Closely with the two sides, but also to extend the sexual intercourse, so that they can be sexually satisfied. Sexual intercourse to avoid over-excited when you are about to ejaculate, stop mentioning insert penis in vagina, and distracting from the genitals up on the shift to non-sexual organs, a result of too much sex or masturbation causing premature ejaculation long term, appropriate, and to abstain from abstinence masturbation will gradually reduce premature ejaculation. Premature ejaculation caused by organic disease, in response to causes of treatment.

Western medicine treatment:

A, internal medicine: In order to reduce the excitability, can give a small dose of anti-anxiety drugs or sedatives. Can choose one of these:

3 Bromo-piece 0.1 to 0.3 grams, 3 times a day.

Luminal 0.03 grams, 3 times a day.

Oryzanol 10 mg, 3 times a day.

Propantheline 30 mg, 20 mg Gary Ling sleep, night time.

1 hour before sexual intercourse oral thioridazine 25 mg to suppress ejaculation.

B, for external use: 0.5 ~ 1 hour before sexual intercourse, wash the penis glans, Tu-point anesthesia cream, such as the 1% Dyclonine ointment, or 1% tetracaine, or 2% of cocaine, pay attention to only a small amount of drug coated tip glans penis can not be multi-coated, or reduce the ejaculation response, or even lead to ejaculation, but also affect the erectile function, so that an erection will not be strong.

Traditional Chinese medicine treatment:

The treatment of premature ejaculation with erectile dysfunction in general, as that premature ejaculation is often a precursor to impotence, both basically the same in the cause of medical records.

A, relative to the fire hyperactivity: eroticism, Yaoxisuanruan, five upset hot, dizzy dizziness, Mu Chi tinnitus, facial Hongre, mouth pain throat, tongue red moss yellow, pulse string. Zhi Bai Di Huang Tang choice (Rehmannia, Chinese yam, Cornus officinalis, Cortex Moutan, Poria, Alisma, Treats, Anemarrhena) plus keel, oysters and so on.

B, kidney is less than: loss of libido, waist and knee pain, looking dull, abdominal Juji, stool pond pool, urinary frequency, female, after I Lek, impotence and premature ejaculation, pulse slim and fragile. Selected Jingguishenqi pill (in yellow, dogwood, Alismataceae, paeonol, cassia twig, with a film, yams) Gaza Court Tribulus terrestris, keel, oysters and so on.

C, kidney yin inadequate: penile erection will not be strong, Yaoxisuanruan, less sleep soundly forgetfulness, dizziness, tinnitus, deafness, hot flushes and night sweats, hot hand, foot and heart, tongue red moss yellow, veins breakdown. Use Liu Wei Di Huang Wan (Rehmannia, Cornus, yams, Alisma, Poria, paeonol) Jiawu Mei meat.

D, Heart and losses: premature ejaculation, shortness of breath, fatigue, looking Shaohua, palpitation, abdominal distension and loose stool, less sleep soundly many dreams, eat less torpid intake, dizziness forgetfulness, pale tongue, thin pulse. Choose the spleen and Tang (ginseng, astragalus, Atractylodes, Licorice, longan meat, Zao Ren, Polygalaceae, Fu Shen, Chinese angelica, costas, ginger, jujube) plus Rosa laevigata, Gorgon, Calcined keel, Duan oysters.

First, the definition of premature ejaculation

China’s urology Andrology experts believe that premature ejaculation, the penis into the vagina means that within one minute, or less than fifteen times in the vagina to ejaculation tic. There are kinds of more rigorous argument is not inserted into the vagina on the penis is called premature ejaculation ejaculation had. The definition of foreign experts, 50% of the sexual opportunities that did not allow female partner to reach orgasm is called premature ejaculation. Thus, the definition of premature ejaculation at home and abroad of the diagnostic criteria vary, but the rapid ejaculation brought embarrassment to the men, but it is a common confusion men at home and abroad.

2, Western Etiology and Pathogenesis

(A) the psychological causes of premature ejaculation

1, anxiety and depression:

Because of anxiety and premature ejaculation are the same as the sympathetic regulation.

① hasty marriage intercourse often carried out under the nervous seek rapid ejaculation (premature ejaculation) in a conditioned reflex, once formed, even if the marriage sex life too fast ejaculation difficult to change bad habits.

② sex number is too small, if caused by excessively strong sexual arousal (sympathetic excitation) and easy to ejaculate too quickly (premature ejaculation).

