There is a problem that most men do not want to talk about – the length of lovemaking. Except for a few, such as super confident men, or, I – the urologist.
I once met a patient in the clinic, a young man, married for a year, each time the lovemaking time is about 3-5 minutes, because he felt that it is “premature ejaculation”, to the hospital for help, although he explained that this situation can not be considered “premature ejaculation”, but I Although it was explained to him that this situation could not be considered as “premature ejaculation”, I knew that the patient’s real demand was not resolved.
Shortness of time is not a disease
Most men don’t believe that being short is not a disease either. From a biological point of view, if you are not a powerful species, living in a crisis-ridden wilderness, a long time is a way to play dead, species reproduction is the right thing to do.
However, about the length of time, almost become one of the ultimate human proposition, since the emergence of man has existed, in ancient Greek times there are written records in terms of ejaculation, about the 1st-4th century AD, Mallanaga wrote “Kamoten Classics”, in the book described that: if a man can last longer, then women will like more, but if the man’s time is shorter, then women will be more disappointed in the man. The author argues that when a man has intercourse, stopping after ejaculation can be satisfying, but women do not think so. This clearly expresses the fact that premature ejaculation causes distress, frustration and marital discord.
It was not until the late 19th century that premature ejaculation was seen as a disease and described in the medical literature. 1887 saw the first description of a case of premature ejaculation in the medical literature by Gross, and in 1901 Krafft-Ebing mentioned abnormal premature ejaculation in the medical literature.
In 1919, the Academy of Sexual Sciences was founded in Berlin, Germany. This was the first institution in the world dedicated to the study of sexology and conducted numerous observational studies on the efficacy of drugs used to treat sexual disorders. At that time this academy was world famous, but was later artificially terminated by the Nazis, causing many important ideas, clinically relevant literature from that phase to be lost forever. For a long time, from the 1930s to the 1970s, no more real systematic pharmacological studies in sexology were conducted.
Over the years, different and even conflicting views on the etiology and pathogenesis of premature ejaculation have led to a lack of a unified definition and classification of it and influenced several generations of medical specialists, psychologists and sexologists, which include: psychoanalytic, behavioral, somatic, neuro-genetic and pharmacological approaches.
How can you tell if you have premature ejaculation?
Perhaps you have judged it this way.
–Do you want to postpone the release during lovemaking and have it under control?
–Have you ever had a situation where you didn’t want to “launch” but you couldn’t hold it?
–Does a little stimulation make you “surrender”?
–Ever been frustrated with a premature “release”?
–Do you worry that your time is too short and she is not satisfied?”
The above questions will give you a basic idea of the state of your sex life, but they do not diagnose “premature ejaculation”.
Here’s how doctors determine this
So far, the definition of premature ejaculation is still controversial in medical circles, but the latest definition from the International Medical Association is
1. Ejaculation always or almost always occurs before or within 1 minute after penile insertion into the vagina.
2. the inability to delay ejaculation every time or almost every time of intravaginal intercourse
3. can cause negative effects such as distress, apprehension, frustration and or avoidance of sex.
and classifies premature ejaculation into the four types in the following table.
From the above definition chart we can conclude the following.
1. time, which is IELT, can initially determine the presence of premature ejaculation
2. causes negative emotions.
It should be emphasized that although time (IELT) is important, it is not the only indicator of judgment, both are indispensable.
You can judge it yourself like this
From the situation of patients who come to the clinic with premature ejaculation as the main complaint, some of them do have premature ejaculation, while others do not have this problem but still insist that they have premature ejaculation, which shows that it is very important to evaluate scientifically whether they have premature ejaculation or not.
According to my analysis of patients with premature ejaculation in outpatient clinics, it is also important to base the basic judgment of self-assessment of the existence of premature ejaculation on whether or not one has good ejaculatory control and whether or not the spouse is satisfied, while the duration of intercourse alone (intravaginal ejaculatory latency, or IELT) should not be the only basis for evaluating the existence of premature ejaculation. This is because a significant proportion of outpatients come to the clinic because of sexual disharmony, because their partners are not satisfied, and their ejaculation time is not short.
The Premature Ejaculation Diagnostic Tool (PEDT) scale is a relatively simple and easy tool to determine whether you have premature ejaculation, and is divided into 5 questions.
1. How much difficulty do you have in delaying ejaculation during intercourse?
2. How often do you ejaculate before you want to ejaculate during intercourse?
3. whether you ejaculate with minimal sexual stimulation.
4. whether you are disappointed that you ejaculate before you want to ejaculate.
5. Are you concerned that your ejaculation time will make your partner feel unsatisfied?
These five questions give a more realistic picture of an individual’s ejaculatory control ability and provide a better tool for the public to self-evaluate the presence or absence of premature ejaculation.
The people’s summary of experience
Sexual harmony or not, should not only focus on the length of ejaculation time, but should pay attention to each other’s feelings after ejaculation. Otherwise, there will be a situation where the ejaculation time would have been long enough and one still thinks there is premature ejaculation, leaving oneself with an unjust cause.
In addition, the people in practice summed up many sexual skills are equally important, such as with condoms, stop moving method, glans squeeze method, etc., can significantly improve the ejaculation control ability of men, there are reports of married for a long time in the couple, skilled cooperation, more can do as they wish to control the ejaculation time, enjoy the sweetness of sex.
Tips
Finally, I would like to send a word of advice: practice makes perfect, tricky can make up for clumsy, brother go!