Chinese and Western medicine premature ejaculation Pathogenesis and Treatment
Premature ejaculation, is a dazzling word, so how many people sigh. As a doctor, I am most reluctant to directly say “premature ejaculation”, which is generally of “ejaculate too fast” instead. The definition of premature ejaculation at home and abroad is different.
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! “