Ke ʻeha nei hoʻi ʻoe i ka ejaculation premature? E kamaʻilio kākou e pili ana i ia mea!

Ke hoʻokuʻu nei ʻoe i ka ejaculation ma mua o kou manaʻo? A i ʻole ke hana ʻia kēia i ka wā e hoʻomaka ai ʻoe e moe me kāu hoa? Hiki i kēia ke lilo i mea hoʻoluhi a hoʻopilikia loa iā ʻoe a me kāu hoa. Hiki iā ia ke hōʻemi i ka leʻaleʻa a me ka ʻoluʻolu o kou ola moekolohe. ʻOiai he nui ka poʻe e kānalua nei e kamaʻilio e pili ana i ia mea, he pilikia maʻamau kēia ma mua o ko mākou manaʻo. No laila, i kēia lā e kamaʻilio kikoʻī mākou e pili ana i ka ejaculation premature, a i ʻole "Premature Ejaculation".

He aha ka ejaculation premature?

I ka ʻōlelo maʻalahi, ʻo ka ejaculation premature (PE) ka wā e ejaculate ai ʻoe a i ʻole kāu hoa ma mua o ka manawa i manaʻo ʻia. Hana pinepine kēia ma hope koke o kou hoʻomaka ʻana e moe, a i ʻole ma hope koke iho. No kekahi poʻe, hiki ke lilo i pilikia no ke ola holoʻokoʻa, ʻo ia hoʻi he mea ia i loaʻa iā lākou mai ko lākou ʻike moe mua ʻana. No kekahi poʻe, hiki ke lilo i mea i loaʻa ʻole iā lākou ma mua, akā hiki ke ulu ma hope. Kapa mākou ia he 'loaʻa', ʻo ia hoʻi he kūlana e ulu ana i ka hala ʻana o ka manawa.

ʻEhia ka lōʻihi o ka puka ʻana o ka sperm ma mua o ka manaʻo ʻia he 'wikiwiki'?

Manaʻo nā kauka i ka ejaculation premature ʻo ia ka wā e ejaculate ai ʻoe i loko o hoʻokahi minuke o ka hoʻomaka ʻana i ka moekolohe. Eia nō naʻe, hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka, a ʻo ke kauka wale nō ke haʻi pololei iā ʻoe inā loaʻa iā ʻoe kēia pilikia. Manaʻo ka hapa nui o nā hui olakino he:

• ʻO ka ejaculation mua, inā makemake ʻoe a i ʻole kāu hoa .
• Hiki i kēia ke hoʻoulu i ka hopohopo a me ke kaumaha no kekahi a i ʻole ʻolua ʻelua .
• Hana ʻia kēia i kēlā me kēia pilina moekolohe, a i ʻole ma ka liʻiliʻi loa ma ka hapa nui o nā pilina moekolohe .
• Ka ejaculation i loko o hoʻokahi minuke ma hope o ka moe ʻana.
• Inā hoʻomau kēia kūlana no nā mahina ʻeono a ʻoi aku paha, malia paha he makahiki .

Pehea ka maʻamau o kēia ʻano?

E kahaha paha ʻoe i ka lohe ʻana i kēia, akā he ʻano maʻamau loa ia. Ma waena o 30% a me 40% o nā kāne e ʻike i ka ejaculation premature i kekahi manawa o ko lākou ola. ʻO ka ʻoiaʻiʻo, ʻo ia ka hana moekolohe maʻamau i nā kāne. Ma kahi o 1 i loko o 5 mau kāne ma waena o 18 a me 59 mau makahiki i hōʻike ʻia he ejaculation premature. No laila, ʻaʻole ʻoe hoʻokahi.

He aha ke kumu o kēia?

Hiki ke loaʻa kekahi mau kumu no kēia. ʻO ka hapa nui o ka manawa, ʻo ke kumu nui nā kumu noʻonoʻo e like me ka hopohopo . Eia kekahi, i kekahi manawa ʻoi aku ka maʻalahi o ka ʻili o ka penile ma mua o ka maʻamau .

