“Medical Science Popularization: Causes and Treatment Methods for Premature Ejaculation in Men” Premature ejaculation (Premature Ejaculation, PE) is a common and highly treatable sexual dysfunction, referring to the occurrence of ejaculation during sexual activity that is faster than expected by the male or their partner. It affects approximately 30% to 40% of men, with causes combining psychological and physiological factors. Treatment methods include behavioral techniques, counseling, and medication. The causes of premature ejaculation fall into the following three aspects: 1. Psychological factors: Manifesting as anxiety, depression, stress, feelings of guilt, or partner relationship issues. 2. Physiological factors: Abnormal neurotransmitter levels (such as serotonin), hormonal imbalances, prostate or urethral inflammation/infection. 3. Other factors: Erectile dysfunction (rushing to complete sexual activity due to fear of losing erection) and genetic factors in certain cases. So, what are the targeted treatment and management methods? 1. Behavioral techniques Start-stop technique: Stop stimulation just before ejaculation, wait for the sensation to subside, and then resume. Squeeze technique: Gently squeeze the head of the penis just before ejaculation. 2. Pelvic floor muscle training (Kegel exercises) Enhance control by strengthening the pelvic floor muscles. 3. Counseling Address underlying anxiety, depression, or emotional stress through psychotherapy. 4. Medication Antidepressants: Selective serotonin reuptake inhibitors (SSRIs), such as paroxetine, sertraline, or fluoxetine, commonly used to delay ejaculation. Topical anesthetics: Sprays, creams, or gels to reduce sensitivity. Other methods: Use condoms to reduce sensitivity, or masturbate one to two hours before sexual activity. If premature ejaculation has caused anxiety, distress, or impacted the partner relationship, it is recommended to consult a professional doctor.
