In male clinics, experts often meet men who think they have “premature ejaculation”, but are overly concerned about it and mistake normal for abnormal. In fact, the average male “fighting time” in the world is only 5.4 minutes, and whether it is premature ejaculation cannot be judged by the length of time alone. If it is indeed premature ejaculation, the current expert consensus is that behavioral psychotherapy with drug therapy, and some medical institutions to carry out the dorsal penile nerve amputation cure premature ejaculation, not only the effect is not exact, more likely to lead to the loss of sexual pleasure, numbness, and even “martial arts was invalidated”, male experts do not recommend this. He said that the Chinese Medical Association Branch of male science does not recommend this surgical method, unless the drug treatment is ineffective, the condition causes patients extreme distress and even affects the harmony of the couple, especially against the premature ejaculation patients have not tried drug treatment, directly do this surgery. Deng Junhong introduced the following reasons for not recommending it: one is that the efficacy of this surgery is not exact. The reason is that the dorsal nerve of the penis varies greatly from four or five to more than 10. And the dorsal nerve of the penis controls mainly the glans sensation, and the nerve reflex is blocked after cutting the nerve, but some people’s nerve cut, the threshold of the nerve center is still very low, so there will also be no effect. In addition to this, there are also nerves in the cavernous body of the penis that feel pressure. The frictional stimulation of the glans plus the pressure stimulation of the corpus cavernosum during sex is transmitted to the brain, and the accumulation will “pull the trigger” to a certain extent. Simply cutting the dorsal penile nerve, but the pressure nerve in the cavernous body is still in action, also leading to poor treatment results. Another reason for not recommending it is that the nerve is irreparable after it is cut, and if more are cut, it could lead to a lack of sexual pleasure, numbness, or even a permanent loss of sexual function. “If you do have to do this surgery, it has to be done by a specialist under a microscope and usually two or three nerves have to be preserved.” There are even patients who have actually only had circumcision surgery and have been fooled into saying that they have had this surgery.” The actual fact is that some patients do improve their premature ejaculation after circumcision – because the glans has been “hidden” by the foreskin for a long time, and after erection during sex, the foreskin flips out, the glans is exposed, and the glans is more sensitive to frictional stimulation. 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. 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. The actual fact is that there is no clear pathogenesis of premature ejaculation, and it is true that some premature ejaculation patients suffer from prostatitis at the same time. The actual prostatitis is actually a common disease among young and strong men, and sedentary, fatigue, etc. may cause sterile prostatitis, but it is said to be a ‘venereal disease’ by some unscrupulous medical institutions, and some men who have had an unclean sex life are prone to ‘midway The resultant anxiety can also easily lead to premature ejaculation.” The actual fact is that you can’t get a lot of time from the biological evolutionary point of view, the time of human sexual life is constantly lengthening. The same mammalian tiger, leopard, because of the fear of attack, sex time is very short, but to achieve the purpose of reproduction can be. But now people pay more attention to the pleasure of sex, coupled with open-mindedness and developed information, people have higher requirements for sex. Deng Junhong once saw some young men who thought their sex life could only last three or five minutes was a sign of premature ejaculation, and some even thought half an hour was unsatisfactory, “because when communicating with his peers, his other two friends said they could last an hour.” ”In fact, the definition of premature ejaculation is not that simple. If we follow the strict definition, then every male is premature ejaculation.” Deng Junhong explained that if we follow the definition of “being able to control ejaculation at will”, only 10 percent of people can achieve it. It’s not often that the men in the movies are so fierce. The truth is, the latest survey shows that the average time from vaginal entry to ejaculation for men worldwide is 5.4 minutes. He introduced that generally speaking, primary premature ejaculation is defined as ejaculation when the penis enters for less than 1 minute or less than 20 strokes, and secondary premature ejaculation due to the influence of other conditions is defined as ejaculation less than 3 minutes after entering the vagina or less than 60-100 strokes. However, he emphasized that the current definition of premature ejaculation no longer depends entirely on time, but should be considered by integrating factors such as ejaculation latency (time to persist), personal control of ejaculation timing (whether one can ejaculate only when one wants to), psychological feelings (whether one feels distressed and frustrated about it), and whether it affects intimacy (e.g., causing dissatisfaction with the other party and mutual breakup). The five questions in the scale can help patients self-judge. It is important to note that if the situation of “ending the fight” quickly only occurs in certain situations, such as cheating or in unconventional places, it cannot be considered as premature ejaculation, because the fear of being discovered subconsciously “ends the fight quickly”. The two sides cooperate with behavioral therapy to cure premature ejaculation The dorsal penile nerve amputation has been on the rise for six or seven years, but as the vice chairman of the male branch of the Guangdong Medical Association, Deng Junhong, a case has not done for patients. He said that for premature ejaculation patients, behavioral therapy is popular abroad. For example, the moving-stopping method: the partner helps stimulate the penis, signaling to stop when the patient has the urge to ejaculate, and restarting when the urge disappears; the squeezing method: before the patient ejaculates, the partner squeezes the glans with his hand. All of the above methods usually require 3 cycles before completing orgasm. There is also a way to masturbate first and then have sex. The ejaculation latency period will also be extended due to the existence of a non-return period, but it will cause repeated engorgement of the prostate in a short period of time, which can easily lead to aseptic prostatitis if combined with factors such as alcohol consumption and excessive fatigue. ”However, behavioral therapy requires partner cooperation and gradual progress, Chinese and foreign cultures are different, Chinese people like to get straight to the point, young men may be more embarrassed to let their partners help them.” Deng Junhong suggests that then one should exercise oneself in a more peaceful state of mind, such as practicing brush writing and Tai Chi. It is also recommended that both partners should be properly informed about the science of sex to avoid misinterpreting normal conditions as premature ejaculation, and when premature ejaculation occurs occasionally, the female partner should help the male partner eliminate concerns and tensions. Behavioral psychotherapy combined with medication can often yield better results. Deng Junhong introduced that research has found that the central nervous system plays an important role in ejaculation control. The hypothalamic sulcus secretes a neurotransmitter called 5-hydroxytryptamine, and the higher the concentration of this neurotransmitter, the more “durable” the sex life of men tends to be, but some people are born with lower concentrations. In the United States, the FDA has approved selective 5-hydroxytryptamine reuptake inhibitors as the first line of treatment for premature ejaculation, starting with improving central nervous control. Although erectile dysfunction and premature ejaculation are two different problems, but some premature ejaculation patients taking the treatment of erectile dysfunction “Viagra”, but also feel that premature ejaculation improved. Deng Junhong said, may be related to “Viagra” can improve erection, enhance the patient’s self-confidence, may also be adjusted to raise the threshold of excitement, but there is not much research data to support the latter statement. In addition, you can also use some topical methods, such as topical agents, condoms to reduce sensitivity.