What causes premature ejaculation in men?

Some men will experience symptoms of premature ejaculation, and gradually become unconfident and afraid to have contact with women, which seriously affects their sexual happiness. Therefore, they will think about treatment. If you want treatment, you must first figure out the cause of premature ejaculation. Generally, the cause of premature ejaculation is mental reasons or pathological changes. Foreskin that is too long may also cause premature ejaculation.

Causes of Premature Ejaculation

Three major factors that cause premature ejaculation:

1. Mental factors: This type of premature ejaculation can also be called psychological premature ejaculation. There are many mental factors that cause premature ejaculation in men. It should be noted that men's nervousness about sex will continue and will not change immediately due to changes in the sex environment. At the same time, long-term sexual failure will have a counter-effect, causing a vicious psychological cycle for patients.

2. Other factors: Excessive stimulation of the glans penis by excessive foreskin, tight underwear, etc. can cause premature ejaculation in men.

3. Organic lesions: Many male diseases can reduce the central excitement of male ejaculation, which means that ejaculation is more likely to occur, such as urethritis, seminal vesiculitis, prostatitis and other inflammations.

Symptoms of premature ejaculation

The clinical manifestation of premature ejaculation is mainly premature ejaculation. It is generally believed that premature ejaculation refers to the phenomenon that men ejaculate after erection but before penetration, or when the penis is inserted or just after penetration but not twitching, and naturally become limp and enter the refractory period. Clinically, premature ejaculation is diagnosed when the penis ejaculates before penetration. The main symptoms of early premature ejaculation in men are depression, dizziness, fatigue, ejaculation before orgasm after touching or just touching the female vulva, or after a short time, and long-term lack of energy, restless sleep, thin and cold semen, etc.

Premature ejaculation examination

Physical examination and laboratory examination are not as important as medical history in diagnosing premature ejaculation. When patients with premature ejaculation undergo physical examination and laboratory examination, the results of the examination are usually normal. Nevertheless, a simple examination of the external genitalia is still necessary. If the patient has symptoms of erectile dysfunction in addition to premature ejaculation, necessary auxiliary examinations should be carried out according to organic erectile dysfunction, such as sex hormone examination, neuroelectromyography examination and penile vascular examination, so as to find the exact cause of erectile dysfunction and carry out targeted treatment. For 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 an erection will be enhanced, and the problem of premature ejaculation will be solved accordingly.

Diagnosis of Premature Ejaculation

The diagnosis of premature ejaculation is mainly based on the patient's description of the medical history. Detailed medical history inquiry is the basis for the diagnosis and treatment of premature ejaculation. The diagnosis of premature ejaculation is based on a complete medical history. Any patient with premature ejaculation should be asked about his medical history in detail.

From the medical history, premature ejaculation can be simply divided into two types: primary premature ejaculation and secondary premature ejaculation. Primary premature ejaculation refers to the patient's premature ejaculation problem since the beginning of sexual experience, while secondary premature ejaculation refers to the patient's previous successful sexual experience. Generally speaking, secondary premature ejaculation is easier to find the cause and treat, and has a better prognosis.

The content of the inquiry should include the frequency of premature ejaculation and the duration of the disease, the strength of sexual stimulation when premature ejaculation occurs, the specific external environment or even the specific sexual partner that is prone to premature ejaculation, and the impact of premature ejaculation on sexual behavior. These are the key points of the medical history inquiry. In addition, the patient's general health condition is also necessary to understand whether there are other diseases that are likely to induce or cause premature ejaculation. For example, patients with coronary heart disease may have premature ejaculation because they are afraid that excessive sexual stimulation will cause a myocardial infarction. This premature ejaculation problem often heals naturally after the myocardial infarction is treated. When inquiring about the medical history, it is also necessary to understand some aspects of the patient's usual sexual life, including foreplay, masturbation and sexual intercourse, relationships and interactions between sexual partners, as well as the patient's interpersonal relationships, work situation, etc., which should be inquired and evaluated separately. For patients with primary premature ejaculation, special inquiries should be made about the patient's family history and growth history. The growth background in childhood and the mental trauma suffered in the past will often affect the sexual life in adulthood. For patients with secondary premature ejaculation, special attention should be paid to distinguish whether the disease they suffer from is premature ejaculation or erectile dysfunction. Of course, there are also many patients who have both premature ejaculation and erectile dysfunction.

