Diseases

Premature Ejaculation (Male)

Premature ejaculation is a common disease in males. There is currently no uniform definition. The American Psychological Association defines it as continuous or recurrent. Under the minimum sexual stimulation, ejaculation before the insertion, after insertion or insertion, and ejaculation before the intention is called premature ejaculation. The World Health Organization defines that the latency of ejaculation does not meet the needs of sexual intercourse. Ejaculation occurs before full erection, before sexual intercourse or within 15 s after starting sexual intercourse. The diagnosis of premature ejaculation requires multiple assessments, including psychological, physiological and qualitative assessments. It is not easy to diagnose premature ejaculation with the patient’s self-perception. At the same time, the patient and his or her sexual partner are asked to carefully analyze the similarities and differences between the two. Premature ejaculation is often a problem that the man is frustrated with. The survey shows that premature ejaculation is often the main complaint of the woman’s sexual partners.

It is worth pointing out that the premature ejaculation that is prevalent on the Internet is defined as: ….. when women have not reached orgasm and ejaculation is premature ejaculation… This is very incorrect and must be corrected. Not all women can easily reach orgasm, so men’s premature ejaculation cannot be defined by whether or not a woman has orgasm.

Non-organic disease
(1) More than 80% of premature ejaculation patients are caused by mental factors. Nadels on the report, psychogenic accounted for premature ejaculation disease 85% of people, such as: long-awaited reunion, wedding honeymoon, over- excitement or tension, excessive fatigue , depressed mood, after drinking, improper sexual intercourse, marital disharmony, husband The wife’s potential hostility, resentment and anger, or excessive fear, worship, and inferiority to the wife are all factors that induce premature ejaculation. Common causes of psychology are as follows. Some people are afraid of sexual intercourse, fearing that ejaculation is too early, causing dissatisfaction with their wives; some people misunderstand their knowledge of sex and unreasonably suspect that their sexual ability is low, and they always swear by themselves during sexual intercourse. Inferiority, this situation is more common in those who think that their penis is short or that they think they are weak. Husband and wife’s feelings are not harmonious, such as suspicion, embarrassment or excessive respect for the wife, can also lead to premature ejaculation. Some people pay too much attention to sex life, expect too much, or worry too much about the occasional one or two premature ejaculations, which may aggravate the psychological burden, form a vicious circle of tension, premature ejaculation, more tension, and continue premature ejaculation to fix premature ejaculation.

(2) Excessive stimulation of the glans, such as male penis foreskin and tight underwear, can lead to premature ejaculation in men.

Organic disease
For example, congenital malformations of external genitalia , phimosis , glans or foreskin inflammation , urethritis , penile inflammation, multiple sclerosis , spinal cord tumors , cerebrovascular accidents , epididymitis , chronic prostatitis, etc. can all affect the spinal cord center reflexively , causing premature ejaculation . Some kind of systemic disease, physical weakness, can also make sexual dysfunction, premature ejaculation.

Clinical manifestation
Premature ejaculation refers to sexual ejaculation. When a male sexual organ has not been touched or just touched, ejaculation occurs, which affects both parties’ satisfaction and even affects childbearing. There are several types of premature ejaculation: one is customary premature ejaculation, the symptoms are sexually active, the penis is erect, and the cockroach is strong, and most of them are seen in young adults; the second is old age premature ejaculation, which is caused by sexual dysfunction; See premature ejaculation, mostly when the body and mind are tired and the mood is fluctuating.

Chinese medicine believes that premature ejaculation is more than deficiency. The symptoms of yin deficiency and fire phlegm are as follows: hands and feet are upset , the waist and knees are sore , the penis is easy to boil, the sputum is urgent, the nightingale is easy to wake up, etc.; the kidney gas is not solid and the symptoms are: weak and chilly , long urine, nocturia , The penis erection is not strong.

Classification of premature ejaculation
One is habitual premature ejaculation , which refers to the premature ejaculation of sexual intercourse after adulthood. This person’s sexual physiology is normal and the penis is powerful. Symptoms have strong sexual desire, strong penis erection, and can not wait to see, mostly seen in young adults;

The second is the old premature ejaculation, loss of sexual function is caused; ejaculation time after the middle-aged or elderly gradual advance, often accompanied by loss of libido and erectile weakness .

The third is occasional premature ejaculation, which occurs mostly when the body and mind are exhausted and mood swings. There is no premature ejaculation, acute premature ejaculation after a certain mental or physical stress , often accompanied by erectile fatigue .

The fourth is mental premature ejaculation, which means that the patient has had a history of fast ejaculation, leading to long-term psychological shadows and thus accidents, and ejaculation too fast.

Premature ejaculation 2
Degree of premature ejaculation
Premature ejaculation is generally divided into three levels:

Mild, the penis inserted into the vagina for 1 to 3 minutes, can twitch more than 15 times, but can not control orgasm.

Moderate, penis inserted into the vagina can twitch 1 to 15 times, less than 1 minute, can not control ejaculation.

Severe, the penis can not be inserted into the vagina, or can be inserted without twitching and ejaculation.

diagnosis
Physical examinations and laboratory tests are less important in diagnosing premature ejaculation than in medical history. In the premature ejaculation patients, physical examination and laboratory examinations are usually normal. Despite this, a simple external genital examination is still necessary. If the patient in addition to the performance of premature ejaculation as well as erectile dysfunction performance, it should make the necessary laboratory examinations in accordance with organic erectile dysfunction, such as sex hormones examination, nerve EMG examination and penile vascular examination, etc., in order to find erectile dysfunction The exact cause of the disease, targeted treatment. Many patients with premature ejaculation and erectile dysfunction will be treated with effective erectile dysfunction. The confidence and ability of patients to maintain erection will increase, and the problem of premature ejaculation will be solved.

