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How is Premature Ejaculation Diagnosed? 3 Core Methods Explained
早泄是常见的男性性健康问题，但很多男性不清楚如何准确判断自己是否患有早泄，又或者因为尴尬而回避寻求专业诊断。其实，早泄有明确的医学诊断标准。本文将详细讲解诊断早泄的3个核心方法，帮助马来西亚的读者以科学、客观的态度了解这一过程，并鼓励有需要的人士勇敢寻求帮助。
Click to buyPremature ejaculation (PE) is a common male sexual health issue, but many men are unsure how to accurately determine if they have it, or avoid seeking professional diagnosis due to embarrassment. In fact, there are clear medical diagnostic criteria for PE. This article explains the 3 core methods for diagnosing PE in detail, helping readers in Malaysia understand this process scientifically and objectively, and encouraging those in need to seek help bravely.
方法一：详细的医疗问诊与病史评估 | Method 1: Detailed Medical Interview and History Assessment
这是诊断过程中最重要的一步。医生会通过与你坦诚的交谈来了解情况。请务必保持开放和诚实，因为这直接关系到诊断的准确性。
This is the most critical step in the diagnostic process. The doctor will understand your situation through a frank conversation. It is essential to be open and honest, as this directly affects the accuracy of the diagnosis.
医生通常会询问以下关键信息：
- 射精潜伏时间： 这是指从进入阴道到射精的时间。医生会了解这个时间的大致范围（例如，是否经常少于一分钟）。
- 控制能力： 你能否延迟或控制射精？是完全无法控制，还是偶尔可以？
- 困扰程度： 这个问题是否对你造成了显著的烦恼、焦虑、沮丧或逃避性亲密？
- 发生模式： 问题是何时开始的？是终身性的（自首次性体验就存在）还是获得性的（后来才出现）？是发生在所有性伴侣和所有性行为中（普遍性）还是只在特定情况下（情境性）？
- 其他因素： 医生还会了解你的整体健康状况、压力水平、伴侣关系、生活习惯（如吸烟饮酒）以及是否服用其他药物。
The doctor will typically ask about the following key information:
- Intravaginal Ejaculatory Latency Time (IELT): This refers to the time from vaginal penetration to ejaculation. The doctor will ask about the approximate range (e.g., is it often less than one minute?).
- Control: Can you delay or control ejaculation? Is it completely uncontrollable, or can you do so occasionally?
- Distress: Does this problem cause you significant distress, anxiety, frustration, or avoidance of sexual intimacy?
- Pattern: When did the problem start? Is it lifelong (present since your first sexual experiences) or acquired (developed later)? Does it occur with all partners and all sexual activities (generalized) or only in specific situations (situational)?
- Other Factors: The doctor will also inquire about your overall health, stress levels, relationship with your partner, lifestyle habits (like smoking or drinking), and any other medications you are taking.
方法二：使用专业的评估量表 | Method 2: Using Professional Assessment Scales
为了更客观地评估早泄的严重程度及其对心理的影响，医生可能会使用国际公认的标准化问卷。这些量表通过一系列问题将你的主观感受量化。
To assess the severity of PE and its psychological impact more objectively, doctors may use internationally recognized standardized questionnaires. These scales quantify your subjective feelings through a series of questions.
常见的量表包括：
- 早泄诊断工具： 一个简短的问卷，帮助区分早泄与其他性功能问题。
- 早泄谱： 评估控制感、满意度、困扰程度和人际交往困难等方面。
你可以在问诊前或问诊中完成这些量表。结果为医生提供重要的参考依据，但不是唯一的诊断标准。
Common scales include:
- Premature Ejaculation Diagnostic Tool (PEDT): A brief questionnaire that helps differentiate PE from other sexual function issues.
- Premature Ejaculation Profile (PEP): Assesses aspects like sense of control, satisfaction, distress, and interpersonal difficulty.
You may complete these scales before or during the consultation. The results provide important reference points for the doctor, but they are not the sole diagnostic criteria.
方法三：体格检查与辅助检查（用于排除其他疾病） | Method 3: Physical Examination and Auxiliary Tests (Used to Rule Out Other Conditions)
医生可能会建议进行简单的体格检查（如检查外生殖器）和一些基本的实验室检查。
The doctor might recommend a simple physical examination (such as an external genitalia check) and some basic laboratory tests.
主要目的：
- 排除器质性病因： 检查并非直接诊断早泄，而是为了排除可能引起或加重早泄的其他潜在疾病。例如：
- 前列腺问题： 如前列腺炎。
- 激素水平： 如甲状腺功能亢进或睾酮水平异常。
- 神经系统问题。
- 鉴别诊断： 区分早泄与勃起功能障碍（ED），因为两者有时会同时存在或相互影响。如果存在勃起困难，治疗重点可能需要调整。
Primary Purpose:
- Rule Out Organic Causes: The tests are not for directly diagnosing PE, but to rule out other underlying conditions that might cause or exacerbate PE. For example:
- Prostate issues: such as prostatitis.
- Hormone levels: such as hyperthyroidism or abnormal testosterone levels.
- Neurological issues.
- Differential Diagnosis: To distinguish PE from Erectile Dysfunction (ED), as the two can sometimes coexist or influence each other. If erectile difficulties are present, the treatment focus may need adjustment.
总结：诊断是一个综合过程 | Summary: Diagnosis is a Comprehensive Process
诊断早泄通常不需要复杂的高科技仪器，而是基于以上三个方法的综合判断，核心是问诊。医生会根据国际疾病分类（ICD-10）或《精神疾病诊断与统计手册》（DSM-5）的标准来最终确诊。
Diagnosing PE usually does not require complex high-tech equipment. It relies on a comprehensive judgment based on the above three methods, with the medical interview being the core. The doctor will make a final diagnosis based on criteria from the International Classification of Diseases (ICD-10) or the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
给马来西亚读者的建议：
如果你怀疑自己有早泄问题，最正确的做法是咨询医生。你可以先去看普通科医生，他们可以处理大多数情况，必要时会把你转介给泌尿科医生或心理医生。请放下不必要的羞耻感，早泄是一个可治疗的医学问题，勇敢迈出第一步是康复的关键。
Advice for Readers in Malaysia:
If you suspect you have PE, the correct approach is to consult a doctor. You can start with a general practitioner, who can manage most cases and refer you to a urologist or psychologist if necessary. Please let go of unnecessary shame; PE is a treatable medical condition. Taking the brave first step is key to recovery.