Common Causes of Premature Ejaculation in Men

一、生理因素 | Physical Causes

1. 阴茎敏感度过高 | Hypersensitivity

阴茎头部或神经末梢过度敏感可能导致射精控制力下降。先天因素或包皮过长(未割包皮)可能加剧这一问题。
Excessive penile sensitivity: Overactive nerve endings in the glans or foreskin may trigger rapid ejaculation. Uncircumcised men may experience higher sensitivity.

2. 激素失衡 | Hormonal Imbalances

甲状腺功能异常或睾酮水平波动可能干扰射精调控机制。
Thyroid disorders or low testosterone: Hormonal irregularities can disrupt the brain’s control over ejaculation.

3. 慢性疾病 | Chronic Health Conditions

糖尿病、心血管疾病或前列腺炎症可能影响神经或血液循环,间接导致早泄。
Diabetes, heart disease, or prostatitis: These conditions may impair nerve function or blood flow, contributing to PE.

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二、心理因素 | Psychological Triggers

1. 性焦虑与压力 | Performance Anxiety

对性表现过度担忧、害怕伴侣失望或过往失败经历可能形成心理压力循环。
Fear of underperforming: Anxiety about satisfying a partner or past failures can create a self-fulfilling prophecy.

2. 抑郁与情绪问题 | Depression and Mood Disorders

长期抑郁或情绪波动可能降低性欲,同时干扰射精控制能力。
Chronic sadness or irritability: Mental health struggles can reduce sexual confidence and physiological control.

3. 性经验不足 | Lack of Sexual Experience

青少年或性行为频率低的男性可能因不熟悉身体反应而难以延迟射精。
Inexperience: Younger men or those with infrequent sex may struggle to recognize and manage arousal cues.


三、行为与习惯 | Behavioral and Lifestyle Factors

1. 快速自慰习惯 | Habitual Rapid Masturbation

长期以追求快速高潮为目的的自慰可能训练大脑形成“速射”模式。
“Rush-to-finish” masturbation: Frequent quick self-stimulation may condition the body to ejaculate prematurely.

2. 过度吸烟饮酒 | Smoking and Alcohol Abuse

尼古丁和酒精会损害血管功能,降低性器官的血液供应和神经敏感度调节能力。
Tobacco and excessive drinking: These habits impair blood flow and nerve signaling, worsening PE.

3. 久坐与缺乏运动 | Sedentary Lifestyle

长期久坐可能削弱骨盆底肌肉,影响射精控制力。
Weak pelvic muscles: Inactivity reduces muscle strength critical for delaying ejaculation.


四、伴侣关系与社会文化 | Relationship and Cultural Influences

1. 沟通不良 | Poor Communication

伴侣间对性需求或期望的误解可能加剧焦虑,形成恶性循环。
Unspoken expectations: Lack of dialogue about sexual preferences can heighten stress during intimacy.

2. 文化压力 | Cultural Stigma

在保守文化中(如部分亚洲社群),男性可能因羞于讨论性健康而延误治疗。
Stigma around sexual health: Societal taboos in some communities discourage men from seeking help.

3. 工作压力 | Work-Related Stress

新加坡快节奏的生活和高强度工作可能导致慢性压力,间接引发早泄。
Singapore’s high-pressure environment: Prolonged stress from career demands may disrupt sexual function.


五、如何应对? | What Can You Do?

  1. 自我评估与记录:通过日记追踪射精时间、情绪状态和触发因素。
    Track patterns: Note ejaculation timing, stress levels, and situational triggers.
  2. 渐进式调整:逐步延长前戏时间,减少对插入的过度关注。
    Focus on foreplay: Shift emphasis from penetration to overall intimacy.
  3. 专业支持:新加坡的泌尿科医生(如鹰阁医院)或性治疗师可提供定制化方案。
    Seek local experts: Consult urologists at Gleneagles Hospital or certified sex therapists.

总结 | Key Takeaway
早泄通常是多因素共同作用的结果,识别具体原因是改善的第一步。通过科学调整生活习惯、心理调适及必要医疗干预,多数男性可有效缓解症状。
PE often stems from multiple causes. Identifying triggers is the first step toward recovery. Combining lifestyle changes, psychological strategies, and professional care can lead to significant improvement.

免责声明:本文仅供参考,具体治疗方案请咨询医疗专业人士。
Disclaimer: This article is not a substitute for medical advice. Consult a healthcare provider for personalised care.


了解早泄的根源,方能对症下药。新加坡男性可通过健康管理与专业支持,重拾自信与亲密关系。
Understanding the root causes empowers men to address PE effectively. With targeted strategies, Singaporeans can reclaim control over their sexual health and relationships.