Xiao Li is 25 years old, graduated from a prestigious university last year, found a good-paid job in a foreign company, only last week and his girlfriend of 3 years after the wedding. It is said that now is the honeymoon period of the spring night short night lingering. But these two days back to work, colleagues found that he had dark circles under the eyes, all day is a sad frown, like a frosted eggplant – – wilted. We all joked: is it too tired at night? Do not do so many times ah! Xiao Li listened to really want to cry ah …… original on the day of the wedding, send off guests. The night is late, Xiao Li into the bedroom, in the dim light, looking at the bed shy jade, feel the penis up like to explode like …… can hold his wife just inserted, Xiao Li heart screamed bad, to ejaculate the feeling instantly reached the peak, such as a volcanic eruption can not be restrained, pumping two times will be a leak like a note. Looking at his wife’s surprised and questioning eyes, Xiao Li wanted to find a hole in the ground to burrow down. The night of the cave is so hastily ended. The next few nights, no matter how hard Li control, can only maintain a two or three minutes. The two feel that this can be quite serious, this is not the TV and newspapers every day said “premature ejaculation”? The company’s main business is to provide a wide range of products and services to the public. ”The actual fact is that you can find a lot of people who are not able to get a lot of money. The first thing I want to know is, “Can he be cured of this disease? Is it necessary to take medicine or injections?” In the face of a barrage of questions from the couple, the doctor gave a detailed answer. 1. What is premature ejaculation? According to the survey, premature ejaculation is the most common sexual dysfunction in men. About 25% to 40% of men have had premature ejaculation in their lifetime. The mechanism of its production is complex, often due to a combination of many factors such as excessive penile glans sensitivity, nerve tension during sex, and mental anxiety. It is generally believed that premature ejaculation is a phenomenon in which a man ejaculates after his penis is erect, before it enters the vagina, or just before it is incorporated, or just before it enters and before it is pumped, and the penis naturally weakens and enters a period of inactivity. The definition of premature ejaculation has always been controversial, some people define it as the disharmony of sexual intercourse that occurs when the penis can enter the vagina and ejaculate, or when the penis is inserted into the vagina before the woman reaches orgasm and the man’s intercourse time is shorter than 1 minute and he ejaculates early. Premature ejaculation is defined by the American Urological Association in its 2005 guidelines as ejaculation before or shortly after the penis enters the vagina, regardless of the sexual dysfunction of the partner, causing a sense of loss for oneself or the partner or both. The definition that is now widely used internationally is the one developed at the 2007 Amsterdam Sexuality Conference: ejaculation always or almost always occurs before or within one minute of vaginal penetration, with a complete or almost complete lack of ability to control ejaculation, resulting in its own negative consequences such as distress, apprehension, frustration and avoidance of sexual intimacy. So premature ejaculation must include the following three key points: 1) less than 1 minute 2) inability to control ejaculation, no ability to prolong ejaculation time 3) negative consequences (depression, worry, frustration and avoidance of sexual intercourse) In other words, anything that can be more than one minute is considered normal. This shows that Xiao Li is not really premature ejaculation. 2, your “fast” in the end is real or fake? Generally speaking, the vast majority of men take less than 2 to 6 minutes to complete ejaculation from penile insertion into the vagina. The vast majority of patients who come to the hospital for advice on premature ejaculation are in this range, and only about 20% of these patients are actually diagnosed with premature ejaculation. Why do so many normal male friends have this misconception of “premature ejaculation”? First of all, some people are influenced by literature and film works, and see that they are depicted as fierce men who can hold on for several minutes and “never fall down”. In contrast to their own minutes to surrender, they will give themselves the “premature ejaculation” hat, feel very frustrated, as men are useless, can not give their lovers enough sexual happiness and satisfaction, which is undoubtedly self-seeking trouble. Secondly, from a physiological point of view, there is a big difference in the time of female and male orgasm. For men, whether it is half a minute or half an hour, as long as the ejaculation can reach orgasm. Women’s orgasms, on the other hand, occur more slowly and generally take 10 minutes or even more than half an hour to reach. Many people have sex when the desire to come, hurried on the horse, a few minutes to shoot, and at this time the partner’s feeling just tuned up, far from the orgasm, hanging in mid-air on the feeling of not up and down not to mention how sad. The woman will inevitably be dissatisfied in the long run. This is the problem of mastering sexual skills rather than the problem of premature ejaculation. The correct method of sexual foreplay is to communicate with your partner, to understand her preferences, to create a romantic, relaxed and comfortable atmosphere. The first thing you need to do is to get a good idea of what you’re doing. …… look at the lover underneath the orgasm after the expression of the desire to die do you still think you are premature ejaculation? In addition, the speed of ejaculation time is also inversely related to the length of the accumulation of sexual desire. In other words: if you do it every day or two and have a frequent sex life, then the ejaculation time is slower. On the contrary, in the long-term ” sexual hunger ” situation, the desire is not released, once the sexual life will often be faster ejaculation. If this all day anxiety, sexual life is highly nervous, there may be “the more control, ejaculate faster” phenomenon, leaving a serious psychological shadow to the couple. This is actually the mind is too nervous too care about the cause. As long as you keep a cheerful mood and correctly understand that this is a natural physiological phenomenon, the symptoms of premature ejaculation will “disappear without a trace” after a few more regular sex. 3. What can I do to save you – my lover? For those couples who are within 20% of the diagnostic criteria for premature ejaculation and are both unsatisfied with their sex life, it is essential to seek treatment at a regular hospital. Since premature ejaculation is caused by dysfunctional regulation of ejaculation and high penile sensitivity, our treatment should be based on two aspects: how to reduce excessive sexual excitement and raise the stimulation threshold for ejaculation. At present, there are mainly psychological, pharmacological, surgical and combined treatment methods. For patients with mild symptoms, psychological and behavioral treatment can be used first. First of all, the wife should communicate more with the patient, to comfort and encourage him, so that he can establish the confidence to cure premature ejaculation. The second thing is that during sex, you must pay attention to the process of foreplay as described above. 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. Sometimes you can also pull out of the vagina and let the woman gently pinch the glans or gently pull down the scrotum for a few minutes to eliminate the feeling of ejaculation. If you follow this method of moving-stopping-acting, you should try to extend the duration of each time compared to the last time, and gradually reduce the sensitivity of the glans, you can often achieve more satisfactory results. For patients who do not have good results with simple behavioral treatment, they can use the method of wearing several condoms at the same time or spray local anesthetic drugs on the glans before intercourse to reduce the sensory stimulation to the penis. Oral medications such as Zoloft, fluoxetine, paroxetine 5 hydroxytryptamine reuptake inhibitors or sildenafil, tadalafil type 5 phosphodiesterase inhibitors can also be used to reduce peripheral and central nerve excitability, which can also achieve the purpose of delaying ejaculation. However, the drugs must be taken under the guidance of a doctor to avoid adverse reactions. If for the above methods are not effective, some patients can also take surgical methods, such as partial dorsal nerve amputation of the penis, circumcision, etc. The actual fact is that you can find a lot of people who are not sure what to do with the actual situation. The real premature ejaculation patients, to do the above points at the same time, accept the formal, systematic treatment, in time, can be away from a minute of trouble, the male wind again, fierce battle …… like now Xiao Li, regained the chest, find the self-confidence, hand in hand with their loved ones to laugh at the storm, walk life.