③ interpersonal relationships, family relationships, marital relations are not harmonious, resulting in anxiety, tension, fear will cause premature ejaculation.

④ a lack of self-esteem, frustration, guilt, stigma, depression and feelings of self-sorrow and so on, can cause rapid ejaculation.

⑤ lack of sexual knowledge, sexual skills and experience, but also the reasons for rapid ejaculation.

2, masturbation habits:

Because when you masturbate more afraid of being discovered and ridiculed, nervous, and strive to rapid ejaculation, rapid ejaculation gradually develop bad habits, with sexual partners is difficult to correct later.

3, fatigue, excessive:

After the physical or mental fatigue, lack of energy when sex life, but also prone to premature ejaculation.

(B) the organic cause of premature ejaculation

1, physical differences:

Premature ejaculation penis muscle of the reflection faster than non-premature ejaculation. May be due to high levels of testosterone in the blood, so that ejaculation increased central excitability, threshold decreased ejaculation premature ejaculation center easily excited.

2, causing damage in sympathetic organic diseases:

Such as pelvic fractures, prostate enlargement, arteriosclerosis, diabetes. Directly affect the controlling hub, the central control of ejaculation resulting from a reduced ability to premature ejaculation.

3, genital diseases:

Foreskin of the penis tie is too short, and impedes the full erection, high sensitivity, easy to premature ejaculation; phimosis phimosis impede sexual activity, but also easy to premature ejaculation; fine Fu inflammation in chronic congestive edema, a slight stimulation or sexual excitement rather quickly ejaculation; chronic prostatitis, or Vesiculitis, often accompanied by rapid ejaculation.

Third, TCM Etiology and Pathogenesis

The occurrence of premature ejaculation with a variety of factors. The early Chinese medicine theory holds that, premature ejaculation, mainly related to wasting (kidney, heart, spleen), and liver and gallbladder damp heat is most closely related. Chinese medicine is equivalent to the reproductive system, kidneys and endocrine system functions (hidden essence, spermatogenesis), and the body’s pre-and post-Yin Yin a very close relationship (Kidneys 2 Yin), storage and release of human reproductive material (including semen) and growth substances, control of the human body, including sexual function, including excretory functions. Congenitally deficient or masturbation, sexual excess, kidney can not hide sperm, semen excretion out of control (fine off Without a solid, refined awakened to open) rather premature ejaculation. Yongnaoguodu or Laojuan trouble, Heart and injury, the generation and run blood shortage, blood deficiency, resulting in premature ejaculation.

Recent clinical study found that premature ejaculation from the Liver and clinical efficacy. The liver meridian branches around the pre-yin and before, were reinforced by the penis to gather their blood by the liver regulation, therefore, depression, anger can cause anger reckless, the most easily refined room under the nuisance caused by loss of sperm premature ejaculation. Surfeit Feigan, alcohol, brewing health hot and humid, or hot and humid the Evils Exogenous, flow injection under the coke, refined rooms within the disturbance, renal loss of sealing function of possession arising from premature ejaculation. Or because the liver through the hot and humid place bets Shuxie induced liver abnormalities caused by premature ejaculation control seal Tibet. Kidney injury or fear, then the fine off Without a solid foundation and premature ejaculation. Or feeling discomfort, depression, liver damage, liver failure Shuxie, but also can lead to loss of control over sealing possession of premature ejaculation.

Fourth, the treatment of premature ejaculation

The treatment of premature ejaculation many ways, but specific to each patient, to a scientific analysis of the patient’s condition to determine the correct etiology and pathogenesis, rational selection of treatment methods and drugs, there is no hard and fast treatment measures. Specific methods include:

1, psychology of communication: human services, will be patient when a friend, through the psychology of communication, to help patients analyze causes, targeted to ease the mental confusion in patients with

2, sexual skills training: face to face to explain sexual techniques, to provide advisory services for patients at the same time for different patients, it is recommended to adopt the most suitable approach sex to achieve the perfect sex

3, Chinese medicine treatment: dialectical analysis of the etiology and pathogenesis, targeted use our hospitals over the years the sun effects the application of Chinese medicine preparations, dialectical and giving of treatment efficacy of a unique

4, Point Treatment: Through dialectic, electrical stimulation Intermediate, Sanyinjiao, Zusanli, Guan Yuan, Mingmen and other places, coordination and control ejaculation capability to meet the extended time for sex

5, western medicine treatment: severe psychiatric symptoms for individual patients, given antidepressant medication, can prolong sex time and improve the patient’s mental state, to restore glory man;

6, attention to complications of treatment: Prostatitis is the culprit of premature ejaculation, cure chronic prostatitis, many of our patients with premature ejaculation, premature ejaculation naturally disappear, really be able to achieve “cure prostate, orgasm constantly! “

The causes of premature ejaculation are mostly spiritual in nature, organic lesions rare. And thus when to re-establish the ejaculation reflex response first, and remove all possible incentives, such as neurasthenia, mental and psychological stress as well as the reproductive system (in particular the glans Division), infections, premature ejaculation can often be corrected in time.

