Recognize the true nature of premature ejaculation

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Recognizing the True Nature of Premature Ejaculation
Premature
ejaculation is one of the most common symptoms of male sexual dysfunction and also one of the most misunderstood issues regarding normal sexual function. How to correctly determine whether or not premature ejaculation exists?
(1) Understand what premature ejaculation is: Strictly speaking, premature ejaculation is when the erect penis ejaculates before entering the vagina or immediately after penetration, but this is not considered pathological. Only when this happens frequently and intercourse is impossible can it be considered pathological and diagnosed as premature ejaculation.
(2) Correctly understand the length of ejaculation time: Premature ejaculation refers to ejaculation too early. In fact, this definition is difficult to define. The length of ejaculation time during intercourse varies greatly from person to person. Even for the same person, the ejaculation time is not the same each time. It is inappropriate to use the length of ejaculation time to measure premature ejaculation. Individual differences such as age, physique, health status, sexual experience, number of intercourses, and the speed at which female sexual desire and orgasm occur must be considered. Therefore, it is difficult to formulate a specific standard for ejaculation time. According to surveys, the normal ejaculation time for men is generally between 1 and 3 minutes, with some lasting 20 to 30 minutes or more, and a few reaching 50 to 60 minutes. As for those who ejaculate within 1 minute, it depends on whether both partners are satisfied. If both partners are in sync and intercourse occurs when the woman is sufficiently aroused, and both feel satisfied after ejaculation, then it should not be considered premature ejaculation. Therefore, some have suggested that ejaculation occurring within 1 minute of penetration or after fewer than 15 thrusts is also considered premature ejaculation. This view is currently still debated.
(3) Several normal phenomena of premature ejaculation:
① Occasionally, premature ejaculation may occur during intercourse when the person is excessively fatigued;
② During the first intercourse after marriage or a long separation, the man may be too excited and ejaculate quickly, or even prematurely, which is not surprising;
③ For couples living apart, if the man experiences premature ejaculation on the first night of reunion, the heavy mental burden may leave a negative stimulation mark on the cerebral cortex, and premature ejaculation may occur on the first night of intercourse after a long separation, but the second and third nights will be normal. This special phenomenon of premature ejaculation is not a cause for concern and is not pathological;
④ Some people are prone to premature ejaculation when having intercourse before falling asleep, but the ejaculation time is longer when having intercourse after waking up in the middle of the night. This situation should not be regarded as premature ejaculation and can be done as appropriate;
⑤ If ejaculation is too fast during intercourse, intercourse can be repeated that night. If the ejaculation time is relatively longer, there is no need to worry. This repeated intercourse can also be used as an occasional method to deal with premature ejaculation, but it should not be used regularly. Another situation is that due to male sexual arousal, some fluid is secreted from the urethral opening. This is actually a kind of mucus secreted by glands such as bulbourethral glands, and should not be mistaken for the semen of premature ejaculation.
Four ways to treat premature ejaculation
If you have premature ejaculation, both husband and wife should deal with it correctly. It is not advisable to complain to each other, or to have anxiety or boredom, or not to take it seriously, not to cooperate with treatment, and even less should you stop normal sexual life. The correct way to deal with it is to first go to the hospital for examination to rule out urogenital diseases, and then eliminate mental tension, overcome fear, and keep a happy mood. The female partner should be more considerate and caring to the male partner, help him relieve his mental concerns, and prolong the preparation time before intercourse. Clinically, about 2/3 to 3/4 of premature ejaculation cases achieve therapeutic effects through mental and psychological factors. For some more stubborn premature ejaculation, the following methods can be used:
(1) Reduce sexual impulse and sexual sensitivity: Both men and women should keep their mental state relaxed before intercourse and avoid being too tense or sexually impulsive. Using a condom for intercourse is also a way to reduce sensitivity and prevent premature ejaculation. A small amount of topical anesthetic can be applied with clean gauze before or during intercourse, or a small amount of sedative can be taken to reduce sensitivity to sexual stimulation and prolong the duration of intercourse.
(2) Intermittent stimulation method: This method is a type of behavioral therapy. It is performed by both partners through intercourse or non-intercourse, with the woman taking the lead. The main purpose is to train and increase the man's ejaculation threshold. When the man is about to reach the ejaculation threshold, the stimulation is suddenly stopped. After the excitement subsides, the penis is stimulated again, and this process is repeated. This method can enable the man to tolerate a large amount of stimulation without ejaculating.
(3) Scrotum traction method: Intercourse is divided into the excitement phase, plateau phase, orgasm phase, and resolution phase. When intercourse enters the plateau phase, sexual excitement enters a sustained and stable high level. During the duration, the diameter of the male glans penis increases slightly, the color of the glans penis darkens, and due to the congestion of blood vessels in the testes and scrotum, the volume of the scrotum further increases, and the testes are further raised to contact the perineum, which easily stimulates the perineum and causes reflex ejaculation. At this time, pulling the scrotum and testes can reduce excitability and delay ejaculation. This method can be performed by both partners during intercourse, or it can be combined with the intermittent stimulation method.
(4) Penis squeezing method: During intercourse, the corpora cavernosa of the penis is the main organ involved in the erection mechanism. Penis erection and ejaculation occur when stimulation reaches a certain threshold, and the nerves of the genitals transmit the signal to the central nervous system. The efferent nerves then cause the smooth muscles of the epididymis, vas deferens on the testes and prostate to contract through the hypogastric plexus and bladder plexus, and the semen is ejaculated through the urethra. The penis squeezing method is also a kind of behavioral therapy of sequential training. The method involves the woman stimulating the penis until ejaculation becomes inevitable. Immediately stop stimulation, place the thumb on the frenulum of the penis, and the index and middle fingers on the dorsal side of the penis (avoid sliding the penis). Apply vertical pressure up and down for 4 seconds, then suddenly release. The pressure applied is directly proportional to the degree of penile erection. Repeated practice can delay the urgency of ejaculation, increase the ejaculation threshold, and restore ejaculation time. Generally, consistent use of the squeeze method for 3-6 months is needed for lasting results.

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