Definition of premature ejaculation
Premature ejaculation is the most common ejaculatory dysfunction, with an incidence of more than 1/3 of adult men. The definition of premature ejaculation is still controversial and is usually evaluated by the ejaculatory latency of men or the frequency of women reaching orgasm during sexual intercourse, such as the standard of men losing the ability to control ejaculation during sexual intercourse and ejaculating before or just after penile insertion into the vagina; or the standard of women reaching orgasm less than 50% of the time during sexual intercourse to define premature ejaculation, but these are not universally accepted. The ejaculatory latency of men is affected by age, length of abstinence, physical condition, emotional psychology and other factors, while the frequency of female orgasm is also affected by physical state, emotional changes and the surrounding environment. In addition, there are individual differences in the length of ejaculation latency. It is generally considered normal for a healthy male to ejaculate within 2-6 minutes of penile insertion into the vagina!
Treatment of premature ejaculation
Most patients try to prolong the ejaculation latency by turning their thoughts to other aspects during sexual intercourse, such as eating, playing, etc., in an attempt to delay the ejaculation latency, or by using condoms, drinking alcohol, etc., but the effect is not good, but instead it often leads to decreased libido, sexual pleasure disorder, and can even cause erectile dysfunction, thus aggravating the condition. Therefore, the treatment of premature ejaculation should be based on the cause of its onset and the selection of appropriate treatment methods.
Psychological treatment.
Both husband and wife need to collaborate. Both husband and wife should be informed that premature ejaculation is a relatively common problem, and both husband and wife need to know the necessity and possibility of reconstructing the ejaculatory conditioned reflex, eliminating the patient’s anxiety, anxiety, self-guilt and other abnormal psychology, and building confidence in curing the disease, which can still be cured as long as both parties cooperate with the treatment.
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 erectile hardness by 10% to 25%. After a long period of training and then have 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.
Oral medication.
The current drug treatment is mainly 5-hydroxytryptamine reuptake inhibitor, the domestic has been listed is dapoxetine hydrochloride, that is, the trade name of bilirubin. 30 mg, 3 hours before sex orally, it is mainly to extend the ejaculatory latency, it has certain side effects, and indications, must be taken under the guidance of a doctor. It is more expensive. Other similar drugs are Paroxetine, etc., all should be applied under the guidance of a doctor.
Topical medications.
It is mainly a local anesthetic that can be applied to the head of the penis before sexual intercourse to delay the ejaculatory latency through the effect of local anesthesia.
Spongiform drug injection therapy.
This method of premature ejaculation still exists, but the erection of the penis can be maintained for a certain period of time after ejaculation, which may be helpful to improve the sexual satisfaction of the spouse.
Transurethral drug delivery (MUSE).
It can also be used for the treatment of premature ejaculation.
Penile prosthesis implantation.
Indicated for patients with abnormal penile erection with premature ejaculation.
Dorsal penile nerve dissection
This method is still in the trial stage in foreign countries. Although the effect is recognized to some extent, its safety and effectiveness still need to be studied.