Premature Ejaculation i vei bawk em? I sawi dawn nia! | Nirogi Lanka chuan a rawn ti a

Nangmah emaw i kawppui emaw duh aia hmaa i ejaculate i hmu em? Hei hi intimate activity tan hnu lawkah a thleng fo em? Chu chuan nang leh i kawppui tân pawh lungkhamna, lungkhamna, emaw lungngaihna nasa tak a thlen thei tih chu hriatthiam theih tak a ni a, in inlaichînna lungawina leh inpawhna chu a ti tlem fo ṭhîn. Mi tam takin sawi harsa an tih laiin, hei hi i ngaihtuah aiin a tam zawk tih hre reng ang che. Vawiin hian Nirogi Lanka-ah hian Premature Ejaculation (PE) chungchang hi zau tak leh chipchiar takin kan sawiho ang u.

Premature Ejaculation (PE) hi eng nge ni tak tak?

A awlsam zawngin, Premature Ejaculation (PE) hi mipat hmeichhiatna hman laiin nangmah emaw, i kawppui emaw duh aia hmaa i ejaculate hian a thleng thin—a tam zawk chu a tir lamah emaw, penetration hnu rei vak loah emaw a ni. Mi thenkhat tan chuan hei hi an dam chhung zawnga thil thleng a ni a, an mipat hmeichhiatna hman hmasak ber atang khan a awm reng a ni. Midang tan chuan ‘acquired’ condition a ni a, chu chu a hmaa hetiang harsatna a neih loh hnua a hnu lama lo piang chhuak tihna a ni.

Engtin nge ‘Premature’ tih hi sawifiah a nih?

A tlangpuiin, medical professional-te chuan ejaculation chu penetration atanga minute khat chhunga awm chu a hun hma angah an ngai. Mahse, hei hi mi tin a inang lo va; doctor chauhvin i dinhmun dik tak clinical assessment a pe thei ang. Hriselna lama pawl hrang hrangte chuan PE hi a hnuaia thilte hian an hriat chian fo thin:

• Ejaculation hi nangmah emaw i kawppui emaw duh aia hmaa lo awm fo thin .
• Kawppui pakhat emaw, an pahnih emaw tan lungngaihna, lungngaihna, emaw rilru lama harsatna nasa tak thlentu thil tawn chu.
• Mipat hmeichhiatna hmanna zawng zawng deuhthaw emaw, a tam zawk emaw chhunga thil thleng.
• Pentration atanga minute khat chhunga ejaculation thleng.
• Thla ruk aia rei emaw kum khat thleng emaw pawh a awm reng.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi a hluar zia i hriat chuan mak i ti mai thei. Mipa 30% leh 40% inkar chuan an dam chhungin engtik lai pawhin premature ejaculation an nei ang. Dik tak chuan mipa sexual dysfunction awm tam ber a ni . Report-te chuan mipa kum 18 leh 59 inkar panga zinga pakhat velin he harsatna hi an tawk tih a sawi. He thil hi nangmah chauh i hmachhawn lo tih a chiang.

A chhante chu engte nge ni?

A chhan hrang hrang a awm a, lungkhamna ang chi psychological elements te hi a tibuaitu ber a ni. Tin, penile vun sensitivity tihpun pawh hian hmun a chang thei bawk.

Psychological emaw Emotional emaw atanga lo chhuak:

• Performance Anxiety : Hei hi kawppui thar nena inngaihzawnna, hun rei tak chawlh hnua mipat hmeichhiatna lama kir leh, phur lutuk emaw, pressure dang emaw atanga lo chhuak a ni thei. "Ka kawppui ka ti lungawi ang em?" emaw, "Ka hlawhchham ang em?", tih chu chawlh hahdam a harsa a, chu chuan tum loh takin buaina a thlen a ni.
• Stress : Hnathawh lama harsatna, chhungkaw harsatna , emaw nun inthlak danglamna lian tham (hna thar emaw, hmun danga insawn emaw ang chi) avanga rilru hahna hian i hnathawh dan nasa takin a nghawng thei a ni.
• Relationship Conflicts: I kawppui nena inngaihzawnna hnuaia awm emaw, tun hmaa chinfel loh trauma emaw hian inpawhna a nghawng thei a ni.
• Ngaihtuahna lungngaihna: Inthiam lohna, rilru hahna, a nih loh leh ngaihven lohna tlangpui (depression chhinchhiahna) te hian he natna hi a thlen thei a ni.
• Low Self-Esteem: Negative body image emaw, i sexual performance-a inrintawk lohna emaw hian rinhlelhna cycle a siam thei a ni.

