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男人不可以快?5條問題快速自測評估 點先叫早泄(早洩)? 正確面對重拾自信

已更新:9月16日

早泄

早洩(早泄)|男人如果太快,會很容易陷入焦慮,更成為建立親密關係的障礙。那到底多久就算太快?立即做快速自測評估,如果發現有這種問題,就要及早正確面對和解決,積極尋求專業幫助才能重拾自信。 偉哥/犀利仔/鐵耐飛/必利勁/Tadafly/Priligy犀利哥/tofolofil


怎樣算是早洩(早泄)?明確界定時間擺脫焦慮

很多男士在不了早洩(早泄)的確的定義而過度焦慮,根據ISSM (International Society for Sexual Medicine) 的標準,早洩主要符合以下特徵:


  1. 短於1-3分鐘內射精;

  2. 無法控制延遲射精;

  3. 造成個人或伴侶的心理負面影響(如沮喪、逃避親密行為)


早洩(早泄)|5條問題快速評估早洩(早泄)自測工具

如果懷疑自己有早洩(早泄)太快射的早洩(早泄)問題,可透過國際通用的「診斷工具(PEDT)」進行初步自測。以下有5條問題(每題分數為0-4分):


1.延遲射精對你來說有多困難?

一點也不困難 (0分) 有點困難 (1分) 中等困難(2分) 很困難(3分) 極度困難(4分)


2.你是否在期望之前就射精?

從不或幾乎不(0分) 非常少(1分) 大約一半(2分) 一大半(3分) 幾乎總是(4分)


3.是否因輕微刺激即射精而感到壓力?

從不或幾乎不(0分) 非常少(1分) 大約一半(2分) 一大半(3分) 幾乎總是(4分)


4.是否因射精時間問題感到沮喪?

從不(0分) 有點(1分) 中等(2分) 非常(3分) 極度(4分)


5.是否因擔心無法滿足伴侶而避免親密行為?

從不(0分) 有點(1分) 中等(2分) 非常(3分) 極度(4分)


評分結果:


  • ≤8分:大概率無早洩問題;

  • 9-10分:可能存在早洩問題;

  • ≥11分:建議就醫進一步評估。


真實情況需經專業醫師診斷,此自測僅供參考


早洩

從焦慮轉為自信:正確面對與調整表現 要怎樣才不會早洩(早泄)

早洩(早泄)、男人太快是一種可改善的生理狀況,面對這種情況無需獨自承受壓力,可以積極解決問題,尋求專業幫助,多數男性都可以有效延長時間,重拾親密關係中的自信與滿意度。偉哥/犀利仔/鐵耐飛/必利勁/Tadafly/Priligy犀利哥/tofolofil



資料來源:


References

1.

El-Hamd MA, Saleh R, Majzoub A. Premature ejaculation: an update on definition and pathophysiology. Asian J Androl. 2019 Sep-Oct;21(5):425-432. [PMC free article] [PubMed]

2.

Rosen RC. Prevalence and risk factors of sexual dysfunction in men and women. Curr Psychiatry Rep. 2000 Jun;2(3):189-95. [PubMed]

3.

Strassberg DS, Mahoney JM, Schaugaard M, Hale VE. The role of anxiety in premature ejaculation: a psychophysiological model. Arch Sex Behav. 1990 Jun;19(3):251-7. [PubMed]

4.

Serefoglu EC, McMahon CG, Waldinger MD, Althof SE, Shindel A, Adaikan G, Becher EF, Dean J, Giuliano F, Hellstrom WJ, Giraldi A, Glina S, Incrocci L, Jannini E, McCabe M, Parish S, Rowland D, Segraves RT, Sharlip I, Torres LO. An evidence-based unified definition of lifelong and acquired premature ejaculation: report of the second international society for sexual medicine ad hoc committee for the definition of premature ejaculation. Sex Med. 2014 Jun;2(2):41-59. [PMC free article] [PubMed]

5.

