Premature ejaculation desensitization training

Many people don't know much about premature ejaculation desensitization training. The popular understanding of premature ejaculation is that the duration of sexual life is relatively short. There are many people suffering from this disease. In the past, some people were relatively backward and had insufficient knowledge of this disease. Many people were embarrassed to talk about it, resulting in delayed treatment and difficulty in cure. Desensitization training can have a certain therapeutic effect on premature ejaculation. Let's take a closer look at premature ejaculation desensitization training.

Premature ejaculation (prospermia) is the most common ejaculation dysfunction, with ejaculation at the beginning of sexual intercourse, or even before sexual intercourse, and inability to have normal sexual life as the main manifestations. The incidence rate accounts for more than 1/3 of adult men. The definition of premature ejaculation is still controversial. It is usually evaluated by the male's ejaculation latency or the frequency of female orgasm during sexual intercourse. For example, if the male loses the ability to control ejaculation during sexual intercourse, ejaculation before or just after the penis is inserted into the vagina is used as the standard; or if the frequency of female orgasm during sexual intercourse is less than 50%, it is used as the standard to define premature ejaculation, but these are not generally accepted. Because the male ejaculation latency is affected by factors such as age, abstinence, physical condition, and emotional psychology, the frequency of female orgasm is also affected by factors such as physical condition, emotional changes, and surrounding environment. In addition, the length of the ejaculation latency period also varies from person to person. It is generally believed that it is normal for a healthy man to ejaculate 2 to 6 minutes after the penis is inserted into the vagina.

Categories:

1. Primary premature ejaculation

That is, from the first sexual experience, premature ejaculation continues to occur, almost every sexual intercourse, and with every sexual partner, ejaculation occurs quickly, and the delay time of the bulbocavernous reflex (BCR) is short.

2. Secondary premature ejaculation

It means that before premature ejaculation occurs, there was a period of normal sexual function. It may appear gradually or suddenly. It may be secondary to urological diseases, thyroid diseases or psychological diseases, and the delay time of the bulbocavernous body reflex is longer.

3. Situational premature ejaculation

The ejaculation time of these patients varies, and premature ejaculation sometimes occurs. This premature ejaculation is not necessarily a pathological process.

1. Psychological therapy

The cooperation of both husband and wife is required, especially the wife's participation in the treatment is very important. The psychological treatment of premature ejaculation requires the cooperation of the patient's wife. Because the woman's misunderstanding or complaint will increase the man's tension and anxiety, and increase the psychological burden. The woman should be considerate and caring, give verbal and behavioral comfort, relieve the man's tension, and help him build confidence in the cure. The couple should be informed that premature ejaculation is a relatively common problem. Both husband and wife need to understand the necessity and possibility of rebuilding the conditioned reflex of ejaculation, eliminate the patient's abnormal psychology such as anxiety, uneasiness, and guilt, and build confidence in curing the disease. As long as both parties cooperate with the treatment, it can still be cured.

2. Behavioral method guidance

The purpose of the sexual concentration training therapy is to teach patients to experience and enjoy sexual pleasure and overcome psychological barriers through tactile stimulation such as hugging, caressing, and massage. You can also pull the scrotum and testicles downward before reaching orgasm, or use the thumb and index finger to press and squeeze the glans to reduce sexual excitement, and the erection hardness can also be reduced by 10% to 25%. After long-term training, sexual intercourse is performed in the woman-on-top position, and the training is still repeated in the form of twitching-stopping-twitching again, gradually improving the ejaculation stimulation threshold, so that ejaculation can be achieved only after a more satisfactory artificial control.

(1) Semans technique training is a stop-and-start therapy. When the woman stimulates the penis until she is about to ejaculate, the man signals to stop stimulation immediately. When the premonition of ejaculation disappears completely, stimulation is resumed. This is repeated until the man can accept a large amount of stimulation, and then he is allowed to ejaculate. This method can increase the ejaculation threshold. After successful treatment, control training should be performed once a week.

(2) Penis head squeezing method is also called tolerance training. When the woman stimulates the penis until she feels that ejaculation is imminent, she places the tip of her thumb on the frenulum of the penis, and the tip of her index and middle fingers on the upper and lower edges of the coronal sulcus on the other side of the penis, applying pressure from front to back, to the extent that the man can tolerate, for about 3 to 4 seconds each time, which can relieve the urgency of ejaculation. If the treatment is continued for 3 to 6 months, a long-lasting and stable therapeutic effect can be achieved.

3. Oral medication

At present, drug treatment mainly includes 5-hydroxytryptamine reuptake inhibitors such as sertraline and paroxetine; tricyclic antidepressants such as clomipramine and fluoxetine, etc. However, these drugs have certain side effects and must be taken under the guidance of a doctor.

4. Topical medication

It is mainly a local anesthetic, which can be applied to the glans penis before sexual intercourse to delay the latent period of ejaculation through local anesthetic effect. Topical drugs include 1% dyclonine solution, 1% tetracaine solution, 2% lidocaine gel, 3% ethyl aminobenzoate, etc. After using local anesthetics, condoms can be used or not. If condoms are not used, wash the residual drugs on the penis. It should be noted that excessive extension of anesthesia time (30-45 minutes) can lead to the disappearance of erection, because too long anesthesia time will make a considerable number of people feel numb in the penis. If the residual drugs on the penis are not thoroughly washed before sex (without condoms), the diffusion of the local anesthetic residues of the penis can also cause numbness of the female's vaginal wall and reduce sexual pleasure. This treatment is contraindicated if the patient or sexual partner is allergic to local anesthetics.

5. Transurethral drug administration (MUSE)

It can also be used to treat premature ejaculation.

6. Dorsal penile neurectomy