Sex science experts teach you how to live a harmonious sexual life and reject sexual barriers. This article is excerpted from: The new concept of sexual life - "sexual harmony barrier". When the disdain of Chinese sexual science comes from the category of "inheritance" and becomes an indispensable part of people's real life, "sexual happiness, happiness, and harmony" have become people's common pursuit. This beautiful movement has disharmonious notes, and as the main initiator of sexual life - men, they have become the "culprit". Sexual activity is a matter for two sexual partners, and the beautiful music needs to be written together. The occurrence of disharmonious notes in sexual activity is a shared responsibility of both parties. Simply defining the disharmony of sexual activity with premature ejaculation and completely shifting the responsibility to men is not only unfair, but also has limited therapeutic significance.
The author analyzes premature ejaculation and sexual harmony disorders from the following aspects, and invites correction. The reason for receiving the examination is that although the patient's main complaints during the examination are mostly premature ejaculation and short sexual intercourse time, the true reason for the patient's examination is the dissatisfaction of women with sexual life. Most sexual life and orgasm have not been achieved, and the accumulated performance has not been fully released, or men are worried about women's dissatisfaction. Short time is mainly due to the patient's self explanation of the reasons for sexual harmony disorders caused by dissatisfaction with sexual life. The purpose of seeking medical treatment is to have a harmonious and satisfactory sexual life, which is the ultimate goal of patients seeking medical treatment. The length of time and frequency are only means to achieve the goal. Which term is more appropriate to define premature ejaculation or sexual harmony disorder when the definition of disease name is unsatisfactory for this type of sexual life? We have always used the term premature ejaculation to define the dissatisfaction of couples with sexual activity, but there is currently no recognized appropriate definition.
In 1970, Masters and Johnson defined premature ejaculation as a condition where the duration of ejaculation during sexual intercourse was maintained below 50% of the frequency that the spouse could satisfy. In 1974, Kaplan defined it as the inability of men to freely regulate ejaculation, resulting in the inability to achieve the desired orgasm known as premature ejaculation. In 1984, the American Psychiatric Association published the "Diagnostic and Statistical Manual of Psychiatry," 3rd edition (DSM-iiiiii) standard definition as:, If the desired penis is inserted into the vagina, ejaculation will occur, or with minimal sexual stimulation. Even in 1997, when the American Society of Sciences proposed the male incubation plan, Professor Wu Jieping believed that the incubation period for ejaculation in healthy men in adulthood is 2-6 minutes. If men ejaculate 2 minutes after the onset of sexual intercourse, it is premature ejaculation.
The DSM iv-TR revised version of the Diagnostic and Statistical Manual of Psychiatry defines premature ejaculation as the reluctance to ejaculate under minimal stimulation, always before, during, or just after insertion into the vagina. Clinicians must consider various factors that affect the duration of the excitement period, such as age, freshness of sexual partners, changes in sexual environment, and recent sexual frequency. The new definition of the International Society of Medicine (ISSM) is Premature ejaculation is a characteristic of male sexual dysfunction: it always ejaculates before or about 1 minute after entering the vagina, or it is almost impossible to enter all the vagina or eliminate troubles. In these definitions, except for Masters and Johnson's definition of the frequency of partner satisfaction, almost all are defined by time. As long as time is sufficient, other factors can be ignored to achieve the desired harmonious quality of sexual life However, this is not the case in clinical practice. Many female partners require much more than 2 minutes of time, and women who rely more on their environment, atmosphere, and mood within 2 minutes are very happy to see the words' get what you want 'and' get what you want 'appearing in some definitions, indicating that premature ejaculation is more of an unsatisfactory intention for both parties in sexual life. Using sexual harmony disorder as the definition of sexual dissatisfaction, as long as a numerical value is given for the frequency of dissatisfaction in sexual life, such as 50%, there will be no greater debate. The advantage of using sexual harmony disorders to define sexual dissatisfaction is that both doctors and patients (especially women) can recognize that sexual life is a problem for both parties, and have a broader perspective on the search, diagnosis, and treatment of causes. This not only helps men, but also helps diagnose and treat the causes of male stress. For premature ejaculation, we focus on male causes. For sexual harmony disorders, it is necessary to consider factors such as men, women, cooperation between both parties, environment, atmosphere, mood, and frequency of sexual activity, which is conducive to the search for the cause.
Male factors: The main manifestation is a lack of confidence in patients, who believe that their excitement is high, especially for patients who have a first sexual encounter, new partners, or long-term masturbation. Psychological factors are the common main factors. Pathological factors: brain injury, brain tumor, epilepsy, multiple sclerosis of spinal cord, spinal cord tumor, peripheral neuritis and other urogenital diseases, balanitis foreskin Prostatitis, seminal vesiculitis, skin diseases, skin diseases, etc. High excitability of nerves, lower threshold of penile sensation, etc. Women's factors can be ruled out, such as sexual aversion, terror, and pain during sexual intercourse, but at least we should attribute women's decreased libido, obstacles to sexual arousal, and obstacles to orgasm to sexual harmony disorders. Common causes of these diseases are: doubt, guilt, fear, anxiety, shyness, conflict, and unease 。
Pathological factors: brain, neural factors, endocrine factors, genital anatomy factors, diseases or drug effects, etc. The main factors of both parties are sexual partners with poor sexual skills during their first sexual intercourse, especially men who lack sexual experience, lack awareness of women's requirements and sensitive parts, insufficient stimulation time, and inappropriate intensity. Due to reasons such as tension and pain in women, excessive vaginal contractions can cause excessive stimulation to the penis. The position of sexual intercourse, the amplitude and speed of penile twitching, etc. The environment and atmosphere of sexual life, the fear of being discovered by others, and the inability to completely relax are also common reasons for dissatisfaction with sexual life. The frequency of sexual activity is also one of the reasons that affects satisfaction. If the interval is too long, both parties are prone to excitement, but if the interval between premature ejaculation is too short, men can prolong sexual intercourse, but women are not easily excited. Diagnosis is due to the uncertainty of the definition of premature ejaculation, which makes it difficult to make clinical diagnosis. It is difficult for patients to actually record their sexual activity time with a stopwatch, or record the number of tics in 1234 and 2234.