1 on premature ejaculation - definition and classificationThere is no uniform definition of premature ejaculation. True premature ejaculatio
1 on premature ejaculation - definition and classification
There is no uniform definition of premature ejaculation. True premature ejaculation refers to the person who has not entered or just entered the vagina. In general, most of the cases were included in the study. 2min was included in the study. The cases were <
2 on premature ejaculation - etiology
The cause of premature ejaculation controversy lasted for about a century, the traditional view that premature ejaculation is mostly psychological reasons. Current research focuses on the combination of psychological and organic factors, but so far, there has not been a theory can be widely accepted. Generally think that psychological factors may exacerbate the potential persistent organic factors caused by premature ejaculation. Anxiety, tension, anxiety and other mental factors play an important role in it, it was suggested that the sympathetic nervous system plays a key role in ejaculation. Anxiety and other psychological factors can reduce the activity of the sympathetic nerve of penis caused ejaculation threshold. But there is no strong evidence to support this.
3 on the treatment of premature ejaculation - antidepressant treatment
Antidepressant treatment: it was found that the use of antidepressants in patients with mental illness, incidentally found ejaculation disorders. Experimental report, the cerebral cortex excitability ejaculation can be increased by stimulation of dopamine, but was inhibited by anti 5 serotonin stimulation, anti a adrenergic receptor and a serotonin receptor can be 5 can delay ejaculation. Antidepressants, adrenergic receptor blockers and 5 serotonin reuptake inhibitors (SSRI) have been widely used in the treatment of premature ejaculation in recent years, although these patients may not be depressed. It is a safe choice for these drugs, especially in the absence of psychological treatment, or refusal to receive psychotherapy, or whether their sexual partners are unwilling to cooperate with the therapist. The reported for antidepressants are premature ejaculation tricyclic antidepressants (such as clomipramine, equal consideration) and SsRI (including fluoxetine, sertraline, Pa Rossi Dean, etc.) by double-blind, randomized, placebo-controlled study strictly to show that these drugs can significantly prolong ejaculation latency and SSRI mild side effects, and as of the amount of treatment than anti anxiety drugs, and less side effects.
4 on the treatment of premature ejaculation - surgical treatment
Surgical treatment: (1) penile dorsal nerve neurotomy and (2) circumcision: selective dorsal penile nerve resection can reduce the sensitivity of the glans of the penis, raise ejaculation stimulus threshold, so as to prolong ejaculation latency, improve patient quality of life. Although its therapeutic effect was confirmed to a certain extent, its safety and efficacy still need to be studied.
5 on the treatment of premature ejaculation - local treatment
Local treatment: local treatment of premature ejaculation with previous major components for the local anesthetic spray and ointment, such as the commonly used 1% Dyclonine ointment, 1% ~ 2% tetracaine, 1% tetracaine, lidocaine in 2%, before sexual intercourse on the glans penis, to delay ejaculation latency by local anesthetic effect. However, the lack of formal clinical trials of these agents, and because some drug content is too high, cause the local anesthesia effect is too strong, easily lead to sexual disorder or erectile dysfunction, and because the drug action time is too short and often tend to fail. SS-cream cream is a new drug which is made of natural medicine extract. It can improve the sensation threshold of the penis, reduce the excitability of sensory nerve, and increase the blood flow of the penis.