Physical examination and laboratory examination are not as important as medical history in diagnosing premature ejaculation. When patients with premature ejaculation undergo physical examination and laboratory examination, the results of the examination are usually normal. Nevertheless, a simple examination of the external genitalia is still necessary. If the patient has symptoms of erectile dysfunction in addition to premature ejaculation, necessary auxiliary examinations should be carried out according to organic erectile dysfunction, such as sex hormone examination, neuroelectromyography examination and penile vascular examination, so as to find the exact cause of erectile dysfunction and carry out targeted treatment. For 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 an erection will be enhanced, and the problem of premature ejaculation will be solved accordingly.

It should be distinguished from the following aspects:

1. Impotence

Erectile dysfunction refers to the inability of the penis to erect, or the inability to have sexual intercourse due to weak erection. Premature ejaculation refers to the ability of the penis to erect during sexual intercourse but premature ejaculation affects normal sexual intercourse. The two are closely related and often occur one after another or simultaneously. If premature ejaculation develops further, impotence may occur. Clinically, premature ejaculation is a common cause of impotence. It is caused by excessive sexual excitement. Excessive sexual excitement causes The burden on each central nervous system is too heavy, which gradually leads to exhaustion and enters a state of inhibition. At this time, impotence may occur. Premature ejaculation is mainly functional. In addition to functional impotence, some of it is organic. The prognosis of premature ejaculation is better after treatment with medication, psychotherapy and sexual behavior therapy. The prognosis of functional impotence is better, while the prognosis of organic medication and psychotherapy is poor or even ineffective.

2. Sperm

Spermia is the frequent leakage of semen without sexual intercourse, while during sexual intercourse, ejaculation can be completely normal; premature ejaculation is the inability to complete the normal sexual intercourse process when one is ready for sexual intercourse and ejaculates too quickly before or after sexual intercourse. Clinically, both are often seen together.

Treatment of premature ejaculation

1. Drug treatment

Mainly use some antidepressants and sedatives, and for those with organic lesions, use some antibiotics to treat the primary disease.

2. Psychological treatment

The main focus is to analyze the mental factors that lead to premature ejaculation, and then provide psychological counseling to eliminate the causes and establish normal ejaculation conditioned reflexes.

(1) After both parties understand the causes of sexual dysfunction caused by premarital sex from a sexual psychology perspective, they should consciously start by reducing the frequency of sexual intercourse and get rid of the unhealthy sexual psychology patterns that were previously established.

(2) When creating a new sexual psychology model, the couple starts from being lovers and first lovers, reviewing the love process and walking the road of love. Then, both parties start from the beginning in a safe and warm family atmosphere and fully enjoy the beauty of life.

(3) The wife should dress herself up as carefully as she did when they were in love, so as to fully mobilize and re-cultivate her husband’s sense of novelty towards her.

(4) In the future married life, the wife should intentionally maintain a sense of distance from her husband and must not "respond to every request" so that the husband continues to strengthen new sexual psychological and physiological signals.

3. Behavioral therapy

(1) Reduce the sensitivity of the glans penis by using some anesthetic or similar drugs.

(2) Through the wife's repeated training of the penis, the urgency of ejaculation can be delayed and the ejaculation threshold can be increased.

A. Intermittent intercourse: During intercourse, when the man has a premonition of ejaculation, he should immediately stop the penis and leave it inside the vagina. When the woman is sexually excited, the vagina expands and the penis head does not touch the vaginal wall, which can reduce the stimulation of the glans and reduce sexual excitement. Wait until the premonition of ejaculation disappears completely before having intercourse. Repeated intermittent intercourse can prevent premature ejaculation.

B. Physical therapy: Lumbar ultrashort wave diathermy, warm water bath, mineral bath, etc. can also assist in treatment.

C. Pull down the scrotum and testicles: During sexual intercourse, when the male feels the ejaculation coming, the scrotum will shrink and the testicles will rise. At this time, the female can be notified to gently pull down the male's scrotum and testicles with her hands. This can reduce the male's sexual excitement, delay the ejaculation time, and achieve the effect of preventing and treating premature ejaculation.

D. Use condoms for sexual intercourse: When men use condoms for sexual intercourse, it can reduce the friction of the penis, thereby reducing the sensitivity of male sexual arousal, prolonging the duration of sexual intercourse and avoiding premature ejaculation.