There are many reasons for premature ejaculation, and corresponding countermeasures should be adopted for different causes. First of all, we must popularize knowledge, comprehensively understand the history of different couples’ sexual life, combine the patient’s specific situation, and make guiding suggestions to overcome ideological anxiety ; the appeasement time before sexual intercourse is essential, the man should be distracted appropriately, not too nervous The husband and wife cooperate well and use various behavioral treatments to prolong the time of ejaculation. At the same time, with the drug treatment, the husband and wife have enough time to reach sexual excitement and sexual pleasure during sexual intercourse.

What points should the doctor pay attention to when asking the patient’s medical history? The content of the inquiry should include the frequency of premature ejaculation and the length of the disease, the intensity of sexual stimuli when premature ejaculation occurs, the specific external environment that is prone to premature ejaculation, or even a specific sexual partner, and the impact of premature ejaculation on sexual behavior. These are medical history. The focus of the inquiry. In addition, the general health of the patient is also the content that needs to be asked. Understand whether there are other diseases that may cause or cause premature ejaculation. For example, patients with coronary heart disease may cause myocardial infarction because of fear of excessive sexual stimulation . In the case of premature ejaculation, this premature ejaculation problem often heals naturally after myocardial infarction treatment. When asking about medical history, you should also understand some aspects of the patient’s normal sexual life, including foreplay, masturbation, sexual relationship and interaction between the sexual partners, as well as the patient’s interpersonal relationship, work situation, etc., to be separately evaluated. For patients with primary premature ejaculation, special questions should be asked about the family history and growth history of the patient. The background of growth in childhood and the trauma that has been suffered often affect the sexual life in adulthood. For patients with secondary premature ejaculation, special attention should be paid to identify whether the disease is premature ejaculation or erectile dysfunction. Of course, many patients have both premature ejaculation and erectile dysfunction.

Several criteria for assessing premature ejaculation
Note: If you have the following two or three items, or more symptoms, indicating that your sexual function has been a problem, please go to a professional hospital for scientific and standardized examination, as soon as possible to treat premature ejaculation.

1. Is there a symptom of low sexual desire?

2. Is there a penile erection hardness that is not enough to insert into the vagina?

3. Have you ever felt anxious, nervous or upset?

4. Is there a phenomenon that the time from insertion to ejaculation is too short?

5. Are there any symptoms of retrograde ejaculation and ejaculation weakness?

6. Is there a perineal part pain, testicular pain symptoms?

7. Is there a phenomenon that the waist and knees are sore and the time is too fast?

8. Is there a phenomenon that cannot be sustained or not?

9. Are there symptoms of dysfunction and fatigue ?

10. Do you think that the glans touched the foreskin after the foreskin retreated?

treatment
1. Method of psychological treatment of premature ejaculation

At present, psychotherapy is highly praised at home and abroad, especially behavioral therapy, and the efficacy is relatively positive. Through general psychotherapy, patients can be informed about sexual knowledge, help patients to relieve their concerns, reduce anxiety and nervousness, and can eliminate fear and anxiety before sexual intercourse by teaching patients to grasp muscle relaxation. In behavioral therapy , the method adopted by Masters and Johnson is more common in foreign countries. The former Soviet sex psychologist Kola Dorchville developed a homework therapy based on his treatment principles , requiring patients to complete the quality according to the quantity. divided into sets: each touch-sensitive areas, the establishment of excitement female organs, stimulate feelings of the penis, penis excited to extend the time, feelings of genital contact after the penis into the vagina to the clitoris to stimulate feelings, feelings of sexual arousal.

The treatment of premature ejaculation is a matter for both husband and wife, especially for the wife to participate in treatment. Psychotherapy for premature ejaculation requires the cooperation of the patient’s wife. Because of the woman’s misunderstanding or blame, the man’s nervousness and anxiety will rise and the psychological burden will increase. The woman should be considerate and caring, give speech and behavior comfort, ease the nervousness of the man and help him establish a cure confidence.

2. Behavioral treatment of premature ejaculation

For those who have premature ejaculation, first ask the doctor to determine whether it is true premature ejaculation. Some people mistakenly believe that they have premature ejaculation, but the two sides are actually uncoordinated in the time of sexual orgasm. The woman has not reached the orgasm and the man ejaculates prematurely. This situation is quite common and is not true premature ejaculation. The way to correct this situation is: in the early stage of sexual intercourse, the man tries to keep calm, the movement is calm, and make full use of the characteristics of the woman’s sexual feelings, supplemented by the caressing action, so that the woman gradually concentrates on the sexual organs and promotes its orgasm earlier. arrival. When the man feels a strong desire for ejaculation and is difficult to restrain, he can rest for a while and can suppress the occurrence of ejaculation. After stopping for a while, you can avoid the habitual premature ejaculation.

The treatment of true premature ejaculation must first clear the cause, such as premature ejaculation caused by vasogenic premature ejaculation and local urethral stimulation, should be treated by a urologist . Sexual life pays attention to moderation, using other healthy cultural and sports activities to dilute the stimulation of sexy superiority, daily life should be regular, to ensure adequate sleep time. In severe cases , anti-inflammatory drugs such as diazepam , chlordiazepoxide , etc. can be used. Premature ejaculation because of over-excitement of the cerebral cortex related to sedative sedative drug can regulate neural activity in the cerebral cortex, the formation of integration in the cerebral cortex pathology advantage excitement, to properly control premature ejaculation.