Nā kumu noʻonoʻo a naʻau paha:

• HanaHopohopo hana: Hiki ke hana ʻia kēia e ka hopohopo ke noho pū ʻoe me kahi hoa hou, ka hopohopo ke lōʻihi ʻole ʻoe i ka moekolohe, ka pīhoihoi nui, a i ʻole nā ​​​​kumu ʻē aʻe. E noʻonoʻo e pili ana, pehea ʻoe e mālama ai i kou noʻonoʻo ke hiki mai nā manaʻo e like me "E ʻoluʻolu anei au iā ia?" a "ʻAʻole anei au e hiki ke hana maikaʻi?" eia?
• Kaumaha : ʻO ke kaumaha i hoʻokumu ʻia e nā pilikia hana, nā pilikia ʻohana , nā pilikia i nā pilina ʻē aʻe, a me nā loli nui i ke ola (e.g., kahi hana hou, neʻe hale) hiki ke hoʻopilikia i kēia.
• Nā pilikia pilina: ʻAwaʻawa ma muli o nā mea e like me ka pilina maikaʻi ʻole me kāu hoa a i ʻole ka hoʻouka kaua moekolohe ma mua.
• Nā manaʻo kaumaha: Manaʻo hewa iā ʻoe iho, manaʻo e like me ʻoe ua luhi i nā mea āpau, ʻo ia ke ʻano o ke kaumaha.
• Ka manaʻo haʻahaʻa iā ʻoe iho: Nā manaʻo o ka lawa ʻole o ke kino, nele i ka hilinaʻi iā ʻoe iho, me ka manaʻo "ʻAʻole au i lawa."

Nā kumu kino a me nā kemika:

• ʻO ka hana ʻino o ka erectile: ʻO kēia ka hiki ʻole ke loaʻa a mālama paha i kahi erection i paʻakikī no ka moekolohe. I kēlā mau hihia, hiki iā ʻoe ke ejaculate koke, me ka manaʻo, "Pono wau e hoʻopau koke i kēia."
• Nā pilikia hormonal : Nā loli i nā pae hormone, ʻoiai ka hormone i kapa ʻia ʻo `( Oxytocin )`, ka mea e hoʻopilikia ai i ka hana moekolohe, a me `(Luteinizing hormone - LH)`, `(Prolactin)`, a me `(Thyroid Stimulating Hormone - TSH)`.
• Nā pae haʻahaʻa o ka serotonin a i ʻole dopamine : He mau kemika koʻikoʻi kēia i loko o ka lolo. Hoʻopilikia pololei lākou i ka makemake moekolohe a me ka hoʻāla ʻana. Ke haʻahaʻa kēia mau pae, hiki ke paʻakikī ke kāohi i ka ejaculation.
• ʻO ka maʻi nui i ka hoʻoulu ʻana o ka penis: He maʻi nui nā penis o kekahi poʻe i ka hoʻopā ʻana, no laila hiki iā lākou ke hiki koke i ka orgasm me ka hoʻoulu iki ʻana.
• ʻO ka prostate mumū:He ʻāpana liʻiliʻi ka prostate aia ma lalo o ka ʻōpū mimi i nā kāne. Inā ua maʻi a pehu paha, hiki nō hoʻi kēlā ke kumu.

Akā e hoʻomanaʻo i hoʻokahi mea. ʻO ka hapa nui o ka manawa, ʻo ke kumu o ka ejaculation premature ʻaʻole ia he maʻi koʻikoʻi, he maʻi, a he pilikia koʻikoʻi paha me ka ʻōnaehana hānau. I ka manawa pinepine, ke hana maikaʻi nei nā mea āpau, a ua hoʻokumu ʻia ka pilikia e ke kaumaha, ka hopohopo, a me ka hopohopo i ʻōlelo ʻia ma luna.

Aia kekahi mau hōʻailona ʻē aʻe?

ʻAʻole maoli. ʻO ka hōʻailona wale nō o ka ejaculation premature ʻo ia ka ejaculation ma mua o ka mea i manaʻo ʻia. ʻAʻohe hōʻailona kino kikoʻī ʻē aʻe.

He aha nā pilikia e hiki ke hana ma muli o kēia ʻano?