Chinese medicine believe that the cause of premature ejaculation, no more than yin and yang imbalance. The actual situation of the disease are different: An Empirical Maida phase caused by the fire ablaze; deficiency or kidney deficiency due to Yinxuyangkang Without a solid foundation. When to adjust the yin and yang, the main treatment. Danxi goes: Main closed Tibet who have kidney, the liver is also the Secretary Shuxie, two fire-Jie You dirty, but its heart belongs to the Department. Although the precision of the closed kidney, then the heart of its system, Firelight a move, relative to the fire followed, then the premature ejaculation to carry on.

Ancient room home room patients in order to achieve the purposes of health as well as Trillium longevity, in the pity “fine” under the guidance of thought, the creation of a variety of “also fine Bunao”, “yin yang” as well as qigong’s “Gong , “” parade “and the emergency measures, although there are aspects of its dross, but the old room at home created the idea of transfer of suppression Yin mention gas, luck, and so moving Yin method, applied to the clinical Treating premature ejaculation, each effect can be obtained, so that the control of ejaculation and sexual orgasm capacity to exercise. Have the benefits of traditional surgery to correct room to control premature ejaculation above Zhufa, outlined below.

First, the transfer of ideas

Frequent reason for premature ejaculation, or psychological stress by the treatment of patients with sexual matters should be is to make the quiet state of mind when the so-called “heart-ping water”, will enable the sex fluid-solid jump to Tibet without leakage. “Wang rooms mean it takes,” says: “Fine big mover, disease upward, and, arrogance, up and down about TV, and shrink the bottom, closed gas, and refined since the ending.” This method can be used for premature ejaculation can not be controlled, but those who can enter the vagina copulate. And “Yulin prescription” has changed hearts treasure Dan a law: “King of Bu Xin Dan with a pill, into the room, his right hand firmly upon her must go to nails, can only Niede tight, not discouraged if the inspection carry on. To protect combined with silver, solemnly, then their heart note, the fire is not easy to vent, natural solid long time, wonderful. Oral Buzhongyiqi Tonga Cistanche, wolfberry fruit even more interesting. ” This method can be used for the rapid erection when sexual matters, but the attendant appears peak, fine those who could not control. Through the idea of transfer and suggested that the coordination of yin and yang, thereby delaying ejaculation.

Second, suppressing Yin mention gas

Jinie therapy for premature ejaculation, AV regimen at home in ancient China which has long been recognized, but the ancient room in the home site of control of ejaculation and modern sexology only slightly different. Jin Li Meng, “AV tonic,” said: “anxious to move out of the transfer of large fine to the left of the Central 2 refers to suppression, after the scrotum veins, long exhaled, and peck tooth Shibian, then its fine facilities and eventually not be out.” Koki “always regimen” also pointed out: “Danjue want to vent, Jituiyujing, according to Yin places to the right hand three fingers at the Valley Road before the brake housing, the sigh of relief put on the pubic region, Yan Qi 1, Jerneh will consider, non-action , awhile to Yu Jing Fu Zhen, according to former fan drum, if the situation moving Dunshen removing Yu Jing, such as urine-like forbearance, luck up, they will naturally vent carry on. ” The ancients made after the suppression scrotal veins, three fingers at the Gu Barrier housing, referred to in later parts of the more modern medicine, and its suppression smaller than the root and the glans penis alone Jinie much larger and easy to master, so-called ” Jerneh given consideration “actually refers to control the mind, not to jump to vent, to stabilize Kang Yang. France and the key is to master the yin suppressing the time, the situation must be fixed at the beginning.