E. Squeezing method: This method is the best non-drug treatment for premature ejaculation. It can increase the male's ejaculation stimulation value, relieve the urgency of ejaculation, enhance sexual excitement, improve the reflex state of ejaculation, and rebuild or restore the normal ejaculation time. The squeezing method can be performed by both men and women, but it is more effective when performed by women than by men alone.

(3) Change the sexual intercourse movements from slow to fast, reducing large movements to delay ejaculation.

4. Surgical treatment

Dorsal penile nerve block is a surgery for primary premature ejaculation in men. The surgery takes a short time and has the following advantages:

(1) No age limit. There is no strict age limit for the surgery. Any adult male with sexual function who suffers from persistent premature ejaculation can consider the surgery.

(2) The surgery is safe and will not cause impotence or male infertility. Since the male erectile function is formed by the hyperemia and swelling of the corpus cavernosum of the penis under the action of hormones, it will not be affected by this surgery. Also, since sperm is formed in the testicles and discharged from the body through the reproductive tract, this surgery is to make a very superficial incision horizontally at the coronal sulcus, which does not damage the testicles and reproductive tract, so it will not affect the male's reproductive function.

(3) Quick recovery. The surgical incision is very small, generally 1-2 cm, and is sutured with catgut sutures, which causes almost no damage. No rest is required after the operation. The dressing is changed the next day or on the third day. The incision should not be exposed to water. After a week, the sutures will fall off naturally and you can take a shower.

(4) High technical content and no complications. This surgery has not been around for long. Doctors abroad began to try this surgery 10 years ago. Currently, only a handful of hospitals can perform this surgery. Therefore, it is still an international cutting-edge technology. Doctors who can skillfully perform this surgery are rare. Patients must choose a reliable doctor to ensure the effectiveness of the treatment.

Premature ejaculation health care

General Care

1. It is not advisable to have sex too early. Generally speaking, men do not reach maturity until they are 24 or 25 years old. If they have sex too early, their sexual organs will not mature yet, which will deplete their sperm and easily cause sexual dysfunction to varying degrees. After adulthood, they are prone to premature ejaculation, impotence, backache, and aging.

2. To prevent premature ejaculation, you should do self-examination regularly. Medical research has shown that the cure rate of testicular cancer, penile cancer, etc. is very high if they are discovered in the early stage. Once they develop to the late stage, the treatment effect is not ideal. Therefore, men over 35 years old may wish to check their external reproductive organs regularly.

3. Avoid unclean sexual intercourse. Many sexually transmitted diseases in men, such as syphilis and gonorrhea, are related to unclean sexual intercourse. Unclean sexual intercourse not only makes it easy for you to get sick, but also spreads diseases to your wife and even children, which is extremely harmful. Do not do it with a lucky mentality.

4. Do not have sex too frequently. A moderate sex life can bring people a pleasant mood and experience, and is good for the body and health. However, if you indulge in lust without restraint, the reproductive organs will be congested for a long time, which will cause sexual function decline, and easily lead to prostatitis, prostate hypertrophy, impotence, premature ejaculation, and inability to ejaculate.

5. Paying attention to sexual organ hygiene can prevent premature ejaculation. Paying attention to sexual organ hygiene is not only a matter for women, but also for men. Especially for those with long foreskin, they should often remove the smegma, because smegma is not only easy to cause penile cancer, but also easy to cause cervical cancer in wives.

6. Never wear jeans or tight pants every day. Medical research shows that the male reproductive system requires low temperatures. Frequently wearing jeans will make the local temperature too high, which is not conducive to sperm formation. Therefore, it is not advisable to wear jeans often, especially in summer and when the climate is humid.

Daily Health

1. Health care methods for premature ejaculation: Correct understanding and attitude towards sex life. Both husband and wife should correctly learn and master the knowledge about sex, understand the physiological differences in sexual response between men and women, eliminate misunderstandings, and properly master the necessary skills in sex life.

2. Whether the mood before sexual intercourse is normal or not has a great impact on the speed of ejaculation. Emotional excitement and tension often lead to premature ejaculation. Excessive sexual intercourse movements increase the intensity of stimulation and often accelerate ejaculation, so cooperation is required between both parties.