In addition, the use of condoms for sexual intercourse can reduce the sensitivity of the glans, thereby prolonging the time when sexual desire reaches orgasm, and avoiding the occurrence of premature ejaculation (when necessary, wearing two condoms). According to reports, during sexual intercourse, the woman was briefly and intermittently pressed with a finger to press the crown of the glans or the base of the penis to delay the ejaculation time. Let’s try it. For premature ejaculation caused by organic causes, it is necessary to actively treat the primary disease. After the primary disease is cured, premature ejaculation will improve. In addition, local closure therapy , acupuncture treatment, Qigong treatment and Chinese medicine treatment have been widely used, but the actual efficacy is difficult to determine. Sedatives , anti-anxiety drugs , hormones and so-called aphrodisiac solid medicine have no positive effect on premature ejaculation. Some people use the method of reducing local stimulation of the penis, or transfer excitement and mind control to deal with premature ejaculation. These methods not only have no obvious effect, but also Reduce the fun of sex life.

Method of extending ejaculation time
1. masturbation prevents premature ejaculation

Before sexual intercourse, you can also masturbate, which can also prevent premature ejaculation. Foreign countries think that premature ejaculation refers to ejaculation when the man can not control enough time during sexual intercourse. Because the woman does not reach orgasm, the penis becomes soft and contracted, and the woman with normal sexual function is not satisfied in at least 50% of normal sexual intercourse. The joy and harmony of life. As long as the ability to maintain more than 5 minutes after insertion, or both couples agree that their sexual intercourse is not affected by the delay in ejaculation efforts is normal. The latest survey in April 2008, the intercourse between the opposite sex is usually 3 to 13 minutes, 3 – 7 minutes is acceptable, and the ideal time is 7 – 13 minutes. It is not surprising that normal men occasionally appear this phenomenon, but often premature ejaculation, can not complete the whole process of sexual intercourse, is morbid, can be diagnosed as medical premature ejaculation.

It is important to point out that if the time of masturbation is too short, it is not premature ejaculation. Premature ejaculation must occur at the time of sexual intercourse. Masturbation is not the direct cause of premature ejaculation, and moderate masturbation is normal. Many people are misled, thinking that as long as there is masturbation, it will lead to premature ejaculation and many other problems. This logic is wrong.

The truth is that even if you stop masturbating, premature ejaculation can happen as well. If you develop a habit, each time you masturbate is very short, conditioning, and the time of sexual intercourse may be short. Therefore, when masturbating in the future, you should extend the time. When you are about to climax, stop immediately, and repeatedly, you can increase the time of masturbation. In this way, you can learn how to control the time of sexual intercourse.

Note: masturbation to prevent premature ejaculation should not be excessive, because the time of masturbation is significantly lower than the time of sex, such as too frequent masturbation will cause habitual rapid ejaculation, but harmful!

2. Method of increasing the stimulation threshold

Premature ejaculation is mostly due to the weakening of the cerebral cortex inhibition process. The high-level central excitability is too high, the inhibition of the primary ejaculation center of the spinal cord is weakened, and the excitability of the sacral ejaculation center is too high. Clinical experience has shown that the impact of training factors on the length of ejaculation is strong. Premature ejaculation is basically the stimulation threshold required for ejaculation is too low, therefore, the treatment of premature ejaculation is nothing more than improving the ejaculation stimulation threshold.

One way to improve the stimulation threshold is to cooperate with both husband and wife, and the first is modern sexual tool treatment. The so-called sexual tools are those that can help men and women overcome their sexual difficulties and can complete sexual reactions like normal people. In a sense, their role is significantly stronger than the so-called aphrodisiac. But they are not omnipotent, they can only help cause or increase the excitability of the sex organs . The use of sexual tools has a long history and is widely used in various cultures. For example, Jin Pingmei introduces various sexual tools, and there are also such descriptions in ancient Greek and Roman paintings. The modern emerging tools are mainly due to the following two types:

Fake vagina: It is helpful for patients with impotence and premature ejaculation. Because the fake vagina contains the oscillator device, it has a certain massage and stimulation effect on the penis , which helps its function recovery. The modern fake vagina is made of high-grade plastic, hand-held and attached to the entire plastic body. The price of foreign production is expensive. At present, the domestic production is also very sophisticated and fully functional, which should be the object of choice.

Oscillator: Its power source is battery or AC, and a small motor drives a cam device to generate an oscillation of 80 times/min or an adjustable frequency. This high frequency stimulation easy to arouse sexual excitement is growing, and the patient does not ejaculate soon break climax threshold so that ejaculation disorders overcome. The oscillator is divided into male and female. The male is generally designed to be in the form of a semen. The female is designed to resemble a penis and has a general purpose. But don’t forget that the instrument is an instrument after all, it can’t replace people’s emotional input and tangible feelings, so it can’t rely entirely on tools, they can only play a certain role.

medication
At present, almost all medical treatment drugs are non-indication treatment, and only long-term treatment of selective serotonin reuptake inhibitors and on-demand treatment of local anesthetics can be effectively treated. In addition, the long-term results of drug treatment are not known at present.

Specific drugs include drugs such as selective serotonin reuptake inhibitors, local anesthetics, antipsychotics, α1 adrenergic receptor blockers, intracavernous injections of vasoactive drugs, etc., but drugs have adverse reactions, this is better than No psychotherapy or behavioral therapy. Patients should consider drug therapy after doing adequate psychological and behavioral therapy, and must take medication under the guidance of a professional physician.

Selective serotonin reuptake inhibitors are used for treatment due to delayed ejaculation. Commonly used include citalopram , fluoxetine , fluvoxamine , paroxetine and sertraline . The pharmacological mechanisms of all these drugs are similar. .

Surgical treatment
Some people think that premature ejaculation is due to the organic factors such as increased penile sensory nerve excitability is also one of the causes of premature ejaculation. The improved penile dorsal nerve neurotomy is effective in the treatment of primary premature ejaculation.

The practice of husband and wife in premature ejaculation treatment
Hospital experts proposed: mainly analyze the mental factors leading to premature ejaculation, and then conduct psychological counseling to eliminate the cause to establish normal ejaculation conditioning.

