Premature ejaculation is a common clinical male sexual dysfunction, second only to impotence (impotence and premature ejaculation is a man's fear of the two). Premature ejaculation and ejaculation opposite: do not ejaculate like a protracted war, no less than Jiugong; premature ejaculation is like a quick decision, without success. In short, it is very nerve-racking. Both patients with couples because they are not sexual gratification and frustration, as time went often lead to marital tragedy.
However, from the clinical point of view, in order to the next definition of what constitutes premature ejaculation is still quite difficult. Most definitions of premature ejaculation and penis at the time to stay in the vagina up, for example, with less than one minute in a hospital, the psychiatrist may be the penis into the vagina ejaculation called premature ejaculation; urologist for teaching The purpose for not more than 30 seconds; some doctors may penis in the vagina twitch less than 15 times to ejaculation called premature ejaculation.
Masters and Johnson argued that a man has sexual intercourse of 50% is too short, not enough to make his wife to reach orgasm is called premature ejaculation, of course, his wife should have the ability to achieve orgasm. Kaplan argues that premature ejaculation is ejaculation implementation of the random control.
Some sex therapists premature ejaculation is defined as "sexual intercourse, the man the opportunity of sexual intercourse for more than half of the total number of sexual satisfaction in normal sexual function of female partners occurs uncontrollable ejaculation", or is not at liberty to control over the ejaculation reflex, in the final analysis, premature ejaculation is a control ejaculation failure. But this definition has its drawbacks, that is the significance of female sexual satisfaction is not clear. Not have to be considered to meet the woman appeared orgasm? This is not necessarily. Some women during sexual intercourse without orgasm is very pleasant; Some couples even in the case of male ejaculate very quickly (30-60 seconds), also did not affect the woman's response, as long as the woman in the prior situation play in a highly excited and prepare for release for sexual climax; some women's sexual satisfaction through the man's hands, the lips of physical stimulation to achieve, do not have to rely on sexual intercourse. Thus, the ejaculate sooner or later, and sexual satisfaction may not have direct contact. Moreover, the emphasis on women's sexual satisfaction seems not very fair man. In most cases, the same women in different contexts, and different women, in order to reach sexual satisfaction between the time required is quite different. Some women need several minutes of sexual activity in order to achieve orgasm, some women do not reach orgasm, or require multiple orgasm can be met. Therefore, in order to artificially provide a "reasonable" and "normal" ejaculation time, I am afraid it is unrealistic, and certainly not universally applicable.
Therefore, it was suggested that the premature ejaculation is defined as: "consistent with expectations of himself and partner before ejaculation time, the occurrence of uncontrollable ejaculation." Whether it is reasonable remains to be scrutiny. More practical definition of premature ejaculation should also reflect the social and cultural tendencies, and taking into account the needs of the most important sexual partners, rather than an arbitrary time interval. Can premature ejaculation is defined as "often in sexual activities or persistent lack of reasonable and arbitrary control over ejaculation and orgasm, ejaculation always occurred before the time of personal hope this definition depends on the patient to adjust the control subjective feelings, rather than arbitrarily to the length of time or number of tic or personal satisfaction of judgment. This definition seems to be more practical, because some couples do not worry about rapid ejaculation.
Severe premature ejaculation, of course, is easily diagnosed, which refers to the man erection of the penis into the woman's vagina in not had time to before, just insert or just entered has not been twitching already ejaculate penis naturally followed by weakness and enters a refractory period .
In general, as long as the man is not one minute after the start of sexual intercourse twitch ejaculation, you do not think that is premature ejaculation, no need for this purpose worried. Those who can insist on more than one minute, and can not be maintained when the female pleasure orgasm ejaculation, most of the poor coordination of tacit harmony between men's efforts, as long as these men are not alone or never considerate and love to be the woman. then there must be sexual intercourse experience unskilled, or do not know the secret of coordination, or immature technology. If not properly treated, the passage of time really will be the development of premature ejaculation. Duration and age of sexual, physical strength, life experiences and have a relationship, even if the man's age, body mass are similar, ejaculation duration of individual differences is still great. Such capabilities can be enhanced through training, continue to receive practical experience, to coordinate closely with the continuous strengthening of sexual intercourse can significantly longer, even up to more than half an hour. Ejaculation duration of time the same person every time intercourse ejaculation speed, such as the wedding of first sexual intercourse, married reunion or first sexual intercourse after abstinence than the long, over-excited because of the man, ejaculation occurred very fast, and even premature ejaculation, which is totally normal, do not worry. Once consecutive days after sexual intercourse, ejaculation speed will gradually slow down. I do not know how many man months of a new marriage, or even one year premature ejaculation performance, but they often do not demand rule will naturally adjust to normal levels.
