The difference between primary premature ejaculation and secondary premature ejaculation

Primary premature ejaculation (PE) and secondary premature ejaculation differ in terms of onset time, underlying mechanisms, symptom presentation, past sexual history, and treatment focus. If symptoms arise that affect quality of life, it is recommended to seek timely medical evaluation at a hospital.

1. Different onset times: Primary PE has been present since the first sexual experience, persisting without improvement; secondary PE develops later in life, occurring gradually or suddenly after a period of normal ejaculatory function.

2. Different causes and mechanisms: Primary PE is often associated with genetic factors and heightened nervous sensitivity; secondary PE is typically triggered by acquired factors such as medical conditions, psychological issues, or medication side effects.

3. Different symptom presentations: In primary PE, the ejaculatory latency period is consistently very short, generally less than 1 minute; in secondary PE, the latency period is significantly reduced compared to previous levels, usually occurring within 3 minutes.

4. Different sexual histories: Individuals with primary PE have never experienced normal ejaculation during sexual activity; those with secondary PE have a clear history of normal ejaculatory function before the onset of dysfunction.

5. Different treatment emphases: Treatment for primary PE mainly focuses on reducing neural sensitivity and regulating the ejaculation reflex; treatment for secondary PE emphasizes addressing the underlying cause, along with psychological counseling and behavioral training.

Daily self-care includes maintaining regular sleep patterns and avoiding staying up late, engaging in moderate exercise to improve physical health, eating a balanced diet to ensure adequate nutrition, minimizing excessive anxiety, enhancing communication with one's partner, and reducing the frequency of sexual stimulation, all of which help maintain reproductive health.