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Why Are Older Men More Prone to Premature Ejaculation?

Posted on by Japan tengsu

Premature ejaculation (PE) is not limited to younger men—it also affects many older adults. In Singapore, where life expectancy is high, understanding the link between aging and PE is crucial for maintaining sexual health. This article explores the reasons behind this issue and offers practical insights.
早泄并非年轻男性的“专利”，许多老年人同样面临这一问题。在新加坡这个长寿国家，了解衰老与早泄的关系对维护性健康至关重要。本文解析老年人早泄的成因并提供实用建议。

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Key Reasons for PE in Older Men

老年人早泄的主要原因

1. Declining Hormone Levels

1. 激素水平下降

  • Testosterone Reduction: After age 50, testosterone levels drop by 1–2% yearly, affecting libido and ejaculatory control.
    睾酮减少：50岁后，男性睾酮水平每年下降1–2%，影响性欲和射精控制力。
  • Thyroid Imbalance: Hypothyroidism in seniors may disrupt nerve signaling.
    甲状腺功能异常：老年人甲状腺功能减退可能干扰神经调节。

2. Age-Related Physical Changes

2. 身体机能退化

  • Weakened Pelvic Muscles: Reduced muscle strength impacts ejaculation control.
    盆底肌松弛：肌肉力量下降削弱控制射精的能力。
  • Nerve Sensitivity: Thickening of penile nerve sheaths slows response to stimulation.
    神经敏感度降低：阴茎神经鞘增厚，延缓对性刺激的反应。

3. Chronic Health Conditions

3. 慢性疾病影响

  • Diabetes: Damages blood vessels and nerves, contributing to PE.
    糖尿病：损伤血管与神经，增加早泄风险。
  • Prostate Issues: Enlarged prostate or post-surgery effects may disrupt sexual function.
    前列腺问题：前列腺肥大或术后影响性功能。

4. Psychological Factors

4. 心理因素

  • Performance Anxiety: Fear of inadequacy due to aging or past experiences.
    表现焦虑：因衰老或既往经历对性能力缺乏信心。
  • Depression: Common in seniors, linked to serotonin imbalances that affect ejaculation.
    抑郁症：老年人常见，血清素失衡可能加速射精。

5. Medication Side Effects

5. 药物副作用

  • Antidepressants: SSRIs like sertraline may paradoxically cause PE in some cases.
    抗抑郁药：舍曲林等SSRI类药物可能诱发早泄。
  • Blood Pressure Drugs: Beta-blockers reduce blood flow to genital areas.
    降压药：β受体阻滞剂降低生殖器血流量。

Lifestyle Triggers in Singapore’s Context

新加坡本地生活习惯的影响

  • High-Stress Urban Life: Long working hours and caregiving duties increase stress.
    高压都市生活：长时间工作或照顾孙辈加剧压力。
  • Sedentary Habits: 33% of Singaporean seniors exercise less than once a week (HPB 2023).
    缺乏运动：2023年数据显示，33%新加坡老年人每周运动不足一次。
  • Diet Choices: Excessive consumption of sugary or processed foods worsens inflammation.
    饮食问题：高糖或加工食品加剧炎症反应。

Managing PE in Older Adults

老年人早泄的应对策略

1. Medical Consultation

1. 医学干预

  • Hormone Therapy: Testosterone replacement under doctor supervision.
    激素治疗：在医生指导下进行睾酮替代疗法。
  • Topical Creams: Low-dose lidocaine for reduced sensitivity.
    外用药物：低浓度利多卡因乳膏降低敏感度。

2. Pelvic Rehabilitation

2. 盆底康复训练

  • Kegel Exercises: 3 sets of 10 squeezes daily to strengthen muscles.
    凯格尔运动：每日3组，每组10次收缩练习。
  • Biofeedback Therapy: Available at clinics like Thomson Medical.
    生物反馈疗法：可在汤姆森医疗等机构进行。

3. Mind-Body Practices

3. 身心调节

  • Tai Chi: Improves balance and relaxation—join community classes at CCs.
    太极拳：增强平衡与放松能力，可参与民众俱乐部课程。
  • Couples Communication: Open dialogue reduces performance pressure.
    伴侣沟通：坦诚交流减轻心理负担。

4. Dietary Adjustments

4. 饮食调整

  • Omega-3 Rich Foods: Salmon and chia seeds reduce inflammation.
    富含Omega-3的食物：三文鱼、奇亚籽降低炎症。
  • Limit Alcohol: Follow HPB’s guideline of ≤2 standard drinks daily.
    限制饮酒：遵循保健促进局建议，每日≤2杯标准酒量。

When to Seek Help in Singapore?

何时在新加坡就医？

Consult a specialist if:
出现以下情况请就医：

  • PE occurs suddenly after decades of normal function.
    性功能长期正常后突然出现早泄。
  • Accompanied by blood in semen or pain.
    伴随血精或疼痛。
    Recommended clinics: National University Hospital (NUH) Men’s Health Centre or Raffles Men’s Health.
    推荐机构：国立大学医院男性健康中心或莱佛士男性健康诊所。

Conclusion

总结

Aging increases vulnerability to PE due to biological and psychological shifts, but it’s not inevitable. With proactive healthcare and lifestyle changes, older men in Singapore can maintain satisfying intimate lives.
衰老通过生理与心理变化增加早泄风险，但这并非不可逆转。通过积极干预和习惯调整，新加坡老年男性仍可享有健康的性生活。

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