Views:7 Author:Site Editor Publish Time: 2020-11-06 Origin:Site
A harmonious and happy family is inseparable from the harmony of married life, but in recent years, andrological diseases have increasingly become an important factor threatening male physical and mental health and family harmony. Among them, "premature ejaculation" is a hidden word for many men.
For this reason, they often choose to go to men's hospitals on the Internet or on the streets to seek remedies. However, searching for the keyword "premature ejaculation" on search engines is overwhelmingly filled with advertisements for male hospitals or health care products. It is not easy to find reliable information from them.
In fact, many times, what you think of as "premature ejaculation" may not necessarily be true premature ejaculation.
Weapon of international experts:
Dr. Stein believes that premature ejaculation generally refers to completing ejaculation before entering the vagina. According to the latest international definition, premature ejaculation needs to meet three points at the same time: ejaculation always or almost always occurs before the penis is inserted into the vagina or within 1 minute after insertion; each or almost every intravaginal intercourse cannot delay ejaculation; causing negative effects, Such as distress, worry, frustration, or avoiding sex.
Dr. Stein pointed out that anxiety can also cause a shorter sex life. Consider taking psychotropic drugs such as "Zoloft (sertraline)" to relieve anxiety. The short sexual life of some patients is caused by serotonin reneural energy metabolism disorder (adjustment). Sertraline and other serotonin reuptake inhibitors can delay ejaculation to a certain extent.
If further treatment options do not significantly improve the problem of short sexual life, Dr. Stein suggested that lidocaine ointment can be rubbed on the penis head, which can also help prolong the erection time.
For the problem of poor urination, taking xylodosin can improve urination problems. However, Dr. Stein pointed out that considering a potential side effect of the drug-no semen discharge during orgasm, replacing xylodosin with alfurazosin can have the same therapeutic effect of improving urination, but there will be no lack of semen discharge. side effect.
Regarding whether physical exercise is helpful for prolonging sexual life, Dr. Stein said that exercise is beneficial to physical function, but it does not necessarily improve significantly.
There are many differences between Chinese and foreign urology and andrology diagnosis and treatment in terms of concept, culture, technology, etc. Many male patients have obtained the diagnosis and treatment plan of international authoritative urology and andrology experts through the international remote consultation of good doctors, and achieved good results. How to solve the problem of premature ejaculation?
For the problem of premature ejaculation, individualized treatment is the key. Since each patient's situation is different, it is necessary to tailor a suitable treatment plan, comprehensively using drug therapy, behavioral therapy, psychological intervention, surgery, and acupuncture.
As mentioned earlier, many patients with premature ejaculation are caused by serotonin reneural energy metabolism disorders, and serotonin reuptake inhibitors (SSRIs) are mainly used for treatment, which can prolong ejaculation time. The aforementioned antidepressant sertraline belongs to this class of drugs.
There is also an internationally recognized safe and effective SSRI drug dapoxetine for premature ejaculation. However, the specific situation of each patient is different, and the doctor will eventually formulate a comprehensive treatment plan.
2. Psychological intervention
Men with premature ejaculation tend to be more introverted, sensitive, and even pessimistic. Most patients can recover their normal ejaculation time after a period of adaptation, but some patients have psychological barriers due to the short ejaculation time, which can worsen the condition. If necessary, you can seek help from psychiatric experts and receive professional psychological intervention.
3. Behavior therapy
There are also some behavioral therapies that can be used as a supplement to drug treatment, including active stop, glans squeeze, etc. Wearing a condom during sex can also help extend the time.
Premature ejaculation also has a lot to do with the woman. Some women have conservative personalities, and because of various reasons, they are burdened with thoughts, which may cause or aggravate male premature ejaculation. Therefore, it is also very important for husband and wife to govern together, communicate and cooperate.
5. Surgery requires caution
In addition, some patients with premature ejaculation have even been willing to suffer a knife to undergo a kind of surgery: dorsal penile neurotomy in order to regain their power. The dorsal penile nerve is the nerve that controls the sensation of the glans. This operation blocks the dorsal nerve of the penis to reduce the local sensitivity of the penis, thus theoretically extending the time of sexual intercourse.
However, the efficacy and safety of this operation have not been recognized by the industry.
The 2014 Guidelines for the Diagnosis and Treatment of Premature Ejaculation clearly pointed out: Resection of the dorsal nerve of the penis may lead to permanent loss of sexual function and is not recommended for the treatment of premature ejaculation. For permanent loss of sexual function, the majority of male compatriots must be cautious to avoid regretting for life.
Don't talk about heroes in terms of strengths and weaknesses! The pure duration of sexual intercourse should not be the only basis for evaluating whether there is premature ejaculation. If you have any questions, please go to a regular hospital to find a specialist for help. There is nothing to be embarrassed about. It is very likely that you are not premature ejaculation, but don't let yourself suffer injustice