ʻOi aku ka hōʻino ʻana o ka ejaculation premature i ka noʻonoʻo ma mua o ka hōʻino kino. E noʻonoʻo wale i ka nui o kona hopena i kāu pilina me kāu hoa.

• E hilahila paha ʻoe a ʻoluʻolu ʻole loa .
• Hiki paha iā ʻoe ke manaʻo hewa, me ka ʻōlelo ʻana, "ʻAʻole hiki iaʻu ke hoʻomāʻona i kaʻu hoa."
• Hiki i kēia ke hana i nā pilikia me ka pilina pili a me ka ʻoluʻolu i ke ola moekolohe ma waena o nā mea ʻelua.
• He mea maʻamau nō hoʻi i kekahi manawa ke alakaʻi aku kēia i ke kaumaha a me ka hoʻonāukiuki nui .
• Malia paha hiki i kēia pilikia ke hoʻopaneʻe i ka hānai ʻana i kahi keiki.

ʻO ia ke kumu he mea nui e ʻimi i ke kōkua no ka ejaculation premature. He kūlana maʻamau a hoʻoluhi kēia i ʻike ʻia e nā kāne he nui. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo i ke kumu a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.

Pehea e ʻike ai i nā kumu o ka ejaculation premature?

Inā wikiwiki loa kou ejaculation, a inā paha e hoʻopilikia ana ia iā ʻoe i ke kaumaha a i ʻole ka hopohopo a hoʻopilikia i kāu pilina, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi urologist, he kauka loea i nā ʻōnaehana mimi a me ka hānau keiki. E nīnau ke kauka iā ʻoe i kekahi mau nīnau e pili ana i kou ola moekolohe a me nā ʻike. Eia kekahi laʻana:

• ʻEhia ka lōʻihi o kēia pilikia iā ʻoe?
• I nā kūlana hea e hana pinepine ai kēia?
• ʻEhia pinepine kēia e hana ai?
• Ke hana nei kēia i kēlā me kēia manawa āu e moe ai? A i ʻole i kekahi manawa wale nō?
• Ke hana nei kēia me kēlā me kēia hoa? (Inā he nui kāu mau hoa)
• Ke puka koke nei ʻoe i waho ke hoʻomaʻamaʻa ʻoe?
• He pilikia anei kou i ka mālama ʻana i kou penis i ke kū pololei? He kūlana kēlā i kapa ʻia ʻo `(Erectile dysfunction)`.

Me he mea lā he pilikino iki kēia mau nīnau, akā he mea nui loa e haʻi aku ʻoe i kāu kauka i ka ʻoiaʻiʻo.ʻO ia ka manawa e hiki ai iā ia ke ʻike i ke kumu maoli o kou pilikia a mālama pono iā ia. E nīnau pū ke kauka e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe nei (me nā lāʻau lapaʻau ma luna o ke kauka, nā mea hoʻohui, a me nā huahana lāʻau). Hiki iā ia ke nīnau e pili ana i kāu hoʻohana ʻana i ka waiʻona a me ka lāʻau lapaʻau. ʻO ka maʻamau, ʻaʻole pono kēia i ka nui o nā hoʻokolohua lab. Eia nō naʻe, inā kānalua ke kauka aia kekahi kūlana ʻē aʻe e hoʻokumu nei, hiki iā ia ke kauoha i nā hoʻokolohua koko.

Pehea e mālama ai i ka ejaculation premature?

ʻO ka nūhou maikaʻi, hiki ke mālama ʻia ka ejaculation premature! Nui nā ʻano lapaʻau like ʻole i loaʻa, ma muli o ke kumu. ʻO kēia mau mea ka behavioral therapy, ke aʻo ʻana, a me ka lāʻau lapaʻau . ʻO ka hapa nui, mālama mua ʻia me ka behavioral therapy a/a i ʻole ke aʻo ʻana. ʻO kēia no ka mea he psychological pinepine ke kumu. Hiki iā ʻoe ke hoʻāʻo i nā lāʻau lapaʻau he nui i ka manawa. ʻO ka ʻoiaʻiʻo, ʻoi aku ka maikaʻi o ka hui pū ʻana o nā lāʻau lapaʻau ma mua o hoʻokahi lāʻau lapaʻau.