Taksa leh Chemical lama a chhan:

• Erectile Dysfunction (ED): Erection neih emaw, vawn reng emaw harsat hian subconsciously-in act chu a ti rush thei a, chu chuan premature ejaculation a thlen thei.
• Hormonal Imbalances: Hormone pawimawh tak tak Oxytocin , Luteinizing Hormone (LH), Prolactin, emaw Thyroid Stimulating Hormone (TSH) te level inthlak danglamna.
• Neurotransmitter Levels: Serotonin emaw Dopamine emaw —thluaka mipat hmeichhiatna duhna leh tiharhtu chemicals — level hniam zawk chuan ejaculation control a ti harsa thei a ni.
• Hypersensitivity: Mimal thenkhat chuan penis sensitive tak an nei a, chu chuan orgasm rang tak a thlen thei a ni.
• Prostatitis: Prostate inflamed hi he natna hi damdawi lama thawhpui a ni thei.

Mahse, hei hi hre reng ang che: a tam zawkah chuan, a hun hmaa ejaculation hi natna hnuaia awm na tak emaw, reproductive system disorder na tak emaw avanga lo awm a ni lo. Vawi tam tak chu taksa hi a thawk dan pangngaiin a thawk a, mahse a chunga kan sawi tak stress, lungkhamna emaw, nervous tension emaw avanga buaina lo chhuak a ni.

Symptom dang a awm em?

A bul berah chuan, ni lo. Premature ejaculation symptom awm chhun chu involuntary emaw early ejaculation ngei hi a ni. A tlangpuiin taksa lama chhinchhiahna danglam bik dang a awm lo.

Hei hian eng harsatna nge a thlen theih?

Taksa thil tawn piah lamah, a nghawng chu a bul berah chuan rilru lam leh inlaichinna lam a ni .

• Mualphona nasa tak emaw, lungngaihna nasa tak emaw i nei thei a ni .
• You might experience feelings of guilt , i kawppui satisfy i "fail" tih ringin.
• Hei hian inzawmna chhunga inpawhna leh mipat hmeichhiatna lama lungawina a tlahniam thei a ni.
• Hei hian Depression leh frustration nasa tak a thlen hi thil mak a ni lo.
• A then phei chuan nau pai lai pawh a tikhawtlai thei a ni.

Hei vang hian professional tanpuina zawng hi a pawimawh em em a ni. Mi tam takin an tawh ṭhin dinhmun tlanglawn tak a ni a, rilru lama phurrit ṭul lo tak a thlen ṭhin. I doctor chuan a bulpui ber chu a hmuchhuak thei a, i tana enkawlna tur ruahmanna tha ber, mimal taka siam chu a ruat thei bawk.

Engtin nge a hun hmaa ejaculation awm chhan hi hriat theih?

Premature ejaculation (PE) i tawk fo a nih chuan, a nih loh leh chu chuan in inzawmnaah harsatna nasa tak, lungkhamna, emaw, harsatna nasa tak a thlen che a nih chuan, a ṭha ber chu Urologist—urinary leh sexual reproductive system lama specialist—te zawh hi a ni. I doctor chuan i sexual history leh thil tawn chungchangah zawhna engemaw zat a zawt mai thei. Entir nan:

• Eng chen nge he ngaihtuahna hi i lo hmachhawn tawh?
• Eng dinhmunah nge hetiang hi a thlen tam ber?
• Hetiang hi engzat nge thleng thin?
• Mipat hmeichhiatna hman apiangin a thleng thin em, a chang chuan a thleng thin em?
• Partner zawng zawngah a thleng vek em (partner tam tak i neih tawh chuan)?
• Masturbation laiin premature ejaculation i tawk bawk em?
• Erectile Dysfunction (ED) tia hriat, erection neih reng harsa i ti em?

Hêng zawhnate hi mi mal anga ngaih theih ni mah se, i doctor hnênah rinawm taka awm chu a pawimawh hle. Open communication hian i doctor chuan a bulpui ber chu a hmu thei a, enkawlna tha ber a pe thei bawk. Chu bâkah, i doctor chuan i hrisêlna pum pui, tuna i damdawi hmante (over-the-counter drugs, supplement, leh herbal products te pawh tel), chu bâkah zu emaw, intihhlimna thil emaw i hman dân a zawt bawk ang. A tlangpuiin PE atan hian lab test zau tak neih a ngai lo. Mahse, i doctor-in hriselna dinhmun a rinhlelh chuan thisen test emaw, chhui chianna dang emaw neih a rawt thei a ni.

Engtin nge premature ejaculation hi enkawl a nih?

Thu lawmawm tak chu a hun hmaa ejaculation hi enkawl theih a ni! Enkawlna chu a chhan a innghat a, nungchang lama enkawlna, counseling, leh damdawi te pawh a tel thei bawk . Vawi tam tak chu behavioral therapy leh counseling hi first-line treatment a ni a, psychological factors hi a tibuaitu tlangpui a nih avangin. Tin, kawng khat chauh rinchhan ai chuan enkawlna (combinational therapy) inzawmkhawm (combinational therapy) chu a hlawk zawk tih i hmu mai thei bawk.

