Premature ejaculation

　　Currently, it is believed that the causes of premature ejaculation are not only psychological and local factors related to the penis, but also factors related to urological, endocrine, and neurological systems. The psychological factors that can cause male premature ejaculation include many aspects. It should be noted that this kind of tension in sexual life for men will continue to exist and will not change immediately due to changes in the sexual environment. At the same time, long-term sexual failure will have a reverse effect, causing a恶性循环 in the patient's psychology. Overlong foreskin of the penis and tight underwear that overly stimulate the glans can lead to male premature ejaculation. The causes of premature ejaculation are diverse, but they can be summarized into two categories:

　　1. Psychological Factors

　　More than 80% of premature ejaculation patients are caused by psychological factors, accounting for 85% of all premature ejaculation cases. For example, factors such as long-time separation followed by a reunion, honeymoon, excessive excitement or tension, overfatigue, moodiness, drinking after sex, irregular sexual relations, disharmony in the relationship between husband and wife, the husband's potential enmity towards the wife, resentment and anger, or excessive fear, admiration, and inferiority complex towards the wife are all factors that can trigger premature ejaculation. Common psychological causes include some people being overly anxious during sex, fearing premature ejaculation and causing dissatisfaction from their partner. Some people, due to a misunderstanding of sexual knowledge, unnecessarily suspect their low sexual ability, feeling self-abased during sex, which is more common in those who believe their penis is small or consider themselves weak. Disharmony in the relationship between husband and wife, such as suspicion, jealousy, or excessive respect for the wife, can also lead to premature ejaculation. Some people place too much emphasis on sex, have high expectations, or are overly anxious about occasional premature ejaculation, which may加重 the psychological burden, leading to tension, making premature ejaculation worse, and thus forming a恶性循环. On the first night of marriage, the couple's first sexual encounter may be exciting, with the nerves highly excited, and the groom may reach orgasm just when touching the sexual organs or when the penis is just inserted into the vagina. Additionally, after a long-time separation, sexual excitement may be faster, and men may reach orgasm earlier, which cannot be diagnosed as premature ejaculation. These conditions will gradually become normal as the couple live together, and no treatment is needed. Overindulgence in sex after marriage, excessive mental tension, excessive emotionality, or fear of premature ejaculation leading to failure in sexual intercourse, overfatigue, and insufficient energy can weaken the control ability of the ejaculation center. During neurasthenia, when the inhibitory ability of the brain is weakened, premature ejaculation can also occur.

　　2、器质性疾病

　　引起早泄的器质性因素正在探讨中，有人认为脊髓系统疾病如多发性硬化症或脊髓肿瘤、癫痫发作或大脑皮层器质性病变如脑血管意外，可引起射精失控。也有报告提示糖尿病、心血管疾病、骨盆骨折、泌尿生殖系统疾病如尿道炎、前列腺炎、精囊炎以及前列腺增生，均与早泄相关。

　　久治不愈早泄常表现为口苦咽干、小便黄赤、淋浊、痒，舌质红，苔黄，脉弦数少等，并伴随精神抑郁、焦虑或头晕、神疲乏力、记忆力减退等全身症状。早泄会给身体造成下面影响。

　　1、失去自信

　　早泄让男人丧失自信，会让男人觉得自己不“行”，从而产生心理障碍，自信心下降，也更加重了病情，甚至会导致男性勃起障碍，形成恶性循环。

　　2、精神不振

　　早泄患者长期伴有精神不振、神疲倦怠、夜寐不安、精薄清冷、心悸不宁等症状，影响工作和生活。

　　3、得不到性满足

　　影响夫妻感情，长期下去，使夫妻双方达不到性满足，直接危害夫妻性生活的和谐，进而影响夫妻感情及家族和睦。

　　早泄的症状非常明显，男性在得了早泄后，勃起的时候还没有接触或者是刚刚接触到女方的外阴，又或者是插入到阴道的抽动时间比较短暂，还没有达到性欲的高潮就已经射精了，随后阴茎就会疲软。男性朋友还可以从性生活的时间来看早泄的症状，如果阴茎插入阴道后时间在2分钟以上，不足6分钟、以正常幅度抽动不足60次就射精。在和伴侣的性爱过程中10次性爱过程中有7-8次不能配合伴侣控制射精。早泄患者会多次感到焦虑、紧张或不安的现象。还会有经常感腰膝酸软、阴部胀痛、睾丸胀痛的症状。