3. Health care methods for premature ejaculation: Avoid masturbation and moderate sexual intercourse, which is beneficial to the prevention and treatment of premature ejaculation. Avoid pornographic indulgence, excessive emotions, overcome the bad habit of excessive masturbation, and have moderate sexual intercourse and regular daily life.

4. Quit drinking and avoid spicy food. Eat more seafood, soy products, fish and shrimp and other foods that help to boost yang and replenish essence to strengthen your body.

5. Actively treat various organic diseases that may cause premature ejaculation to fundamentally avoid the occurrence of premature ejaculation.

Diet therapy

1. Stir-fried shrimps and leeks: 250 grams of shrimps and 150 grams of leeks, stir-fry as usual.

2. 500 grams of mutton and 100 grams of wolfberry, stew together and drink the soup.

3. Pigeon Soup: 30g each of northern astragalus and wolfberry, 1 pigeon. Kill the pigeon, remove the hair and internal organs, wash it, put it in a stew pot with northern astragalus and wolfberry, add appropriate amount of water and stew it for consumption. Generally, stew it once every 3 days, and 3 to 5 times is a course of treatment. It can replenish qi and strengthen the spleen, nourish yin and tonify the kidney, and is suitable for premature ejaculation due to deficiency of both spleen and kidney.

4. Suitable food

(1) Choice of staple food and beans: polished japonica rice, millet, sorghum rice, cornmeal, black beans, water chestnut, coix seed, etc.

(2) Choice of meat, eggs and milk: lamb, dog meat, animal kidneys, fish roe, oysters, turtles, clams, pigeon eggs, pig kidneys, etc.

(3) Vegetable choices: white beans, yam, leek, onion, celery, asparagus, scallion, mushrooms, etc.

(4) Choice of fruits: mulberries, strawberries, dates, black dates, etc.

(5) Others: walnut kernels, pine nuts, chestnuts, sesame seeds, hazelnuts, etc.

5. People with premature ejaculation should avoid eating the following foods:

(1) Sesame: According to previous experience, people with spermatorrhea should avoid eating sesame. For example, Bencao Congxin says: "Sesame is not suitable for people with weak essence and qi." Bencao Qiuzhen also warns: "If the lower essence is not strong and there are symptoms of loose stools, impotence, loose sperm and leucorrhea, it is not suitable to eat it."

(2) Shrimp: It is warm in nature, sweet and salty in taste, and has the effect of nourishing the kidney and invigorating yang. Eating too much shrimp will aggravate the tendency of yin deficiency and excessive fire and the tendency of the fire to move recklessly. Therefore, people with spermatorrhea, premature ejaculation, and abnormal penile erection should avoid eating too much shrimp.

(3) Pine nuts: According to previous experience, people with spermatorrhea and premature ejaculation should not eat too much pine nuts. As the Qing Dynasty physician Wu Yiluo said in "Ben Cao Cong Xin": "People with loose stools and slippery semen should not eat this pine nuts." This is because it is oily and slippery.

(4) Water chestnut: commonly known as water chestnut melon. People with impotence and spermatorrhea should avoid eating it. As the Tang Dynasty physician Meng Shi said: "Water chestnut is slippery in the middle, so don't eat too much. It is slippery in nature and will give off a chill, causing coldness in the lower part of the body and damaging the yang channel." The "Sui Xi Ju Yin Shi Pu" also clearly warns: "People with slippery spermatorrhea should not eat it."

People with heart-kidney disharmony, premature ejaculation and premature ejaculation should avoid eating foods such as scallions, ginger, garlic, chili peppers, pepper, cinnamon, prickly ash, cloves, fennel, onions, bird meat, mutton, dog meat, tobacco and alcohol, which help fire to stimulate yang and harm yin. People with premature ejaculation and premature ejaculation due to kidney deficiency should avoid eating cold drinks, snails, crabs, persimmons, river clams, ducks, winter melons, etc., which are cold and can damage yang. , cucumber, eggplant, mung bean, mung bean sprouts, tofu, sweet potato, loofah, raw radish, bitter gourd, water chestnut, persimmon cake, water shield, amaranth, bamboo shoots, gourd, ground ear, cucumber, chrysanthemum, honeysuckle, mint, watermelon, banana, grapefruit, American ginseng, raw rehmannia, white chrysanthemum, lettuce, water celery, clam meat, snails, oysters, meat and other foods.