premature ejaculation
Introduction
Premature ejaculation Premature ejaculation refers to the fact that after the penis is inserted into the vagina, the female has not reached orgasm, and the male sexual intercourse time is shorter than 2 minutes, and the sexual intercourse disharmony occurs in the early ejaculation. Generally, 30% of men have this condition, but the problem is small, but the problem is small. The quality of sexual life is not high, it may also cause other sexual dysfunction such as impotence, the consequences are serious, should be paid attention to and early treatment. It is generally believed that premature ejaculation refers to the phenomenon that a man has ejaculated before he enters the vagina after entering the vagina, and has just entered and has not yet twitched. The penis is naturally weak and enters the refractory period. Clinically, the penile erection does not enter the vagina, that is, ejaculation, diagnosed as premature ejaculation. If you can enter the vagina for sexual intercourse, if you do not move a few times, you will soon ejaculate, also defined as premature ejaculation. basic knowledge The proportion of illness: 0.01%-0.03% Susceptible people: male Mode of infection: non-infectious Complications: impotence
Cause
Cause of premature ejaculation
Mental factors (30%):
Such premature ejaculation patients can also be called psychological premature ejaculation, and the mental factors that cause male premature ejaculation include many aspects. It should be noted that men's nervousness in sexual life will continue, and will not change immediately due to changes in the sexual life environment. At the same time, long-term sexual life failure will be counterproductive, resulting in a psychological cycle of patients. .
Other factors (40%):
Male penis foreskin is too long, and excessive stimulation of the glans in tight underwear can lead to premature ejaculation in men.
There are many reasons for premature ejaculation, but they can be grouped into two categories:
(1) Due to mental factors (cardiac): More than 80% of premature ejaculation patients are caused by mental factors, Nadels on (1978) reported that psychogenics accounted for 85% of premature ejaculation patients, for example, long-term Reunion, newlywed honeymoon, excessive excitement or nervousness, excessive fatigue, depressed mood, after drinking, sexual intercourse, husband and wife relationship is not harmonious, husband has potential hostility towards the wife, resentment and anger, or excessive fear of the wife, worship, inferiority Psychology and so on are all factors that induce premature ejaculation. Common causes of psychosis are as follows. Some people are afraid of sexual intercourse, but fear that ejaculation is too early, causing dissatisfaction with their wives; some people misunderstand their sexual knowledge and unreasonably doubt their own sexuality. Low ability, self-esteem and inferiority during sexual intercourse, this situation is more common in those who think that their penis is short or self-confident, the marital relationship is not harmonious, such as the suspicion of the wife, ambiguity or excessive respect, will also lead to Premature ejaculation, some people are too valued for their sexual life, their expectations are too high, or they have excessive anxiety about having occasional one or two premature ejaculations, which may aggravate the psychological burden. Nervous, premature ejaculation, more nervous, continue the premature ejaculation and make the premature ejaculation fixed. The first-time life between the couple on the wedding night, the mood is excited, the nerves are highly excited, the groom may just be in contact with the sex organs or the penis just placed There is ejaculation in the vagina, and there are couples who dont reunite for a long time. Sexual excitement is faster. Mens ejaculation appears earlier. These conditions can not be diagnosed as premature ejaculation. As the couple live together, they will gradually become normal, without treatment, excessive sexual desire after marriage, excessive mentality. Nervous, emotional over-excited or afraid of ejaculation too fast and failed sexual intercourse, physical fatigue, lack of energy, can also weaken the ability of ejaculation central control, neurasthenia due to weakened brain inhibition, premature ejaculation can also occur.
(2) organic diseases: for example, congenital malformations of external genitalia, phimosis, glans or foreskin inflammation, urethritis, penile inflammation, multiple sclerosis, spinal cord tumors, cerebrovascular accidents, epididymitis, chronic prostatitis, etc. Reflexively affecting the spinal cord center, causing premature ejaculation, a certain systemic disease, physical weakness, can also make sexual dysfunction, premature ejaculation.
Organic lesions (20%):
Many male diseases can reduce the excitability of male ejaculation centers, which is more likely to occur ejaculation, such as urethritis, seminal vesiculitis, prostatitis and other inflammation.
Prevention
Premature ejaculation prevention
Many men in the case of premature ejaculation, due to the lack of understanding of premature ejaculation, can not get timely treatment, and ultimately make the disease more serious. Many men are afraid of premature ejaculation, and premature ejaculation has become an inexpressible pain for men. In fact, some prevention in life can reduce the risk of premature ejaculation. So, how to prevent premature ejaculation?
1. Don't worry too much about premature ejaculation. If men have had a premature ejaculation twice in their sexual life, don't worry too much, relax and avoid psychological factors leading to premature ejaculation.
2. Correctly understand sexual life. Men should have a correct understanding of sexual life, understand the methods of sexual intercourse and the process of sexual reaction, do not over-regulate sexual life, and do not engage in sexual life too often.
3. Communicate more with your partner. Communicate with your sexual partners in your life, eliminate excessive tension and anxiety, and avoid premature ejaculation.
4. Reasonably arrange sex life. After sexual intercourse, the organs of the body need a recovery time. If excessive sexual life is carried out, premature ejaculation will occur due to the incomplete recovery of the organs. Therefore, sexual life should be arranged reasonably to avoid excessive masturbation.
5, pay attention to diet. Pay more attention to your diet, try to avoid spicy and irritating food, and eat more fresh vegetables and fruits.
