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什么是射精过早？
Ejaculation is the release of semen from the penis during an orgasm. When ejaculation occurs faster than you or your partner would like, it’s known as premature ejaculation (PE).
PE is common. Aboutone in three menbetween the ages of 18 and 59 experiences PE at some point.
PE is also known as:
- rapid ejaculation
- premature climax
- early ejaculation
Is premature ejaculation a type of sexual dysfunction?
PE is considered a type of性功能障碍. Sexual dysfunction refers to any of several types of problems that keep a couple from fully enjoying sexual activity.
PE isn’t the same aserectile dysfunction (ED). ED is the inability to achieve and maintain an erection that allows for a satisfying sexual experience. However, you may experience PE along with ED.
Occasional episodes of PE usually aren’t anything to worry about. You may need treatment if PE occurs frequently or has occurred for an extended period of time.
PE的主要症状是经常无法在性交期间穿透超过一分钟的时间延迟射精。对于某些人来说，手淫期间的快速高潮也可能是一个问题。
If you experience premature ejaculation sometimes and normal ejaculation other times, you may be diagnosed with natural variable premature ejaculation.
PE is usually categorized as lifelong or acquired.
Lifelong (primary) PE means you’ve had this experience always or almost always since your first sexual experience.
获得的（次要）PE意味着您一生中的射精持续时间更长，但已经开发了PE。
There are psychological or emotional components to PE, but there are also other factors that contribute to it.
一些心理组件可能是暂时的。佛r example, a person may have experienced PE during early sexual experiences, but as they grew older and had more sexual encounters, they learned strategies to help delay ejaculation.
Likewise, PE may become an issue as a person gets older and has more trouble maintaining an erection.
PE may be caused by underlying conditions or mental health concerns too, including:
- poor body image or poor self-esteem
- 沮丧
- history of sexual abuse, either as the perpetrator, or as the victim or survivor
Guilt may also cause you to rush through sexual encounters, which can lead to PE.
Other things that can lead to PE include:
- 担心过早射精
- anxiety about limited sexual experience
- problems or dissatisfaction in your current relationship
- stress
Physical causes can also play a major role in PE. If you have difficulty maintaining an erection because of ED, you may rush through intercourse so that you complete it before losing the erection.
某些激素的异常水平，例如睾丸激素或称为神经递质的神经细胞产生的化学物质，可能会导致PE。前列腺或尿道的炎症也会引起许多症状，包括PE和ED。
Talk with a doctor if PE:
- is occurring or has occurred enough times to cause relationship problems
- makes you feel self-conscious
- keeps you from pursuing intimate relationships
You may start with a primary care physician or seek out a urologist. A urologist is a doctor who specializes in the health of the urinary system and male sexual function.
When you see your doctor, have the following information available:
- How long have you been sexually active?
- When did PE become a concern?
- How often does PE occur?
- How long does it usually take before you ejaculate during intercourse and when you masturbate?
- 您是否使用可能影响性表现的药物或药物？
- Have you had sexual encounters that included “normal” ejaculation? If so, what was different about those experiences and the times when PE was an issue?
In addition to working with a urologist or other physician, you may be advised to work with a mental health professional who specializes in性功能障碍.
In some cases, you may be able to treat PE with some changes to your sexual routine.
You may be advised tomasturbatean hour or so before intercourse, as this may help you delay ejaculation with your partner.
You may also try temporarily avoiding intercourse altogether and engaging in other sexual activity and play with your partner. That may help relieve the pressure of performing during intercourse.
Start-and-stop and squeeze methods
Two strategies you and your partner can employ are the start-and-stop method and the squeeze method.
With start-and-stop, your partner stimulates your penis until you’re close to ejaculation. Then your partner should stop until you feel you’re in control again.
Ask your partner to repeat this two more times. Then engage in a fourth attempt, allowing yourself to ejaculate.
TheAmerican Urological Associationrecommends trying this three times a week until you feel you’re better able to control when you ejaculate.
With the squeeze method, your partner stimulates your penis until you’re close to ejaculating. Then your partner firmly squeezes your penis until your erection starts to weaken. This should help you better realize the sensation just before climaxing so you can develop better control and be able to delay ejaculation.
这些策略可能需要几周才能有效，并且不能保证它们独自解决问题。
Pelvic floor exercises
Certain muscle exercises may also help. In particular, you may benefit from male pelvic floor exercises.
To find your pelvic floor muscles, concentrate on stopping urination in midstream or using certain muscles to keep you from passing gas. Once you understand where the muscles are, you can practice exercises known asKegel maneuvers. You can do them standing, sitting, or lying down.
To do Kegel maneuvers:
- Tighten your pelvic floor muscles for a count of three.
- Relax them for a count of three.
- Do this several times in a row throughout the day
Work your way up to three sets of 10 repetitions each day.
When doing Kegel exercises, be careful not to use your abdominal or buttock muscles instead of your pelvic floor muscles.
训练您的肌肉也可能需要数周或几个月的时间才能有所作为，具体取决于这是否是PE的根源。
Decreased sensitivity
Decreasing the sensitivity of your penis during intercourse may also help.
Wearing a condom may decrease your sensitivity just enough to help you maintain your erection longer without ejaculating.
There are even condoms marketed for “climax control.” These condoms contain numbing medications such as benzocaine to help dull the nerve responses of your penis slightly.
Applying numbing agents directly to your penis about 15 minutes prior to intercourse may also be helpful, but discuss your options with your doctor first.
ED medications
如果埃德是一个因素，请与您的医生谈谈ED medications, such as他达拉非(Cialis) andsildenafil(Viagra). They may help you maintain an erection, which could lead to delayed ejaculation.
These andother ED medicationscan sometimes take an hour to begin working. Getting the right dose may take some trial and error too, so be willing to work with your prescribing healthcare professional.
If you experience PE, it’s important to talk about it with your partner, rather than ignore it or deny that it exists. Be calm and discuss your options.
你们俩都应该理解：
- PE is usually a treatable condition.
- 这很常见。
- 探索PE的原因和治疗方法可能有助于解决其他关系问题或导致治疗anxiety,沮丧，或其他情绪障碍，以及荷尔蒙或其他身体原因。
尝试治疗结合后，您可能能够克服PE，家庭策略, or medication.
You and your partner may also be able to enjoy a sexually fulfilling and intimate relationship with less emphasis on intercourse. Focus on oral sex and the use of sex toys while seeking treatment for PE.
Or look for ways to enhance your emotional intimacy through nonsexual activities.
关键是要了解PE通常可以解决，并且仅是夫妻身体关系的一部分。对彼此的需求和关注的支持和理解是解决PE或您作为一对夫妻面临的任何挑战的最佳方法。