3, luck moving Yin

Strength is the driving force behind the activities of the human body functions and can Ziyin hair-yang, sexuality is pleased to happily when the man of the generation and Jingqi Shen-related, it is man created the basis for such a euphoric mood, but the key is to correct premature ejaculation to control the rapid arrival of Fiat. This must be the mind to grasp, so that delay ejaculation. As “10 Questions” in the “Old Yin then fresh air of the Road” says: “A rule has sections: one reads vertical limbs, straight ridges, torsion Tajiri; second is sparse unit, moving yin, shrink the state; third is jointly eyelashes Wu listen, Xi gas in order to charge the brain. “Responding to this, we adhere to clinical patient every morning exercises to guide gas, late movement Yin; that morning insist on long-distance running, take a deep breath; night rest before the abdomen, back, perineum massage, and use ideas for levator ani, cremaster yin and dynamic exercise. Through the vertical and Yin testosterone before the penis, perineum, perianal muscle contraction and relaxation of regular exercise, to improve the local blood running, thereby enhancing the capacity of the men’s control over ejaculation.

The efficacy of the above-mentioned Zhufa, depending on the time of exercise, it generally takes Yi Eryue to bear fruit. When used in this Act is more complicated, and patient need to have a certain cultural qualities, in order to have patience and confidence to adhere to exercise, but once mastered the exercise essentials, perseverance, not only can cure premature ejaculation, and will enable patients are energetic, and can improve the the quality of sexual activity, so it is worthwhile to promote.

(1) Stop – re-stimulation: premature ejaculation, fundamentally speaking, this is needed to stimulate the ejaculation reflex threshold is too low, treatment is to raise the threshold to stimulate ejaculation, increase men’s sexual stimulation tolerance. Male masturbation can be, to learn to control the time. The wife can also help, through the caressing, so that the extent of men’s penis to erection and then let her husband sit, his wife sitting at his side, or between my legs, so that her hands can easily stimulate the penis, once the husband’s hunch was approaching orgasm , then stop until ejaculation hunch completely disappear and re-massage, and so repeated three more times, can increase ejaculation threshold. A long period of training, so that the penis can adapt to the twitch in the vagina, which can improve the ejaculation threshold.

(2) Some of the penis head Jinie therapy in patients with premature ejaculation heavier, after various treatments of erectile has been restored, but patients are still thinking of the burden of a lack of confidence, using the penis head and squeeze France, from the woman with thumb placed on the penis lace Department Coronal index finger and middle finger on the edge of the bottom Jinie oppression glans 3 ~ 4 seconds, then suddenly relax pressure on the direction of the past back, do not press to either side.

(3) sexual intercourse before the glans penis head coated with drugs (ie, glans penis) is a sex organ to accept the most sensitive parts of stimuli, half an hour before sexual intercourse with 1% tetracaine, 1% or 3% of the amino Dyclonine ointment Benzene Apply acid Acetyl penis head, or use condoms to reduce the sensitivity of peripheral nerves in the sexual intercourse increase ejaculation threshold.

(4), tranquilizers Librium 20 mg orally half an hour before sexual intercourse, Oryzanol 10 mg orally, 3 times a day.

For the phenomenon of premature ejaculation who, we must first ask the doctor to determine whether it is really premature ejaculation. Some people mistake that they have premature ejaculation, but actually, the timing of the climax in the sexual disharmony, the woman and the man has not yet reached sexual climax premature ejaculation, this situation is quite common, not really premature ejaculation. Way to remedy this situation are: early sexual intercourse, the man try to keep calm, calm movements slow, take full advantage of the characteristics of the woman’s sexual feelings undisciplined, supplemented by Loving movements to the sexy woman gradually concentrated on the genitals, and to promote its climax earlier come. When the man felt a strong desire for ejaculation difficult to overcome, we can rest a moment, you can suppress the occurrence of ejaculation. Pause a moment before continuing, to avoid the phenomenon of habitual premature ejaculation.

But due to lack of coordination caused by premature ejaculation sex life should be treated differently, the right medicine.

Sexual life can not be synchronized into the orgasm, has brought trouble to many couples. This situation is often caused by premature ejaculation due to her husband. How to coordinate the sexual difference between spouses, should start with the following aspects:

(1) put Songti gas law: during sexual intercourse, relax muscles, especially the anus and the toe part of the muscles do not tighten buckling, Choucha action should slow. At the same time, the air on that throat to breath, suffocating action, and then slow down the expiratory time. This method is not only too strong for sexual impulses caused by premature ejaculation, but also for pathological premature ejaculation is also curative.

(2) The mood of the transfer of law: sexual intercourse, the man can choose to avoid sex-related fantasy and to think other issues. To be the wife orgasm approaching, he immediately moved back to conception, rapid Choucha ejaculation. This method should be in the dark, so as not to affect the wife’s mood.