Nungchang tihdanglamna therapy

Heng technique te hian orgasm tihkhawtlai turin i taksa leh rilru training a ngaih pawimawh ber a ni. A tum ber chu i taksa chhân lêtnate thunun ṭha zâwk tûra ṭanpui che hi a ni. Heng hmanrua te hi:

• ‘Start-Stop’ Technique: Hei hi a awlsam hle. Nang emaw i kawppui emaw chuan orgasm hnaih tawha i hriat thlengin i penis chu i stimulate thin. Chutih lai chuan stimulation zawng zawng chu second 30 vel i pause vek a. Ejaculate duhna a reh a, i thunun leh tawh tih nghak la, chutah chuan chhunzawm leh rawh. Hetiang ‘start-stop’ process hi vawi thum emaw vawi li emaw ti leh la, chutah chuan orgasm i thlen theih nan i phal ang. Hei hi thununna tha zawk i neih tawh nia i hriat hma loh chuan practice rawh.
• The ‘Squeeze’ Technique: Start-stop method ang bawkin nangmah emaw i kawppui emaw hian climax i hnaih thlengin penis hi in stimulate a. Tichuan, i zang lu chu second 30 vel nghet takin hmet la. Hei hian ejaculate duhna a tihziaawm bakah i erection pawh tlem a ti tlem bawk. Orgasm i pan hmain hetiang hian vawi engemaw zat ti leh la, i timing control tha zawk i neih hma loh chuan practice rawh.
• Distracted Thinking: Hei hian mipat hmeichhiatna hman laiin tumruh taka i ngaihtuahna chu mipat hmeichhiatna lam ni lo, thil pangngai ngaihtuahnaah i sawn tihna a ni. Entirnan, rilru lama thil awmte chu a hnuaia mi ang hian list-in, i duh ber sports team-a player hming hriat reng emaw, i kalna hmuna dawr emaw-te hming hriat reng ang chite hian mipat hmeichhiatna lama rilru hahna level tihziaawmna kawngah a pui thei a ni.

Counselling pek a ni

I serh chhuah hma lutuk chu rilru lam, rilru lam, a nih loh leh inlaichinna lam thil—performance anxiety, depression, stress, guilt, a nih loh leh mimal inkara buaina ang chite nêna inzawm a nih chuan Psychologist, Psychiatrist, a nih loh leh Sex Therapist chuan ṭanpuina hlu tak a pe thei a ni. I Urologist chuan heng professional te hnenah hian a refer thei che a ni. Ṭhenkhatah chuan nupa counseling hian rah ṭha tak a chhuah thei a ni.

Damdawi ei tur

I doctor chuan a hun hmaa ejaculation enkawlna atana pui turin damdawi thenkhat a pe thei ang.

• Antidepressants: Depression atana siam a nih laiin, heng damdawi te hian ejaculation a tikhawtlai thei a, PE first-line treatment hman tlanglawn tak a ni. Hei hi “off-label” hmanna (Food and Drug Administration-in PE atan a bik taka a pawm loh) a ni tih hre reng ang che. I tan a tha em tih hriat tumin i doctor nen a side effect awm thei te sawiho rawh. Entirnan, `tricyclic antidepressant` `clomipramine (Anafranil®)` ang chi te, chubakah `selective serotonin reuptake inhibitor (SSRIs)` te chu `Citalopram (Celexa®)`, `Escitalopram (Lexapro®)`, `Fluoxetine (Prozac®)`, `Paroxetine (Paxil®)`, leh `Sertraline te hi a ni (Zoloft®)` tih a ni.
• Anesthetic (numbing) cream leh spray: Hengte hi i sensitivity tihziaawm nan i penis lu leh shaft-ah hnawih thin a ni. Inpawl hmain minute 10 atanga 30 vel chu product hi hip lut turin dah la. A pawimawh ber chu mipat hmeichhiatna hman hmain i zang chu uluk takin silfai thin ang che, chutiang a nih loh chuan i kawppui serh chhungah i rilru a buai thei a ni.
• Erectile dysfunction damdawi hman tur: 1.1.Damdawi `sildenafil (Viagra®)`, `tadalafil (Cialis®)`, `vardenafil (Levitra®)`, leh `avanafil (Stendra®)` te hian control tihchangtlun nan a pui thei a, a bik takin erection vawn reng chungchangah hian underlying issue a awm chuan.
• Thil engemaw takah chuan i doctor chuan natna tidamtu damdawi `tramadol` pek a ngaihtuah mai thei.

Mi thenkhat chuan damdawi dang (alternative therapies) an dap mai thei a, mahse tunah hian an hlawhtling tak zet tih finfiahna tur scientific evidence tling tawk a awm lo .

