Analysis of the definition, causes and comprehensive treatment of premature ejaculation

■ 48. Premature ejaculation

Question: Is it normal for intercourse to last less than 2 minutes?

Answer: Based on the description, if intercourse lasts less than 2 minutes, it should...

This is a pathological condition, commonly known as premature ejaculation. Premature ejaculation refers to the inability to ejaculate before the female partner has fully experienced sexual intercourse.

Premature ejaculation occurs when a man ejaculates before reaching orgasm, with intercourse lasting less than two minutes.

Sexual dysfunction. Premature ejaculation can severely impact the quality of sexual life and may also lead to other problems such as erectile dysfunction.

Sexual dysfunction should be taken seriously and treated as early as possible.

Premature ejaculation is the most common ejaculatory dysfunction, with an incidence rate of about 30% in adult men.

The definition of premature ejaculation is still controversial. Some believe that premature ejaculation refers to the inability of a man to ejaculate properly after achieving penile erection.

Ejaculation occurs before penetration, during penetration, or immediately after penetration without any thrusting.

When ejaculation occurs, the penis naturally becomes flaccid and enters the refractory period. Clinically, this refers to penile erection.

Ejaculation before penetration is diagnosed as premature ejaculation. However, for those who can achieve vaginal penetration, if...

Ejaculation occurring quickly after only a few thrusts should also be defined as premature ejaculation.

Others use male ejaculation latency or the frequency of female orgasm during intercourse as examples.

This is evaluated based on the male's inability to control ejaculation during intercourse, i.e., the penis...

The standard is ejaculation before or immediately after vaginal penetration; or the female reaching orgasm during intercourse.

Premature ejaculation is defined as occurring less than 50% of the time, but this is not universally accepted.

The male ejaculation latency period is affected by age, duration of abstinence, physical condition, and emotional and psychological factors.

The frequency of female orgasm is also influenced by factors such as physical condition, emotional changes, and the week.

Environmental factors also play a role. Furthermore, the length of the ejaculation latency period varies from person to person.

It is generally considered normal for a healthy male to ejaculate 2 to 6 minutes after penile insertion into the vagina.

Currently, it is believed that the causes of premature ejaculation include psychological factors, local penile factors, and urinary factors.

Diseases of the urinary, endocrine, and nervous systems are among the contributing factors. Psychological factors are also a significant contributing factor.

Premature ejaculation is quite common.

There are many psychological factors that can cause premature ejaculation, such as fear of sexual failure for various reasons.

This can lead to anxiety and thus premature ejaculation; those who habitually masturbate in their youth often aim for rapid ejaculation.

The goal is to reach orgasm; there is a lack of sexual knowledge, and the sole aim is to satisfy the male; there is a lack of emotional harmony.

Dislike of one's spouse, exhibiting intentional or unintentional sadistic tendencies; concerns that sexual activity may harm one's health, plus...

Certain pre-existing physical ailments; infrequent sexual intercourse or prolonged sexual repression; female partner's aversion to sex

Harsh intercourse, being pressured to finish sex quickly, etc., can all lead to premature ejaculation.

This can lead to a chain reaction, affecting erectile function.

Most patients try to prolong the ejaculation latency period by diverting their thoughts to other things during intercourse.

Attempts to delay ejaculation latency may include dietary changes, recreational activities, or the use of condoms or alcohol.

However, these methods are often ineffective and instead frequently lead to decreased libido, sexual dysfunction, and even...

Premature ejaculation can cause erectile dysfunction, thus worsening the condition. Therefore, treatment for premature ejaculation should be based on the onset of the condition.

The cause should be addressed by selecting an appropriate treatment method. The main treatment methods include psychotherapy and behavioral therapy.

Drug therapy, etc.

Psychotherapy requires the cooperation of both partners. Both partners should be informed that premature ejaculation is more common than...

A common problem is that both partners need to understand the necessity and importance of rebuilding the ejaculatory reflex.

The possibility of eliminating patients' anxiety, unease, self-blame, and other abnormal psychological states, and establishing a basis for curing the disease.

With confidence, and as long as both parties cooperate in the treatment, it is still possible to cure the disease.

In addition, sexual behavior regulation therapy can be used, which involves hugging, touching, and massaging.

Tactile stimulation methods can be used to teach patients to experience and enjoy sexual pleasure, and overcome psychological barriers.

You can also pull down on the scrotum and testicles before reaching orgasm, or squeeze the glans penis with your thumb and forefinger.

This reduces sexual arousal and can decrease erectile rigidity by 10% to 25%. Alternatively, a pause-and-pump technique can be used.

Repeated training with repeated thrusting motions gradually increases the ejaculation stimulation threshold, thereby achieving a more satisfactory result.

Ejaculation occurs only after the person has consciously controlled it.

Currently, the main drug treatment is serotonin reuptake inhibitors, which are already available in China.

It is dapoxetine hydrochloride (Priligy), taken orally 30 ml three hours before sexual activity.

It can prolong the ejaculation latency period, but it has certain side effects and strict indications.

It must be taken under the guidance of a doctor. Other similar medications include paroxetine, which should also be taken under the supervision of a doctor.

Use under the guidance of a doctor.

Local anesthetics can also be used, applied to the glans penis before intercourse to provide local anesthesia.

It works to delay the ejaculation latency period.

It should be noted that once symptoms of premature ejaculation appear, the first thing to do is maintain a good...

Mindset. Some patients believe that premature ejaculation is caused by physical weakness; in such cases, they should be offered more reassurance.

If anxiety is present, psychotherapy may be considered. It's important to maintain normal male-female relationships.

It is essential to avoid masturbation; patients who masturbate should reduce the frequency. Secondly, maintain a normal marital relationship.

Regarding relationships and sexual behavior, appropriate sex therapy can be quite effective. Additionally, appropriate...

Administering medication often yields better results.