate also has an impact, for example, if every time you masturbate you strive to ejaculate as soon as possible, it will lead to premature ejaculation.
2. Is premature ejaculation a kidney deficiency?
The kidney is different from the kidneys in western medicine. The actual fact is that, from the perspective of Western medicine, premature ejaculation is not directly related to the function of the kidneys.
3, can drinking alcohol prolong ejaculation time?
There is no evidence that drinking alcohol can prolong the ejaculation time.
4.How to distinguish premature ejaculation and impotence?
Premature ejaculation and impotence are two different diseases.
Premature ejaculation is an ejaculatory control disorder. Although there is no global unified definition, all definitions of premature ejaculation include three factors: poor ejaculatory control, short latency time of ejaculation and causing negative physical and mental effects, of which the key is poor ejaculatory control.
Impotence, also known as erectile dysfunction, refers to a man’s persistent inability to achieve or maintain an erection of sufficient hardness to complete a satisfactory sexual life under sexual stimulation. Therefore, the key for impotence patients is decreased erectile hardness.