Damdawi nghet tak a awm em?

Mi tam tak chuan a chunga kan sawi tak enkawlna pakhat emaw, a inzawm emaw hmangin hahdamna nasa tak an hmu a ni. Behavioral therapy leh ejaculation tihkhawtlai dan tur technique te hi a hlawk hle. ‘Damdawi’ awm reng tur zawng ai chuan, hei hi ṭha taka enkawl theih dinhmun anga ngaih chu a ṭangkai zawk.

Mipat hmeichhiatna hman tamna tihtlem hian a pui dawn em?

No. Dik tak chuan, mipat hmeichhiatna lama tihchakna lama rilru hahdam zawka siamin buaina chu a tizual fo thin . Thubuai pumpelh ai chuan direct-a hmachhawn a tha zawk.

Hei hi ka veng thei ang em?

Ni e, a tam zawkah chuan! A chhan a zirin proactive step i la thei bawk. A pawimawh ber chu i doctor nen i rilru leh ngaihtuahna te zalen taka sawipui hi a ni. A chhan hriat theihna turin an pui thei che a, mimal enkawlna leh invenna tur ruahmanna siam turin an rawt thei bawk.

A hun hmaa ejaculation hi a hlauhawm em, a nih loh leh natna dang chhinchhiahna a ni em?

A hun hmaa ejaculation ngei pawh hi taksa lamah a hlauhawm lo. Mahse, hriselna lama harsatna awm dangte chuan he dinhmun hi a thlen thei a ni. Chutiang hriselna ngaihtuahnaah chuan:

• Erectile dysfunction a awm thin
• Chronic pelvic pain syndrome (Hun rei tak chhunga pelvic natna leh zun lam harsatna) .
• Thyroid gland natna a awm
• Substance hmansualna (substance hmansualna) te

Condom hman hian hei hi a pui thei ang em?

Ni e, a dik tak zet. Condom hman hian i zang sensitivity a ti tlem a, hei hian ejaculation a tikhawtlai thei a ni. I tan eng nge tha ber tih hriat nan condom thicker emaw, specially designed delay condom emaw pawh enchhin i ngaihtuah thei bawk.

Erectile dysfunction leh premature ejaculation hi eng nge an danglamna?

Heng dinhmun pahnih hi inthlau lo turin a pawimawh:

• If you have erectile dysfunction , i erection neih emaw, i vawn reng theih nan i bei nasa hle.
• If you have premature ejaculation , i penis chu a ding nghet a, mahse orgasm i thleng a, nangmah emaw i partner emaw duh aia rangin i ejaculate.

Mahse, erectile dysfunction hian a chang chuan ejaculation a thlen hma thei hle. Hei hi a chhan chu hetiang hi a ni: erection vawn reng harsa i tih i hriat chuan i hriat lohvin i erection a bo hmain ejaculate rang tak i tum mai thei. He link avang hian i urologist chuan erectile dysfunction a enfiah hmasa ngei ang a, a tul chuan a enkawl ang.

Thil hnuhnung ber hriat reng tur tlemte

Hriat reng tur chu, premature ejaculation hi mi tam takin an tawn fo thin a ni a, mahse enkawlna leh kaihhruaina dik tak nen chuan a enkawl theih hle. Mualphona tur emaw, ngawi renga hrehawm tuar chhan tur a awm lo. A pawimawh ber chu hei hi nangmah chauhin i hmachhawn a ngai lo.

• Hei hi thil awm dan tlangpui a ni tih hrethiam rawh. He thil hi nangmah chauhvin i hmachhawn lo.
• Hemi chungchang hi i kawppui nen inhawng takin sawi rawh. In pahnih a nghawng avangin, a chinfel dan tur zawng tura thawhhona tha tak neih a pawimawh hle. An thlawpna hi chakna nasa tak a ni thei.
• Urologist rawn la, a bulpui ber hriatchhuah a, enkawlna dik ber dawng rawh. Internet-a i chhiar zawng zawng hi ring suh.
• Enkawl dan hrang hrang a awm a, chung zingah chuan behavioral therapy, counselling, leh a tul chuan damdawi pek te pawh a tel. Hengte hi i doctor nen sawiho la, i tana tha ber tur chu i rel ang.
• Positive leh huaisen takin awm rawh.Ṭanpuina dik tak i neih chuan hei hi i hneh thei ngei ang a, mipat hmeichhiatna nun hlim tak leh hlim tak i hmang thei ngei ang.

I lungawina leh i kawppui lungawina chu a inang tlangin a pawimawh tih hre reng ang che. Hnathawhhona, inhriatthiamna leh thlawpna nena thawhhona hi Nirogi Lanka khawtlang tan hmasawnna kawng tha ber a ni.