Male health
3 Major Differences Between Erectile Dysfunction and Premature Ejaculation
许多男性容易混淆阳痿和早泄，误以为它们是同一种问题。其实这是两种不同的性功能障碍，需要区别对待。本文将为您清晰解析二者的三大核心区别，帮助马来西亚男性正确认识自身状况。
Many men often confuse erectile dysfunction and premature ejaculation, mistakenly thinking they are the same issue. In fact, these are two distinct sexual dysfunctions that require different approaches. This article clearly explains the three core differences between them to help Malaysian men correctly understand their conditions.
Click to buy区别一：问题本质不同 | Difference 1: Different Nature of the Problems
阳痿：
- 核心问题是勃起困难
- 表现为无法达到或维持足够的勃起硬度
- 好比汽车引擎无法启动或中途熄火
- 重点在于”硬不起来”或”硬不久”
早泄：
- 核心问题是射精控制障碍
- 表现为射精时间远短于预期
- 如同汽车启动后很快失控加速
- 重点在于”太快射精”
Erectile Dysfunction:
- Core issue is difficulty with erection
- Manifests as inability to achieve or maintain sufficient erection hardness
- Similar to a car engine that won’t start or stalls midway
- Focus is on “can’t get hard” or “can’t stay hard”
Premature Ejaculation:
- Core issue is ejaculation control disorder
- Manifests as ejaculation occurring much sooner than desired
- Like a car that starts but quickly accelerates out of control
- Focus is on “ejaculating too quickly”
区别二：发生时机不同 | Difference 2: Different Timing of Occurrence
阳痿的时间特征：
- 发生在性行为开始前或过程中
- 可能完全无法勃起
- 或勃起后中途软化
- 根本难以进入阴道
早泄的时间特征：
- 发生在性行为开始后
- 通常能够正常勃起
- 但插入后很快射精
- 重点在于”持续时间太短”
Timing Characteristics of ED:
- Occurs before or during sexual activity
- May be completely unable to achieve erection
- Or erection softens midway
- Fundamentally difficult to achieve vaginal penetration
Timing Characteristics of PE:
- Occurs after sexual activity begins
- Usually able to achieve normal erection
- But ejaculates quickly after penetration
- Focus is on “duration being too short”
区别三：影响因素不同 | Difference 3: Different Influencing Factors
阳痿的主要诱因：
- 血管问题：高血压、糖尿病影响血液供应
- 神经损伤：手术、外伤导致神经传导障碍
- 激素失衡：睾酮水平过低
- 心理因素：抑郁、焦虑影响勃起机制
早泄的主要诱因：
- 神经敏感：龟头过度敏感
- 心理因素：紧张、压力导致控制力下降
- 习惯问题：长期快速自慰形成条件反射
- 前列腺问题：炎症影响射精控制
Main Triggers of ED:
- Vascular issues: High blood pressure, diabetes affect blood supply
- Nerve damage: Surgery, trauma cause nerve conduction disorders
- Hormonal imbalance: Testosterone levels too low
- Psychological factors: Depression, anxiety affect erection mechanism
Main Triggers of PE:
- Nerve sensitivity: Overly sensitive glans
- Psychological factors: Tension, stress reduce control ability
- Habit issues: Long-term rapid masturbation creates conditioned reflex
- Prostate problems: Inflammation affects ejaculation control
马来西亚男性的实用自测指南 | Practical Self-Assessment Guide for Malaysian Men
通过以下问题初步判断：
- 问题是”硬不起来”还是”太快射精”？
- 是否能够达到插入所需的硬度？
- 主要困扰是持续时间还是勃起质量？
- 晨间勃起情况是否正常？
Preliminary judgment through these questions:
- Is the problem “can’t get hard” or “ejaculating too fast”?
- Can you achieve the hardness needed for penetration?
- Is the main concern duration or erection quality?
- Are morning erections normal?
就医时的关键描述：
- 准确说明是勃起问题还是射精问题
- 描述症状发生的时间点和模式
- 告知已尝试的改善方法及效果
- 提供相关病史和用药情况
Key descriptions during medical consultation:
- Accurately state whether it’s an erection or ejaculation problem
- Describe when symptoms occur and their patterns
- Inform about attempted improvement methods and results
- Provide relevant medical history and medication use
重要提醒 | Important Note
虽然阳痿和早泄有区别，但可能同时存在。如果出现以下情况，建议及时就医：
Although ED and PE are different, they may coexist. Seek medical advice if:
需要专业帮助的信号：
- 症状持续超过3个月
- 影响伴侣关系和自信心
- 伴有其他身体不适症状
- 自我调节无效
Signals needing professional help:
- Symptoms persist for more than 3 months
- Affecting partner relationships and self-confidence
- Accompanied by other physical discomfort symptoms
- Self-management ineffective
在马来西亚，可以通过以下途径获得帮助：
- 政府诊所的普通科医生初步评估
- 私人医院的泌尿科专科诊断
- 专业机构的性健康咨询
In Malaysia, help is available through:
- Initial assessment by general practitioners at government clinics
- Diagnosis by urology specialists at private hospitals
- Sexual health counseling at professional institutions
正确区分阳痿和早泄是有效治疗的第一步。通过科学认识和专业指导，大多数性功能问题都能得到显著改善。
Correctly distinguishing between ED and PE is the first step toward effective treatment. Through scientific understanding and professional guidance, most sexual function issues can be significantly improved.