Abdo CH. The impact of ejaculatory dysfunction upon the sufferer and his partner. Transl Androl Urol. 2016 Aug;5(4):460-9. [PMC free article] [PubMed]

6.

Rowland DL. Psychological impact of premature ejaculation and barriers to its recognition and treatment. Curr Med Res Opin. 2011 Aug;27(8):1509-18. [PubMed]

7.

Zhang D, Cheng Y, Wu K, Ma Q, Jiang J, Yan Z. Paroxetine in the treatment of premature ejaculation: a systematic review and meta-analysis. BMC Urol. 2019 Jan 03;19(1):2. [PMC free article] [PubMed]

8.

McMahon CG, Samali R. Pharmacological treatment of premature ejaculation. Curr Opin Urol. 1999 Nov;9(6):553-61. [PubMed]

9.

Jannini EA, Lenzi A. Epidemiology of premature ejaculation. Curr Opin Urol. 2005 Nov;15(6):399-403.[PubMed]

10.

Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999 Feb 10;281(6):537-44. [PubMed]

11.

Giuliano F, Patrick DL, Porst H, La Pera G, Kokoszka A, Merchant S, Rothman M, Gagnon DD, Polverejan E., 3004 Study Group. Premature ejaculation: results from a five-country European observational study. Eur Urol. 2008 May;53(5):1048-57. [PubMed]

12.

Butcher MJ, Zubert T, Christiansen K, Carranza A, Pawlicki P, Seibel S. Topical Agents for Premature Ejaculation: A Review. Sex Med Rev. 2020 Jan;8(1):92-99. [PubMed]

13.

Gerstenberg TC, Levin RJ, Wagner G. Erection and ejaculation in man. Assessment of the electromyographic activity of the bulbocavernosus and ischiocavernosus muscles. Br J Urol. 1990 Apr;65(4):395-402. [PubMed]

14.

McKenna KE, Chung SK, McVary KT. A model for the study of sexual function in anesthetized male and female rats. Am J Physiol. 1991 Nov;261(5 Pt 2):R1276-85. [PubMed]

15.

Holmes GM, Sachs BD. The ejaculatory reflex in copulating rats: normal bulbospongiosus activity without apparent urethral stimulation. Neurosci Lett. 1991 Apr 29;125(2):195-7. [PubMed]

16.

Althof SE, McMahon CG, Waldinger MD, Serefoglu EC, Shindel AW, Adaikan PG, Becher E, Dean J, Giuliano F, Hellstrom WJ, Giraldi A, Glina S, Incrocci L, Jannini E, McCabe M, Parish S, Rowland D, Segraves RT, Sharlip I, Torres LO. An Update of the International Society of Sexual Medicine's Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE). Sex Med. 2014 Jun;2(2):60-90. [PMC free article] [PubMed]

17.

Waldinger MD. Recent advances in the classification, neurobiology and treatment of premature ejaculation. Adv Psychosom Med. 2008;29:50-69. [PubMed]

18.

McCabe MP, Sharlip ID, Atalla E, Balon R, Fisher AD, Laumann E, Lee SW, Lewis R, Segraves RT. Definitions of Sexual Dysfunctions in Women and Men: A Consensus Statement From the Fourth International Consultation on Sexual Medicine 2015. J Sex Med. 2016 Feb;13(2):135-43. [PubMed]

19.

Sansone A, Aversa A, Corona G, Fisher AD, Isidori AM, La Vignera S, Limoncin E, Maggi M, Merico M, Jannini EA. Management of premature ejaculation: a clinical guideline from the Italian Society of Andrology and Sexual Medicine (SIAMS). J Endocrinol Invest. 2021 May;44(5):1103-1118. [PubMed]

20.

Raveendran AV, Agarwal A. Premature ejaculation - current concepts in the management: A narrative review. Int J Reprod Biomed. 2021 Jan;19(1):5-22. [PMC free article] [PubMed]

21.