Hoʻōla hoʻololi ʻano

ʻO kēia mau lāʻau lapaʻau e pili ana i ka hoʻāʻo ʻana i nā ʻano hana like ʻole e hoʻopaneʻe ai i kou orgasm. ʻO ka pahuhopu ke aʻo iā ʻoe e kāohi i kou kino a me kou mau manaʻo. ʻO kēia mau ʻano hana:

• ʻO ke ʻano hana 'Hoʻomaka a hoʻōki': He mea maʻalahi loa kēia. Hoʻoulu ʻoe a i ʻole kāu hoa i kāu penis a hiki i kou kokoke ʻana i ka orgasm. Ke manaʻo ʻoe "ʻo ia kēia," e hoʻōki i ka hoʻoulu ʻana no kahi o 30 kekona. E kali a hiki i kou manaʻo hou ʻana i ka mana, ʻo ia hoʻi, a hiki i ka pau ʻana o ka makemake e ejaculate. A laila e hoʻomaka hou. E hana i kēia ʻano hana 'hoʻomaka a hoʻōki' ʻekolu a ʻehā paha manawa, a laila e ʻae iā ʻoe iho e orgasm. Pono ʻoe e hoʻomaʻamaʻa i kēia ʻano hana a hiki i kou loaʻa ʻana o ka mana maikaʻi.
• ʻAno ʻomi: Ua like kēia me ka mea mua. Hoʻoulu ʻoe a i ʻole kāu hoa i kāu penis a hiki i kou kokoke ʻana i ka orgasm. A laila, ʻomi mālie ʻia ke poʻo o kāu penis, ʻo ia hoʻi ka piko o kāu penis, no kahi o 30 kekona. E hoʻomaka kēia e hōʻemi i kou hoʻāla ʻana a hōʻemi i ka hiki ke ejaculation. Hiki ke hana hou ʻia kēia ʻano hana i nā manawa he nui e hiki ai iā ʻoe ke hōʻea i ka orgasm. E hoʻomaʻamaʻa i kēia ʻano hana a hiki i kou mana ma luna o kou orgasm.
• Manaʻo hoʻopilikia: He ʻano ʻokoʻa iki kēia. ʻO ka manaʻo, ʻo ia ke hoʻohuli i kou manaʻo i kahi mea ʻokoʻa loa, ʻaʻole pili i ka moekolohe, i ka wā o ka hana moekolohe. ʻO ka kapa ʻana i nā mea ma ke ʻano he ala maikaʻi ia e kālele ai. No ka laʻana, ke hele ʻoe i ka hale hoʻoikaika kino, e noʻonoʻo i nā inoa o kēlā me kēia hale kūʻai āu e ʻike ai ma ke alanui, a i ʻole e kapa i kēlā me kēia mea pāʻani ma kāu hui cricket punahele. ʻO ka hana ʻana i kahi mea e like me kēia e hiki ke kōkua iā ʻoe e hōʻemi i kou mau manaʻo e pili ana i ka hoʻonāukiuki moekolohe.

Kūkākūkā

Inā hoʻokumu ʻia kou ejaculation premature e kahi pilikia noʻonoʻo, naʻau, a pilina paha - e like me ka hopohopo hana, ke kaumaha, ke kaumaha, ka hewa, a i ʻole ka pilina pilikia me kāu hoa - pono paha e ʻimi i ke kōkua mai kahi psychologist, psychiatrist, a i ʻole sex therapist . Hiki i kāu urologist ke kuhikuhi iā ʻoe i kēia mau loea. I kekahi manawa, hiki ke kōkua i ka hele pū ʻana i ke aʻo ʻana.

Nā lāʻau lapaʻau

Hiki i kāu kauka ke ʻōlelo i kekahi mau lāʻau lapaʻau e kōkua iā ʻoe e ejaculate wikiwiki.

