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How to Identify Premature Ejaculation? Self-Assessment Guide
一、早泄的定义 | What is Premature Ejaculation?
早泄（Premature Ejaculation, PE）是常见的男性性功能障碍，表现为在性行为中难以控制射精时间，通常在插入阴道后1分钟内射精（原发性早泄），或显著短于自身预期时间（继发性早泄），并可能对心理和亲密关系造成负面影响。
Premature Ejaculation (PE) is a common male sexual dysfunction characterized by the inability to delay ejaculation during intercourse. It often occurs within one minute of penetration (primary PE) or significantly earlier than desired (secondary PE), potentially leading to psychological distress and strained relationships.
二、如何判断早泄？ | How to Diagnose PE?
根据国际性医学协会（ISSM）标准，早泄需满足以下条件：
According to the International Society for Sexual Medicine (ISSM), PE diagnosis requires:
- 射精时间过短：持续性或反复在插入后1分钟内射精（原发性）或短于3分钟（继发性）。
Short ejaculation time: Consistently ejaculating within 1 minute (primary) or less than 3 minutes (secondary) after penetration. - 缺乏控制感：无法通过意志延迟射精。
Lack of control: Inability to delay ejaculation voluntarily. - 负面影响：导致个人或伴侣的焦虑、沮丧或回避亲密行为。
Negative impact: Causing distress, frustration, or avoidance of intimacy.
三、早泄自测方法推荐 | Self-Assessment Methods for PE
1. 国际早泄诊断工具（PEDT） | Premature Ejaculation Diagnostic Tool (PEDT)
通过5个问题评估射精控制力、频率及心理影响，得分≥11分可能提示早泄。
Answer 5 questions about control, frequency, and emotional impact. A score ≥11 suggests potential PE.
2. 时间记录法 | Stopwatch Method
与伴侣进行自然性行为时，记录从插入到射精的时间。若多次短于1-3分钟，建议咨询医生。
Use a stopwatch to measure time from penetration to ejaculation. Consistently under 1-3 minutes may indicate PE.
3. 主观感受评估 | Self-Reflection
- 是否因射精过快感到焦虑？
Do you feel anxious about rapid ejaculation? - 是否因早泄避免性接触？
Do you avoid intimacy due to embarrassment?
四、改善建议 | Tips for Management
- 行为训练 | Behavioral Techniques
- “停-动”法：接近射精时暂停刺激，待冲动降低后继续。
“Stop-Start”: Pause stimulation near climax and resume after urges subside. - 骨盆肌锻炼：增强控制力（如凯格尔运动）。
Pelvic floor exercises: Improve control (e.g., Kegel exercises).
- “停-动”法：接近射精时暂停刺激，待冲动降低后继续。
- 心理咨询 | Professional Support
焦虑或关系问题可寻求性治疗师帮助。
Consult a therapist for anxiety or relationship issues. - 医疗干预 | Medical Options
局部麻醉药膏或口服药物（如达泊西汀）需在医生指导下使用。
Topical numbing creams or prescribed medications (e.g., Dapoxetine) require medical supervision.
五、何时就医？ | When to See a Doctor?
若自测结果符合早泄标准，或症状影响生活质量，建议咨询新加坡本地泌尿科医生或性健康专家。
If self-assessment aligns with PE criteria or symptoms disrupt daily life, consult a urologist or sexual health specialist in Singapore.
免责声明：本文仅供参考，不替代专业医疗建议。
Disclaimer: This article is for informational purposes only. Consult a healthcare provider for personalised advice.
通过中英双语内容，本文旨在为新加坡读者提供清晰的早泄判断与自测指南，助力提升健康意识与生活质量。
This bilingual guide aims to empower Singaporeans with knowledge to address PE concerns and improve well-being.
