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What Are the Manifestations of Erectile Dysfunction and Premature Ejaculation​

Posted on by Afrodisiak Kedai

阳痿（勃起功能障碍）和早泄是男性最常见的性功能障碍，了解其具体表现有助于早期识别和及时治疗。本文详细描述这两种问题的典型症状和表现特征。
Erectile dysfunction (ED) and premature ejaculation (PE) are the most common male sexual dysfunctions. Understanding their specific manifestations helps in early identification and timely treatment. This article details the typical symptoms and characteristics of these two problems.

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​第一部分：阳痿的表现特征 / Part 1: Manifestations of Erectile Dysfunction

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​1. 勃起功能方面 / Erection Function Aspects​

  • ​完全无法勃起​：在性刺激下阴茎完全无法勃起
  • ​勃起不坚硬​：勃起硬度不足以完成性交（EHS硬度分级≤3级）
  • ​勃起维持困难​：能够勃起但无法维持到性交完成
  • ​选择性勃起障碍​：在某些情况下能勃起，某些情况下不能
  • ​Complete inability to erect: Penis completely fails to erect under sexual stimulation
  • ​Insufficient erection hardness: Erection not hard enough to complete intercourse (EHS grade ≤3)
  • ​Difficulty maintaining erection: Can erect but cannot maintain until intercourse completion
  • ​Selective erectile dysfunction: Can erect in some situations but not in others

​2. 发生模式特征 / Occurrence Pattern Characteristics​

  • ​情境性阳痿​：只在特定情境下发生（如与特定伴侣）
  • ​完全性阳痿​：在所有性活动中都出现勃起问题
  • ​突发性阳痿​：突然出现，之前功能正常
  • ​渐进性阳痿​：逐渐加重，硬度逐渐下降
  • ​Situational ED: Occurs only in specific situations (e.g., with specific partner)
  • ​Complete ED: Erection problems in all sexual activities
  • ​Sudden ED: Sudden onset, previous normal function
  • ​Progressive ED: Gradually worsening, hardness gradually decreasing

​3. 伴随症状 / Accompanying Symptoms​

  • ​性欲减退​：对性活动兴趣降低
  • ​晨勃减少​：早晨勃起次数和硬度减少
  • ​心理困扰​：焦虑、抑郁、自信心下降
  • ​回避行为​：避免性接触和亲密关系
  • ​Decreased libido: Reduced interest in sexual activity
  • ​Reduced morning erection: Decreased frequency and hardness of morning erections
  • ​Psychological distress: Anxiety, depression, decreased confidence
  • ​Avoidance behavior: Avoiding sexual contact and intimate relationships

​第二部分：早泄的表现特征 / Part 2: Manifestations of Premature Ejaculation​

​1. 时间特征 / Time Characteristics​

  • ​原发性早泄​：从首次性经历开始持续存在
  • ​继发性早泄​：既往正常，后期出现的问题
  • ​境遇性早泄​：只在特定情况下发生
  • ​变异型早泄​：偶尔出现正常的快速射精
  • ​Primary PE: Persistent since first sexual experience
  • ​Secondary PE: Previous normal function, later developed problem
  • ​Situational PE: Occurs only in specific situations
  • ​Variable PE: Occasional normal rapid ejaculation

​2. 射精控制能力 / Ejaculation Control Ability​

  • ​射精潜伏期短​：阴道内射精潜伏时间（IELT）＜3分钟
  • ​控制能力差​：无法延迟或控制射精时间
  • ​射精预感缺乏​：无法感知即将射精的信号
  • ​快速达到高潮​：极短时间就达到性高潮
  • ​Short ejaculation latency: Intravaginal ejaculatory latency time (IELT) <3 minutes
  • ​Poor control ability: Unable to delay or control ejaculation time
  • ​Lack of ejaculation预感: Unable to perceive impending ejaculation signals
  • ​Rapid orgasm achievement: Reach orgasm in very short time