• Nā Lāʻau Hoʻēmi i ka Manaʻo: ʻOiai he mau lāʻau lapaʻau kēia no ke kaumaha, hiki iā lākou ke hoʻopaneʻe i ka ejaculation. No laila, he lāʻau lapaʻau mua lākou no ka ejaculation mua. Eia nō naʻe, he hoʻohana "off-label" kēia (ʻo ia hoʻi, ʻaʻole i ʻae kūikawā ʻia e ka Food and Drug Administration no kēia kumu). E kamaʻilio me kāu kauka e pili ana i nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau a e hōʻoia i kūpono lākou iā ʻoe. No ka laʻana, nā antidepressants tricyclic e like me clomipramine (Anafranil®) a me nā mea hoʻopaʻa serotonin reuptake selective (SSRIs) e like me citalopram (Celexa ®), escitalopram (Lexapro ®), fluoxetine (Prozac ®), paroxetine (Paxil ®), a me sertraline (Zoloft ®).
• Nā kirimina anesthetic a me nā pīpī: Hoʻopili ʻia kēia mau mea i ke poʻo a me ke kumu o kāu penis. ʻO kēia kekahi koho lāʻau lapaʻau mua e hiki ke kōkua i ka hoʻopaneʻe ʻana i ka ejaculation. Hoʻopili kāu penis i ka kirimina a i ʻole ka pīpī ma luna o 10 a 30 mau minuke. Hoʻemi kēia i ka ʻike o ka penis. ʻO ka mea nui loa, ʻo ia ka holoi pono ʻana i kāu penis ma mua o ka moe kolohe ʻana. A i ʻole, e mae paha nā ʻāpana o kāu hoa.
• Nā lāʻau lapaʻau no ka erectile dysfunction: ʻO kēia mau mea ʻo sildenafil (Viagra ®), tadalafil (Cialis ®), vardenafil (Levitra ®), a me avanafil (Stendra ®). Hiki i kēia mau mea ke kōkua i ka mālama ʻana i ka ejaculation premature i nā kāne me ka erectile dysfunction ma lalo.
• I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau hoʻopau ʻeha i kapa ʻia ʻo 'tramadol'.

Hoʻohana kekahi poʻe i nā lāʻau lapaʻau ʻē aʻe e mālama i ka ejaculation premature, akā ʻaʻole lawa nā hōʻike ʻepekema e hōʻoia ai he pono maoli lākou.

Aia kekahi lāʻau lapaʻau mau loa no kēia?

Ua loaʻa i ka nui o ka poʻe ka hōʻoluʻolu me hoʻokahi a ʻoi aku paha o nā lāʻau lapaʻau i ʻōlelo ʻia ma luna. ʻO ka hoʻōla ʻana i ka hana a me nā ʻano hana like ʻole o ka hoʻopaneʻe ʻana i ka ejaculation ka mea kōkua nui loa. Ma mua o ka "ho'ōla" piha, ʻoi aku ka maikaʻi o ka noʻonoʻo ʻana i kēia ma ke ʻano he kūlana hiki ke hoʻokele ʻia.

E kōkua anei ka hōʻemi ʻana i ke alapine o ka moekolohe?

ʻAʻole. ʻOiaʻiʻo, hoʻonui ia i ka pilikia. No ka mea, hoʻonui ia i kou ʻano i ka hoʻoulu ʻana i ka moekolohe. No laila, ʻoi aku ka maikaʻi o ke alo ʻana i ka pilikia ma mua o ka holo ʻana mai ia mea.

Hiki iaʻu ke pale aku i kēia?

ʻAe, hiki nō! Ma muli o ke kumu o ia mea, hiki iā ʻoe ke hana i nā hana e pale aku ai. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio ākea me kāu kauka e pili ana i kou mau manaʻo a me ka pilikia āu e loaʻa nei. A laila hiki iā ia ke kōkua iā ʻoe e ʻike i ke kumu a paipai i nā ʻano lapaʻau a me nā ʻano pale kūpono.

He mea ʻino anei ka ejaculation premature? A i ʻole he hōʻailona ia o kahi maʻi ʻē aʻe?

