The so-called premature ejaculation means that the male friend's penis has not yet been inserted into the vagina, and the woman has not yet reached orgasm, but has already ejaculated. Some men cannot even complete sexual intercourse, and some have no chance of contact between the penis and the woman. There are many reasons for this symptom. Symptoms: 1. Premature ejaculation refers to the sexual disharmony caused by premature ejaculation after the penis is inserted into the vagina, before the woman reaches orgasm, and the man's sexual intercourse time is less than 2 minutes. 30% of men have this problem. Although the problem is small, it makes the quality of sex life low and may also cause other sexual dysfunctions such as impotence. The consequences are serious and should be taken seriously and treated early. It is generally believed that premature ejaculation refers to the phenomenon that men ejaculate after the penis is erect and before entering the vagina, or when it is properly inserted, or when it has just entered but has not yet twitched, and the penis naturally becomes soft and enters the refractory period. Clinically, premature ejaculation is diagnosed when the penis ejaculates before entering the vagina after erection. If a man who can penetrate the vagina and ejaculate quickly without moving for a few times is also defined as premature ejaculation. 2. 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. 3. 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. feature: 4. 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 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. 5. 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. |
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