Althof SE. Psychosexual therapy for premature ejaculation. Transl Androl Urol. 2016 Aug;5(4):475-81. [PMC free article] [PubMed]

22.

Puppo V, Puppo G. Comprehensive review of the anatomy and physiology of male ejaculation: Premature ejaculation is not a disease. Clin Anat. 2016 Jan;29(1):111-9. [PubMed]

23.

SEMANS JH. Premature ejaculation: a new approach. South Med J. 1956 Apr;49(4):353-8. [PubMed]

24.

Hawton K, Catalan J, Martin P, Fagg J. Long-term outcome of sex therapy. Behav Res Ther. 1986;24(6):665-75.[PubMed]

25.

Wang Z, Yu J. Efficacy evaluation of thickened condom in the treatment of premature ejaculation. Transl Androl Urol. 2022 Feb;11(2):253-259. [PMC free article] [PubMed]

26.

Yildiz Y, Kilinc MF, Doluoglu OG. Is There Any Association Between Regular Physical Activity and Ejaculation Time? Urol J. 2018 Sep 26;15(5):285-289. [PubMed]

27.

Segraves RT, Saran A, Segraves K, Maguire E. Clomipramine versus placebo in the treatment of premature ejaculation: a pilot study. J Sex Marital Ther. 1993 Fall;19(3):198-200. [PubMed]

28.

Myers C, Smith M. Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: a systematic review. Physiotherapy. 2019 Jun;105(2):235-243. [PubMed]

29.

Jiang M, Yan G, Deng H, Liang H, Lin Y, Zhang X. The efficacy of regular penis-root masturbation, versus Kegel exercise in the treatment of primary premature ejaculation: A quasi-randomised controlled trial. Andrologia. 2020 Feb;52(1):e13473. [PubMed]

30.

Yaacov D, Nelinger G, Kalichman L. The Effect of Pelvic Floor Rehabilitation on Males with Sexual Dysfunction: A Narrative Review. Sex Med Rev. 2022 Jan;10(1):162-167. [PubMed]

31.

Porst H. An overview of pharmacotherapy in premature ejaculation. J Sex Med. 2011 Oct;8 Suppl 4:335-41.[PubMed]

32.

Porst H, Burri A. Novel Treatment for Premature Ejaculation in the Light of Currently Used Therapies: A Review. Sex Med Rev. 2019 Jan;7(1):129-140. [PubMed]

33.

Waldinger MD, Zwinderman AH, Schweitzer DH, Olivier B. Relevance of methodological design for the interpretation of efficacy of drug treatment of premature ejaculation: a systematic review and meta-analysis. Int J Impot Res. 2004 Aug;16(4):369-81. [PubMed]

34.

Montague DK, Jarow J, Broderick GA, Dmochowski RR, Heaton JP, Lue TF, Nehra A, Sharlip ID., AUA Erectile Dysfunction Guideline Update Panel. AUA guideline on the pharmacologic management of premature ejaculation. J Urol. 2004 Jul;172(1):290-4. [PubMed]

35.

Montejo AL, Llorca G, Izquierdo JA, Rico-Villademoros F. Incidence of sexual dysfunction associated with antidepressant agents: a prospective multicenter study of 1022 outpatients. Spanish Working Group for the Study of Psychotropic-Related Sexual Dysfunction. J Clin Psychiatry. 2001;62 Suppl 3:10-21. [PubMed]

36.

Wilson M, Tripp J. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Aug 16, 2024. Clomipramine. [PubMed]

37.

Wu PC, Hung CS, Kang YN, Wu CC. Tolerability and Optimal Therapeutic Dosage of Clomipramine for Premature Ejaculation: A Systematic Review and Meta-Analysis. Sex Med. 2021 Feb;9(1):100283. [PMC free article] [PubMed]

38.