A. The wife must dress herself as carefully as she did in love, and fully mobilize and re-train her husband’s freshness.

B. In the new psychological model, the couple starts from being a lover, making a first love lover, reviewing the love journey, visiting the road of love, and then enjoying the beauty of life from the beginning in a safe and warm family atmosphere.

C. After understanding the causes of sexual dysfunction caused by premarital sex, the two sides should consciously start from reducing the frequency of couples’ life and get rid of the bad mental model established in the past.

D. In the future husband and wife life, the wife should intentionally maintain a sense of distance with her husband, and must not “require the responsiveness”, so that the husband can continue to strengthen the new sexual psychology and sexual physiological signals.

E, intermittent sex law: in the sexual activity in male when ejaculation premonition immediately stop the penis lift and thrust of the penis to stay in the vagina inside the female during sexual arousal vaginal dilation , penis head is not in contact with the vaginal wall, can reduce the glans The stimulation stimulates sexual excitement, and waits until the ejaculation hunch completely disappears and then performs sexual intercourse. Such repeated intermittent sexual intercourse can prevent premature ejaculation.

F, physical therapy: ultra-short wave diathermy therapy in the lumbosacral region , warm water bath, mineral bath, etc. can also assist treatment.

G, pull-down scrotum and testicular method: in sexual activity, men can see the scrotum contraction when the ejaculation is pre-feeling, and the testicles are improved. At this time, the woman can be notified to gently pull the male scrotum and testicles down by hand, which can reduce male sex. Excited to delay the time of ejaculation, to achieve the effect of prevention and treatment of premature ejaculation.

H, using condom sexual intercourse: men wearing condoms for sexual intercourse, can reduce the friction of the penis, thereby reducing the sensitivity of male sexual excitement, prolong sexual intercourse, avoid premature ejaculation.

I. Crushing method: This method is the best method for non-drug treatment of premature ejaculation. It can improve the ejaculation stimulation of males, relieve the urgency of ejaculation, enhance excitability, improve the reflex state of ejaculation , reconstruct or restore Normal ejaculation time, the squeeze method can be carried out by both men and women, but it is better for the woman to perform better than the man alone.

What are the misunderstandings of premature ejaculation?
1, can not cause the woman’s sexual pleasure as premature ejaculation: male and female sexual function play, there is a “men and women slow” characteristics, men manifested as erection quickly, and soon into orgasm and ejaculation; on the contrary, women show sexual excitement It’s slow, it usually takes ten minutes, or even longer, to be late. Therefore, it is not possible to define ejaculation in men as premature ejaculation. This is a natural difference, so it is common for men to have ejaculation and the woman has not reached orgasm at all. For this kind of situation, at most, there is a problem of sexual disharmony in sexual intercourse.

2, the new marriage and premature ejaculation will be a lifetime of premature ejaculation: the wedding stage is prone to premature ejaculation, there are several reasons: First, the sexual excitement during the wedding stage will be particularly high, full of enthusiasm and yearning for sexual life, both fresh and curious, it is easy to stimulate the emission; Second, the semen accumulation in the sexual organs in the unmarried stage can produce fullness stimulation, the new marriage coincides with sex life, and it is easy to ejaculate faster. Third, at the beginning of sexual life, the husband and wife have not yet reached the level of satisfactory cooperation, and the sexual function is exerted. Did not fully enter the normal state, prone to premature ejaculation; Fourth, after all, just started sex life, mental and psychological ideas, such as not knowing that they can’t do it? Is this happening? Is the woman satisfied? Will masturbation in the past hinder things? and many more. This kind of mental factor can interfere with sexual function, and it is justifiable to cause premature ejaculation.

3, long after sexual intercourse, sexual intercourse occurred premature ejaculation, worried about their sexual function has a problem: In fact, the emergence of fast and slow ejaculation time, and the length of the interval between sexual intercourse has an inverse relationship. In other words, sexual life is frequent, the interval between sexual life is short, and ejaculation appears slower during sexual intercourse. On the contrary, there is not much sexual life. Under the condition of “sexual hunger ” in long-term asexual life , sexual excitement suddenly increases, and once sexual intercourse, ejaculation occurs sooner. Therefore, for this kind of premature ejaculation that occasionally has not been sexually active, once sexual intercourse occurs, it cannot be regarded as a sexual function disorder.

4, premature ejaculation refers to premature ejaculation, in fact, this time definition is difficult, the length of ejaculation time during sexual intercourse, individual differences are very large, even the same person, each ejaculation time is not the same. It is inappropriate to measure the length of ejaculation to measure premature ejaculation. It is necessary to consider the differences in age, physical fitness, health, sexual life experience, sexual intercourse and female libido and the speed of erotic orgasm, so it is difficult to develop a Specific ejaculation time standard. According to the survey, normal men’s ejaculation time is generally more than 1 minute to 3 minutes, and some people can be more than 20 minutes to 30 minutes, up to 50-60 minutes. As for the ejaculation within 1 minute, it is also necessary to see whether both men and women can be satisfied. If the two sides cooperate with each other, try to have sexual intercourse in the case that the woman is fully excited. If both parties feel satisfied after ejaculation, they should not be regarded as premature ejaculation. Therefore, it has been suggested that less than 1 minute after the penis enters the vagina, or if the penis twitches less than 15 times in the vagina, that is, ejaculation, also known as premature ejaculation. This opinion is currently debated.

5, some people go to bed before sex, it is easy to have too fast ejaculation, and after waking up in the middle of the night, sexual intercourse, the ejaculation time is longer, this situation should not be regarded as premature ejaculation, it can be done according to the circumstances; another situation is Due to male sexual excitement, the urethral orifice secretes some liquid, which is actually a mucus secreted by glands such as the urethral gland . It cannot be mistaken for premature ejaculation.

