Definition, classification, etiology analysis and psychological and behavioral treatment methods for premature ejaculation
[**1** **2** **3** **.** **What** **is** **premature** ejaculation?**
Premature ejaculation is one of the most common male sexual dysfunctions in clinical practice.
Second only to erectile dysfunction, and the opposite of anejaculation, premature ejaculation...
Like a quick battle, ending in failure. Premature ejaculation refers to ejaculation occurring prematurely at the urethra.
Before, during, or immediately after penetration of the penis into the vagina
Soon. However, due to significant differences in the process of sexual response between individuals.
Because of the differences in the timeframes, it's difficult to clearly define exactly how long it takes to reach ejaculation and be considered premature ejaculation.
Some foreign experts believe that if a man cannot maintain sexual intercourse for a sufficient duration in 50% of sexual encounters to achieve sexual success...
Premature ejaculation can be defined as the ability of the female partner to reach orgasm normally.
This phenomenon is not unusual for men to occasionally experience, but it is common for them to have premature ejaculation.
Premature ejaculation, or premature ejaculation, is a pathological condition that prevents the completion of sexual intercourse.
Because premature ejaculation occurs during sexual intercourse, the male sexual organs have not yet...
Ejaculation occurs upon contact with or shortly after contact with a woman's genitals.
Premature ejaculation can negatively impact the satisfaction of both partners and even fertility. Therefore, if someone is diagnosed with premature ejaculation,
It is essential to receive timely treatment.
[**124.** What are the different types of premature ejaculation?**]
There are many ways to classify premature ejaculation. The most...
Common classification methods generally divide premature ejaculation into three types:
(1) Habitual premature ejaculation refers to consistent premature ejaculation after adulthood.
Premature ejaculation is a condition where a person's sexual function is normal and their penis can achieve an erection.
Strong. Symptoms include strong libido, strong penile erection, and strong intercourse.
This eagerness is mostly seen among young and middle-aged people.
(2) Premature ejaculation in the elderly is caused by a decline in sexual function;
The increase in ejaculation time that occurs gradually in middle-aged or elderly individuals
Previously, it was often accompanied by decreased libido and erectile dysfunction.
(3) Premature ejaculation is occasionally seen, mostly when the patient is physically and mentally exhausted and emotionally distressed.
It occurs during fluctuations. There was no premature ejaculation originally, but it develops due to some mental or physical factor.
Premature ejaculation that occurs acutely after a stressful situation is often accompanied by erectile dysfunction.
[**125.** What are the causes of premature ejaculation?**]
Premature ejaculation has many causes, but they can be summarized into two categories:
(1) Caused by psychological factors (also called psychogenic premature ejaculation): More than 80% of premature ejaculation cases are caused by psychological factors.
Caused by, for example, a long-awaited reunion, a honeymoon, or excessive excitement.
Excitement or tension, excessive fatigue, depression, after drinking alcohol,
Unrestrained sexual activity, disharmonious marital relationship, husband's feelings towards wife
Potential hostility, resentment, and anger, or excessive fear of one's wife.
Fear, admiration, and feelings of inferiority are all factors that can trigger premature ejaculation.
Element. A common psychogenic cause is: some friends mention during intercourse...
He was filled with anxiety, fearing that he would ejaculate too early and displease his wife; some
My friend, due to a misunderstanding of sex education, has unfoundedly doubted himself.
Low sexual ability, feeling ashamed and inferior during intercourse, this kind of situation
This is more common among those who believe their penis is small or who are self-conscious about their size.
A friend with a weak constitution. A strained marital relationship, for example, with the wife...
Suspicion, jealousy, or excessive respect can also lead to early death.
Excessive stress and unrealistic expectations can lead to problems.
Or perhaps you are overly worried about the one or two occasional instances of premature ejaculation you've had.
This increases psychological burden, leading to a cycle of tension, premature ejaculation, and further tension.
This perpetuates the vicious cycle of premature ejaculation, thus solidifying the condition.
(2) Caused by organic diseases: congenital external genitalia
Deformity, phimosis, inflammation of the glans or foreskin, urethritis, vaginal...
Sterilitis, multiple sclerosis, spinal cord tumors, cerebrovascular diseases,
Epididymitis, chronic prostatitis, and other conditions can reflexively affect the spine.
The central nervous system is affected, leading to premature ejaculation. Certain systemic diseases and weakened constitution can also contribute.
Weakness can also lead to sexual dysfunction and premature ejaculation.
[**126.** How to treat premature ejaculation?**]
Regarding the treatment of premature ejaculation, both domestically and internationally, it is currently highly recommended.
Psychotherapy, especially behavioral therapy, is considered to be quite effective.
Determined. Through general psychotherapy, patients can be taught about sexuality.
Knowledge helps patients alleviate their concerns and reduce anxiety and tension.
Therapeutic methods can be taught to patients to master muscle relaxation techniques.
To eliminate fear and anxiety before sexual intercourse. In behavioral therapy,
The method used by Masters and Johnson is more widely applied abroad.
Generally speaking, the Soviet sex psychologist Koladovell, based on his
The treatment principles established a set of homework therapy methods, requiring patients to...
Completed according to quality and quantity, consisting of 7 sets: mutual tactile sensitivity.
This area aims to create arousal in the female genitals and stimulate penile sensation.
This enhances the sensation during penile arousal and prolongs the duration of penile arousal.
The sensation of clitoral stimulation after penile penetration, and sexual arousal.
Feeling excited. Of course, if it's caused by disease factors...
If you have diarrhea, you must actively treat the underlying disease.
Treatment of premature ejaculation is a matter for both husband and wife, especially the wife's involvement.
Treatment is very important. Psychological treatment for premature ejaculation should aim to achieve the desired therapeutic effect.
The wife's cooperation. Because of the woman's misunderstanding or complaints,
This increases the man's tension and anxiety, exacerbating his psychological burden.
The woman should be understanding and caring, offering words and actions of support.
Offer comfort and ease the man's anxiety, helping him build confidence in his recovery.
Premature ejaculation has many causes, and treatment should be tailored to the specific cause.
Corresponding countermeasures. First, it is necessary to popularize sex education and gain a comprehensive understanding of sexual misconduct.
Based on the couple's sexual history and the patient's specific circumstances, [the following is suggested/proposed]:
Offer guidance and suggestions to overcome anxiety. (Pre-coital)
Affectionate time is essential; the man should appropriately distract himself, not...
Avoid excessive tension; both partners should cooperate and employ various methods.
Treatment aims to prolong the time to ejaculation, while also using medication.
The treatment allows both partners sufficient time to achieve sexual arousal, orgasm, and pleasure during intercourse.