As we said in the last article, many friends who pay attention to the problem of premature ejaculation are not really premature ejaculation. But what if there is premature ejaculation? What should I do?
Only by typing can we treat it correctly!
At present, the medical profession also has different understandings and understandings on the clinical classification of premature ejaculation. The relative consensus is to divide premature ejaculation into primary and secondary types.
Primary PE, Lifelong PE, PPE is characterized by:
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Quick ejaculation occurs during the first sexual intercourse.
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Almost every sexual intercourse, and every sexual partner will ejaculate quickly;
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In most cases (90%), the ejaculation incubation period is less than 2 minutes.
Secondary premature ejaculation (SPE) is characterized by:
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Ejaculation incubation period is normal before premature ejaculation occurs.
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Premature ejaculation may be caused by other diseases, which may occur suddenly or gradually.
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The patient ejaculates quickly at a certain stage.
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It can be relieved or cured with the treatment of the primary disease.
The European Association of Urology (EAU) formulated a new “Guidelines for Diagnosis and Treatment of Premature Ejaculation” in 2015, which divided PE into four categories: primary premature ejaculation, secondary premature ejaculation, natural variant premature ejaculation and premature ejaculation-like ejaculation dysfunction.
The latency period (IELT) of vaginal ejaculation in the latter two is within the normal range and cannot be regarded as a disease strictly speaking.
Natural variability premature ejaculation is irregular and non-persistent. It only occurs occasionally within the normal fluctuation range of sexual life, which may be related to the frequency of recent sexual intercourse, freshness to sexual partners and sexual intercourse environment. The subjective description of premature ejaculation-like ejaculation dysfunction is that ejaculation occurs continuously or uncontinuously earlier than expected, but the incubation period is within the normal range and can be prolonged, which may be related to the patient’s wrong cognition.
Individualized treatment is the key!
No matter what kind of problem, finding a way to treat it is the most important thing for patients to know, so Dr. Clove will give you several tips:
1. Counseling
First of all, we believe that psychological counseling for premature ejaculation patients is a particularly important link.
Because the premature ejaculation patients we see all have some personality characteristics. They are introverted, sensitive and, most importantly, pessimistic.
Most men may not perform well at the beginning of their sex life because they lack experience and are not used to it. Most of them can get used to it after a period of time.
However, some people will form premature ejaculation if they do not adapt for a long time. We should help this part of patients to carry out personality analysis, help them adapt as much as possible and overcome psychological barriers.
2. Husband and wife education
Husband and wife education is also very important. Sometimes premature ejaculation has a lot to do with the wife.
Some female comrades are conservative in character, afraid of pain, unable to let go and coy. These are the factors that cause or aggravate male premature ejaculation. When we encounter such a situation, we should also analyze it to untie the ideological burden of women and make the relationship between husband and wife harmonious.
3. Behavioral therapy
In addition, there is behavioral therapy, which was popular in the past, such as the 1950s and 1960s, but is now used less and less.
We only use it as a supplement to drug therapy, including motor stop therapy, glans penis compression therapy, etc., which are generally carried out by reproductive surgeons.
4. Medication
With the development of science, we find that more and more patients with primary premature ejaculation are caused by serotonin reuptake inhibitors (SSRIs), which are mainly used in treatment, and can improve nerve energy and prolong ejaculation time.
In recent years, there has been a SSRI specially designed for premature ejaculation, named dapoxetine hydrochloride. This is now internationally recognized as a drug with good safety and effectiveness.
If the course of premature ejaculation is very short, for example, it occurs within half a year, if early diagnosis, early treatment and regular medication are carried out, 50 ~ 60% of the patients are likely to be cured.
If the course of the disease is more than five years, it is very difficult to remove the root. At this time, we need lifelong maintenance treatment or long-term maintenance treatment.
5. Never
If you really have friends with premature ejaculation, you must never use an operation that claims to be able to [cure] premature ejaculation-dorsal penis nerve block.
Author: Gao Ming
Responsibility: Cat Capricorn