Chinese treatment
From the perspective of traditional Chinese medicine, the main cause of premature ejaculation is liver and kidney deficiency. Kidney deficiency can not support the liver very well , the liver system is damaged, and the liver is “circumferentially yin ”, the liver gas is stagnation and cold, and the yang can not Guzhu, it produces premature ejaculation, the treatment method to repel the cold and kidney, the kidney can break the liver stagnation, and also play a role in liver, with Sini Decoction , Baitong Decoction , Fuzi Lizhong Decoction In the middle of the treatment, other symptoms should be used in a timely manner based on the principle of syndrome differentiation.

Traditional treatment room
The motherland medicine believes that the cause of premature ejaculation is nothing more than yin and yang disorders. The disease has the difference between the real and the false : the evidence is that each field is caused by the blazing fire; the deficiency of the syndrome is due to the yin deficiency or impotence or the kidney deficiency . Treatment should be based on adjusting yin and yang. Danxi Yun: The main kidney is also closed, and the liver is also slumbered. The two organs have a phase of fire, and the system belongs to the heart. Although the essence of the essence is in the kidney, the system is in the heart, the fire is moving, and the fire is followed, then the premature ejaculation.

Ancient room home in order to achieve room surgical health purposes and the longevity of Trillium, under the guidance of Xi “fine” idea, the creation of more “is also fine brain”, “mining yin yang ” and qigong of “power “,” “fighting” and emergency measures, although there is a ruin of the side, but the idea of ​​the creation of the ancient house in the home, the yin and qi, the pneumatic yin and other methods, used in clinical treatment of premature ejaculation, each can achieve curative effect, so that ejaculation And the ability to control orgasm is exercised. The above-mentioned methods that are useful for correcting and controlling premature ejaculation in traditional house surgery are outlined below.

First, the transfer of ideas for frequent premature ejaculation or psychological tension, the treatment is to make the patient’s sexual state of mind quiet, so-called “heart is like water”, it can make Yin essence not to vent. “Wang Fang refers to” cloud: “The big mover, squatting head, Zhang eyes, left and right view, shrinking the lower part, closing the air, fine self-stop.” This method can be used for ejaculation too early to control, but can enter the vaginal intercourse. In addition, “Ki Lin Fang Fang ” has a heart-shifting method to Bao Dan : “With Tian Wang Buxin Dan Yi Wan, when you enter the house, your right hand is tightly held, you have to go to the nails , you can pinch it tightly, if you are discouraged, you will not be tested. silver together, solemnly, the heart and inject the fire is not easy to vent, strong long-term nature, terrific. Oral Buzhongyiqitang Jia Cistanche , medlar even better. ” This method can be used for sexual erections when the erection is rapid, but then there is a climax, and the person can’t control himself. Through the transfer of ideas and hints, coordination of yin and yang, thus delaying ejaculation.

Second, suppressing yin and qi squeeze therapy to treat premature ejaculation, which is highly respected by Western medicine. In fact, the ancient Chinese family health care homes have long known about this, but the parts of the ancient house where the ejaculation control is slightly different from the modern sex school. Jin Limeng “Rooms and Benefits” said: “The handover is very urgent, and the two fingers in the left hand, the big veins after the scrotum, long exhaled, and the teeth are ten times, then they apply their essence, and finally do not get.” “Generally Asked for the Birth” also pointed out: “But it is tempting to vent, and the jade stems are rushed back. According to the yin, the three fingers of the right hand are locked in front of the valley road, and a breath is put on the dantian , and a sigh of breath is taken. Less than a few will revitalize the jade stems, according to the front fan drum, if the emotions move to the jade stems, such as tolerate the shape of the stool, luck rises, naturally does not vent.” The ancients proposed the suppression of the scrotum after the big vein, the three fingers in the valley road, the pointed part is later than modern medicine, and its suppressed area is much larger than the simple squeeze of the penis root and the glans, and easy to grasp, so-called “Cheng “Concentration of mind” means controlling the mind and not letting it vent, to calm down the sun. The key to the law is to master the time of suppressing yin. It must be at the beginning of emotion.

The efficacy of the above methods depends on the time of exercise, and generally takes a month or two to be effective. This method is more complicated to use, and it requires the patient to have a certain cultural literacy, in order to have patience and confidence to adhere to exercise, but once mastered the essentials of exercise, persevere, not only premature ejaculation, but also can make the patient energetic and improve The quality of the activity is therefore worthy of advocacy.

Male yoga treatment
For premature ejaculation, you can recover from the umbilical dantian force and straighten your waist. Men’s premature ejaculation has two reasons: First, sexual experience is shallow, easy to excite, autonomic nerves, motor nerves lose balance; second, morbidity, such as phimosis, inflammation, genital skin disease , mental stress and so on. In fact, as long as the posture is good, the waist is stretched straight, and the umbilical dantian force (the collection of autonomic nerves) will not cause premature ejaculation. The hero’s posture is very helpful for men who have premature ejaculation. It is a good idea to do this posture often to build your confidence.

1. Stand upright, leaning forward, with a straight line on the back and hands perpendicular to the ground.

2. The left leg is stepped back, the right leg is bent, and the palms of both hands are laid flat on the ground.

3, the left foot and the foot of the ground, to maintain the balance of the body, raised his arms to straighten to both sides.

4, inhale, slowly raise both hands up, keep your body high, keep your body straight, and return to the original position in ten seconds.

With the same method, the right leg is retracted, the left knee is bent, and the waist and neck must be straight.

Acupuncture massage therapy
Acupressure is also a way to treat premature ejaculation.

(1) Self-health therapy:

Click on the three sides of the two sides , take turns, and press the abdomen to lift the anus. ~2 times a day, ~40 minutes each time.

(2) Seated therapy:

The patient takes a sitting style, closes his eyes and relaxes, and takes the stars , Baihui , Tongtian, Shoujing , Zhongfu , Shenmen , Laogong, etc., using techniques such as point, press, squat, take, vibrate, etc., each time ~40 minute.

