1. Premature ejaculation
When sexual intercourse, the penis erection does not enter the vagina, and those who are excreted must be premature ejaculation.Generally speaking, healthy young people usually ejaculate in the intercourse 2 to 6min, but it is still normal to ejaculate in a shorter time.From the beginning of sexual intercourse, how long it is to ejaculate after the penis is inserted into the vagina, it is not yet determined.Generally speaking, there are many differences with factors such as age and constitution during this time, so there is currently no objective standard for premature ejaculation.In addition to typical premature ejaculation, many so -called premature ejaculation patients have no abnormalities in the clinic, but they just think that sexual intercourse time is not long enough.Differential functional and organic cause.Functional non -ejaculation often has nocturnal emission and can masturbate ejaculation. It has psychological trauma or lack of sexual knowledge without neuropathy, diabetes and trauma, and the history of surgery.
2. Non -ejaculation
In sexual life, the penis can be erected without difficulty, and he is highly eager for the release of orgasm and suffers sufficient sexual stimulation. However, even if sexual intercourse is a long time, it still cannot reach orgasm and cannot ejaculate.The key to the diagnosis of non -ejaculation is: ① The penis cannot ejaculate in the vagina; ② Patients have no orgasm during sexual intercourse.Pay attention to the difference between primary non -ejaculation.Primitiveness is absolutely not ejaculated in a sober state. It has never been caused by ejaculation, and it is caused by sexual ignorance or sexual depression, but there may usually be nocturnal emission.Primary selective selective non -ejaculation can ejaculate when masturbation or the woman uses hands or mouth to stimulate it. This is a kind of unconscious sexual resistance, which is caused by incorrect views on the vaginal essence.
3. Rebellion ejaculation
Refers to the orgasm and ejaculation, but the semen flows into the bladder, the urethral mouth is out of semen, and the urine examination can be found sperm and fructose after the climax.
1. History
Inquiring about the incentives, sexual living conditions, the feelings between husband and wife, the history of wounds, the history of the rectum, the posterior peritone, the pituitary, and the testicular surgical history, the history of the urogenital, the history of the nervous system, the history of other diseasesSuch as diabetes, sacrum fracture, etc.Taking anti -hypertension drugs for a long time, sedative drugs of central nervous system.
2. Physical examination
For detailed physical examination, you can understand whether there is a deficiency of congenital vasters, such as testicular lesions, and other diseases.
(Editor in charge: Chen Bong)
