There are not many diseases such as premature ejaculation, and its concept is rapidly changing due to the study of the foundation of premature ejaculation medicine and neurophantal physiology.Premature ejaculation will have huge setbacks and blows to men's self -confidence.
◆ According to the satisfaction of sexual partners, classify ◆
The initial researchers (Masters and Johnson) defined premature ejaculation as men that men cannot fully extend the ejaculation time and make their sexual partners a climax of 50%of sexual intercourse.From this point of view, the importance of premature ejaculation is that long -term sexual intercourse can make women more likely to reach orgasm.There are reports that only 27%of women in less than 1 minute of sexual intercourse have too much orgasm and 66%of women in more than 12 minutes of sexual intercourse can often reach orgasm.On average, women reach 8 minutes.
◆ Follow the duration of sexual intercourse before ejaculation ◆
Definition of premature ejaculation usually requires normal time from the penis to the vagina to ejaculation.A early study of healthy men showed that the average sexual intercourse time was 20 minutes.However, a survey conducted by the nearly 1,000 couples in 1996 showed that the average sexual intercourse time was 4-7 minutes. The subsequent survey showed that the average sexual intercourse in the United States was 10 minutes.) Slightly long.Other studies have shown that sexual intercourse can be premature ejaculation from less than 1 minute to 10 minutes.
◆ Har grading according to the number of twitches and random control of ejaculation ◆
The number of twitching times is also used to define premature ejaculation. It is recommended to use less than 8 or 15 times as the diagnostic criteria.Recently, whether the ability to control ejaculation at will has been used to define premature ejaculation.In fact, many diagnostic standards including sexual intercourse time and random control of ejaculation are recommended.
◆ Based on DSM-IV (the fourth edition of diagnostics and statistical manuals) to classify ◆
At present, men's grades are based on the DSM-IV of the American Psychiatric Society based on the classic theory of Masters and Johnson as the standard.Functional disorders may occur in one or more stages of a physiological sexual response cycle: sexual desire, sexual evolution (sexual excitement) and orgasm.Premature ejaculation is a dysfunction in the climax stage.At present, the DSM-IV diagnostic criteria for premature ejaculation are the most commonly used. There are the following:
1) The orgasm that continues or often occurs before self -willingness and ejaculate before inserting, when inserting, or just inserted.
2) Obvious difficulties in distress or interpersonal relationships.
3) Not only the direct effects of abstinence symptoms like opium substances.
The precautions of DSM-IV indicate that indirect factors such as age, context or sexual partners and the frequency of sexual activity also need to be considered.There are several features in the diagnostic parameters of DSM-IV. It helps to judge the severity of premature ejaculation::
Is ejaculation at the beginning or in the process of continuing-whether it is so obtained (seizure) for life.
Whether there is a causal relationship or a change-generalization (general or under any environment) or context (in a certain environment).
Cause-whether it is psychological or mixed (psychological and medicine or essence).
◆ Organic is still the cause of spirituality ◆
In 1943, a typical study of patients with premature premature ejaculation was conducted in 1943.Patients are divided into two groups, one group may be premature ejaculation in organic or physiological causes, and the other may be mental.
◆ Original or secondary premature ejaculation ◆
Other researchers recommend divide premature ejaculation into two categories-primary and secondary-based on the physiological and psychological differences observed through the laboratory.Primary premature ejaculation refers to the standards that have premature ejaculation from the beginning of the first sexual behavior (see the part of the above 3.4 above).Secondary premature ejaculation means that the sexual function before the onset is normal, equivalent to the acquisition standards in DSM-IV.
Among a group of primary premature ejaculation men, the latent period of the sponge sponge muscle reflection (BCR) neurotic response is 30.3 milliseconds, and common clinical characteristics include lifelong sexual dysfunction, fear of failure, excitement of sexual excitement, excitement of sexRestrictions (by reducing stimuli, dispersing attention, using condoms and anesthesia, etc.), changing from participants to observer (watch), the frequency of reducing sexual activity, the increase in premature ejaculation due to poor gender relations (may develop into secondary natureED) is liberated from the current organic disease.Among a group of second -sex premature ejaculation men, the average BCR's incubation period is 40.45 milliseconds longer than the primary nature, and it usually occurs after erectile dysfunction or orgasm difficulty.Secondary premature ejaculation is also divided into two subtypes: one is physical disease (75%), and the other is no physical disease (25%).
These results seem to confirm the physiological results reported by other researchers, that is, the shorter incubation period cannot evoke the potential of the male sacrum and cortex of lifelong premature ejaculation.
◆ Other grade methods ◆
There are other optional methods for premature ejaculation.A authoritative person regards premature ejaculation and delay ejaculation as a kind of dissatisfaction in ejaculation time, while other scholars will divide premature ejaculation patients into two groups: the first group is proven to be sensitive to sexual stimulation, patients with patients, patients patientI said that the ejaculation is fast when masturbation, less psychological interference and no ED or cold; in the second group of patients, sexual obstacles are related to anxiety.No), and there are some ED performance in the sexual intercourse, and there are still cold sex.Regarding premature ejaculation, there is a more complicated grading method. It summarizes the following three basic types of anxiety and erectile dysfunction:
1) The onset of adolescents has normal erection and is related to anxiety.
2) Acute onset, poor erection, and extensive anxiety.
3) Hidden onset and related to erectile difficulties, low sexual desire, and no obvious anxiety.
(Editor in charge: Internship Liu Suling)