(3) intermittent make love Law: close to orgasm before, stop the penis twitch, twitch a moment and then repeat. This together with the impact of an alternate way down on the woman a particularly stimulating. It should be noted in the stalled process of sexual intercourse, the man to do auxiliary actions, such as touching or kissing the woman’s sensitive areas.

(4) Special positions Law: In addition to the penis during intercourse, the male and female parts of the body to minimize contact with them. If the woman kneeling breech, the man of the backward knee upright style, or a woman supine knees, the man standing position of the forward equation (the woman in bed, the man under the bed). In addition, men can be half an hour before sexual intercourse anesthetic Tuyu penis head, then put on a condom, this approach is also effective.

The method can be extended man’s ejaculation time, but does not mean that tolerance is not shooting precision. Its significance lies in the coordination of both sexual difference, to give the couple to bring sexual satisfaction, especially in patients with premature ejaculation may wish to take a try.

Experts point out that premature ejaculation result in sexual quality of life is not high, may cause ED and other sexual dysfunction, ranging from the quality of marital sex life is not high, the case can influence their feelings and family harmony, should pay attention to, and early treatment.

Bacheng premature ejaculation prostatitis secondary to slow –

Experts say, prostatitis and sexual dysfunction are common diseases and frequently-occurring disease male subjects between the two there is a close contact. Prostatitis In addition to lower urinary tract symptoms and pain symptoms, some patients there is the performance of sexual dysfunction, such as loss of libido, erection dysfunction (ED) and premature ejaculation and so on. Shenzhen Fu Central Hospital of Integrated Chinese and Western Medicine Clinical statistics on male subjects consultative material showed that about 80% of secondary premature ejaculation, prostatitis and the slow-close. Therefore, in the diagnosis and treatment of premature ejaculation, should pay attention to check the patient’s prostate to see whether the treatment of inflammatory lesions to be appropriate in order to radically improve the health status of men to improve their quality of life.

In addition, chronic prostatitis should also be caused by male friends and the medical profession’s attention. According to authoritative statistics, the slow-prostatitis in patients with sexual dysfunction prevalence rate as high as 49%. Sexual dysfunction in patients with chronic prostatitis with the prevalence rate of increase in the extension of its duration, course of disease within 6 months of the prevalence rate of 36.4%, 19 months later increased to 71.9%.

Treatment of premature ejaculation the latest technology: penile dorsal neurotomy

Experts say treatment of premature ejaculation, the former multi-drug treatment for the Chinese medicine, Western medicine physical therapy, in recent years has also used the method of psychological therapy, which in varying degrees, to alleviate some of the phenomenon of premature ejaculation, but there is no such as unsatisfactory place, with the development of medical technology in the treatment of premature ejaculation, the emergence of new treatments – surgery.

Penile dorsal neurotomy rule premature ejaculation. Breaking away from the dorsal penile nerve surgery is based on a scientific basis of human anatomy, by cutting off the excess dorsal penile nerve, so as to reduce the number to reach the normal sensitivity of the penis, improve ejaculation threshold, which is equivalent to cutting off the penis the root causes of over-sensitivity. Thus prolonging the sexual life time to achieve the purpose of treatment of premature ejaculation. Clinical data show that the technical high security, curative effect, postoperative patient satisfaction high recurrence rate is low.

Since many people are not deep enough understanding of medical knowledge, experts cite a simple example, the normal penis is like a battery, while the penile dorsal nerve is like light bulbs, if at the same time connected to the two light bulbs, electricity had just enough for one hour if at the same time connected to the 7,8 bulbs, electricity on for another 10 minutes. With the dorsal penile nerve block in the treatment of premature ejaculation is like switching off unnecessary light bulb.

It is reported that penile dorsal neurotomy is the male subjects on the latest technology, make up for premature ejaculation in the treatment of primary surgery on the blank.

Doctors should ask patients with a history of attention to what point do? Inquiry should include the occurrence of premature ejaculation frequency and duration of the length of time, premature ejaculation occurs when sexual stimulation strength, the specific external environment prone to premature ejaculation or even a particular sexual partner, as well as the impact of premature ejaculation for sexual behavior, etc. These are the focus of a history of asking. In addition, the patient’s general health is also a need to ask the content. Are there any other easy to understand the cause or result in premature ejaculation, diseases such as coronary heart disease patients may fear that over-stimulation can cause a heart attack, while the case of premature ejaculation, this premature ejaculation problem is often in the myocardial infarction after treatment will naturally healed. When asked about the history in patients with normal sexual life but also to understand some of the circumstances, including the former play, masturbation and sexual intercourse, sexual relationship and interaction between partners, as well as the patient’s interpersonal relationships, working conditions and so on, should be asked separately assessed. For patients with primary premature ejaculation should be specifically asked of patients with family history and growth history, the growth of childhood background and had suffered mental trauma often affects adult sex life. For patients with secondary premature ejaculation, they should pay special attention to identification of the illness is premature ejaculation or erectile dysfunction, of course, there are many patients who have erectile dysfunction, premature ejaculation, both.

