Lee B O
Singapore Planned Parenthood Association, Singapore.
Ann Acad Med Singap. 1995 Sep;24(5):668-75.
Generally, premature ejaculation is caused by organic, psychological, interpersonal factors and lay beliefs. It is defined as a lack of adequate voluntary ejaculatory control with the result that a patient climaxes involuntarily. An ejaculatory control may be said to be established when the patient can tolerate high levels of excitement which characterise the plateau stage of the sexual response cycle without ejaculating reflexly. The most effective treatment for premature ejaculation so far is the stop-start exercises that aim to help patients tolerate a prolonged period of intense pleasurable arousal and to enjoy sexual sensation before ejaculation. However, the stop-start exercises would be more effective if they are employed in a multi-modal therapeutic framework. This is because cases of premature ejaculation differ in terms of the aetiology, pathological patterns, and the patients' personal characteristics and background. A case is presented to illustrate how the conventional stop-start exercises are prescribed in this multi-modal framework.
一般来说，早泄是由器质性、心理性、人际因素及大众观念引起的。它被定义为缺乏足够的自主射精控制能力，导致患者不由自主地达到高潮。当患者能够耐受性反应周期平台期的高度兴奋而不发生反射性射精时，可认为射精控制能力已经建立。目前治疗早泄最有效的方法是停-动练习，其目的是帮助患者耐受长时间强烈的性唤起，并在射精前享受性感觉。然而，如果在多模式治疗框架中采用停-动练习，其效果会更佳。这是因为早泄病例在病因、病理模式以及患者个人特征和背景方面存在差异。本文将通过一个病例来说明在这种多模式框架中如何开具传统的停-动练习处方。
