3 Effective Methods to Treat Premature Ejaculation​

早泄是许多男性面临的常见困扰，但重要的是要了解，这是一种可以有效治疗的医学状况。与其默默承受焦虑和挫败感，不如主动了解科学的解决方案。对于新加坡男性而言，有多种经过验证的治疗方法可供选择。以下介绍三种核心且有效的治疗途径。

Premature ejaculation (PE) is a common concern for many men, but it’s important to know that it is a highly treatable medical condition. Instead of enduring the anxiety and frustration silently, taking proactive steps to understand scientific solutions is key. For men in Singapore, there are several proven treatment options available. Here are three core and effective pathways to address PE.

​方法一：行为疗法——掌握控制技巧 | Method 1: Behavioral Therapy – Mastering Control Techniques

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行为疗法是治疗早泄的基础，旨在通过训练来增强对射精的控制感。这种方法需要耐心和伴侣的配合，但其效果持久且无副作用。

Behavioral therapy is a foundational approach to treating PE, aiming to enhance the sense of control over ejaculation through training. This method requires patience and, ideally, partner cooperation, but its effects can be long-lasting and free from side effects.

1. ​动-停法：​​ 此方法涉及在性刺激过程中，在即将达到射精高潮前完全停止所有刺激（包括思想上的分心），等待强烈的射精冲动消退后，再重新开始性活动。如此重复练习，能帮助大脑和身体更好地识别和控制兴奋的临界点。
2. ​Start-Stop Technique:​​ This method involves deliberately pausing all sexual stimulation (including mental distraction) just before the point of ejaculation during sexual activity. After the intense urge to ejaculate subsides, stimulation is resumed. Practicing this repeatedly helps the brain and body better recognize and control the point of climax.
3. ​挤压技巧：​​ 当感到即将射精时，男方或其伴侣用力挤压阴茎龟头下方（尿道口上方）的位置数秒钟，直到射精冲动减退。这个方法能快速有效地降低兴奋度。
4. ​Squeeze Technique:​​ When the feeling of impending ejaculation occurs, the man or his partner firmly squeezes the area just below the head of the penis (on the top side) for several seconds until the urge subsides. This method is effective for rapidly reducing arousal.
5. ​盆底肌锻炼（凯格尔运动）：​​ 加强控制射精的肌肉群（盆底肌）至关重要。识别这些肌肉的方法类似于在小便时中途憋住尿流所运用的肌肉。定期进行收缩、保持、再放松的练习，可以显著改善对射精的控制能力。
6. ​Pelvic Floor Exercises (Kegels):​​ Strengthening the muscle group that controls ejaculation (the pelvic floor muscles) is crucial. These muscles are the same ones used to stop the flow of urine mid-stream. Regularly practicing contracting, holding, and then releasing these muscles can significantly improve ejaculatory control.

​方法二：药物治疗——在医生指导下进行 | Method 2: Medication – Under Medical Guidance​

对于行为疗法效果不佳或希望更快看到效果的人，药物治疗是一个有效的选择。​关键点：所有药物必须在医生诊断后凭处方使用，切勿自行购买服用。​​

For cases where behavioral therapy is insufficient or for those seeking faster results, medication is an effective option. ​Key point: All medications must be prescribed by a doctor after a proper diagnosis. Do not self-medicate.​​

1. ​局部麻醉喷剂/药膏：​​ 这些产品含有低剂量的局部麻醉成分（如利多卡因或丙胺卡因）。在性行为前短暂涂抹于阴茎龟头，可以降低其敏感度，从而延长射精时间。需要注意的是，使用时需遵循说明，避免过度麻醉影响性快感，并建议使用避孕套以防止麻醉剂影响伴侣。
2. ​Topical Anaesthetic Sprays/Creams:​​ These products contain low doses of local anaesthetics (like lidocaine or prilocaine). Applied to the head of the penis shortly before intercourse, they reduce sensitivity and help delay ejaculation. It’s important to follow instructions to avoid over-numbing, which can reduce sensation, and using a condom is often advised to prevent transferring the anaesthetic to the partner.
3. ​口服药物：​​ 医生有时会开具选择性5-羟色胺再摄取抑制剂（SSRIs）。这类药物通常用于治疗抑郁和焦虑，但其中一个常见的副作用就是延迟射精。医生可能会根据您的具体情况，建议按需或每日服用低剂量的特定SSRI来治疗早泄。​必须强调，这类药物是处方药，需由医生评估您的整体健康状况后决定是否适用，以规避潜在副作用。​​
4. ​Oral Medication:​​ Doctors may sometimes prescribe Selective Serotonin Reuptake Inhibitors (SSRIs). While typically used for depression and anxiety, a common side effect is delayed ejaculation. A doctor might recommend taking a low dose of a specific SSRI on an as-needed or daily basis for PE. ​It must be emphasized that these are prescription-only medications. A doctor’s assessment of your overall health is essential to determine suitability and manage potential side effects.​​

​方法三：心理与关系咨询——解决根本诱因 | Method 3: Psychological and Relationship Counseling – Addressing Root Causes​

早泄常常与心理因素密切相关。如果您的早泄主要由以下原因引起，寻求心理咨询或性治疗会是极其有效的方法：

PE is often closely linked to psychological factors. If your PE is primarily caused by the following, seeking psychological counseling or sex therapy can be highly effective:

• ​表现焦虑：​​ 过分担心自己在性生活中的表现。
• ​Performance Anxiety:​​ Excessive worry about sexual performance.
• ​压力与抑郁：​​ 来自工作、经济或生活的巨大压力，或抑郁情绪。
• ​Stress and Depression:​​ Significant pressure from work, finances, or life, or depressive moods.
• ​伴侣关系问题：​​ 与伴侣之间存在沟通障碍或冲突。
• ​Relationship Issues:​​ Communication barriers or conflicts with a partner.

咨询师或治疗师会提供一个安全保密的环境，帮助您：
A counselor or therapist provides a safe, confidential environment to help you:

• 识别并管理导致焦虑的思维模式。
• Identify and manage thought patterns that lead to anxiety.
• 学习有效的压力管理技巧。
• Learn effective stress management techniques.
• 改善与伴侣的沟通和亲密感（如果伴侣愿意一同参与咨询，效果更佳）。
• Improve communication and intimacy with your partner (even better if the partner is willing to participate).

​总结 | Conclusion​

治疗早泄并非单一方法通用，通常需要根据个人情况组合运用上述策略。最重要的第一步，是勇敢地与新加披的家庭医生或泌尿科医生坦诚沟通。他们可以为您进行正确的诊断，排除其他潜在健康问题，并帮助您制定最适合您的个性化治疗方案。积极面对和科学治疗，是重获自信和性福的关键。

Treating PE is not a one-size-fits-all approach; often, a combination of the above strategies tailored to the individual is most effective. The most crucial first step is to courageously have an open conversation with a GP or urologist in Singapore. They can provide a correct diagnosis, rule out other underlying health issues, and help you develop a personalized treatment plan. Facing the issue proactively and seeking scientific treatment is the key to regaining confidence and sexual well-being.