Physical examination and laboratory tests in the diagnosis of premature ejaculation on a less important question history. Line in patients with premature ejaculation physical examination and laboratory tests, the test results are usually normal. Nevertheless, the simple external genital examination is very necessary, if the patient’s performance in addition to premature ejaculation, erectile dysfunction along with the performance of organic erectile dysfunction should be in accordance with the necessary laboratory examinations, such as sex hormones examination, nerve EMG examination and penile vascular screening, in order to find the exact cause of erectile dysfunction, targeted for treatment. A lot of premature ejaculation and erectile dysfunction coexist in patients with erectile dysfunction, once an effective treatment, the patient’s confidence and ability to maintain an erection will be increased, premature ejaculation problem will be resolved along with.

First, behavioral therapy

Behavior therapy including increased ejaculation frequency, to take on the men and women sexual intercourse under the posture, stop and re-start (stop and start) ejaculation, squeeze (squeeze technique), pelvic floor muscle exercise, short-term success rate of 95%, but long-term follow-up found that 75% of patients three years after treatment and without pre-treatment is still the same, therefore, behavioral therapy is still only a small fraction of patients with long-term effects of premature ejaculation.

Second, drug treatment

Neurological pharmacology progress, for there are physiological factors or other diseases caused by premature ejaculation, can provide several kinds of effective drugs to treat patients who want to make premature ejaculation back to normal sex life. With the selective serotonin reuptake inhibitor (SSRI) class of drugs were found to have the effect of time since the extension of ejaculation, male premature ejaculation problem has been taken to a new era, is no longer a clear distinction between mental and physical barriers in two parts, but rather in a complementary manner to provide for the premature ejaculation patients in a more complete and more personalized evaluation and treatment strategies, this is nothing more than an epoch-making treatment of male sexual function 1.

Currently used drugs for the treatment of premature ejaculation is divided into two main categories: oral drugs and topical application of drugs.

3, surgical treatment

If these treatments are ineffective, you can also consider the surgery. Commonly used surgical techniques of selective dorsal rhizotomy, and penile prosthesis implantation surgery. As the surgical treatment of certain traumatic, doctors and patients choose surgical treatment, should be cautious.

Do not delay the treatment of premature ejaculation

Case

One day, I was ready to work, to the patients, 30-year-old, physical health appearance-jun, shame blush, seems to be the鼓足了勇气come. He invited into the consulting room I carefully asked, the situation is like this: The patient surnamed Wang, was a staff of authorities, married three years, and her daughter have also been two years old, may be suffering from impotence recently do not know why. Xiao Wang said that he usually do not smoke, nor did it after taking some drugs can cause impotence.

The first year of marriage pretty young couple living beauty, hi Tim has a daughter the following year, the two’s too busy enjoying themselves. Amy began to feel that love can be some time beyond their abilities will be less than ejaculation, orgasm, and sometimes, if not tired, also premature ejaculation. Xiao Wang was worried about, and to a variety of reasons for reducing the sexual life, may be this is useless, the more worried about sexual life is not successful, the more premature ejaculation, and sometimes not even a real beginning of the vent. So he quietly take to the drugstore to buy back all kinds of tonics, follow the street to find Youyi ad money to go to see a lot of glass has not been any effect, he was more anxious, and serious guilt and inferiority complex that he was very depressed Finally, he had impotence.

Expert Interpretation

After listening to his story, I was seriously give him a check and found no prostatitis and other diseases, and then I told Xiao Wang, his suffering is only caused by psychological factors, functional impotence, as long as the adoption of appropriate psychological treatment and some drugs with this sexual dysfunction will certainly be able to recovery.

In fact, Amy was originally occasional premature ejaculation phenomenon in married life is very common, this phenomenon is generally too much excitement because of emotional reaction caused by highly sensitive, resulting in slightly stimulated penile erections, and even in vitro in the female can also achieve orgasm and ejaculation. Sometimes fatigue discomfort or anxiety can also be induced by factors such as premature ejaculation, premature ejaculation is not as long as the frequent occurrence, nor prostatitis, Vesiculitis and other pathological factors, on the do not have to mind.

