What are the symptoms of premature ejaculation?

Premature ejaculation has a great impact on male sexual ability and is also detrimental to the harmony of couples' sexual life, because it usually manifests itself in women's inability to reach orgasm and men's premature ejaculation. Therefore, it is important to clearly understand these reasons and solve them correctly.

1. 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.

2. 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.

3. What points should doctors pay attention to when asking about the patient's medical history? The questions should include the frequency of premature ejaculation and the duration of the disease, the intensity 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 medical history inquiry. In addition, the patient's general health condition is also something that needs to be inquired about to understand whether there are other diseases that are likely to cause 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 occurs in patients with myocardial infarction. The disease will heal naturally after treatment. When inquiring about the medical history, we should also understand some situations in the patient's usual sexual life, including foreplay, masturbation and sexual intercourse, the relationship and interaction 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 is premature ejaculation or erectile dysfunction. Of course, there are also many patients who have both premature ejaculation and erectile dysfunction.

4. 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 genital examination 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.