　　一、早泄的分类

　　1、习惯性早泄：指成年以后性交一贯早泄者，这种人的性生理功能正常，阴茎勃起有力。症状有性欲旺盛，阴茎勃起有力，交媾迫不及待，大多见于青壮年人。

　　2、年老性早泄：这类早泄多由性功能减退而引起，中老年男性的射精时间会随着年龄的增长而逐渐提前，常伴有性欲减退与阴茎勃起无力等。

　　3、偶见早泄：大多在身心疲惫，情绪波动时发生。原本无早泄，在某种精神或躯体的应激情况之后急性发生的早泄，常伴勃起乏力。

　　4、精神性早泄：患者可出现不同程度原发性疾病的症状和体征。这主要包括生殖器官的异常病变或畸形，导致患者出现先天性早泄。

　　二、早泄的程度

　　1、轻度：通常情况下，男性朋友的阴茎插入阴道后时间在六分钟以上，不够十二分钟、以正常幅度抽动不足120次。在和伴侣的性爱过程中，10次性爱过程中有5-6次不能配合伴侣控制射精。以上有任何一项，为轻度早泄。

　　2、中度：男性朋友在正常的情况下，没有任何外界干扰，阴茎插入阴道后的时间在2分钟以上，不足6分钟以正常幅度抽动不足60次就射精。在和伴侣的性爱过程中10次性爱过程中有7-8次不能配合伴侣控制射精。以上有任何一项，为中度早泄。

　　3、重度：在日常生活中，男性朋友在性生活过程中，没有多久，就马上射精，这种现象是男性朋友常见的。阴茎插入阴道后时间不足2分钟，以正常幅度抽动不足15次就射精，在和伴侣的性爱过程中，10次性爱过程中有10次不能配合伴侣控制射精。以上有任何一项，为重度早泄。

　　早泄患者还多表现为性交的时候还没有接触或者是刚刚接触到女方的外阴，又或者是插入到阴道的抽动时间比较短暂，还没有达到性欲的高潮就已经射精了，随后阴茎疲软。可伴随着精神抑郁、焦虑或者是头晕、神疲乏力、记忆力减退等全身的症状。早泄给男性带去沉重的心里压力，其不仅影响到正常性生活的进行，还会因无法将精子输至女性的宫颈口，继而对生育造成实质性影响，此外，早泄患者的机体处于非健康的状态，精子质量差，亦不能保证育出健康的小生命。

　　近些年早泄的发病率在不断的增加，早泄也成为了男性健康的“头号大敌”。早泄对男性的造成的危害非常的很大，男性一旦出现早泄的症状，生活和工作都会受到很大影响，所以生活中积极的预防早泄是非常的重要的。

　　1、建立美满、健康、和谐的家庭环境。注意夫妻之间的相互体贴、配合，一旦出现不射精不可相互责备、埋怨，而应找出原因，共同配合治疗。

　　2、注意婚前性教育和性指导。掌握一些性解剖及性生活知识，了解和掌握正常的性交方法和性反应过程，不宜过度节制性生活，因性生活次数太少，不利于雄激素的释放。

　　3、注意生活要有规律，加强体育锻炼，如打太极拳、散步、气功等均有益于自我心身健康和精神调节。

　　4、预防男性早泄疾病的发生，患者还应该谨慎用药，现在社会上治疗阳痿、早泄的药物和保健品非常的多，不过还是要对症下药，不易长期使用，不能盲目滥用壮阳药。

　　5. The mood before sexual intercourse has a great impact on the speed of ejaculation, so one should avoid worry, excitement, and tension. Confidence should be established, and treatment should be cooperated with.

　　7. It is not advisable to casually take

　　8. In life, improving one's physical fitness can also lead to the occurrence of premature ejaculation. Weakness, over-fatigue, insufficient sleep, excessive mental tension, and overuse of the brain can all be factors leading to the disease. It is important to exercise to strengthen physical fitness and pay attention to rest to prevent overwork.

　　9. Actively participate in physical exercise, especially the practice of Qigong, to improve physical and mental quality and enhance the ability to control one's will.

　　10. Eat more foods with kidney-tonifying and essence-nourishing effects, such as oysters, walnuts, lotus seeds, chestnuts, turtle, warty clam, pigeon eggs, pork kidneys, etc.