Complication
Premature ejaculation complications Complications
Common complications are: impotence, nocturnal emission, kidney deficiency.
Symptom
Premature ejaculation symptoms Common symptoms Sexual intercourse difficulties Urine has white sediment fatigue, dizziness, anxiety, tongue, yellow, lack of pleasure
The clinical manifestations of premature ejaculation are mainly ejaculation too fast. Premature ejaculation refers to premature ejaculation refers to the situation that the woman has not reached orgasm after the insertion, while the male time is shorter than 2 minutes, and the disharmonious disorder occurs in early ejaculation. Generally, 30% of men have this condition. It is generally believed that premature ejaculation refers to the phenomenon that a man has ejaculated after he has not entered before erection, or has just been admitted, and has just entered but has not yet twitched, and naturally becomes weak and enters a refractory period. Clinically, the erection is not entered, that is, ejaculation, and the diagnosis is premature ejaculation. Male early premature ejaculation symptoms are mainly mental depression, dizziness, fatigue, contact or just contact with the female vulva, or a short time, has not yet entered the climax of ejaculation, but also accompanied by long-term lack of energy, restless nights, thin and cold.
Examine
Premature ejaculation
Physical examination and laboratory examination are not as important in the diagnosis of premature ejaculation as the medical history. The results of the examination are usually normal in the physical examination and laboratory examination of the premature ejaculation patients. However, simple external genital examination is still necessary. In addition to the performance of premature ejaculation and the presence of erectile dysfunction, patients should perform necessary auxiliary examinations such as sex hormone examination, neuromyography and penile vascular examination in order to find erectile dysfunction. The exact cause, targeted treatment, and many patients with premature ejaculation and erectile dysfunction, once the erectile dysfunction is effectively treated, the patient's confidence and ability to maintain erection will increase, and the problem of premature ejaculation will be solved.
Diagnosis
Premature ejaculation diagnosis
diagnosis
The diagnosis of premature ejaculation is mainly based on the patient's statement about the medical history. The detailed medical history inquiry is the basis for the diagnosis and treatment of premature ejaculation. The diagnosis of premature ejaculation is based on a complete medical history. Any patient with ejaculation too fast should consult his medical history in detail.
From the medical history, premature ejaculation can be divided into two types: primary premature ejaculation and secondary premature ejaculation. Primary premature ejaculation refers to the problem that patients have premature ejaculation from sexual experience, while secondary premature ejaculation refers to patients. Have had successful sexual experience, in general, secondary premature ejaculation is easier to find the cause and treatment, and has a better prognosis.
The content of the inquiry should include the frequency of premature ejaculation and the length of the disease, the intensity of sexual stimuli when premature ejaculation occurs, the specific external environment that is prone to premature ejaculation, or even a specific sexual partner, and the impact of premature ejaculation on sexual behavior. These are medical history. The focus of the inquiry, in addition, the general health of the patient is also the content of the inquiry, to know whether there are other diseases that may cause or cause premature ejaculation. For example, patients with coronary heart disease may cause myocardial infarction because of fear of excessive sexual stimulation, and there is premature ejaculation. In this case, this premature ejaculation problem often heals naturally after myocardial infarction treatment. When asking about medical history, you should also understand some aspects of the patient's normal sexual life, including foreplay, masturbation, sexual relationship and interaction, and patients. Interpersonal relationships, work situations, etc., should be separately evaluated and evaluated. For patients with primary premature ejaculation, special questions should be asked about the family history and growth history of the patients. The background of childhood growth and the trauma that has been suffered often affect adulthood. Life, for patients with secondary premature ejaculation, pay special attention to the identification The disease is premature ejaculation or erectile dysfunction. Of course, many patients have both premature ejaculation and erectile dysfunction.
Physical examination and laboratory examination are not as important in the diagnosis of premature ejaculation as the medical history. The results of the examination are usually normal in the physical examination and laboratory examination of the premature ejaculation patients. However, simple external genital examination is still necessary. In addition to the performance of premature ejaculation and the presence of erectile dysfunction, patients should perform necessary auxiliary examinations such as sex hormone examination, neuromyography and penile vascular examination in order to find erectile dysfunction. The exact cause, targeted treatment, and many patients with premature ejaculation and erectile dysfunction, once the erectile dysfunction is effectively treated, the patient's confidence and ability to maintain erection will increase, and the problem of premature ejaculation will be solved.
Differential diagnosis
Yangshuo
Impotence means that the penis can not be erect, or the erection is not strong and can not have sexual intercourse. Premature ejaculation refers to the erection of the penis during sexual intercourse, but it affects normal sexual intercourse due to premature ejaculation. The two are closely related, and there are common or successive diseases, and premature ejaculation is further developed. Impotence, clinical premature ejaculation is a common cause of impotence, due to excessive sexual excitability, due to excessive sexual excitement, so that the central burden is too heavy, gradually leading to failure and into a state of inhibition, then impotence can occur, Premature ejaculation is mainly functional. In addition to functionality, impotence is also a part of organic disease. Premature ejaculation is better after drug, psychotherapy and sexual behavior therapy. The prognosis of impotence is better. The prognosis of qualitative drugs and psychotherapy is poor or even ineffective.
2. Nocturnal emission
Nocturnal emission is caused by frequent semen discharge in the state of non-sexual intercourse, and when sexual intercourse is performed, it can be completely normal ejaculation; premature ejaculation is prepared after sexual intercourse, and ejaculation is too fast before sexual intercourse or sexual intercourse can not complete normal sexual intercourse The process is clinically both.
