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How to Know If You Have Premature Ejaculation and Effective Treatment Options

Posted on by Afrodisiak Kedai

Premature ejaculation (PE) is a common sexual health issue that affects men of all ages. For individuals in Singapore, recognizing the signs and seeking appropriate treatment can significantly improve quality of life and intimate relationships. This guide provides clear steps for self-assessment and outlines locally accessible solutions.
早泄是男性常见的性健康问题，可能影响各年龄段。通过自我判断与科学治疗，新加坡患者可有效改善症状。本文提供自测方法与本地化治疗方案。

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Part 1: Self-Assessment – Do I Have PE?

第一部分：自我检测——是否患有早泄？

Diagnostic Criteria 诊断标准

  1. Primary PE (Lifelong)
    原发性早泄（长期性）

    • Ejaculation consistently occurs within 1 minute of penetration.
      性交持续在插入后1分钟内射精。
    • Symptoms persist since first sexual experience.
      从初次性行为开始长期存在。
  2. Acquired PE (Situational)
    继发性早泄（情境性）

    • Ejaculation time suddenly drops to ≤3 minutes (previously normal).
      射精时间突然缩短至3分钟内（此前正常）。
    • Linked to stress, health issues, or relationship conflicts.
      与压力、健康问题或伴侣矛盾相关。

Self-Test Tools 自测工具

  • Stopwatch Method: Measure time from penetration to ejaculation over 3–4 attempts.
    计时法：连续3–4次性行为中，记录插入到射精的时间。
  • PEDT Questionnaire: Score ≥11 suggests clinical PE (used by Singapore clinics).
    早泄诊断量表：得分≥11分提示早泄（本地诊所常用）。

Part 2: Common Causes in Singapore’s Context

第二部分：新加坡常见诱因

1. Biological Factors 生理因素

  • Prostate Inflammation: 15% of PE cases in Singapore link to prostatitis (NUH 2023).
    前列腺炎：新加坡国立大学医院2023年数据显示，15%早泄患者伴有前列腺炎。
  • Thyroid Disorders: Hyperthyroidism accelerates nerve responses.
    甲状腺疾病：甲亢会加快神经反射。

2. Psychological Triggers 心理诱因

  • Work Stress: 68% of Singaporean men report job-related anxiety affecting sexual health.
    职场压力：68%新加坡男性表示工作压力影响性表现。
  • Performance Fear: Common among newlyweds or inexperienced individuals.
    表现焦虑：新婚或性经验不足者高发。

3. Lifestyle Habits 生活习惯

  • Excessive Screen Time: Pornography overuse may desensitize arousal patterns.
    过度观看色情内容：可能干扰正常性反应机制。
  • Smoking & Alcohol: Smokers have 2.1x higher PE risk (HPB 2024).
    吸烟酗酒：吸烟者早泄风险高2.1倍（保健促进局2024年数据）。

Part 3: Treatment Solutions for Singaporeans

第三部分：新加坡患者的治疗方案

1. Behavioral Therapies 行为疗法

  • Squeeze Technique: Press the base of the penis when near climax, pause for 30 seconds.
    挤压法：接近高潮时轻捏阴茎根部，暂停30秒。
  • Kegel Routine: 3 sets of 10-second pelvic floor contractions daily.
    凯格尔训练：每日3组盆底肌收缩，每组10秒。

2. Medical Treatments 医学治疗

  • Topical Sprays: 2.5% lidocaine gel (available at Guardian/Watsons with prescription).
    外用喷剂：2.5%利多卡因凝胶（需处方，可在Guardian/屈臣氏购买）。
  • Oral Medications:
    口服药物：

    • Dapoxetine: On-demand SSRI taken 1–3 hours before sex.
      达泊西汀：按需服用，性行为前1–3小时使用。
    • Tadalafil: For PE with mild erectile dysfunction.
      他达拉非：适用于伴随轻度勃起障碍者。

3. Psychological Support 心理支持

  • CBT Sessions: Available at The Resilienz Clinic or online via Mindline.sg.
    认知行为疗法：可通过The Resilienz诊所或Mindline.sg线上平台进行。
  • Couples Workshops: Join HPB’s Relationship Matters programme.
    伴侣工作坊：参与保健促进局“亲密关系课程”。

4. Lifestyle Adjustments 生活习惯调整

  • Diet: Boost zinc (oysters, red meat) and vitamin B (whole grains).
    饮食：补充锌（牡蛎、红肉）和维生素B（全谷物）。
  • Exercise: 150 mins/week of brisk walking or swimming.
    运动：每周150分钟快走或游泳。

When to Seek Help in Singapore?

何时在新加坡就医？

Consult a doctor if:
出现以下情况请就诊：

  • Self-care fails after 2–3 months.
    自我调理2–3个月无效。
  • PE causes relationship strain or depression.
    早泄导致伴侣矛盾或情绪抑郁。
    Recommended Clinics:
    推荐机构：
  • Public: Singapore General Hospital (SGH) Men’s Health Centre.
    公立：新加坡中央医院男性健康中心。
  • Private: DTAP Clinic @Robertson Quay (discreet services).
    私立：DTAP Clinic（罗拔申码头分院，隐私服务）。

Conclusion 总结

Premature ejaculation is both identifiable and treatable. By combining self-awareness, medical interventions, and Singapore’s robust healthcare resources, men can regain control and enjoy fulfilling intimate lives.
早泄可自测、可治疗。借助自我觉察、医学干预与新加坡优质医疗资源，男性可重掌性健康，提升生活品质。