(3) Prone therapy:

The patient took a prone position, the belt was loosened, the eyes closed, and the whole body relaxed. Acupoints to Xinyu , liver Yu , Shenshu , Vital , Yang Guan, ring jump , Kunlun , Venezuela . Techniques such as point, press, slap, tap, vibrate, etc. Daily treatment for 30 to 40 minutes, 5 times a week, adhere to treatment for 1 month.

(4) supine therapy:

The patient took the supine, closed eyes and relaxed body. The acupoints are Zhongmu , Qihai , Guanyuan , Zhongji, Tianshu , Zusanli , Sanyinjiao and Yongquan . Take measures such as tapping, clicking, picking, and cutting. Every time ~40 minutes, 5 times a week, adhere to 1 month for a course of treatment.

Autonomous therapy
Avoid misdiagnosing the first sexual intercourse of a newlywed marriage, or the phenomenon of premature ejaculation that occurs when a couple reunited for a long time. Most of them are caused by men’s fullness and excitement, and they cannot be treated as morbid. After sexual life is normal, premature ejaculation will disappear. Premature ejaculation caused by too short a penile foreskin should go to the hospital for surgery.

The secret of coordinating life in premature ejaculation patients

Sexual life can’t be synchronized into orgasm, causing troubles for many couples . This situation is often caused by the husband’s ejaculation too early. How to coordinate the poor sexual desire between husband and wife should start from the following aspects:

(1) Relaxation and lifting method: During the process of sexual intercourse, relax the whole body muscles, especially the muscles of the anus and toe parts, and do not tighten and flex, and the thrusting action should be slow. At the same time, put the gas on the throat, perform the action of closing the air and suffocating , and then slow down the exhalation time. This method is not only used for premature ejaculation caused by excessive sexual impulses, but also for pathological premature ejaculation.

(2) Conceptual transfer method: When sexual intercourse, the man can intentionally avoid the fantasies related to sexual intercourse and think about other issues. When the wife’s orgasm is approaching, immediately move back to the mood and quickly ejaculate. This law should be carried out in the dark to avoid affecting the wife’s emotions.

(3) Intermittent love method: Before the orgasm is approached, stop the penis twitching and repeat the twitch after a while. This way of alternating impacts is particularly irritating to the woman. However, it should be noted that during the sexual intercourse pause, the man should do auxiliary actions, such as touching or kissing the woman’s sexually sensitive area.

(4) Special posture method: In addition to the penis during sexual intercourse, men and women try to reduce the contact of various parts of the body. If the woman kneeling breech , last-man-style knee standing position, or the woman supine knees, the man standing in the progressive (the woman in bed, the man under the bed). In addition, men can apply an anesthetic to the penis head half an hour before sexual intercourse and then wear a condom. This method is also effective.

The above method can prolong the man’s ejaculation time, but it does not mean that the patient does not shoot. The significance lies in coordinating the poor sexual desire of both parties and bringing sexual satisfaction to the couple, especially those with premature ejaculation.

Food therapy
Traditional Chinese medicine treatment of premature ejaculation is often divided into three types, namely kidney deficiency and yang deficiency, yin deficiency and impotence or phase fire. According to different types, patients under the guidance of a doctor should choose Wengan aphrodisiac or nourishing kidney yin medicine or food for treatment.

1. 250 grams of green shrimp, 150 grams of leeks , fried in the usual way.

2. 6 sparrow eggs, 60 grams of sweet distiller’s grains, eat together after cooking.

3. mutton 500 grams, medlar 100 grams, simmer with the soup diet.

4. 8 sparrows, 100 grams of green garlic, cooked or fried according to the usual method.

5. 3 dog penis, baked and researched as fine, each serving 3 grams, yellow wine delivery service; not drinking, can be washed with warm water.

6. A pair of pork loin, 30 grams of walnuts , stewed and eaten.

7. The dog 250 g, black beans 50 grams, with salt, ginger, spiced powder and small amount of sugar, were cooked food.

8. A pair of pork loin, 10 grams of walnut meat , 9 grams of hawthorn meat , or 10 grams of Eucommia , 8 grams of psoralen , included in the pig’s waist, tied, cooked.

9. One pig’s belly , wash, add 10 grams of Cistanche deserticola to the pork belly, boil after cooking, eat meat and drink soup.

10. 150 grams of mutton, 12 grams of yam , 10 grams of Cistanche, 15 grams of dodder , 150 grams of walnuts, 10 scallion , glutinous rice , a total of soup.

11. Astragalus stewed pigeons are 30 grams of scutellaria and scorpion, and 1 pigeon. First slaughter the pigeons, remove the hair and internal organs , wash them, put them in the stew with the northern sorghum and scorpions, add some water and stew the cooked food. Usually 3 times a day for 3 days, 3 to 5 times for a course of treatment. Can benefit Qi and strengthen the spleen , nourish yin and kidney, suitable for spleen and kidney deficiency type premature ejaculation.

12, Longma Tongzi chicken shrimp 50 grams, hippocampus 25 grams, 1 child cock. First slaughter the cock to the hair and internal organs. After washing, the shrimp and seahorse are washed with warm water and then put into the chicken belly. Then add the onion, ginger, MSG , salt , and steamed and cooked. Dumpling ginger, another use starch to thicken the juice and pour it on the chicken to eat. It has the effect of strengthening the spleen and tonifying the kidney , and is suitable for premature ejaculation caused by spleen and kidney yang

13, Chuanchuan Duzhong, pigtails, eucommia, 15 grams of cloth bags, 2 to 3 pigtails to wash hair, add water, add 3 slices of ginger , cooking wine, soy sauce, stir, simmer, add salt a little. Eat pigtail soup, once served, 1 or 2 times a week for 1 month.