​3. 心理行为表现 / Psychological and Behavioral Manifestations​

  • ​性交回避​：因担心早泄而避免性交
  • ​焦虑表现​：性交前紧张、出汗、心跳加速
  • ​匆忙性交​：试图在射精前快速完成性交
  • ​满意度低​：自己和伴侣都感到不满意
  • ​Intercourse avoidance: Avoid intercourse due to PE concerns
  • ​Anxiety manifestations: Nervousness, sweating, rapid heartbeat before intercourse
  • ​Rushed intercourse: Attempt to complete intercourse quickly before ejaculation
  • ​Low satisfaction: Both self and partner feel dissatisfied

​第三部分：自我评估方法 / Part 3: Self-Assessment Methods​

​阳痿自测指标 / ED Self-Test Indicators​

  • ​勃起硬度分级​：
    • 4级：完全坚硬如黄瓜
    • 3级：硬度足够但不如黄瓜
    • 2级：勃起但不足以插入
    • 1级：轻微勃起无法性交
  • ​Erection Hardness Score:
    • Grade 4: Complete hardness like cucumber
    • Grade 3: Hard enough but not like cucumber
    • Grade 2: Erection but insufficient for penetration
    • Grade 1: Slight erection, unable to have intercourse

​早泄自测指标 / PE Self-Test Indicators​

  • ​IELT时间测量​：使用秒表测量插入到射精时间
  • ​控制感评分​：0-10分评价射精控制能力
  • ​痛苦程度​：因早泄造成的心理痛苦程度
  • ​影响程度​：对性生活的影响程度
  • ​IELT measurement: Use stopwatch to measure time from penetration to ejaculation
  • ​Control score: Rate ejaculation control ability on 0-10 scale
  • ​Distress level: Psychological distress caused by PE
  • ​Impact degree: Degree of impact on sexual life

​第四部分：就医评估标准 / Part 4: Medical Evaluation Criteria​

​需要就医的表现 / Manifestations Requiring Medical Attention​

  • ​症状持续​：问题持续超过3个月
  • ​频率增加​：发生频率越来越高
  • ​加重趋势​：症状逐渐加重
  • ​影响关系​：已经开始影响伴侣关系
  • ​伴随症状​：出现其他身体或心理症状
  • ​Persistent symptoms: Problem persists for more than 3 months
  • ​Increased frequency: Occurrence frequency increasing
  • ​Worsening trend: Symptoms gradually worsening
  • ​Relationship impact: Already affecting partner relationship
  • ​Accompanying symptoms: Other physical or psychological symptoms appear

​专业评估内容 / Professional Evaluation Content​

  • ​详细问诊​：病史、频率、情境等
  • ​体格检查​：生殖器、神经、血管检查
  • ​实验室检查​：激素水平、血糖、血脂
  • ​特殊检查​：夜间勃起测试、血管超声
  • ​Detailed consultation: Medical history, frequency, situations, etc.
  • ​Physical examination: Genitalia, nerve, blood vessel检查
  • ​Laboratory tests: Hormone levels, blood sugar, lipids
  • ​Special tests: Nocturnal erection test, vascular ultrasound

​第五部分：鉴别诊断要点 / Part 5: Key Points of Differential Diagnosis​

​与类似症状区分 / Differentiation from Similar Symptoms​

  • ​性欲低下​：根本不想进行性活动
  • ​射精延迟​：难以射精而非过早射精
  • ​性高潮障碍​：无法达到性高潮
  • ​性交疼痛​：因疼痛影响性交进行
  • ​Low libido: No desire for sexual activity at all
  • ​Delayed ejaculation: Difficulty ejaculating rather than premature ejaculation
  • ​Orgasm disorder: Unable to achieve orgasm
  • ​Painful intercourse: Intercourse affected by pain

​混合性功能障碍 / Mixed Sexual Dysfunction​

  • ​ED合并PE​：先出现ED，后出现PE
  • ​PE导致ED​：因担心PE而出现ED
  • ​共同存在​：两种问题同时存在
  • ​ED combined with PE: ED appears first, then PE
  • ​PE causing ED: ED appears due to PE concerns
  • ​Coexistence: Both problems exist simultaneously

​结语 / Conclusion​
了解阳痿早泄的具体表现有助于早期发现和及时治疗。如果出现上述症状，建议及时就医，获得专业诊断和治疗。
Understanding the specific manifestations of ED and PE helps in early detection and timely treatment. If the above symptoms occur, it is recommended to seek medical attention promptly for professional diagnosis and treatment