The diagnosis of premature ejaculation is mainly based on the patient's statement of the medical history. The detailed medical history inquiry is the foundation of diagnosis and treatment of premature ejaculation, and the diagnosis of premature ejaculation is obtained by a complete medical history.Any patients with too fast ejaculation should ask their medical history in detail.Premature ejaculation is simply divided into two types: primary premature ejaculation and secondary premature ejaculation.Primary premature ejaculation refers to the problem of premature ejaculation since the beginning of sexual experience, and secondary premature ejaculation refers to the successful sexual experience of patients before.Generally speaking, secondary premature ejaculation is easier to find the cause and treat it, and has a better prognosis.
Doctors should pay attention to what points should be paid attention to when asking patients?The content of the inquiry should include the frequency of premature ejaculation and the length of the disease, the strong and weak sexual stimulation during premature ejaculation, the specific external environment that is prone to premature ejaculation, and even a specific sexual partner, and the impact of premature ejaculation on sexual behavior. These are all medical history. The focus of inquiry.
In addition, the general health status of patients also needs to be asked.Understand whether there are other diseases that are easy to cause or cause premature ejaculation. For example, patients may cause myocardial infarction due to fear of excessive stimulation, and there is a premature ejaculation. This kind of premature ejaculation is often cured naturally after the treatment of myocardial infarction.When asking the medical history, you must also understand some of the patients in the usual sexual life, including the relationship and interaction between foreplay, masturbation, sexual intercourse, sexual partners, and patients' interpersonal relationships and work conditions.For patients with primary premature ejaculation, they must specifically ask patients' family history and growth history. The growth background of young age and the once -suffering mental trauma often affect the sexual life of adulthood.For secondary premature ejaculation patients, special attention should be paid to identifying whether the disease suffered from ejaculation or erectile dysfunction. Of course, many patients have both premature ejaculation and erectile dysfunction.
Physical examination and laboratory examination are not as important as asking for premature ejaculation.Patients with premature ejaculation are usually normal during the physical examination and laboratory inspection.Nevertheless, simple external genital examinations are still necessary. If the patient also has the performance of erectile dysfunction in addition to premature ejaculation, it should be performed according to the organic erectile dysfunction, such as sex hormone examination, neuromuscular muscles Electric examination and penile vascular examination, in order to find the exact cause of erectile dysfunction, and treat them in a targeted manner.Many patients with coexistence of premature ejaculation and erectile dysfunction, once the erectile dysfunction is effectively treated, the patient's confidence and ability to maintain erection will increase, and the problem of premature ejaculation will be resolved.
(Editor in charge: Night Tanuki)