In addition, the speed of ejaculation speed and the position of sexual intercourse, the penis twitch amplitude and speed, as well as women's reaction has an associated, if the woman is suddenly interested in penis twitch contraction of the vagina to strengthen the role of the grip on the penis, the stimulation of the man's obviously exacerbated , leading to ejaculate much earlier.
Men, ejaculation control and the woman's sexual satisfaction degree of concern with their level of education was directly parallel to the increasing trend. For example, only very few primary or junior high school second grade cultural level who complained of premature ejaculation problem. In the social and cultural hierarchy, typically male-dominated sex mode, they only care about their own satisfaction, rarely premature ejaculation as a problem. Educated, they are very concerned about the woman's satisfaction with, so they often made a premature ejaculation problem.
In short, premature ejaculation is a matter of both sides of the issue, male premature ejaculation can become indifferent female sexuality, at the same time, the low female libido can also become the reason of male premature ejaculation. Must carefully analyze their incentives, and to identify appropriate treatment.
Premature ejaculation What is the formation
Reasons for the formation of premature ejaculation is no reliable information. However, ejaculation is regulated by the brain, the nerve center of a reflection. Therefore, premature ejaculation is mostly due to the cerebral cortex to inhibit the process of weakening. Senior central excitability is too high, caused by weakening of the inhibition of spinal cord primary ejaculation, and sacral ejaculation excitability is too high. Ejaculation is not necessarily sexual intercourse can cause including mental too nervous, too excited, including any external stimuli can cause ejaculation. In addition to the reflex factors, ejaculation may be affected by endocrine adjustments. Clinical experience has shown that training factors on the length of ejaculation time is strong.
From clinical experience, the vast majority of premature ejaculation is the mental, spiritual and physiological aspects of the disease. Here are some common clinical causes.
(1) Kinsey survey conducted 40 years ago that 75% of men ejaculate within two minutes after the penis into the vagina, when rapid ejaculation as biological classy thing, because people in the past the are always male sexual dominant male to meet the first place, which led to the misinterpretation of patterns of behavior and neglect of female sexual response.
(2) long-term patients with premature ejaculation tend to have a common history, its main features is the occurrence of ejaculation in sex life quickly. The typical history is that the first sexual intercourse is often adverse environmental and premarital fear of being found in a tense mood. As stated above, who have premature ejaculation disease of the young man, is caused by the frequent occurrence of premarital sex. Not to mention that this practice whether indecent or meet certain ethical standards, a single from its adverse consequences can also see the harmful effects of this practice. Other cases, such as while the parents go out of the machine, in the park remote corner of the sexual relationship will strive to rapid ejaculation, early end, habit is second nature, even in the next life, are in a relaxed atmosphere, but difficult to change the the establishment of ejaculation.
(3) some people premature ejaculation is because the frequency of sexual intercourse too little, once sexual intercourse, naturally easy to premature ejaculation due to overly strong reaction. Some people worry about premature ejaculation, intentionally or no intention to reduce the opportunity of sexual intercourse, caused by sexual tension continues to savings, and increased the level of excitement.
Onanism one of the reasons is also premature ejaculation, such as coitus interruptus, contraception, very tense for both sides of the focus when the timely withdrawal of the penis, the woman can not take into account the sexual feelings, the man is too much tension can easily early ejaculation. This method of contraception is no longer advocated.
(4) some people masturbation history, masturbation itself does not directly cause premature ejaculation, but the young people in masturbation is often fear of the parents or the same quarters partners always want to end as soon as possible, so to develop hasty habits, resulting in slightly stimulus will lead to ejaculation. Others back the spirit of masturbation history of the burden of long-term self-blame, anxiety, on the one hand can not control the desire to want to masturbate the other hand, continue to condemn their own, thus creating a vicious cycle.
(5) some people to interact with women less social squeamish and shy; unsuccessful marriage and love; lack of knowledge about sex and sexual intercourse in the necessary technical and fears are premature ejaculation occurred.
Interpersonal problems can not be ignored, especially the marital relationship is not harmonious. Harbor the potential hostility, resentment, his wife, or his wife as "bronchitis" excessive fear, excessive worship, a strong inferiority complex, can cause premature ejaculation. Her husband on the wife of dissatisfaction, often vent their sexual desire and anger hastily rapid ejaculation, while no regard for each other's feelings and desires. Wives than their own strong woman, so men are generally reluctant to choose from binding guts smaller and more easy to premature ejaculation.
Also there is an alternative scenario is the woman hidden sexual excitement, causing the illusion of male premature ejaculation. Sometimes the formation of premature ejaculation in a woman under pressure, if the woman is suffering from genital tract inflammation, sexual intercourse can cause pain, so the woman's call for early end of sexual intercourse.
