Puzzle 1: How to classify premature ejaculation?
As early as the early 1940s, Shabiro divided premature ejaculation into two types: type A, which is a manifestation of premature ejaculation of young people who have a highly driving force without erecting.It is good to control the ejaculation process; Type B is more common in the elderly. It is often accompanied by erectile difficulties and occurs after it has good control capabilities.Most tend to treat type B as a manifestation.
Premature ejaculation can be divided into two categories:
① Premature ejaculation related to sexual partners, that is, the situation, will improve when they change their sexual partners, indicating that interpersonal conflicts that cause confrontation play a role in maintaining.② True premature ejaculation refers to ejaculation less than 15 times or less than 1 minute during sex with different partners or on different occasions. It is also called complete premature ejaculation. They easily respond to drug treatment.
The classification of premature ejaculation can also be divided into two major categories: primary premature ejaculation and secondary premature ejaculation based on the history of sexual life.Premature ejaculation appears in the first sexual intercourse, which is called primary premature ejaculation.There was a satisfactory sex life before, and later premature ejaculation was called secondary premature ejaculation.
According to the different manifestations of the disease, premature ejaculation can be divided into type three.
(1) From puberty, there is a manifestation of primary premature ejaculation, accompanied by normal erection and related psychiatric anxiety.For example, the rapid ejaculation habit caused by sexual life before marriage is more erected when excited, but it is not durable and instantly leaked.
(2) Acute premature ejaculation attack: Usually manifested as an erection, and accompanied by general concerns, such as the husband's dissatisfaction with his wife, or potential resentment, hostility, or too much fear of his wife like "wife management", Everbound premature ejaculation caused by intense inferiority.
(3) Hidden premature ejaculation attack: Not only insufficient erection, but also low sexual desire, not obvious anxiety. If some people cause sexuality due to too little sexual intercourse, "one position, one posture, one time, one action", no matter how big it isThe charm of the charm will also be abolished, often premature ejaculation.
Mystery 2: What are the causes of premature ejaculation?
Experts point out that they can be explained from two perspectives: Western and Chinese medicine.
Cause of Western Medicine
The cause of premature ejaculation is complicated, and different people have different reasons.Most of them are mental (psychological), which is caused by the excitement of the rational of the brain or the excitement of the spinal centers. A few are organic diseases.
(1) The cause of psychological premature ejaculation
1) anxiety and depression: Because anxiety and premature ejaculation are also adjusted by sympathetic nerves.① The hasty sexual intercourse before marriage is often carried out under intense mood, and once the condition reflex of fast ejaculation (premature ejaculation) is formed, it is difficult to change the habit of ejaculation early after marriage.② Excessive sexual intercourse, once sexual intercourse causes excessive sexual excitement (sympathetic nervous excitement) and it is easy to ejaculate early (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 premature ejaculation.⑤ Lack of sexual knowledge, sexual intercourse skills and experience.
2) Masturbation: During the masturbation, he is more afraid of being discovered and laughing, nervous, strives to ejaculate quickly, and gradually develops the habit of premature ejaculation.
3) Excessive fatigue: Feeling fatigue after physical labor or brainpower, sexual life when energy is insufficient, and premature ejaculation is also prone to occur.
(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 content of the ketone 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 fractures, prostate mysyum, 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 to prevent full erection; the inflammation of the sperm is in chronic congestion and edema, and it is slightly sexual stimulation, that is, sexual excitement and fast ejaculation.
Traditional Chinese Medicine Centers
The occurrence of premature ejaculation is related to various factors. It is mainly related 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.
The branches of the liver meridian pass through the front of the yin, and the penis is gathered by Zongjin.The fine place (fine room) causes premature ejaculation.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.
Mystery 3: How to treat premature ejaculation?
Traditional views believe that premature ejaculation is mostly caused by psychological causes, such as improper sexual consciousness, sexual psychological trauma, sexual guilt, and lack of self -confidence in sexual life.Many research results at home and abroad in recent years have shown that the penis back nerve excitement of patients with premature ejaculation, especially the sensory nervousness of the penis head is higher than that of normal people, so that the ejaculation period is shorter during sexual intercourse.Low, it is easy to induce premature ejaculation during sexual intercourse.
The path path of the penis starts with sensors in the skin of the penis, the head of the penis, the urethra, and the penis sponge.After the activation of the sensor, the pain, warmth, and tactile information are passed through the penile back nerves, genital nerves, spinal cord, and spinal cord brain bundles to perceive the pain, warmth, and touch information.In contact, the nerve impulses of penile skin and penis head are introduced through the nerves of the penis, which starts and maintains reflective penile erections.Therefore, after the penis back nerve blocking, the sensitivity of the penis head can be reduced, the ejaculation stimulation threshold can be improved, the ejaculation incubation period is extended, and the quality of the patient's sexual life is improved.
(Editor in charge: Internship Zhang Yiwen)
