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How to Know If You Have Premature Ejaculation and How to Treat It

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Premature ejaculation (PE) is a common but often misunderstood condition. For men in Singapore, understanding the signs and seeking timely treatment can improve both sexual health and quality of life. This guide explains how to self-assess PE and explores effective solutions tailored to local lifestyles.
早泄是常见却易被误解的男性健康问题。了解症状并及时治疗，有助于新加坡男性改善性健康与生活质量。本文解析自我判断早泄的方法及本地化治疗方案。

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Self-Assessment: Do I Have Premature Ejaculation?

自我检测：是否患有早泄？

1. Key Diagnostic Criteria

1. 核心判断标准

  • Ejaculation Timing: Consistently ejaculating within 1 minute of vaginal penetration (lifelong PE) or a sudden reduction to ≤3 minutes (acquired PE).
    射精时间：持续在插入后1分钟内射精（原发性早泄），或突然缩短至3分钟内（继发性早泄）。
  • Lack of Control: Inability to delay ejaculation in 90% of sexual encounters.
    控制力不足：90%的性行为中无法自主延缓射精。
  • Emotional Impact: Feelings of frustration, guilt, or avoidance of intimacy.
    情绪困扰：因早泄产生挫败感、愧疚或回避亲密关系。

2. Optional Tools

2. 辅助评估工具

  • PEDT Questionnaire: A 5-question screening test used by Singaporean urologists.
    早泄诊断量表：本地泌尿科常用的5题快速筛查表。
  • Partner Feedback: Openly discuss experiences with your partner.
    伴侣反馈：与伴侣坦诚沟通性体验。

Medical Causes vs. Situational Factors

病理性原因与情境性因素

1. Underlying Health Issues

1. 潜在健康问题

  • Hormonal Imbalances: Low testosterone or thyroid dysfunction.
    激素失衡：睾酮水平低或甲状腺功能异常。
  • Neurological Disorders: Diabetes-induced nerve damage.
    神经病变：糖尿病引发的神经损伤。
  • Prostatitis: Inflammation reported in 12% of Singaporean PE cases (NUH 2023).
    前列腺炎：新加坡国立大学医院2023年数据显示，12%早泄患者伴有前列腺炎。

2. Psychological Triggers

2. 心理诱因

  • Performance Anxiety: Common among younger men in competitive environments.
    表现焦虑：常见于高压竞争环境中的年轻男性。
  • Depression: Linked to serotonin dysregulation affecting ejaculation.
    抑郁症：血清素失调可能加速射精。

Effective Treatment Options in Singapore

新加坡有效治疗方案

1. Behavioral Therapy

1. 行为疗法

  • Start-Stop Technique: Pause stimulation at 7/10 arousal, resume after 30 seconds.
    “开始-停止”训练：性兴奋达7分时暂停30秒，逐步延长耐受时间。
  • Kegel Exercises: 3 sets of 10-second squeezes daily to strengthen pelvic muscles.
    凯格尔运动：每日3组10秒盆底肌收缩练习。

2. Topical & Oral Medications

2. 外用与口服药物

  • Numbing Sprays: 2.5% lidocaine gel (applied 15 mins before sex).
    延时喷剂：2.5%利多卡因凝胶（事前15分钟使用）。
  • Dapoxetine: On-demand SSRI approved for PE, available at Guardian pharmacies with prescription.
    达泊西汀：按需服用的SSRI药物，需凭处方在Guardian药房购买。

3. Psychological Interventions

3. 心理干预

  • CBT (Cognitive Behavioral Therapy): Address anxiety through clinics like The Psychology Clinic.
    认知行为疗法：通过The Psychology Clinic等机构缓解焦虑。
  • Couples Counseling: Improve communication via Fei Yue Community Services.
    伴侣咨询：飞跃社区服务提供关系辅导课程。

4. Lifestyle Modifications

4. 生活方式调整

  • Quit Smoking: Smokers have 2.3x higher PE risk (HPB 2024).
    戒烟：吸烟者早泄风险高2.3倍（保健促进局2024年数据）。
  • Balanced Diet: Increase zinc (oyster porridge) and magnesium (spinach).
    均衡饮食：多食蚝粥补锌、菠菜补镁。

When to Visit a Singapore Clinic?

何时在新加坡就医？

Seek professional help if:
出现以下情况建议就诊：

  • Symptoms persist >3 months despite self-care.
    自我调理3个月未改善。
  • PE occurs with erectile dysfunction or pain.
    伴随勃起障碍或疼痛。
    Recommended options: Men’s Health Clinic @SGH or DTAP Clinic GP services.
    推荐机构：新加坡中央医院男性健康门诊或DTAP全科诊所。

Conclusion

总结

Identifying premature ejaculation requires honest self-assessment and sometimes medical input. With Singapore’s advanced healthcare system, combining behavioral strategies, medical treatments, and psychological support can effectively restore confidence and intimacy.
判断早泄需结合自我评估与医学诊断。依托新加坡完善的医疗体系，综合行为训练、医学治疗与心理支持，可有效改善问题，重拾性福。

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