How to Deal with Habitual Premature Ejaculation and Treatment Methods

什么是习惯性早泄？ / What is Habitual Premature Ejaculation?
习惯性早泄是指从首次性经历开始就持续存在的早泄问题，通常表现为几乎每次性交都在插入前或插入后短时间内射精。这种情况往往与心理因素、生理条件反射和神经系统调节异常有关。
Habitual premature ejaculation refers to persistent premature ejaculation that has existed since the first sexual experience, usually manifesting as ejaculation shortly before or after penetration in almost every sexual intercourse. This condition is often related to psychological factors, physiological conditioned reflexes, and abnormal nervous system regulation.

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主要原因分析 / Analysis of Main Causes

心理因素：首次性经历紧张、焦虑情绪长期积累、对性表现的过度担忧
生理因素：阴茎敏感度过高、血清素受体敏感度异常、遗传因素
行为因素：长期快速自慰习惯形成的条件反射、性经验不足
环境因素：早期不安全性交环境造成的紧张感延续
Psychological factors: Nervousness during first sexual experience, long-term accumulation of anxiety, excessive worry about sexual performance
Physiological factors: Excessive penile sensitivity, abnormal serotonin receptor sensitivity, genetic factors
Behavioral factors: Conditioned reflexes formed by long-term rapid masturbation habits, lack of sexual experience
Environmental factors: Continued tension from early unsafe sexual environments

有效治疗方法 / Effective Treatment Methods

1. 专业医疗评估 / Professional Medical Evaluation
首先需要接受泌尿科或男科医生的专业评估：

详细病史询问和性生活情况调查
体格检查排除器质性疾病
必要时进行神经电生理检查
评估伴随的心理和情绪问题
First, receive professional evaluation from a urologist or andrologist:
Detailed medical history and sexual activity investigation
Physical examination to rule out organic diseases
Neuroelectrophysiological examination when necessary
Assessment of accompanying psychological and emotional issues

2. 行为训练治疗 / Behavioral Training Therapy
停-动技术训练：

通过自慰或性交练习识别射精预感点
在接近射精时完全停止刺激
待兴奋度下降30-50%后重新开始
每次训练重复3-5次停止-开始循环
Stop-start technique training:
Learn to recognize the pre-ejaculation point through masturbation or intercourse practice
Completely stop stimulation when approaching ejaculation
Resume after excitement decreases by 30-50%
Repeat 3-5 stop-start cycles each training session

挤压法训练：

在即将射精时用拇指和食指挤压龟头冠状沟处
保持压力直到射精感消退
与伴侣配合练习效果更佳
Squeeze technique training:
Squeeze the coronal sulcus of the glans with thumb and index finger when about to ejaculate
Maintain pressure until the ejaculation sensation subsides
Better results when practicing with partner cooperation

3. 药物治疗方案 / Medication Treatment Plans
首选药物：

达泊西汀：按需服用，性交前1-3小时服用
SSRI类抗抑郁药：每日服用，需连续用药2-3周见效
局部麻醉剂：性交前20分钟涂抹，减少龟头敏感度
First-choice medications:
Dapoxetine: Taken as needed, 1-3 hours before intercourse
SSRI antidepressants: Daily medication, requires 2-3 weeks of continuous use to take effect
Topical anesthetics: Applied 20 minutes before intercourse to reduce glans sensitivity

4. 心理干预治疗 / Psychological Intervention Therapy
认知行为治疗：

识别和改变对性表现的错误认知
学习性焦虑管理技巧
建立真实性期望值
改善性沟通技巧
Cognitive behavioral therapy:
Identify and change misconceptions about sexual performance
Learn sexual anxiety management techniques
Establish realistic expectations
Improve sexual communication skills

5. 综合治疗方案 / Comprehensive Treatment Plans
最有效的治疗方案通常结合多种方法：

行为训练 + 药物治疗
心理疏导 + 生理治疗
个人训练 + 伴侣配合
短期症状控制 + 长期习惯重建
The most effective treatment plans usually combine multiple methods:
Behavioral training + medication
Psychological counseling + physiological treatment
Individual training + partner cooperation
Short-term symptom control + long-term habit rebuilding

治疗时间与预期 / Treatment Duration and Expectations