Are "Inexperienced" prone to premature ejaculation? Is "holding back from cumming" effective? Medical advice: If 3 situations occur, you should seek medical examination.

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Are "Inexperienced" prone to premature ejaculation? Is "holding back from cumming" effective? Medical advice: If 3 situations occur, you should seek medical examination.

Premature ejaculation is a health problem that is difficult to discuss for men. It is often when the relationship changes that men realize the importance of medical treatment. Dr. Zhou Zhengwei, director of the Urology Department of New Taipei City Hospital , said that according to rigorous medical theory, ejaculation within one minute of inserting the penis into the vagina is premature ejaculation, which is called IELT (Intra-vaginal Ejaculation Latency Time) in English.

Dr. Zhou Zhengwei said that if the following three conditions occur in daily life, further diagnosis and treatment by a urologist are required:

  1. In the past, when having sex, ejaculation took no more than 1 minute approximately once every two times.

  2. The individual loses control over the act of ejaculation and orgasms due to the inability to control sexual impulses.

  3. Premature ejaculation is too frequent, causing tension, conflict, and emotional changes in the relationship between sexual partners.

What factors cause premature ejaculation? Will the situation last?

Dr. Zhou Zhengwei said that male premature ejaculation is mostly caused by two major factors. The first is “primary”, which means that patients with premature ejaculation are naturally more sensitive to sexual stimulation, leading to orgasm soon after sexual intercourse, and it has little to do with external factors. Without treatment and correction, premature ejaculation may not improve for a long time.

The second type of premature ejaculation is the “secondary type”, which may be caused by physical conditions such as prostate inflammation. A small number of patients suffer from erectile dysfunction and insufficient penis congestion. In addition, psychological problems such as mood swings and tense relationships with sexual partners may also cause premature ejaculation. Men are reminded that if they have premature ejaculation problems, they should consult a urologist to discuss treatment methods. There is a chance for further improvement, which can help partners have healthy communication and make their sexual intercourse more compatible.

Who is at high risk for premature ejaculation? Is lack of sexual experience more likely to lead to premature ejaculation?

Dr. Zhou Zhengwei said that it is not uncommon for young men to have symptoms of premature ejaculation, and the following five conditions are common in premature ejaculation in young men:

  1. Those with insufficient sexual experience. Lack of sexual experience makes it difficult to accurately control rhythm control, impulse suppression and ejaculation time during sex.

  2. Sitting for long periods of time. Young men who sit for long periods of time due to working, scrolling on mobile phones or playing video games are not only prone to obesity, but may also lead to prostate health problems and increase the risk of premature ejaculation.

  3. Lack of sleep and often staying up late. Engaging in a job that requires day and night shifts and shifts may also increase the chance of premature ejaculation.

  4. Have bad habits such as smoking and drinking.

  5. Insufficient fluid intake and only drinks drinks. Too little water intake can easily cause chronic prostate inflammation and is a risk factor for premature ejaculation.

How to treat symptoms of premature ejaculation? “2 kinds of drugs” can effectively prolong ejaculation time

Dr. Zhou Zhengwei said that the current treatment drugs for premature ejaculation work by increasing serotonin in the brain to reduce the urge to ejaculate. Clinical studies show that serotonin medications should prolong ejaculation time by nearly three times in patients with premature ejaculation.

In addition to serotonin drugs, there are also topical sprays introduced in Taiwan today, which act on the patient’s glans and can also reduce sensitivity and prolong ejaculation time. Dr. Zhou Zhengwei said that this drug has low side effects and is locally effective for 30 minutes. It can be applied 5-10 minutes before sexual intercourse. It is a fast-acting drug, but it should be used after consulting a doctor.

Dr. Zhou Zhengwei said that in addition to drug treatment, men are also encouraged to regard sexual experience as a “practice” to cultivate a tacit understanding with their partners, which can also increase their ability to control and delay the time to reach orgasm.

What measures can be taken in life to improve premature ejaculation? Is “holding back from cumming” effective?

Dr. Zhou Zhengwei said that in addition to developing exercise habits, men with premature ejaculation should avoid staying up late, excessive drinking, and reduce the use of “sexual aids”. In addition, daily medication should also be reviewed. Sleeping pills, psychosomatic drugs, and other drugs that affect the balance of serotonin in the brain may affect premature ejaculation. It is recommended that men pay attention to sleep quality and avoid smoking, drinking and other habits, which are helpful in treating premature ejaculation.

There is a rumor that “holding back from ejaculating” can exercise the sphincter muscles and prolong ejaculation. Is this an internet myth? Dr. Zhou Zhengwei said that normal ejaculation is enough when you reach orgasm. Although holding back ejaculation will not cause harm to the body, it has not been medically proven whether it will help improve premature ejaculation. Men are reminded to avoid “going too far” and let the sexual process naturally reach the level of pleasure for both parties.

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