Sexual desire, erectile, sexual intercourse, orgasm, ejaculation is a series of chain reactions of men's sexual function series. Each link also has its unique mechanism, not necessarily connecting.In daily life, ejaculation function disorders are common in premature ejaculation, non -ejaculation and retrograde ejaculation.
Premature ejaculation
Case: Mr. D was promoted as a professor when he was almost confused. His wife worked in the bank. His son was studying in key middle schools in the city.But unfortunately, his sexual life was discordant, as long as the penis touched his wife's vagina, he ejaculated.For this reason, he was often complained by his wife, and he felt frustrated.Later, I went to the hospital for examination and diagnosed as premature ejaculation
Diagnosis: The standard of premature ejaculation is still controversial.In the past, it was obviously one -sided based on whether the woman could meet the sexual satisfaction, because women also had their own problems.Taking the penis in the vagina (less than 1.5cm) or below 15 times as the standard, the difference between the sexual requirements of individuals cannot be reflected.During the sexual intercourse of the American Psychiatric Society in 1980, ejaculation and orgasm could not be controlled. Before personal expectations, ejaculation was ejaculated to premature ejaculation.This standard cannot be generally accepted.At present, it is generally believed that before the penis enters the vagina, it is entering or just inserted, it will occur, which is called premature ejaculation.There have been reports that healthy men usually have ejaculation in the vagina 2 to 6 minutes.Zhejiang Medical University surveyed the results of 2709 people, and sexual intercourse lasted 5 to 10 minutes.The short is only 1 to 2 minutes, and the elder can reach 50 to 60 minutes. It can be seen that the individual difference is very different.Therefore, no matter whether ejaculation is fast, as long as it does not affect the experience of the husband and wife's sexual pleasure, it cannot be called premature ejaculation.
Treatment of premature ejaculation: 1. Psychotherapy: Need to cooperate and understand both husbands and wives, understand the possibility of rebuilding ejaculation conditions, eliminate patient anxiety, and establish confidence in the prerequisite for treatment.
2. Behavior Guidance: Guide patients before the experience of experiencing orgasm.Decrease or stop using peniles before reaching the incomplete ejaculation that cannot be controlled to reduce sexy.The Semans method is the woman stimulating the penis erection with her hands, stops stimulating when she is close to the climax, repeated stimulation after the penis is soft, and repeatedly establish a new condition reflex.You can also pull the scrotum and testicles or squeeze the penis head with your thumb and index finger to reduce its excitement.The sexual intercourse method can be exchanged to female upper position. Use twitching-stop-re-twitching form to gradually increase the reaction threshold of stimuli and extend the ejaculation time.
3. Drug therapy: Use 1%scatin or 2%Lidaine surface anesthetic to apply at the penis head 10 minutes before sexual intercourse to reduce the sensitivity of the penis head.Take sedative Romina and Fei Na Gen to improve the ejaculation center threshold.& alpha; adrenaline blocked phenolic phenolic phenolic perforated low -sympathetic nerve excitement, etc., may help extend ejaculation time.
Non -ejaculation
Case: Mr. Wang, 30 years old, has not been able to ejaculate during his sexual life, and has not been able to get pregnant.I have performed the foreskin for too long foreskin, and I feel good after surgery but still cannot ejaculate.There have been dreams, but you cannot ejaculate when you reach sex.So he came to the hospital for a doctor and did various examinations. The diagnosis of him was not ejaculation, but he told him that he was not primary and non -ejaculation, but a variant of ejaculation function caused by psychological reasons.
Diagnosis: Those who do not appear or orgasm and ejaculation in the vagina erection of the penis can diagnose non -ejaculation.Pay attention to the identification of retrograde ejaculation or semen generating disorder.Whether the sexual intercourse has pleasure or orgasm and whether there are sperm or fructose in the urine after sexual intercourse is the main point of identification.At the same time, the endocrine function should be understood, and the ejaculation tube obstruction caused by the innate or acquired changes.
Treatment: 1. Sexual education and sexual psychotherapy: Most patients with non -ejaculation are explained by explaining sexual knowledge, eliminating adverse psychological impacts and incorrect concepts, and supplemented by sexual behavior, which can often achieve immediate results.
2. Electro -vibration and electrical stress therapy: About 50%of functional patients are cured at one time.Most of the patients repeat the treatment of multiple times can return to normal.Francois and Brandley used electro -vibrating patients with spinal cord injury patients: the success rate of patients with neck injury was 90.9%, the thoracic vertebra was 67.5%, while the thoracic lumbar injury was only 22.2%.The success rate of non -ejaculation in the treatment of rectal insertion stimulation is 60.9%.
3. Drug therapy: Take an hour before sexual intercourse acting on the & alpha; and & beta; receptor drug ephedrine helps to recover the ejaculation function.
4. Other treatments: Endocrine disorders or ejaculation disorders caused by drugs should supplement hormones or discontinued drugs to affect ejaculation drugs.The ejaculation tube obstruction can be cut into the ejaculation pipe port with endoscopy.
