早泄(Premature Ejaculation,简称 PE)是一种常见的男性性健康问题,影响着许多男性的性生活质量和自信心。如果你时常发现自己在性生活过程中过早达到高潮,感到沮丧或失望,请放心,你并不孤单,而且这完全是可以改善的! 本文将提供中英双语、实用且易于理解的早泄应对方法。
Click to buyPremature ejaculation (PE) is a common male sexual health concern that affects the quality of sex life and self-confidence for many men. If you often find yourself reaching climax too quickly during intercourse, feeling frustrated or disappointed, rest assured you are not alone, and this is absolutely something that can be improved! This article provides practical and easy-to-understand ways to address PE in both Chinese and English.
早泄是什么? (What is Premature Ejaculation?)
简单来说,早泄是指男性在性交过程中,持续或反复在很小的性刺激下,插入阴道前或插入后短时间内(通常指少于1-3分钟)即发生射精,且无法控制或延迟射精,导致个人或伴侣困扰的情况。国际性医学会(ISSM)将其定义为一种临床综合征。
Simply put, premature ejaculation refers to a condition in men where, persistently or recurrently, ejaculation occurs before or shortly after vaginal penetration (usually within less than 1-3 minutes) with minimal sexual stimulation, accompanied by an inability to control or delay ejaculation, leading to distress for the individual or his partner. The International Society for Sexual Medicine (ISSM) defines it as a clinical syndrome.
别担心,有效的治疗方法在这里 (Don’t Worry, Effective Treatments Are Here)
1. 行为技巧训练 (Behavioral Techniques Training)
* 暂停-挤压法 (Start-Stop Technique): 在自慰或性交过程中,当你感觉快要射精时,立即停下来或让伴侣轻捏龟头下方(挤压法),等待射精冲动消退(通常15-30秒)。待感觉平静后再继续刺激。通过反复练习,学习识别和控制射精的临界点。这是最经典且被证明有效的方法之一。
* Start-Stop Technique: During masturbation or intercourse, when you feel close to ejaculation, immediately stop or have your partner gently squeeze below the glans (Squeeze Technique), waiting for the urge to ejaculate to subside (usually 15-30 seconds). Continue stimulation only after the feeling has calmed down. Through repeated practice, learn to recognize and control the point of ejaculatory inevitability. This is one of the most classic and proven effective methods.
* 慢下来,专注过程 (Slow Down, Focus on the Process): 改变目标,将重点放在享受亲密过程(如亲吻、抚摸等前戏),而非仅仅追求插入和射精。有意识地控制节奏,尝试不同的性交体位(如侧位或女上位),选择刺激较小的体位,学习放松身心。
* Slow Down, Focus on the Process: Shift your goal to focus on enjoying the process of intimacy (such as kissing, caressing during foreplay), rather than solely pursuing penetration and ejaculation. Consciously control the rhythm, try different intercourse positions (such as the side position or woman on top), choose less stimulating positions, and learn to relax both body and mind.
2. 凯格尔运动:增强盆底肌 (Kegel Exercises: Strengthening the Pelvic Floor)
盆底肌控制射精。像憋尿一样收缩肛门和阴茎根部的肌肉(不要用腹部或大腿发力),每次收缩保持3-5秒,然后放松同样时间。重复10-15次为一组,每天做3-4组。坚持练习几周,你会感受到变化。
3. 外用局部麻醉剂 (Topical Anesthetic Agents)
含有利多卡因或苯佐卡因的延时喷雾、乳膏或湿巾,在性交前10-15分钟涂抹于龟头,能暂时降低敏感度,延长射精时间。注意,可能降低自身快感,有些伴侣会有麻木感,务必与伴侣沟通。使用前仔细阅读说明。4. 口服药物治疗 (Oral Medications)
* 选择性血清素再摄取抑制剂(SSRIs): 达泊西汀(必利劲)是首个也是目前唯一获得全球多个国家批准专门用于治疗早泄的药物。按需服用,通常在性交前1-3小时服用,有效延迟射精时间。常见的 SSRI 抗抑郁药如舍曲林、帕罗西汀等有时也用作“标签外”治疗(需医生处方),需每日服用。所有处方药务必咨询医生,了解风险和效果。
* Selective Serotonin Reuptake Inhibitors (SSRIs): Dapoxetine (Priligy) is the first and currently the only medication approved specifically for PE treatment in many countries worldwide. Taken as needed, usually 1-3 hours before intercourse, it effectively delays ejaculation time. Common SSRI antidepressants like Sertraline, Paroxetine, etc., are sometimes used “off-label” (requires doctor’s prescription) and need daily intake. Always consult a doctor for any prescription medication to understand risks and benefits.5. 心理咨询与性治疗 (Psychological Counseling & Sex Therapy)
焦虑、压力、感情问题或性经验不足都可能导致或加重早泄。专业的心理医生或性治疗师能帮助你处理负面情绪,改善伴侣沟通,提升性自信和技巧,解决潜在的性心理问题。重要贴士与忠告 (Key Tips & Advice)坦诚沟通是金 (Honest Communication is Golden): 和伴侣开诚布公地讨论你们的感受、困扰和期待,一起面对,互相支持。共同探索解决方案能让旅程更顺利。
Honest Communication is Golden: Discuss your feelings, concerns, and expectations openly with your partner. Face it together and support each other. Exploring solutions as a team makes the journey smoother.
耐心与坚持 (Patience & Persistence): 改善早泄需要时间和持续练习,不要期望一夜之间彻底改变。肯定自己的每一个小进步。
Patience & Persistence: Improving PE takes time and consistent practice. Don’t expect an overnight cure. Acknowledge every small step of progress.
寻求专业帮助 (Seek Professional Help): 如果自我调节效果不佳,或者问题让你和伴侣感到非常痛苦,务必及时咨询医生(GP、泌尿科医生)或合格的心理咨询师/性治疗师。他们能为你评估原因,制定个性化方案。
Seek Professional Help: If self-help methods don’t work well, or if the problem is causing significant distress for you or your partner, definitely seek timely advice from a doctor (GP, Urologist) or a qualified counselor/sex therapist. They can assess the causes and develop a personalized plan for you.
健康生活方式 (Healthy Lifestyle): 规律作息、均衡饮食、适度运动、减少烟酒、管理压力都有助于整体健康,自然也能提升性表现。
Healthy Lifestyle: Regular sleep patterns, a balanced diet, moderate exercise, reducing smoking and alcohol, and managing stress all contribute to overall health, which naturally enhances sexual performance.
Remember: 早泄是可管理、可改善的状况。勇于正视问题,积极行动,你和伴侣都能重新享受满意、愉悦的亲密时光!
Remember: Premature ejaculation is a manageable and improvable condition. Be brave in addressing the issue, take proactive steps, and both you and your partner can once again enjoy satisfying and pleasurable intimacy!