How to treat premature ejaculation in men

2022-06-02

Premature ejaculation is the most common disorder of ejaculation dysfunction. Many men with premature ejaculation avoid medical attention in the hope that premature ejaculation will go away on its own. Actually, this is not right. No matter what the disease is, you should go to the hospital for treatment in time. The sooner most conditions are treated, the better, and the same goes for treating premature ejaculation. Today I am going to tell you how to treat premature ejaculation. Before that, though, let's take a closer look at the definition of premature ejaculation.

What is premature ejaculation?

At present, the definition of premature ejaculation is still controversial. In 2014, International Medicine classified premature ejaculation into primary premature ejaculation and secondary premature ejaculation. Primary premature ejaculation is ejaculation during first intercourse, usually inserted into the vagina for about a minute or so. Secondary premature ejaculation refers to significantly shortened ejaculation latency, usually within three minutes after ejaculation. No matter what kind of premature ejaculation, the patient's ability to control ejaculation is very poor, always or almost always can not delay ejaculation, causing adverse effects on the patient's body and mind.

At present, there are four main methods of treating premature ejaculation: psychotherapy, behavioral therapy, drug therapy and surgery. Among them, drug treatment is a relatively easy treatment method for premature ejaculation patients, and it is also the most commonly used clinical treatment method.

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The treatment of premature ejaculation requires medication

The drug treatment of premature ejaculation can be divided into oral drug treatment and topical drug treatment, among which oral drug is the main way of clinical treatment of premature ejaculation. Next, let's look at common treatments.

Selective serotonin reuptake inhibitors (SSRIs): SSRIs are the most commonly used drugs for the treatment of premature ejaculation. These drugs mainly include dapoxetine, fluoxetine, paroxetine, sertraline, etc., of which dapoxetine is an approved drug for the treatment of premature ejaculation. Dapoxetine inhibits serotonin reabsorption and prolongs ejaculation latency in men.

PDE5 inhibitors: The mainstay of PDE5 inhibitors for the treatment of premature ejaculation is sildenafil. For patients with erectile dysfunction, PDE5 inhibitors combined with SSRIs can improve sexual satisfaction.

Alpha-blockers: Alpha-blockers block the action of the sympathetic nervous system and prolong ejaculation latency. Common alpha-blockers include tamsulosin, terazosin, and doxazosin.

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Common misunderstandings of premature ejaculation in men

Myth 1: Premature ejaculation can lead to male infertility

Premature ejaculation is one of the most common sexual dysfunctions in men. It usually has the following characteristics: first, the latency period of ejaculation is very short; second, ejaculation is uncontrollable; third, the short ejaculation time leads to negative emotions. Premature ejaculation does not cause male infertility, and male fertility depends primarily on sperm health and sperm count. Premature ejaculation generally does not affect fertility if the semen is normal and enters the vagina normally.

Myth 2: People with premature ejaculation will definitely become impotent

Premature ejaculation refers to a short penile ejaculation latency, and impotence (ie, erectile dysfunction) refers to a man's inability to consistently obtain or maintain enough penile erection for satisfactory sex. Although both are common sexual dysfunctions in men, the pathogenesis is different and there is no causal relationship between the two.

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Myth 3: Ejaculation too fast is premature ejaculation

The performance of men in sexual life is affected by many factors such as age, physical condition, mental and psychological factors. According to the definition of premature ejaculation by the International Society of Sexual Medicine:

1. Ejaculation often or always occurs within about 1 minute before or after the penetration of the penis into the vagina at the beginning of the first intercourse;

2. The incubation period of vaginal ejaculation is significantly shortened, generally no more than 3 minutes;

3. The ejaculation time cannot be controlled;

4. Premature ejaculation has obvious negative emotions.

If the above description is satisfied, it can be preliminarily judged to be premature ejaculation. However, whether it is really premature ejaculation still needs the judgment of a professional doctor.

Myth 4: Surgical treatment of premature ejaculation once and for all

The current surgical treatment for premature ejaculation is mainly selective dorsal penile neurotomy, but there is still a lack of sufficient evidence-based medical evidence to prove its efficacy and safety. Elective dorsal penile neurotomy is not a first-line treatment for premature ejaculation. The treatment of premature ejaculation is mainly long-term use of selective serotonin reuptake inhibitors (SSRIs) and local anesthetics as needed, supplemented by psychotherapy.