What is impotence and premature ejaculation?

What are impotence and premature ejaculation? Many people may not be very clear about this question. In layman's terms, impotence means that the penis cannot be erected or is erected but not firm, and premature ejaculation means that the duration of sexual intercourse is relatively short. There are many people suffering from these diseases. In the past, some people were relatively backward and lacked knowledge about these diseases. Many people were embarrassed to talk about them, resulting in delayed treatment and difficulty in cure. Let us now take a closer look at what impotence and premature ejaculation are.

"Impotence" is the former name for "erectile dysfunction (ED)". In 1992, after discussion among relevant experts, the National Institutes of Health decided to replace the term impotence with the term erectile dysfunction. Erectile dysfunction (ED) refers to the persistent inability of the penis to achieve and maintain an erection sufficient for satisfactory sexual intercourse over the past three months. ED is one of the most common sexual dysfunctions in men. Although ED is not a life-threatening disease, it is closely related to the patient's quality of life, sexual partner relationship, and family stability, and is also an early warning sign of many physical diseases.

Premature ejaculation (prospermia) is the most common ejaculation dysfunction, with ejaculation at the beginning of sexual intercourse or even before sexual intercourse, and inability to engage in normal sexual life as the main manifestation. The incidence rate accounts for more than 1/3 of adult men. The definition of premature ejaculation is still controversial. It is usually evaluated by the male's ejaculation latency period or the frequency of female orgasm during sexual intercourse. For example, the standard is that the male loses the ability to control ejaculation during sexual intercourse, and ejaculates before or just after the penis enters the vagina; or the frequency of female orgasm during sexual intercourse is less than 50%. However, these are not universally accepted. Because the male ejaculation latency period is affected by factors such as age, length of abstinence, physical condition, emotional psychology, etc., the frequency of female orgasm is also affected by factors such as physical condition, emotional changes, and surrounding environment. In addition, there are individual differences in the length of the ejaculation latency period. It is generally believed that it is normal for healthy men to ejaculate 2 to 6 minutes after the penis is inserted into the vagina.

Recipes for curing premature ejaculation :

1) Appropriate amount of beehive. [Preparation and Usage] Bake on new tiles and grind into powder. Take 3-6 grams each time.

2) 50 grams of dog meat and 30 grams of lotus seeds. [Preparation and Usage] Decoction. Take 1 dose per day.

3) 11 large earthworms. [Preparation and Usage] Cut open, wash, add leek juice and mash until melted. Take with hot wine, once a day.

4) 15 grams of ginseng and 5 grams of tea. Decoction in water, 1 dose per day, divided into 2 doses. This prescription replenishes Qi and boosts Yang, and is suitable for premature ejaculation caused by insufficient kidney Yang.

5) Poppy shell powder, Terminalia chebula seed powder, calcined dragon fruit and oyster powder in equal parts. [Preparation and Usage] Use cold boiled water to make a thin paste. Apply to the glans penis half an hour before sexual intercourse. Can prevent premature ejaculation.

6) 15 grams each of calcined dragon bone and calcined oyster, 6 grams each of mulberry silkworm cocoon, Tribulus terrestris, and leek seeds, 9 grams each of Poria cocos, Cuscuta seed, Rosa rugosa, and Euryale ferox. [Preparation and Usage] Decoction in water. [Indications] Premature ejaculation due to deficiency of both heart and kidney.

What are the causes of premature ejaculation?

1. The relationship between husband and wife is not harmonious. In a family where a woman is the head, premature ejaculation may occur due to excessive fear of the wife, excessive admiration for the wife, strong inferiority complex, or potential hostility towards the wife. When a husband is dissatisfied with his wife, he often vents his sexual desire by ejaculating quickly. In addition, sometimes the woman suffers from genital tract inflammation, and because sexual intercourse can cause pain, the woman asks to end sexual intercourse as soon as possible, causing premature ejaculation.

2. Have a history of masturbation. Some people have a history of excessive masturbation. Although masturbation itself does not directly cause premature ejaculation, due to the fear of being discovered by their parents or roommates when masturbating for a long time, they always want to end it as soon as possible, thus developing the habit of hasty ejaculation.

3. Premarital sex. There are many male friends who have had sex with women before getting married because they are overly nervous and easily excited, so they ejaculate quickly. If this continues for a long time, it will be difficult to change this phenomenon after marriage.

4. Too few times. Some people are prone to premature ejaculation due to the stressful work, study and life, or the separation of the couple, or one of the couple is on a long business trip, and they have not had sexual intercourse for a long time and their sexual demands are too strong. Some people worry about premature ejaculation and intentionally reduce the frequency of sexual intercourse, which causes sexual tension to accumulate and aggravates premature ejaculation.

5. Little interaction with the opposite sex and lack of sexual knowledge. They have little social interaction with women and are too reserved and shy when they are with women. Some people lack sexual knowledge, have a sense of mystery about sexual organs, and are prone to tension and panic, which can lead to premature ejaculation.

Causes of impotence

1. Age

Current studies suggest that age is the strongest independent risk factor for ED. The significant decrease in serum androgen levels with age may be the direct cause, but there is no research result proving a significant relationship between the decrease in serum free testosterone and ED. In addition, with age, the structure of the penis's tunica albuginea and corpus cavernosum changes, which may lead to a decrease in venous blood return capacity. The increased incidence of cardiovascular and cerebrovascular diseases, hypertension, diabetes, and the treatment of these diseases have all damaged the penis' erectile function to varying degrees, and this trend also increases with age.

2. Cardiovascular disease

Cardiovascular disease is the main physical disease associated with ED, including atherosclerosis, peripheral vascular disease, hypertension and myocardial infarction. Cardiovascular disease can cause arterial ED by affecting the arterial blood supply to the corpora cavernosa. Some studies have also found that ED may be the primary manifestation or "warning sign" of cardiovascular disease.

3. Diabetes

Diabetes can affect erectile function by affecting the autonomic nervous system, peripheral vascular system, and psychoneural system. The severity and prevalence of ED are significantly related to factors such as the age of diabetes, type of diabetes, blood sugar control, diabetic neuropathy, diabetic nephropathy and hypertension.

4. Abnormal blood lipid metabolism

The role of hypercholesterolemia in sexual dysfunction is controversial. A study showed that men with total cholesterol (TC) greater than 240 mg/dl had a 1.83 times higher risk of developing ED than men with TC less than 180 mg/dl. In the Massachusetts Aging Male Study (MMAS), HDL was inversely correlated with ED prevalence.