14, five sons of solid wine, medlar , golden cherry , raspberry each 15 grams, 12 grams of Xianling spleen . The medicine was chopped, and it was packed in a double gauze bag. It was immersed in 1 liter of white wine and sealed after 3 days. 3 times a day, drink 1 to 2 small cups each time. It has the effect of tonifying kidney and solidifying essence, and is used for premature ejaculation of kidney essence.

15, Rehmannia Morinda wine Rehmannia 45 grams, Morinda 45 grams, 30 grams medlar, aconite 20 grams of camomile flowers 60 grams, Sichuan pepper 20 grams, Curculigo 20 grams. The seven flavors are smashed and smashed in a clean bottle. Use 5 liters of white wine, soak the seal, and open it after 5 days to go to the slag to drink. Drink 1 to 2 small glasses on an empty stomach every morning and evening . The side has the effect of nourishing yin and tonifying the kidney and seeking yang in the yin .

Building a healthy lifestyle
Smoking cessation / alcohol withdrawal: Because smoking can hinder the circulation of blood to the periphery, alcoholism can also lead to slow central response, leading to the disappearance of sexual reactions and premature ejaculation. Therefore, smoking cessation and alcohol treatment for premature ejaculation are urgent.

Prevention and care
Several methods of prevention and care

l. Establish a happy, healthy and harmonious family environment. Pay attention to the mutual care and cooperation between husband and wife. Once you do not ejaculate, you should not blame each other and blame. Instead, you should find out the reasons and work together with the treatment.

2. Pay attention to premarital sex education and sexual guidance. Master some sexual anatomy and sexual life knowledge, understand and master the normal sexual intercourse methods and sexual response process, should not over-regulate sexual life, because the number of sexual life is too small, is not conducive to the release of androgen .

3, pay attention to life to have a regular, strengthen physical exercise, such as tai chi , walking, qigong, etc. are beneficial to self-practical health and mental conditioning.

4, moderate masturbation, moderation.

5, the emotion before sexual intercourse has a great impact on the speed of ejaculation, should avoid anxiety, excitement and tension, to establish confidence, with treatment.

6, the woman must be considerate, comfort, can not blame, threat, otherwise it is contrary to expectations, is not conducive to the recovery of the disease .

7, should not rashly abuse the “aphrodisiac”, even if the state permits, such as the Wan Aike category of drugs, will cause dependence and side effects, such as not eating aphrodisiac to continue premature ejaculation and cause glaucoma .

9. Actively participate in physical exercise, especially qigong training, to improve physical and mental quality and enhance the ability to control minds.

10. Eat more foods that have the effect of tonifying the kidney and solidifying, such as oysters, walnuts, medlar, chestnuts, turtles, clams, pigeon eggs, pork loins, etc.

11. Patients with yin deficiency and fire type premature ejaculation should not eat too hot food, such as lamb, dog meat, sparrow, cattle and sheep whip, etc., so as not to aggravate the condition.

12. Adjust emotions, eliminate tension, inferiority and fear caused by fear of the woman’s pregnancy, or worry about the sexual organs are too small, sexual ability is not strong. Relax when you have sex.

13. Do not indulge, do not fatigue after the house, do not force the exchange.

14. The man suffers from premature ejaculation, and the woman should not blame and blame, so as not to aggravate the psychological pressure of the man.

Related questions and answers
Can ejaculation be considered premature ejaculation?

Many men have such experience. On the wedding night, due to the lack of understanding between the couple, the first-time life is faster when they ejaculate. After cohabitation for a while, ejaculation will be slower. There are still some separated couples who have not had sex for a long time, suddenly meet, ejaculation is faster than normal, and cohabitation has improved for some time. Can this phenomenon be premature ejaculation? It is generally considered that a new marriage or separation is too fast to ejaculate and can not be called premature ejaculation, which is a normal phenomenon. The reason is three sides:

(1) It is a problem of excessive sexual excitement: because the pre-marital stage of love and relatives, whether it is the “strategic” of the brain activity or the sexual organs, is often in a state of high sexual excitement, which is bound to cause sexual ejaculation at the ejaculation center. Among them, the demand for sexual stimulation is reduced, that is, the “threshold” of sexual stimulation is reduced. At the same time, for a married man, the first time to contact the woman in the form of sexual life, this sexual stimulation is both sudden and very strong, it is not surprising that ejaculation is faster.

(2) is to stimulate the accumulation of semen: unmarried men because the genital officer semen production reaches a certain amount, to be discharged in the form of semen. Newly-married men, before the first sexual intercourse, a considerable amount of semen has accumulated in the sexual organs, which can produce a full-bodied stimuli. When it comes to sex, it can’t wait to prematurely discharge.

(3) It is the reason that sexual function has not been functioning properly: here is not a problem of sexual function, but a turning point in which sexual function plays a sexual life. The initial stage may not be fully adapted, and all aspects of neurological and endocrine activities Not all of them have been straightened out. At the beginning, there will be a phenomenon of premature ejaculation. After gradually adapting to the habits, it will return to normal.

Understand the truth, once the ejaculation in the new wedding stage is faster, do not have to worry about this, otherwise misunderstanding the problem of sexual function, causing psychological and mental damage, it will actually induce sexual dysfunction.

Premature ejaculation and impotence?

Impotence is not erect penis during intercourse, or erectile not be strong, or hard and long, and even can not complete normal sexual intercourse a condition one male sexual dysfunction is the most common. Impotence can be treated with erectile-men spray, and the component that helps to prolong the intercourse time for premature ejaculation patients is Van-Vincent.

Is repetitive sexual intercourse the way to treat premature ejaculation?

