Patient's question:
Hello, may I ask what the problem is if the sexual intercourse duration is short?Doctor's answer:
Okay, here is the English translation of the provided text, following your instructions:I. What is Premature Ejaculation?
Premature Ejaculation (PE) is a type of male sexual dysfunction. The causes of premature ejaculation can mainly be divided into two major parts: psychological and physiological (habitual premature ejaculation and pathological premature ejaculation). Premature ejaculation refers to a sexual intercourse disorder characterized by the male reaching orgasm and ejaculation shortly after the penis is inserted into the vagina, before the female reaches orgasm, and with the male's sexual intercourse time being shorter than 2 minutes. This leads to sexual inharmony. Generally, 30% of men experience this condition. Although it may seem minor, it can lead to low sexual quality and may also cause other sexual dysfunctions such as erectile dysfunction. The consequences are serious, and it should be taken seriously and treated promptly. It is generally understood that premature ejaculation refers to the phenomenon where a man, after achieving penile erection, either before entering the vagina, or just as he is entering or shortly after entering without thrusting, reaches orgasm and subsequently experiences natural penile flaccidation and enters a refractory period. Clinically, ejaculation occurring before the penis enters the vagina is diagnosed as premature ejaculation. While the ability to enter the vagina for intercourse, but achieving rapid ejaculation after only a few thrusts, is also defined as premature ejaculation.
II. Causes of Premature Ejaculation
There are two main types of premature ejaculation:
1. Habitual Premature Ejaculation: This refers to men who have consistently experienced premature ejaculation since adulthood. These individuals have normal sexual physiological function and strong penile erection. Symptoms include strong sexual desire, strong penile erection, and an urgent need for intercourse, most commonly seen in young and middle-aged men; (they ejaculate quickly because they want to, and this is governed by the nervous system). If this is due to long-term excessive masturbation, it can lead to the second type.
2. Pathological Premature Ejaculation: This includes conditions like excessive prostatic hyperemia and hypertrophy (often resulting from excessive masturbation in young and middle-aged men), which is sometimes referred to as "masturbation-induced premature ejaculation." In older adults, it is termed "age-related premature ejaculation." In summary, both types are related to prostatic hypertrophy. Due to the hypertrophy, the prostate gland secretes an excessive amount of prostatic fluid into the urethra, which can trigger ejaculation. (The neurological mechanism of ejaculation is complex and is not elaborated upon here). Therefore, it can be said that individuals with premature ejaculation may have large amounts of prostatic fluid flowing into their urethra, and in some cases, even expelled outside the body. Some may call this lubricating fluid and feel happy about it, but this is a sign of ignorance. The lubricating fluid for intercourse should be provided by the female partner, not the male.
III. Treatment for Premature Ejaculation
Based on the causes of premature ejaculation, the following treatment methods are proposed:
1. Treatment for Habitual Premature Ejaculation: During intercourse, it is important to control the rhythm, relax, and not be overly eager. Enjoy the process slowly.
2. Treatment for Pathological Premature Ejaculation: We know that the cause of pathological premature ejaculation is the excessive secretion of prostatic fluid, which is the fundamental cause. Excessive prostatic fluid secretion is related to prostatic hypertrophy. Therefore, to treat premature ejaculation effectively, it is necessary to restore the prostate to a normal state. Since the causes of "masturbation-induced premature ejaculation" and "age-related premature ejaculation" are different, the ingredients of the medication used in the treatment process will also differ. "Masturbation-induced premature ejaculation" focuses on promoting blood circulation, removing blood stasis, astringent and consolidating essence, supplemented by warming and tonifying kidney yang. "Age-related premature ejaculation" focuses on tonifying the kidney and yang, and consolidating yang and essence.