(6) Some people consider themselves "physically weak", "kidney deficiency", the worry about sexual life would be prejudicial to health, and increase, unhealthy extent. "One drop of semen, ten drops of blood" fallacy does give a lot of young people to great mental stress. The emotions of anxiety and fear so that they more and more afraid, and premature ejaculation, and growing. Indeed, poor health is the most common and most obvious cause of the premature ejaculation, poor physical condition will reduce sexual arousal and ejaculation response. Premature ejaculation is an actual performance or reduced induction, which is often associated with erectile dysfunction. Premature ejaculation is sometimes not full erection, ejaculation, no sexual excitement.
Functional disorder is also seen in a long-term indulgence excessive, premature ejaculation may be early signs of sexual dysfunction, may also be more explicit because its symptoms are not as good as other sexual dysfunction, often not get people's attention.
(7) poor bedroom environment, such as the two generations living together in a room, only curtains for the sector. Other factors such as local irritation, phimosis, underwear too tight, strong stimulation in audiovisual pornographic goods and (or) sexual child can also cause premature ejaculation.
(8) organic reasons. If premature ejaculation in a variety of conditions continues to occur, it may be caused by organic disease of the body. Such as penis frenulum over the short impede the full erection because the patients were satisfactory. Had prostate Seminal, urethritis can cause premature ejaculation, but in recent years, the survey results show that a large number of patients do not support this view. Inflammation of the Fu Jing Jing Fu is always in the chronic congestion and edema state, slightly stimulate the regular meeting to react in a critical state, results happen quickly ejaculation. Spinal cord, spinal nerve diseases can also cause premature ejaculation, but many accompanied by other symptoms of the original disease. The elderly and atherosclerosis, may also cause premature ejaculation. Premature ejaculation is always in the neural, social, and psychological context of the problem, when a man suggests his premature ejaculation foreskin and other anatomical factors, it is likely not yet found a reflection of anxiety, which had in the diagnosis and treatment be considered.
Really was the "premature ejaculation"?
"Premature ejaculation" word, I have not tried. But most people are always with the length of time linked. A "premature ejaculation" refers to the penis is not even insert on ejaculation, which undoubtedly will make the chance of pregnancy is almost zero. Couples had children, I am afraid this is not really what birth defects. More excessive ejaculation is called "premature ejaculation", and is not measured by the ability to conceive.
Thus, we have heard the men in the discussion: in the end how long ejaculation considered not premature ejaculation? Always bragging about his "golden spear," How long how long. Women have little use of the word "premature ejaculation", but "not as good as the cock to make a Naruto" husband, grievances will occur, and wished he could have any panacea. This situation really fake drugs they can not make money, no medicine to the "disease" in addition to a few.
Premature ejaculation is not a disease. For men, regardless of ejaculation early, even if it is not inserted, he, too can achieve orgasm, half a minute and a half hours is not essentially different. The duration of premature ejaculation can not be measured, because the phenomenon of contrast with the premature ejaculation, there is a "ejaculation difficulties" or "no ejaculation". If one minutes early a few minutes to count late? Not a mechanical watch. The same man, in a different mood, different way and position, ejaculation sooner or later, how much will be different. Could his premature ejaculation today, tomorrow late to vent random change?
As early as the 1960s, the sexologist, said: premature ejaculation refers to the men earlier and women later achieve orgasm. This is in fact a sexual disharmony can not prove any party with physical disease. The beginning, experts say, more than half of sexual intercourse can not make the woman to meet, is premature ejaculation. Subsequently, experts say: man is lack of ejaculation control technique is premature ejaculation. In fact, right not right. According to statistics, the average man in the insert about 3 minutes on ejaculation, and women an average of ten minutes to reach orgasm. According to the above criteria, premature ejaculation not become a man in the world through some incurable disease? Furthermore, men are no doubt the younger sooner ejaculation, his new wife would not be without hope? Also, women reach orgasm is a good variety of the world do you want to stare at the insertion and ejaculation of the man sooner or later, it?
It can be said, does not exist What is premature ejaculation, only keep the fear of premature ejaculation, trouble and helpless. The solution is simple: First, the husband as much as possible to enable his wife to reach orgasm faster way, methods, and position. Wife to learn the necessary knowledge, attitudes and behaviors in order to reach orgasm faster. However, the solution is also quite complex, because no matter which side, caring, attentive, confidence and patience are indispensable, and must be eliminated selfishness, resentment heart and circumcenter. Otherwise, no matter how much sexuality books, no matter how clever the guidance of experts, but also does not help.