What to Do About Premature Ejaculation? 5 Effective Treatment Methods

早泄是许多男性在一生中可能遇到的常见问题。它指的是在性生活中，持续或反复地在极小刺激下、在进入之前或之后很短时间内发生射精，且个人对此感到困扰。如果您正面临这个问题，请知道您并不孤单，而且这是可以治疗的。本文将为马来西亚的男士们介绍5个行之有效的处理方法，帮助您重拾信心和亲密关系。

Premature ejaculation (PE) is a common issue that many men may experience at some point in their lives. It refers to the persistent or recurrent occurrence of ejaculation with minimal stimulation before, upon, or shortly after penetration, which causes personal distress. If you are facing this issue, please know that you are not alone, and it is treatable. This article introduces 5 effective management methods for men in Malaysia to help regain confidence and intimacy.

​1. 行为技巧与练习：停顿-挤压法​
这是一种非常经典且可自我练习的方法。当您感觉即将达到高潮时，示意伴侣暂停刺激，然后您或您的伴侣用拇指和食指用力挤压龟头（阴茎前端）下方几秒钟，直到射精感减退。等待约30秒后，再重新开始。反复练习可以帮助您更好地感知兴奋水平，延长射精时间。

​1. Behavioral Techniques and Practice: The Stop-Start Method​
This is a classic technique that can be practiced alone or with a partner. When you feel you are about to reach climax, signal to pause stimulation. Then, you or your partner can firmly squeeze the tip of the penis for several seconds until the urge to ejaculation subsides. After waiting about 30 seconds, resume activity. Repeated practice can help you better perceive your level of arousal and delay ejaculation.

​2. 心理疏导与沟通​
早泄常常与焦虑、压力或伴侣关系问题密切相关。与您的伴侣开放、坦诚地沟通您的感受和担忧至关重要。相互支持可以极大减轻表现焦虑。如果自我调节困难，寻求心理咨询师或性治疗师的帮助非常有效。他们可以帮助您识别并处理潜在的心理因素。

​2. Psychological Counseling and Communication​
Premature ejaculation is often linked to anxiety, stress, or relationship issues. Having an open and honest conversation with your partner about your feelings and concerns is crucial. Mutual support can significantly reduce performance anxiety. If self-management is challenging, seeking help from a psychological counselor or sex therapist is highly effective. They can help you identify and address underlying psychological factors.

​3. 局部麻醉药膏/喷剂​
这是一种常见的非处方解决方案。这些产品含有轻微的局部麻醉成分（如利多卡因或丙胺卡因），在性行为前约10-15分钟涂抹于阴茎龟头，可以降低敏感性，从而延长持续时间。重要提示：使用后，最好在插入前清洗掉药膏，或使用安全套，以避免伴侣的敏感部位被麻醉。

​3. Topical Anesthetic Creams/Sprays​
This is a common over-the-counter solution. These products contain mild local anesthetics (such as Lidocaine or Prilocaine). Applying them to the head of the penis about 10-15 minutes before sexual activity can reduce sensitivity and thereby prolong duration. Important note: After application, it’s best to wash off the cream before penetration or use a condom to avoid numbing your partner’s sensitive areas.

​4. 骨盆底肌肉锻炼（凯格尔运动）​​
骨盆底肌肉群对控制射精至关重要。如何找到这些肌肉？想象您在排尿时中途停止，那些收缩的肌肉就是骨盆底肌。每天进行多次收缩、保持数秒再放松的练习（例如，每组10-15次，每天3组），坚持数周后，您对射精的控制力可能会得到改善。

​4. Pelvic Floor Muscle Exercises (Kegels)​​
The pelvic floor muscles are crucial for controlling ejaculation. How to find these muscles? Imagine trying to stop the flow of urine midstream; the muscles you contract are your pelvic floor muscles. Practice contracting these muscles for a few seconds, then releasing, multiple times a day (e.g., 10-15 repetitions per set, 3 sets daily). After several weeks of consistent practice, you may see an improvement in your control over ejaculation.

​5. 咨询医生与药物治疗​
如果以上方法效果不佳，勇敢地咨询医生是最好的选择。早泄可能有生理原因。医生可以评估您的情况，并可能开具处方药，如选择性5-羟色胺再摄取抑制剂（SSRIs）中的某些药物（如达泊西汀），这些药物被批准用于治疗早泄，可以通过调节大脑中的化学物质来延迟射精。切勿自行用药，务必遵循专业医嘱。

​5. Consulting a Doctor and Medication​
If the above methods are not effective enough, bravely consulting a doctor is the best course of action. There might be physiological reasons for PE. A doctor can assess your situation and may prescribe medication, such as certain types of selective serotonin reuptake inhibitors (SSRIs, e.g., Dapoxetine), which are approved for treating PE and work by delaying ejaculation. Do not self-medicate; always follow professional medical advice.

​总结​
面对早泄，积极寻求解决方法是关键。从行为练习、心理调整到医疗介入，有多种途径可供选择。最重要的是采取主动、保持耐心，并与您的伴侣共同面对。在马来西亚，您可以咨询普通科医生、泌尿科医生或寻求专业心理咨询。请记住，这是一个普遍且可管理的问题，正确的帮助可以显著改善您的生活质量。

​Summary​
The key to addressing premature ejaculation is to actively seek solutions. There are multiple pathways available, from behavioral practice and psychological adjustment to medical intervention. The most important things are to take initiative, be patient, and face the issue together with your partner. In Malaysia, you can consult a general practitioner, urologist, or seek professional psychological counseling. Remember, this is a common and manageable issue, and the right help can significantly improve your quality of life.