Repeated sexual intercourse means more than 2 sexual intercourses in one night or in a short period of time. Some people have not achieved orgasm because of the first time of ejaculation, and the ejaculation time is relatively extended during the second sexual intercourse. Therefore, the first sexual intercourse is simply taken as a form, and only in the second sexual intercourse. Acquired satisfaction. However, this method can only be used as a stopgap measure, and should not be used as a routine method to prevent premature ejaculation. If a person is prone to ejaculation before going to sleep, and ejaculation is prolonged during sexual intercourse after waking up in the middle of the night, then the time of sexual intercourse can be changed. If repeated sexual intercourse is not well mastered, the ejaculation will be over-frequency, but it will increase premature ejaculation.

In order to delay the ejaculation time, you can change your position and exercise. Couples should choose the position that women are more susceptible to stimulation and men are less susceptible to stimulation according to their appropriate position. These methods are more effective than repetitive sexual intercourse. Therefore, taking repeated sexual intercourse is an incorrect approach to premature ejaculation.

How to prevent the occurrence of premature ejaculation?

1. Both husband and wife should correctly learn the relevant knowledge, understand the physiological differences between male and female sexual reactions, eliminate misunderstandings, and properly grasp the necessary skills in sexual life.

2. Avoid erotic indulgence, bad habits of excessive feelings, and have a lot of room and life.

3. Occasionally, premature ejaculation, the woman should comfort, understand, care for the man, gentle and considerate to help the man overcome fear, nervousness, guilty psychology, avoid blaming, blaming the man.

4. Actively treat various organic diseases that may cause premature ejaculation, and fundamentally avoid the occurrence of premature ejaculation.

5. Coordinate and coordinate interpersonal relationships, family relationships, and husband-wife relationships, keep a good mood, and strive to create a warm, good family atmosphere and a quiet sexual life environment. Don’t be nervous or anxious about each sexual intercourse. The more nervous you are, the more you think about “can not prematurely vent tonight.” As a result, the psychological suggestion is strengthened, but it is easier to premature ejaculation.

Preventing premature ejaculation and prolonging sexual intercourse should also have a degree. If the time is too long, it will cause women’s excitement and decline, orgasm destruction, attention to distraction, vaginal dryness, physical fatigue, etc. For men, excessive “long-term war” will lead to prostate and testicles. Excessive congestion with the spermatic cord causes the sensation of bulging in these parts the next day, and even induce prostatitis or spermatic inflammation and orchitis .

Is premature ejaculation and ejaculation fast the same thing?

Strictly speaking, there is a difference between the two.

Premature ejaculation refers to the man’s erect penis inserted into the vagina during sexual intercourse or just inserted into the vagina has not been twitched, it has been deflated, and then the penis is weak and can not complete sexual intercourse. Excessive ejaculation means that ejaculation occurs during the duration of sexual intercourse, but sexual intercourse lasts for a short period of time, and the wife with normal sexual function does not reach the orgasm at least in 50% of sexual intercourse opportunities. Therefore, premature ejaculation is not the same as ejaculation too fast. However, there is no significant difference in the treatment between the two, and there is no need to subdivide clinically.

Reasons for young people with multiple mental premature ejaculation

1. Premarital sex: Some young people have sex before marriage. Because of nervousness, excitement comes quickly, rushing to ejaculate, it is difficult to change the established ejaculation method after marriage.

2, the relationship between husband and wife is not harmonious: in a woman-headed family, due to excessive fear of the wife, excessive worship, strong inferiority, or potential hostility to the wife, these will premature ejaculation. When the husband is dissatisfied with his wife, he rushes as a libido and ejaculates quickly. In addition, sometimes the woman has genital tract inflammation, because sexual intercourse can cause pain, so the woman asks to end sexual intercourse as soon as possible and trigger premature ejaculation.

3, the number of sexual intercourse is too small: some people due to work and study life, or the husband and wife separated, or a long-term business travel, because there is no sexual intercourse for a long time, sexual requirements are too strong and easy to premature ejaculation. Some people also worry about premature ejaculation, intentionally reduce the number of sexual intercourse, causing sexual strain to accumulate, but increase premature ejaculation.

4, less heterosexual contact, lack of sexual knowledge: less social interaction with women, too rigid and shy with women, some people lack of sexual knowledge, mysterious sense of sexual organs, easy to panic caused by premature ejaculation.

5, sexual intercourse suddenly interrupted: Some people do not want to take the marriage application of condoms and placed contraception contraceptive ring, but with the coitus interruptus method of contraception, because the two sides is very nervous to concentrate on the withdrawal of the penis body on the outside ejaculation, the man Too much tension can easily lead to early ejaculation.

6, self-righteous “body deficiency”: Some people see the semen shot during sexual intercourse is particularly heavy, by the “one drop of fine, ten drops of blood”, worried that sex life will damage the body. Excessive worry can cause premature ejaculation, but excessive indulgence can cause premature ejaculation.

to sum up
(1) The definition of premature ejaculation is still controversial (2) Treatment: (1) Self-adjustment of sexual processes: The most common method is to divert attention and reduce sensitivity by distracting methods. Additional sexual techniques include shortening foreplay time, reducing twitching power, intermittent twitching or intermittent insertion. Other methods include applying condoms, drinking alcohol, and taking over-the-counter anesthetics. These treatments have limited effectiveness. The drug treatment is effective, but there are adverse reactions.

(2) Sexual Skills Training: The most widely used sexual skill training is the stop and squeeze technique. Its main function is to familiarize the patient with the feeling of ejaculation and to improve the ejaculation of the patient by exposure to the gradually increasing stimuli. There are similar methods, such as reducing the muscle strength of the whole body and slowing down the respiratory rate, so that the patient maintains sexual excitement below the field value of ejaculation reflex. The current research proves that the effect of this method is similar to the stop-and-go technique, and it is better than the stop-and-go technique. Get higher sexual satisfaction. Therapist should choose a treatment based on the patient’s condition and his or her own experience.

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