Premature ejaculation is a dazzling word that makes many people sigh.As a doctor, I was the least reluctant to say "premature ejaculation" directly, but generally used "ejaculation too fast" instead.The definition of premature ejaculation is different at home and abroad.
1. The definition of premature ejaculation
Urinary and male experts in my country believe that premature ejaculation means that the penis is inserted into the vagina for one minute, or it ejaculates less than fifteen times in the vagina.There is also a stricter saying that the penis is ejaculated without inserting the vagina.Foreign experts define that 50 % of sex opportunities have not allowed female partners to reach orgasm, and they are called premature ejaculation.It can be seen that the definition of premature ejaculation has different diagnostic standards at home and abroad, but the embarrassment that ejaculation is too fast to men is the common confusion of men at home and abroad.
Second, Western medicine cause pathogenesis
(1) The cause of psychological premature ejaculation
1. anxiety and depression:
Because anxiety and premature ejaculation are adjusted by sympathetic nerves.
① The rushing sexual intercourse before marriage is often carried out under intense mood, and once the conditions of fast ejaculation (premature ejaculation) are formed, once the sexual life after marriage, it is difficult to change the bad habit of ejaculation.
② Excessive sexual intercourse, once sexual intercourse causes excessive sexual excitement (sympathetic nervous excitement) and easily ejaculate (premature ejaculation).
③ The interpersonal relationship, family relationship, and husband and wife relationship are not harmonious, causing anxiety, nervousness, and fear to cause premature ejaculation.
④ Lack of depression such as self -esteem, frustration, guilt, shame, and self -sorrow can cause too fast ejaculation.
⑤ Lack of sexual knowledge, sexual intercourse skills and experience, is also the reason for too fast ejaculation.
2. Masturbation and bad habits:
Because of masturbation, he is afraid of being discovered and laughing, nervous, and strives to ejaculate quickly, and gradually develops a bad habit of excessive ejaculation. It is difficult to correct it after having sexual partners.
3. Excessive fatigue:
I feel tired after physical labor or brainpower, and sexual life when I lack energy. It is also prone to premature ejaculation.
(2) The cause of organic premature ejaculation
1. Differences of physical fitness:
The reflection of the penile sponge muscle of the premature ejaculation is faster than the premature ejaculation.It may be due to the high testosterone content in the blood, the excitement of the ejaculation center increases, the threshold decreases, and the ejaculation center is easy to excite and ejaculate prematurely.
2. Diseases that cause sympathetic nerve -quality injury:
Such as pelvic fracture, prostate mosque, arteriosclerosis, diabetes, etc.Directly shadowing the control center, the control capacity of the ejaculation center decreased to produce premature ejaculation.
3. Diseases of reproductive organs:
The penile foreskin lace is too short, hindering full erection, high sensitivity, and easy to ejaculate; the foreskin is too long, hinders sexual intercourse, and it is easy to ejaculate prematurely;Excited and fast ejaculation; chronic or seminal vesiculitis often accompanied by excessive ejaculation.
3. Traditional Chinese Medicine Centers and Pathogenesis
The occurrence of premature ejaculation is related to various factors.The early Chinese medicine theory believes that premature ejaculation is mainly close to deficiency (kidney, heart, spleen deficiency) and liver and gallbladder dampness and heat.The kidney of Chinese medicine is equivalent to the functions of reproductive systems and endocrine systems (Tibetan essence, raw essence), and the relationship with the human body and the posterior yin is very close (kidney main two yin).And growing substances, control the human body, including sexual function, excretion function.Congenital insufficient or masturbation, excessive sexual life, kidney deficiency cannot hide essence, semen excretion is out of control (the essence is not solid, the essence is open) and premature ejaculation.Excessive brain or tiredness and hurt, damage the heart and spleen, lack of qi and blood, and deficiency of qi and blood, causing premature ejaculation.
Recent clinical studies have found that premature ejaculation from liver theory has high clinical efficacy.The branches of the liver meridian pass through the front of the front, and the penis is gathered by Zongjin.Diseases of fat, alcoholic, brewing dampness and heat, or disease of the disease of the external sensation, flowing the focus, the internal disturbance of the fine chamber, and the kidney that the kidney loses the sealing function and produces premature ejaculation.Or due to the liver and heat betting, the liver was abnormal, and premature ejaculation could not be controlled.Or fear of hurting the kidneys, the precision is not solid and premature ejaculation.Or uncomfortable mood, depression and liver, liver loss and abolition, it can also cause the seal to get out of control and premature ejaculation.
Fourth, premature ejaculation treatment
There are many treatments for premature ejaculation, but when each patient is specific, it is necessary to scientifically analyze the disease, correctly judge the cause and the pathogenesis, and reasonably select the treatment methods and drugs. There are no static treatment measures.The specific method includes:
1. Psychological communication: Humanized services, treat patients as friends, help patients analyze the cause through psychological communication, and guide the psychological confusion of patients