ʻAʻole ʻo ka ejaculation mua wale nō ka mea hiki ke hōʻeha kino nui. Eia nō naʻe, hiki i kekahi mau pilikia olakino ʻē aʻe ke kōkua i kēia kūlana. ʻO ia mau pilikia olakino:

• ʻO ka hana ʻino ʻana o ka erectile
• ʻO ka maʻi ʻeha pelvic mau loa (ʻeha lōʻihi ma ka ʻāpana pelvic a me nā pilikia mimi)
• Nā maʻi thyroid
• Nā maʻi hoʻohana ʻona

E kōkua anei ka hoʻohana ʻana i ka condom i kēia?

ʻAe, ʻoiaʻiʻo nō. ʻO ka hoʻohana ʻana i ka condom e hōʻemi iki i ka ʻike o kāu penis. No laila hiki iā ia ke kōkua i ka hoʻopaneʻe ʻana i ka ejaculation. Makemake paha ʻoe e hoʻāʻo i nā condoms mānoanoa a i ʻole nā ​​​​condoms kūikawā i hoʻolālā ʻia e hoʻopaneʻe i ka ejaculation (delay condoms).

He aha ka ʻokoʻa ma waena o ka erectile dysfunction a me ka premature ejaculation?

Mai huikau i nā mea ʻelua.

• Inā loaʻa iā ʻoe ka erectile dysfunction , ʻaʻole hiki iā ʻoe ke loaʻa a mālama paha i kahi erection.
• Inā loaʻa iā ʻoe ka pilikia o ka ejaculation premature , e kū pololei kāu penis, akā hiki ʻoe i ka orgasm a ejaculate ma mua o kou manaʻo a i ʻole kāu hoa.

Eia nō naʻe, hiki i ka erectile dysfunction ke hoʻoulu i ka ejaculation premature. Eia ke ʻano o ka hana: ʻIke ʻoe ke pilikia nei ʻoe i ka mālama ʻana i kāu penis e kū pololei. No laila, hoʻāʻo ʻoe me ka ʻike ʻole e ejaculate koke ma mua o kou nalowale ʻana o kou erection. Ma muli o kēia pilina ma waena o nā kūlana ʻelua, e nānā mua kāu urologist e ʻike inā he erectile dysfunction kāu. Inā pēlā, e mālama mua ʻo ia iā ia.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

No laila, ʻo ka ejaculation premature kahi maʻi e hoʻopilikia i nā kāne he nui, akā hiki ke kāohi ʻia me ka mālama pono a me nā ʻōlelo aʻoaʻo. ʻAʻohe pono e hilahila a manaʻo ʻino paha no ia mea. ʻO ka mea nui loa, ʻaʻole pono ʻoe e kū hoʻokahi iā ia.

• He kūlana maʻamau kēia.E hoʻomaopopo ʻaʻole ʻoe wale nō me kēia pilikia.
• E kamaʻilio ākea e pili ana i kēia me kāu hoa. ʻOiai ke pili nei kēia iā ʻolua ʻelua, he mea nui loa ka loaʻa ʻana o kahi hopena pū. ʻO kāna kākoʻo he ikaika nui ia no ʻolua.
• E ʻike i kahi loea (Urologist) e ʻike i ke kumu pololei a loaʻa i ka lāʻau kūpono. Mai manaʻoʻiʻo i nā mea āpau āu e ʻike ai ma ka pūnaewele.
• Aia nā koho lapaʻau like ʻole, me ka hoʻoponopono ʻana i ka hana, ke aʻo ʻana, a, inā pono, ka lāʻau lapaʻau. E kamaʻilio me kāu kauka e hoʻoholo i ka mea kūpono loa iā ʻoe.
• E hoʻoikaika. Me ke kōkua kūpono, hiki iā ʻoe ke lanakila ma luna o kēia kūlana a ola i kahi ola moekolohe hauʻoli a hoʻokō.

E hoʻomanaʻo, ʻo kou hauʻoli a me ka hauʻoli o kāu hoa pili ka mea e pilikia ai. No laila, ʻoi aku ka maikaʻi no ʻolua e hui pū, e hoʻomaopopo kekahi i kekahi, a e ʻimi i kahi hopena.