Amy is the tension caused by the premature ejaculation

Amy does not have available the knowledge and experience, he was nervous the first few premature ejaculation, in his left its mark on the subconscious. Every time when the future sexual life can not help think of this matter, the subconscious will be nervous, this mark will be a repeat of the recurrence of premature ejaculation on the passage of time, and gradually form a conditioned reflex. This reflex of patients with self-blame, guilt and anxiety and other negative emotions increased and deepened, and enter a vicious circle. But as long as timely and appropriate treatment, this vicious cycle can be broken, rebuild healthy conditioning.

Commonly used method of treatment of premature ejaculation

1, psychological treatment

To patients, teaching of science knowledge, so as to genuinely realize that this is a psychogenic sexual dysfunction. As long as the elimination of concerns, rebuild self-confidence, they will be able to overcome premature ejaculation.

2, behavior therapy

This requires co-ordination of both spouses, common methods, intermittent twitching during sexual intercourse, Jinie glans penis and scrotum stretch, etc. Its main purpose is to extend time and increase ejaculation threshold. But such behavior therapy is often ineffective due to bad master or not easily adhere to.

3, apparatus or drug treatment

The most common is the use of condoms. Condoms can reduce the sensitivity of the glans and the penis the results more reliable. Xiao Wang is one such psychological counseling through a few, but also with traditional Chinese medicine syndrome differentiation, treatment of topical liniment, two months later, he returned to a normal sex life.

4, dorsal penile nerve block technique

It is effective in improving the threshold of the latest tools, the technology is a very small incision in the penile dorsal incision, and then cut off the end of the sensory nerve, from now on to reduce the sensitivity of the penis increase ejaculation threshold, and thus to achieve radical goals. Xiao Wang is the way to do this through after surgery, completely restored to normal, and now very satisfied with sex life.

Comments

Dear reader friend, Amy’s story finished, and in our clinical work in these sort of cases are still many, many more patients may be due to the shackles of old ideas rather ashamed to seek medical attention. However, we should be aware that it is: premature ejaculation is not terrible, as long as know it as soon as possible to treat, life music blossom.

His wife is duty-bound to prevent premature ejaculation: processing coordinate interpersonal relationships, family relationships, as well as husband and wife relationship, to maintain ease of mind, and strive to create a good warm, good family atmosphere and quiet of living environment. Do not have sexual intercourse every time tension, anxiety, and the more intense the more thought “Tonight can not afford to premature ejaculation”, the results suggest the contrary, due to enhanced psychological easier to premature ejaculation. “” “Read the

◆ ◆ dopamine antagonist

Such drugs, including antipsychotics (also known as antipsychotics) can block central dopamine receptors. By observing the apomorphine (dopamine agonist) in the role of sexual arousal can be haloperidol (central dopamine receptor blocker) the antagonist, can also be atypical dopamine receptor antagonist by sulfur Benzamides antagonistic, but it was not not pass the blood brain barrier dopamine receptor antagonist domperidone antagonized by the facts of the drugs on delayed ejaculation is influential. Dopamine antagonist on humans or animals show a clear role in suppression of ejaculation, including pimozide (antipsychotic), metoclopramide (antiemetic drugs), sulfur benzene amide, haloperidol, and oxytocin antagonist, possession of oxytocin. Others can delay ejaculation antipsychotics, including chlorpromazine and thioridazine, both drugs can also block adrenergic receptors.

◆ ◆ antidepressants

Delayed ejaculation is a new generation antidepressant drugs, it can enhance the human body, 5 – hydroxytryptamine (5-HT) levels. These drugs include the 5-HT selective reuptake inhibitors (SSRIs) Fluoxetine, Sertraline, and Paroxetine. These drugs block 5-HT reuptake at the same time, there are anti-cholinergic effect. Elevated levels of 5-HT is considered one of the mechanisms inhibiting ejaculation. The older tricyclic antidepressants also affect ejaculation. These drugs have a calming, anti-cholinergic and anti-histamine properties, in addition to prevent the re-uptake of 5-HT. However, these drugs hinder the role of 5-HT reuptake selective small, and their other characteristics of the patient’s compliance may have a negative impact. Among these drugs clomipramine on 5-HT and norepinephrine reuptake have them back. Clomipramine can enhance genital receptor stimulation thresholds, but the right sacral nerve to stimulate the dorsal body reactions or feelings aroused potential of no effect. Another inhibitory effect of ejaculation is a tricyclic antidepressant amitriptyline, which has significant anti-cholinergic effect.

