Can premature ejaculation caused by excessive masturbation be recovered from?
There are many misconceptions about premature ejaculation, such as the belief that it simply means ejaculating quickly, or that it is inextricably linked to masturbation. First and foremost, we need to objectively understand what premature ejaculation truly entails.
1¡¢Definition of Premature Ejaculation
The academic community has proposed various definitions of premature ejaculation, and there is currently no unified definition or diagnostic standard. The operational definition commonly used in clinical practice includes three key elements:
The first element is time.
This generally refers to ejaculation that always or almost always occurs within one minute, which typically falls under the category of primary premature ejaculation. Ejaculation within three minutes or less is often classified as secondary premature ejaculation.
The second element is the ability to delay ejaculation.
Individuals with premature ejaculation are usually unable or almost unable to delay ejaculation, whereas those without the condition can moderately control their ejaculation time through certain techniques.
The third element is the lack of positive pleasure from ejaculation.
Instead, it results in negative experiences, such as feelings of frustration, distress, or even avoidance of sexual activity due to the rapidity of ejaculation.
In summary, premature ejaculation primarily involves three aspects: short ejaculatory latency, poor control over ejaculation, and low sexual satisfaction.
From this, it is clear that real-life sexual experiences are not like those depicted in "adult films," where interactions may last for an exaggerated number of rounds. It is important not to use the duration portrayed in such films as a benchmark for diagnosing premature ejaculation. Premature ejaculation is defined as "always or almost always" meeting the aforementioned criteria; occasional instances of short duration do not fall within the scope of premature ejaculation. Additionally, premature ejaculation is not solely about rapid ejaculation but also includes an assessment of ejaculatory control and sexual satisfaction. Therefore, it is crucial not to view premature ejaculation in a one-dimensional manner based solely on duration.
2¡¢Premature Ejaculation and Masturbation
Normal masturbation does not cause premature ejaculation; however, incorrect masturbation habits or excessive masturbation may contribute to it.
A study investigating the causal relationship between masturbation and premature ejaculation found that the masturbation rate among the general population is 90.95%. In contrast, individuals with premature ejaculation exhibit lower rates of masturbation and often start masturbating later than the general population. This suggests that the causes of premature ejaculation are multifactorial and cannot be solely attributed to excessive masturbation. However, if an individual masturbates in a hurried manner due to fear of being discovered, they may develop a pathological mindset and a habit of rapid ejaculation. This can lead to ejaculation occurring with minimal stimulation, potentially progressing to premature ejaculation.
In reality, while numerous studies have explored the risk factors for premature ejaculation, no consensus has been reached. Current research indicates that premature ejaculation is associated with factors such as race, age, BMI, education level, income, frequency of sexual activity, marital relationship, lifestyle, genetic factors, thyroid function, and prostatitis.
3¡¢Treatment of Premature Ejaculation
Regardless of whether premature ejaculation is caused by excessive masturbation, it is important not to become overly anxious if diagnosed by a doctor. Premature ejaculation can be improved or managed.
According to the International Society for Sexual Medicine (ISSM) Guidelines for the Diagnosis and Treatment of Premature Ejaculation (2010), current treatments for premature ejaculation include medication, surgery, and psychological or behavioral therapy. Medications include selective serotonin reuptake inhibitors (SSRIs), topical anesthetics, PDE5 inhibitors, and other therapeutic drugs. Surgical treatments primarily aim to reduce penile sensitivity, such as selective dorsal nerve resection or hyaluronic acid gel injection to increase glans size. Psychological and behavioral therapies involve interventions like the "stop-start" technique and the "squeeze" technique.
The above treatments need to be evaluated by specialized doctors at a tertiary hospital, and the doctor will develop a suitable treatment plan based on the individual situation of the patient. Do not blindly treat.