Suhara T, Takano A, Sudo Y, Ichimiya T, Inoue M, Yasuno F, Ikoma Y, Okubo Y. High levels of serotonin transporter occupancy with low-dose clomipramine in comparative occupancy study with fluvoxamine using positron emission tomography. Arch Gen Psychiatry. 2003 Apr;60(4):386-91. [PubMed]

39.

Strassberg DS, de Gouveia Brazao CA, Rowland DL, Tan P, Slob AK. Clomipramine in the treatment of rapid (premature) ejaculation. J Sex Marital Ther. 1999 Apr-Jun;25(2):89-101. [PubMed]

40.

Waldinger MD, Zwinderman AH, Olivier B. On-demand treatment of premature ejaculation with clomipramine and paroxetine: a randomized, double-blind fixed-dose study with stopwatch assessment. Eur Urol. 2004 Oct;46(4):510-5; discussion 516. [PubMed]

41.

Kim SW, Choi JB, Kim SJ, Kim KS, Kim CM, Lee DH, Choi WS. Tolerability and adequate therapeutic dosage of oral clomipramine for the treatment of premature ejaculation: A randomized, double-blind, placebo-controlled, fixed-dose, parallel-grouped clinical study. Int J Impot Res. 2018 Apr;30(2):65-70. [PubMed]

42.

Wu T, Yue X, Duan X, Luo D, Cheng Y, Tian Y, Wang K. Efficacy and safety of tramadol for premature ejaculation: a systematic review and meta-analysis. Urology. 2012 Sep;80(3):618-24. [PubMed]

43.

Martyn-St James M, Cooper K, Kaltenthaler E, Dickinson K, Cantrell A, Wylie K, Frodsham L, Hood C. Tramadol for premature ejaculation: a systematic review and meta-analysis. BMC Urol. 2015 Jan 30;15:6. [PMC free article] [PubMed]

44.

Wong BL, Malde S. The use of tramadol "on-demand" for premature ejaculation: a systematic review. Urology. 2013 Jan;81(1):98-103. [PubMed]

45.

Sato Y, Tanda H, Nakajima H, Nitta T, Akagashi K, Hanzawa T, Tobe M, Haga K, Uchida K, Honma I. Silodosin and its potential for treating premature ejaculation: a preliminary report. Int J Urol. 2012 Mar;19(3):268-72.[PubMed]

46.

Burri A, Giuliano F, McMahon C, Porst H. Female partner's perception of premature ejaculation and its impact on relationship breakups, relationship quality, and sexual satisfaction. J Sex Med. 2014 Sep;11(9):2243-55.[PubMed]

47.

Atallah S, Haydar A, Jabbour T, Kfoury P, Sader G. The effectiveness of psychological interventions alone, or in combination with phosphodiesterase-5 inhibitors, for the treatment of erectile dysfunction:A systematic review. Arab J Urol. 2021;19(3):310-322. [PMC free article] [PubMed]

48.

Cooper K, Martyn-St James M, Kaltenthaler E, Dickinson K, Cantrell A, Wylie K, Frodsham L, Hood C. Behavioral Therapies for Management of Premature Ejaculation: A Systematic Review. Sex Med. 2015 Sep;3(3):174-88. [PMC free article] [PubMed]

49.

Frühauf S, Gerger H, Schmidt HM, Munder T, Barth J. Efficacy of psychological interventions for sexual dysfunction: a systematic review and meta-analysis. Arch Sex Behav. 2013 Aug;42(6):915-33. [PubMed]

50.

Melnik T, Althof S, Atallah AN, Puga ME, Glina S, Riera R. Psychosocial interventions for premature ejaculation. Cochrane Database Syst Rev. 2011 Aug 10;(8):CD008195. [PubMed]

51.

Chung E, Gilbert B, Perera M, Roberts MJ. Premature ejaculation: A clinical review for the general physician. Aust Fam Physician. 2015 Oct;44(10):737-43. [PubMed]

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