1.Understanding premature ejaculation
Premature ejaculation is a common sexual dysfunction disease in men. It has become one of the most common diseases in the clinical treatment of urology and male medicine. With the continuous improvement of China’s economic level and the change of people’s understanding of sex, the quality of sexual life is getting more and more attention and importance. Therefore, in this issue, our center has specially launched this small article – “Self-assessment and behavioral treatment of premature ejaculation” for our male friends.
At present, there is no consensus on the definition of premature ejaculation. And there is no definite conclusion about the etiology of premature ejaculation. Previously, it was thought that premature ejaculation may be due to psychological and interpersonal factors, but recent studies suggest that premature ejaculation may be due to somatic diseases or neurophysiological disorders. And psychological/environmental factors may maintain or reinforce the occurrence of premature ejaculation.
For premature ejaculation treatment methods, medication is currently the first choice for premature ejaculation treatment, while others include behavioral therapy and psychological interventions as well as surgical treatment. Of course, medication, surgical treatment and psychological interventions all require a visit to the hospital to seek medical help. Currently, behavioral therapy has proven to be effective in treating premature ejaculation and can be performed at home by oneself, but it requires the cooperation and help of a sexual partner and can be combined with other treatment modalities to treat the problem of premature ejaculation. Therefore, we will focus on a few of the more common behavioral therapy techniques in this content. Before we begin, let’s first do a few questions. Men can use the following questions to initially assess their own situation.
2. Self-assessment of premature ejaculation
Please answer the following questions according to the actual situation of sexual life in the past 6 months, and choose the appropriate number (r) √
Q1 How long is the time from penile insertion into the vagina until ejaculation during sexual intercourse
1. very short <30 seconds 2. very short <1 minute 3. short <2 minutes 4. relatively short <3 minutes
5. Not short >3 minutes (4 minutes, 5 minutes, 10 minutes, 20 minutes, 30 minutes, 40 minutes)
Q2. How difficult is it for you to prolong intercourse during sex?
1. very difficult 2. difficult 3. somewhat difficult 4. average 5. no difficulty
Q3. In general, how satisfied are you with your sex life?
1.Very dissatisfied 2.Dissatisfied 3.Average 4.Satisfied 5.Very satisfied
Q4.Generally speaking, how satisfied is your spouse with your sex life?
1.Very dissatisfied 2.Dissatisfied 3.Average 4.Satisfied 5.Very satisfied
Q5How often do you feel anxious, nervous or uneasy when having sex?
1.Almost always 2.Most of the time 3.Average 4.Few times 5.Almost never
The above 5 questions have a total score of 25 points, and 18 points are used to set the cut-off point to distinguish patients with premature ejaculation, including mild (>13 points), moderate (10-13 points) and severe (5-9 points).
3. Behavioral treatment of premature ejaculation
The above “ejaculatory function score table” I wonder if all male friends can have a certain understanding of their own situation. The next step is to introduce several behavioral treatment techniques for premature ejaculation.
The behavioral treatment for premature ejaculation mainly includes the “stop-motion” technique, the “squeeze” technique and “masturbation before intercourse”.
1, “stop – move” technique: the woman by stimulating the male penis until the man feels ejaculation is imminent, then immediately stop stimulation, wait until the ejaculation premonition completely disappears and then give stimulation again, so repeat 3 times, and then complete ejaculation. This can improve the ejaculation stimulation threshold of the male partner, thus relieving the ejaculation urgency and strengthening the ability to inhibit ejaculation.
2, “squeeze” technique: the specific method is the woman with the thumb on the penis tether, show finger and middle finger on the coronal groove edge below, when about to ejaculate, the woman squeeze pressure on the penis head, until the ejaculatory impulse disappears.
3, “masturbation before sexual intercourse”: masturbation after ejaculation penis sensitivity is reduced, the ejaculation latency is significantly prolonged after the period of inactivity. Another method is that the male partner should learn to identify stimulating factors that enhance sexual excitement in order to keep his sexual excitement level below the intensity that triggers ejaculation during intercourse, such as changing position, inserting when the vagina is fully relaxed or applying condoms.
The role of the sexual partner is important in this process. Including the partner in the treatment process is important, but not a mandatory part of successful treatment. Some patients do not understand why the physician wants their partner to be involved, and some partners are reluctant to join the patient in treatment. However, if partners are not involved in treatment, they may resist changing their sexual cooperation or cooperation. Having a willing partner enhances a man’s confidence, skills, self-esteem, and manhood, as well as more broadly assisting men in building ejaculatory control. In turn, this leads to an improvement in the partner’s sexual relationship, and in their overall relationship more generally.
That’s all for this issue, and I hope you’ll benefit from it. More in the next issue.