Patient's question:
What is impotence and premature ejaculation? Is there a permanent cure?Doctor's answer:
I. Western MedicineThis condition is primarily caused by psychological factors, with a few cases resulting from organic factors.
(1) Psychological Factors
1. Emotional Tension: Rushing to complete sexual intercourse in an illegal environment, excessive tension or excitement during intercourse, or fear of sexual failure, or anxiety about premature ejaculation, can form negative conditioned reflexes, enhancing the sensitivity of the nervous regulation function, leading to uncontrollable ejaculation and resulting in premature ejaculation.
2. Habitual Masturbation: Frequent masturbation before marriage, fear of being discovered, faster rhythmic movements, and striving for rapid ejaculation can develop into a habit of premature ejaculation, forming a conditioned reflex.
3. Long-Term Abstinence: After long-term forced abstinence from sexual activity, when resuming intercourse, excessive excitement of the ejaculation center may occur, leading to premature ejaculation.
4. Disharmonious Sexual Relationship Between Spouses: Rough movements by the male during intercourse may cause pain and discomfort to the female, leading to boredom and forcing the premature end of intercourse, resulting in premature ejaculation. Some men view intercourse as a mere means of sexual release, disregarding their wife's need for sexual pleasure and neglecting methods to prolong intercourse time, eager to achieve their own sexual satisfaction and thus rush to ejaculate.
(2) Organic Factors
1. Chronic Inflammatory Diseases: Reproductive organ inflammatory conditions such as chronic prostatitis and seminal vesiculitis allow inflammatory secretions to enter the posterior urethra, easily causing seminal colliculus inflammation. The seminal colliculus is the trigger zone for the ejaculation reflex; when stimulated by inflammation, it may lead to premature ejaculation.
2. Neurological Pathological Changes: Pathological changes in the spinal cord, peripheral nerves, or higher nervous centers, or any degenerative changes, may disrupt ejaculation control, resulting in premature ejaculation.
3. Other Reproductive Organ Abnormalities: Such as a short frenulum of the prepuce, hypospadias, or corpora cavernosa hardening syndrome, etc.