　　11. Patients with premature ejaculation due to Yin deficiency and fire hyperactivity should not eat excessively spicy foods such as mutton, dog meat, sparrows, bull and sheep tendons, etc., as this may worsen the condition.

　　12. Adjust emotions, eliminate tension, inferiority, and fear caused by concerns about pregnancy or the size of the sexual organs, or the lack of sexual ability. During sexual activity, one should relax.

　　13. Long-term smoking can hinder blood flow into the body's peripheral tissues, affecting the blood circulation of the penis and the production of sexual response. Alcohol is a sexual pancreatic toxin. Excessive drinking can cause sexual pancreatic poisoning, with symptoms such as decreased seminal secretion in men, and 70% of people suffering from impotence and infertility.

　　14. To prevent the occurrence of premature ejaculation, it is necessary to actively understand sexual knowledge, because understanding some sexual knowledge can effectively prevent the occurrence of premature ejaculation. It is hoped that men can pay attention to this, especially newlyweds should actively understand.

　　In life, there are many things to pay attention to in preventing the occurrence of male premature ejaculation. People must pay attention to this in life. If troubled by male premature ejaculation, one should actively seek treatment in professional hospitals.

　　Physical examination and laboratory tests are not as important as asking for medical history in diagnosing premature ejaculation. When premature ejaculation patients undergo physical examination and laboratory tests, the results are usually normal. Nevertheless, a simple external genital examination is still very necessary. If the patient has not only premature ejaculation but also symptoms of erectile dysfunction, then necessary auxiliary examinations should be conducted according to organic erectile dysfunction.

　　1. Routine examination

　　Routine examinations include checking the nervous system of the reproductive organs and the urogenital system, etc.

　　2. Ultrasound examination

　　Transrectal ultrasound examination of the prostate helps to judge the location, size, shape, and invasion range of the prostate cancer, which is convenient for diagnosing premature ejaculation caused by prostate diseases.

　　3. Sexual function examination

　　To accurately check the function of checking, it depends on high-tech detection equipment. Accurate detection of the number and time of penile erection, duration, degree of inflation, maintenance time, and interval time at night, and diagnose the severity of premature ejaculation according to the results of the examination.

　　Fourth, laboratory examination

　　Laboratory examination is to collect samples for examination, such as common blood and urine tests, as well as blood sugar, blood lipid, liver, kidney function, and endocrine hormone tests. In addition, it is also necessary to check the prostate fluid.

　　Fifth, sexual nerve function test

　　This is also a method of treatment and examination for premature ejaculation, finding the root cause of premature ejaculation from the perspective of sexual nerves, and accurately determining the degree of premature ejaculation, making a scientific diagnosis for premature ejaculation, and selecting a method for treating premature ejaculation with a targeted approach to the cause.

　　The treatment of premature ejaculation in traditional Chinese medicine is often divided into three types, namely, kidney deficiency and yang deficiency, yin deficiency and yang hyperactivity, or wandering fire. Patients should choose warm kidney and strengthen yang or nourish kidney yin drugs or foods for adjustment according to different types under the guidance of a doctor.

　　1, 250 grams of green shrimps, 150 grams of chives, stir-fried according to usual methods.

　　2, 6 sparrow eggs, 60 grams of sweet rice wine lees, cooked and eaten together.

　　3, 500 grams of mutton, 100 grams of goji, cooked into a soup for drinking.

　　4, 8 sparrows, 100 grams of green garlic, cooked or stir-fried according to usual methods.

　　5, 3 dried dog penises, ground into fine powder, take 3 grams each time, taken with yellow wine, or for those who do not drink, it can be taken with warm water.

　　6, a pair of pork kidneys, 30 grams of walnuts, stewed until tender for eating.

　　7, 250 grams of dog meat, 50 grams of black beans, seasoned with salt, ginger, five-spice powder, and a little sugar, all cooked for eating.

　　8, a pair of pork kidneys, 10 grams of walnuts, 9 grams of Chinese dogwood fruit, or 10 grams of eucommia, 8 grams of psoralea, put into the pork kidneys, tie it up, and boil for eating.

　　9, 1 pork stomach, cleaned, put 10 grams of cistanche into the stomach, tie it up, boil, eat the meat and drink the soup.

　　10, 150 grams of mutton, 12 grams of Chinese yam, 10 grams of cistanche, 15 grams of dodder, 150 grams of walnuts, 10 scallions, and appropriate amount of glutinous rice, all cooked into a soup for drinking.