A recent study of Fluoxetine, sertraline, clomipramine in the treatment of premature ejaculation on the effectiveness and safety compared the results with Fluoxetine or placebo taking clomipramine and dwelling Qu Lin can significantly improve vaginal ejaculation latency. Although there is no statistical support, but the patients taking clomipramine their sexual partner’s sexual satisfaction rate than taking the other two drugs is higher. Therefore, effective speaking, clomipramine is the most effective, followed by sertraline but its relatively low incidence of side effects.

◆ ◆ anti-anxiety drugs

Known to many for the treatment of generalized anxiety and anxiety attacks Benzodiazepine anti-anxiety drugs on the part of the class of men the role of inhibited ejaculation and its mechanism may be enhanced GABA (g-amino butyric acid). These drugs include chlordiazepoxide, lorazepam, alprazolam. But their impact on ejaculation than other drugs (such as SSRIs) as the universal and obvious, placebo-controlled studies have shown that men taking these drugs less than 10% of the people than before ejaculation delayed.

Ding spiral one, is not a complete 5-HT agonist, can improve sexual function of patients with generalized anxiety.

The woman to be more considerate and care for each other, to help the man to lift his thought concerns, to extend the preparation time before sexual intercourse. Through the mental and psychological factors of clinical curative effect adjustment to achieve about premature ejaculation 2 / 3 3 / 4. Premature ejaculation more stubborn individual can use the following methods:

(1) reduction of sexual impulse and sexual sensitivity: before sexual intercourse between men and women to keep the spirit of mind and to avoid too much tension or too sexual impulses. Application of condoms for sexual intercourse is also a reduction in sensitivity, a method of prevention and treatment of premature ejaculation. Can also be sexual intercourse before or during sexual intercourse with a clean gauze swab a small amount of the surface of narcotic drugs, or taking a small amount of sedatives in order to reduce the sensitivity to sexual stimulation and prolong sexual intercourse.

(2) intermittent stimulation: This method is a kind of behavioral therapy, is the way through sexual intercourse or sexual intercourse by the husband and wife both sides to cooperate in order to complete the main woman. Mainly training to improve male ejaculation stimulation threshold. When about to reach ejaculation threshold value, a sudden stop stimulation until the exciting climax receded, and then to stimulate the penis, and so repeated. This approach allows the man can tolerate a large number of stimulus without ejaculation.

(3) pulling the scrotum law: sexual sub exciting period, duration, peak period and lessen period. When sexual intercourse into a sustained period, then the sexual excitement into the sustainable and stable high level. Sustained period, the male glans crown diameter of a slight increase in the glans become darker in color due to vascular congestion scrotal testes, scrotum and further increase the volume of the testes to further enhance the participants genital contact, easy to stimulate the perineum caused by reflex ejaculation, this time pulling the scrotum and testicles can reduce the excitability in order to delay ejaculation. This method can be completed by both spouses in sexual intercourse, but also tie in with and intermittent stimulation.

(4) Jinie penis law: during sexual intercourse, the penis erection mechanism involved in the major organs. Penile erection and ejaculation is when the stimulus reaches a certain threshold value, spread from the genital nerve centers, and efferent passed the hypogastric plexus and bladder bundle to make the epididymis, the vas deferens on the testicular and prostate smooth muscle contraction, semen transurethral injection . Jinie penis law, is also a progressive training in behavior therapy. Method of citing the woman to stimulate the penis up to the inevitable feeling of ejaculation, the immediate cessation of stimulation, the thumb on the penis lace the site, the index finger and middle finger on the penile dorsal (careful not to slide the penis), 4 seconds up and down the vertical Jinie oppression minutes later suddenly relaxed. Jinie used by the severity of the pressure and is proportional to the degree of penile erection, repeated training can delay ejaculation in the sense of urgency to raise the threshold to stimulate ejaculation, reconstruction ejaculation time. Generally insist on using Jinie France 3 to 6 months after the make a lasting effect.

For the urinary tract inflammation caused by premature ejaculation, it should address the cause, select the urinary tract of drugs at high concentrations, the role of pathogens are killing medication. Treatment to ensure an effective, thorough and leave no future troubles. Pairs accompanied by hypertension, coronary heart disease in patients, we should try to avoid using on sexual function and renal function influence of drugs. Use of some calcium antagonists, may ease the sexual organs of spasticity is conducive to the treatment of premature ejaculation.