In 2003, the World Health Organization (WHO) 2nd International Conference on Sexual Dysfunction proposed a multifaceted definition of premature ejaculation: “Premature ejaculation is persistent or recurrent ejaculation before minimal sexual stimulation, or ejaculation immediately after vaginal penetration, or before the sexual intercourse partner does not want to ejaculate, and which the partner cannot actively control. Premature ejaculation is either ejaculation immediately after vaginal penetration, or ejaculation that occurs before the intercourse partner does not want to ejaculate and that the intercourse partner cannot actively control”. Premature ejaculation can cause both partners to be dissatisfied with their sexual experience. Premature ejaculation can exacerbate anxiety, and anxiety in turn makes premature ejaculation worse. Premature ejaculation is the most common manifestation of male sexual dysfunction, afflicting roughly 1/3 of men, or arguably every man at some point in his life. However, few men really understand premature ejaculation. Myth #1: Premature ejaculation is not something you can control In fact, you can manage to control it. Just like you were able to learn to control urination as a child, once you are able to learn to control your bladder, you will never get over it. Myth 2: Premature ejaculation is entirely in your head The truth is that sexual stimulation is mainly applied to the glans during ejaculation, and most patients have a problem with overly sensitive glans, and will ejaculate very quickly with the slightest amount of stimulation given. This means that their ejaculation threshold is very low. Myth 3: Drinking alcohol is a good way to control premature ejaculation Male ejaculatory activity is caused by sympathetic excitation. Changes in human emotions affect sympathetic nerve activity, which also affects human ejaculation activity. Wine and alcoholic beverages generally serve to weaken and depress the nerves and can relieve or relieve feelings of depression and tension. Therefore, many people recommend that premature ejaculation patients drink small amounts of alcohol to achieve prolonged ejaculation. However, it is important to note that only beverages containing a small amount of alcohol or low alcohol are effective. The actual fact is that it is very important to take advantage of the “scale” of alcohol consumption, as drinking too much can seriously affect the erection of the penis and worsen the sexual function. Myth 4: Topical sprays or applicators such as anesthetic gels in sex stores are an effective means of controlling premature ejaculation They rarely work, even if the glans is numb, the woman’s vagina is also numb,
This makes the pleasure of both parties greatly reduced, so when using them, it is required to thoroughly wash the medication off the surface of the glans before insertion, or wear a condom. After the numbness of the glans, the man will be very unaccustomed to the feeling, not to mention with such a feeling for a long time sex, so will soon give up this method. Myth #5: There are many botanicals presented in internet ads, can they effectively treat premature ejaculation? We only use drugs approved by the FDA, so we never use these drugs, which are currently considered to be ineffective at all and may have serious side effects. The first thing you need to do is to get a good idea of how long you’re going to be able to masturbate. The actual fact is that their judgment of how fast or slow they ejaculate comes from the duration of masturbation. In this case, experts believe that the time of masturbation is not accurate for judging the speed of ejaculation. The time of ejaculation is affected by various factors such as physiology, psychology and environment. After all, masturbation and sexual intercourse differ greatly, especially the way in which masturbation varies widely, and it is difficult for an outsider to make a correct judgment without knowing how you masturbate. There are many differences between real life and masturbation, and the latter is not a substitute for the former, nor does it fully reflect a man’s true sexuality. First of all, masturbation and sex have very different effects on the male psyche. Sexual life is a normal way for both men and women to have sex, while masturbation is a method that individuals take for sexual satisfaction. When having normal sex, both men and women tend to be more relaxed and men naturally stay longer before ejaculating. While masturbation, men just to enjoy the pleasure, not enough attention to the process, or perhaps even deliberately omitted. In addition, many people masturbate secretly and are in a hurry to end, over time will develop the habit of ejaculating quickly. Secondly, sex is a frictional stimulation of the penis and vagina that is softer and more lubricated. Masturbation stimulates the penis more intensely and the sexual sensations are more intense, so the ejaculation time will naturally be faster than normal sex. Most premature ejaculation researchers use intravaginal ejaculation latency time (IELT) as the primary objective endpoint, and IELT shorter than 1 minute or 2 minutes is being increasingly used as a diagnostic criterion for PE in clinical trials. Secondary subjective endpoints have focused on patient/partner satisfaction with intercourse, patient evaluation of active control of ejaculation, and its overall impact on changes in sexual self-confidence. A foreign expert has done a survey on a group of men with normal sexual function and found that the men in this group had an average ejaculation time of 8.25 minutes during normal sex; while their ejaculation time during masturbation was only 4.89 minutes on average in the same setting. Myth 6: Premature ejaculation is closely related to masturbation and prostatitis To be more convincing, we introduce how our foreign counterparts view the issue of premature ejaculation, which has two major features: one is not talking about the so-called masturbation sequelae, and the other is not mentioning prostatitis, which is of great concern in China. It is clear that these two are not related to premature ejaculation. The majority of them lack scientific basis, which makes it easy for patients to misunderstand and think that if they stop masturbating or cure prostatitis completely, premature ejaculation will naturally disappear. This is completely wrong!