　　11, 30 grams each of astragalus and goji, 1 pigeon. First kill the pigeon, remove feathers and internal organs, clean, and put it in a stewing pot with astragalus and goji, add appropriate water, and stew until tender. Generally stew once every 3 days, 3 to 5 times as one course. It can invigorate the spleen and qi, nourish yin and kidney, suitable for premature ejaculation with both spleen and kidney deficiency.

　　12, 50 grams of shrimp, 25 grams of sea horse, 1 male chicken. First kill the chicken, remove feathers and internal organs, clean, put shrimp and sea horse into the chicken belly with warm water, add scallions, ginger cubes, monosodium glutamate, and appropriate salt, steam until tender. Remove scallions and ginger cubes, and pour the starch sauce over the chicken. It has the effect of strengthening the spleen and kidney, suitable for premature ejaculation due to yang deficiency of both spleen and kidney.

　　13, 15 grams each of cyathula and eucommia, wrapped in a cloth bag, with 2 to 3 pork tails dehaired and cleaned. Add 3 slices of ginger, appropriate amounts of cooking wine and soy sauce, boil with high heat, then simmer with low heat until tender, add a little salt. Eat the pork tail and drink the soup, finish in one sitting, once or twice a week, for a month.

　　14, 15 grams each of dodder, Chinese toona fruit, and cranberry, 12 grams of Chinese dodder vine. The herbs are chopped and packed in a double-layered gauze bag, soaked in 1 liter of white wine, sealed for 3 days, then opened. Take 1 to 2 small cups each time, three times a day. It has the effect of tonifying the kidney and consolidating essence, used for premature ejaculation due to kidney essence not being consolidated.

　　15. 45 grams of raw rehmannia, 45 grams of Ba Ji Tian, 30 grams of Lycium barbarum, 20 grams of prepared aconite, 60 grams of sweet wormwood, 20 grams of Sichuan pepper, 20 grams of Xian Mao. The above seven ingredients are crushed together, placed in a clean bottle, sealed with wine, soaked for 5 days, then opened and the dregs removed before drinking. Drink 1-2 cups on an empty stomach in the morning and evening. This formula has the effect of nourishing yin and reinforcing the kidney, seeking yang in yin, and is used for kidney deficiency and premature ejaculation. Drink 1-2 cups on an empty stomach in the morning and evening.

　　Now, many patients with premature ejaculation prefer to use traditional Chinese medicine for treatment, mainly because long-term use of Western medicine can have certain side effects, which may harm the body. In contrast, traditional Chinese medicine treatment has no side effects and is more targeted. Let's take a look at how traditional Chinese medicine treats premature ejaculation.

　　1. Kidney qi instability

　　Traditional Chinese medicine believes that premature ejaculation is closely related to the kidney, and many patients suffer from premature ejaculation due to kidney qi instability. Decreased libido, premature ejaculation with seminal emission, even impotence, accompanied by soreness in the lower back and knees, clear urine, frequent nocturnal urination, pale tongue, white fur, and weak pulse. Treatment focuses on reinforcing the kidney and securing the essence, with the selection of modified Jin Luo Gu Jin Wan: Shaoyuan jili, qianshi, calcined longgu, calcined muli, lianzi, etc.; or modified Jin Gui Shen Qi Wan: shudihuang, shanyao, shanyu rou, danpi, fuling, zexie, fuzi, rougui, etc.

　　2. Deficiency of both the heart and spleen

　　If the heart and spleen organs are relatively weak, it can also cause premature ejaculation due to seminal incontinence. Premature ejaculation with seminal emission, accompanied by limb fatigue, pale complexion, emaciated body, palpitations, shortness of breath, forgetfulness, frequent dreams, loss of appetite, pale tongue, white fur, and thin pulse. Treatment focuses on reinforcing the heart and spleen, with the selection of modified Suanpi Decoction: ginseng, baizhu, fried huangqi, danggui, fried gancao, fushen, yuanzhi, zao ren, qingmu xiang, long yan rou, shengjiang, da zao, etc.

　　The above is the method of treating premature ejaculation in traditional Chinese medicine. In order to treat premature ejaculation, traditional Chinese medicine must analyze and judge the etiology of the patient. Generally, treatment starts from the internal organs rather than just treating the symptoms. Although the effect of traditional Chinese medicine may be slow, it is fundamentally regulating, so the effect is relatively long-lasting.