1.What is premature ejaculation?
Premature ejaculation is mainly manifested as rapid ejaculation, which is a very common sexual dysfunction. Premature ejaculation should be suspected if the following conditions are met
(1) Always or almost always ejaculate soon after vaginal penetration, or even before vaginal penetration in severe cases.
(2) Lack of control over ejaculation during sexual intercourse and ejaculation earlier than one expects.
(3) Excessive ejaculation affects the sexual satisfaction of both partners, and the partner and oneself feel distressed and worried as a result, and both partners will (or do) avoid sexual activities as a result.
2. How long is generally ‘normal’ during intercourse?
The length of the ejaculation latency period is an important indicator of whether you are suffering from premature ejaculation, but it is not the only indicator. In a study done by Europeans, it was found that some people had coitus lasting more than 30 minutes and were still not satisfied and considered themselves to be prematurely ejaculated; others had only 2-3 minutes and were haphazard, yet still considered theirs to be normal. Therefore normal and abnormal is a relative concept, if both parties have good sexual satisfaction, even if it is only 2-3 minutes, it is not necessarily premature ejaculation. The average coital time of the general population is around 7 minutes.
3, what are the effects of premature ejaculation?
Premature ejaculation is a very common sexual dysfunction.
(1) Premature ejaculation not only affects sexual satisfaction, but also reduces male sexual confidence and self-esteem, and can affect the female partner, thus affecting the sexual relationship and feelings of both parties.
(2) Many men are not confident, thus lacking the courage to interact with women and establish relationships with men and women.
(3) Because of the fear of ejaculation too soon thus leading to tension during sexual intercourse. Sexual anxiety is common, thus affecting the sexual desire to induce impotence.
(4) Because of the avoidance of sexual intercourse and reduce the number of sexual life, indirectly may affect fertility.
4.What artificial factors are likely to cause premature ejaculation?
Causes of premature ejaculation are both psychological and organic.
These factors include.
(1) People who lack sexual knowledge, have a conservative personality or are inexperienced in sex for the first time are prone to nervousness and premature ejaculation during sex.
(2) The quality of previous sexual intercourse is not satisfactory or sexual intercourse is unsuccessful, and it is easy to ejaculate prematurely because of the fear of failure of sexual intercourse again.
(3) Habitual premature ejaculation is formed when you are young and used to reach orgasm by fast masturbation.
(4) Ignoring the feelings of the female partner during sexual intercourse and aiming only at self-satisfaction will inevitably lead to rapid ejaculation.
(5) Lack of cooperation between the two parties or lack of emotional harmony is easy to premature ejaculation.
(6) Worrying about the health consequences of sexual intercourse and thus ejaculating too quickly.
(7) Abstinence for too long is likely to ejaculate too quickly.
(8) Female factors such as poor health of the female partner, or the female partner’s aversion to sexual intercourse, and the male partner’s compulsion to end sexual intercourse quickly, etc.
(9) Poor erectile function or sexual desire problems can also cause premature ejaculation.
5. What are the main causes of premature ejaculation?
Ejaculation is a physiological reflex that occurs when sexual stimulation reaches a certain time and intensity.
The factors that are believed to cause premature ejaculation include:
(1) Excessive penile sensitivity: even a small stimulus can cause a relatively strong sense of ejaculation.
(2) Overactive ejaculatory reflex: an unbearable feeling of ejaculation with slight contact or even with only visual stimulation.
(3) Genetic susceptibility (familial inheritance): central 5-hydroxytryptamine receptor sensitivity, etc. Most premature ejaculation has congenital factors present.
(4) Endocrine metabolic diseases (such as hyperthyroidism) or other systemic diseases, etc.: can cause or aggravate the abnormalities of ① and ②.
6. What are the main tests for premature ejaculation?
The examination of premature ejaculation includes physical examination and laboratory tests: it is necessary to assess whether there are any psychosomatic factors that trigger the ejaculation, and whether there are other triggering factors such as glansitis, prostatitis, and vesicourethritis. If necessary, endocrine hormone examination should be done to rule out thyroid and other endocrine abnormalities.
7.What are the main treatment methods for premature ejaculation?
(1) Psychological treatment: It is better if the female partner can cooperate with the treatment. Premature ejaculation is a common problem, eliminate anxiety, build confidence in curing the disease, and as long as both partners cooperate with the treatment, it can be cured.
(2) Behavioral method guidance: The basic treatment method of sexy concentration training aims to teach patients to experience and enjoy sexual pleasure and overcome psychological barriers by means of tactile stimulation such as hugging, touching and massaging. You can also pull down the scrotum and testicles before reaching orgasm, or squeeze the glans with your thumb and index finger to reduce sexual excitement and reduce erectile hardness by 10-25%. After a long period of training and then intercourse in the female superior position, still using the form of pumping – stop – pumping again repeated training, gradually improve the ejaculatory stimulation threshold, so as to achieve a more satisfactory artificial control before ejaculation.
(3) medication: general combined Chinese and Western medicine treatment, before sex can be combined with oral (such as dapoxetine hydrochloride) and local medication and so on.
(4) penile dorsal nerve amputation: a few penile sensitivity can be used with caution, but the operation is extremely demanding, if the operation damage blood vessels and penile corpus cavernosum may affect erectile function.
(5) Other methods: several severe premature ejaculation can be used when other methods are not effective, such as cavernous drug injection therapy, penile prosthesis implantation, etc.