Understanding painful ejaculation, premature ejaculation, and the manifestations and correct understanding of nocturnal emission.
26.
Definition of painful ejaculation
Painful ejaculation refers to pain in any part of the penis, urethra, perineum, lower abdomen, or above the scrotum that occurs during ejaculation at the point of orgasm during sexual intercourse; in other words, dyspareunia in men.
Under normal circumstances, the ejaculation process is controlled by nerves and produces pleasure without pain.
27.
How to understand premature ejaculation
Premature ejaculation is the most common ejaculatory disorder, with an incidence rate of 35% to 50% among adult men and accounting for 90% of patients with ejaculatory disorders. It is also one of the most misunderstood issues regarding normal sexual function.
Imagine how devastating it would be for both partners if, when both are experiencing heightened sexual desire and attempting intercourse, the man ejaculates before even engaging in actual intercourse, resulting in an early defeat.
Different people have different understandings of it, and the meaning of premature ejaculation described by each patient is also very confusing. Moreover, the distribution of premature ejaculation patients is very wide, and it is common among men of various socioeconomic levels. For example, men with only primary school or junior high school education rarely complain of premature ejaculation. In this socioeconomic level, men usually dominate sexual behavior patterns, and they only care about their own satisfaction and rarely regard premature ejaculation as a problem.
In contrast, men with higher education are very concerned about their partner's satisfaction, so they often raise the issue of premature ejaculation.
Men can suffer from this type of sexual dysfunction, whether their marital relationship is generally happy or tense and in crisis. It can also be seen in men with completely normal mental and psychological states, or men with various emotional disorders or psychopathological changes.
However, from a clinical perspective, it is quite difficult to give a precise definition of what constitutes premature ejaculation, and there are many different opinions on its diagnostic criteria.
Most past definitions of premature ejaculation linked it to the length of time the penis remained inside the vagina. For example, some textbooks defined premature ejaculation as ejaculation and orgasm occurring within 30 seconds of penile insertion.
Some, however, set this time limit at 1 minute or 2 minutes.
Some doctors define premature ejaculation as ejaculation occurring within 15 thrusts inside the vagina.
Professor Wu Jieping, a renowned Chinese medical expert, pointed out that it is still normal for healthy young adults to ejaculate within 2 to 6 minutes of intercourse or even less.
Some sex therapists define premature ejaculation as "the involuntary ejaculation that occurs in more than half of all sexual encounters before a sexually functional female partner is sexually satisfied."
However, none of these definitions clearly define the meaning of female sexual satisfaction.
Some believe that premature ejaculation refers to ejaculation occurring before a man's desire, due to a persistent or frequent lack of reasonable voluntary control over ejaculation and orgasm during sexual activity.
In short, the definition of premature ejaculation has been revised and supplemented many times with the changing times and increased understanding of sexual knowledge. Even now, there is still a lack of unified understanding of the concept of premature ejaculation.
In 1997, Devide proposed to the American Urological Association (AUA) that "premature ejaculation can be defined as either partner being dissatisfied with the ejaculation latency or attempting to prolong it."
Diagnosing premature ejaculation is also difficult because the speed of ejaculation varies greatly from person to person, and the length of time the penis remains erect in the vagina is related to factors such as the strength of libido, physical condition, and age.
Even for the same person, the duration of sexual intercourse varies depending on the environment, time, and mental and psychological state.
If a couple reunites after a long separation and experiences excessive excitement, or if premature ejaculation occurs occasionally during the honeymoon due to a lack of sexual knowledge, it cannot be considered pathological. Only premature ejaculation that occurs frequently or every time during intercourse is called premature ejaculation.
28.
Symptoms of nocturnal emission
It can be stated with certainty that nocturnal emission itself is harmless to the body.
Due to the influence of old Chinese traditions, there is a persistent misconception that semen is precious, a person's vital energy, and the essence of life. This misconception puts those experiencing nocturnal emission in a contradictory position of fear and shame, making them hesitant to consult a doctor. Over time, this can gradually lead to a series of psychological problems and symptoms.
(1) Neurological symptoms: dizziness, mood instability, lethargy, insomnia and dreaminess, memory loss, forgetfulness and fear, depression, and physical fatigue are the most common symptoms reported by those who have nocturnal emission.
(2) Sexual dysfunction: often accompanied by symptoms such as decreased libido, premature ejaculation, and erectile dysfunction;
(3) Accompanying symptoms: such as soreness and weakness of the waist and knees, sallow complexion, palpitations and spontaneous sweating, frequent urination, emaciation, increased frequency of urination at night and other general discomfort symptoms;
(4) It is a manifestation of some primary diseases that cause nocturnal emission, such as balanitis.
29.
How to understand nocturnal emission
Scientific research shows that semen contains relatively few nutrients, and the frequency of normal nocturnal emissions is not high, so it does not harm one's health.
The medical community generally believes that nocturnal emission can, to some extent, relieve sexual tension in the body and create a physiological and psychological balance.
However, due to the influence of old ideas and traditional concepts in my country, some people regard semen as the essence of the human body and the "vital energy" of a person, which is the most precious thing in the human body. They mistakenly believe that nocturnal emission is the loss of the body's essence and vital energy, which is very harmful to health.
This erroneous view puts enormous pressure on many teenagers, making them live in constant fear, self-blame, and shame, and ultimately leading to serious psychological problems.
If it persists into adulthood, it can sometimes lead to sexual dysfunction.
However, the above problems are all psychological distress, and not caused by nocturnal emission itself.
Therefore, we should vigorously strengthen sex education. As Premier Zhou Enlai said, "We should tell girls about scientific sexual hygiene before they start menstruating and boys before they have their first ejaculation."