​Premature Ejaculation: Causes & Clinical Diagnosis Guide for Singaporean Men​

Part 1: Root Causes of Premature Ejaculation 早泄核心病因

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1. Psychological Factors 心理因素 (Affects 80% of cases)​

  • Performance Anxiety​ 表现焦虑
    • Stress from work/culture (e.g., Singapore’s “kiasu” mindset)
    • 工作/文化压力(如新加坡“怕输”心态)
  • Depression/Relationship Conflict​ 抑郁或伴侣冲突
    • Local data: IMH reports 33% of PE patients have clinical anxiety
    • 本地数据:心理卫生学院统计33%早泄患者伴焦虑症

2. Biological Triggers 生理诱因

Cause 病因 Mechanism 机制
Prostatitis​ 前列腺炎 Inflammation → Penile hypersensitivity 炎症→阴茎超敏
Low Serotonin​ 血清素不足 Poor nerve signal control 神经信号调控失常
Thyroid Disorders​ 甲状腺疾病 Hormonal imbalance → Early climax 激素失衡→提前射精
Genetic Predisposition​ 遗传因素 Inherited short IELT* 先天射精潜伏期短

*IELT = Intravaginal Ejaculation Latency Time

3. Lifestyle & Habits 生活习惯

  • Porn Addiction​ 色情成瘾: Trains rapid climax response 训练快速射精反射
  • Tight Underwear​ 紧身内裤: Chronic testicular overheating 睾丸长期高温
  • Spicy Diet​ 辛辣饮食: Mala hotpot overstimulates nerves 麻辣火锅过度刺激神经

Part 2: How to Diagnose PE? 早泄诊断方法

Step 1: Self-Assessment 自我筛查

Answer these questions (回答以下问题):

  1. Do you ejaculate within ​1 minute​ of penetration >75% of the time?
    是否75%以上性交在1分钟内射精?
  2. Do you feel distressed about this? 是否因此感到困扰?
    ✅ ​​”Yes” to both = Clinical PE​ 两项全中需就医

Step 2: Medical Tests in Singapore 新加坡临床检查

🔍 Public Hospitals (Subsidized)​​ ​公立医院(补贴价)​

  • KKH Men’s Health Clinic​ 竹脚妇幼医院男性科
    • Tests: Prostate exam (80)
    • 检查:前列腺指检(30-50新元),激素验血(80新元)
      🔍 Private Clinics (Fast Results)​​ ​私立诊所(快速出结果)​
  • Andrology Centre @ Mount Elizabeth​ 伊丽莎白医院男科中心
    • Tests: Neurological sensitivity test (200)
    • 检查:神经敏感测试(120新元),超声检查(200新元)

Key Diagnostic Tools 核心诊断工具

  1. IELT Measurement​ 射精潜伏期计时
    • Use stopwatch during intercourse (由伴侣协助计时)
  2. PEDT Questionnaire​ 早泄诊断量表
    • 5 questions scoring ≥11 indicates PE (5题得分≥11确诊)
  3. Nocturnal Emission Test​ 夜间遗精监测
    • Detects if problem occurs during sleep (排查睡眠中异常)

When to Seek Urgent Help? 需紧急就医的情况

⚠️ ​Sudden PE onset​ + ​Painful urination​ → May indicate prostate infection
⚠️ ​突发早泄​ + ​排尿疼痛​ → 可能前列腺感染
⚠️ ​PE after bicycle accident​ → Possible nerve damage
⚠️ ​骑车摔伤后早泄​ → 或神经损伤


Singapore-Specific Prevention Tips 新加坡特色预防建议

  • Diet: Eat zinc-rich oyster omelette (Orchard Rd hawkers)
    饮食​:多吃锌含量高的蚝煎(乌节路小贩中心)
  • Exercise: Swim at ​ActiveSG pools​ to strengthen pelvic muscles
    运动​:ActiveSG泳池游泳强化盆底肌
  • Mental Health: Use ​Safe Space​ app for anonymous counseling
    心理​:通过Safe Space应用匿名咨询