"doctor, i can't, i'm too fast..."
This opening statement is the one i heard most in the clinic。
Many men suffer from short sexual life and are ashamed of their health. Some people try oral medication on their own, with good and bad effects, and may have side effects such as dizziness, lack of strength, sleep addiction and even affect daily work and life。
In practice, however, this “quick” situation, which is medically known as early discharge (pe), is a common ejaculation functional impairment. According to statistics from the international medical organization (issm), 20-30 per cent of adult males worldwide suffer from different levels of early release, and the incidence of morbidity is likely to be even higher among chinese males, but the real rate of access to regulated treatment is very low。
It is even more worth emphasizing: “no.” the core problem for many men is not sexual functional impairment, but rather the high neurosensitivity of turtle heads. Such cases have a clear medical basis and a clear and feasible path to treatment。
I. Lidocaine: a classic local anaesthesia of amide
The safety and effectiveness of lidocaine has been tested for long periods of time in the clinical sections. Lidocaine plays an important role, whether in dental, dermatology, small surgery, or episthetic anesthesia during vaccination of children。
Its mechanisms reduce pain and sensory sensitivity, mainly by blocking sodium ion channels and inhibiting the transmission of local neurological impulses. It is worth noting that one of the main mechanisms for early discharge is the excessive sensitivity of the nerve endings of turtle heads and coronary ditches. Thus, the application of the lidocaine to local de-sensitization treatment for early discharge of males has a clear pathological basis。
As far back as the end of the twentieth century, foreign studies had confirmed that the external use of the lidocaine spray or ointment could effectively prolong the ejaculation potential and improve male ejaculation control. Based on adequate clinical evidence, the treatment has been integrated into the pe (early-expiration) management guidelines in several countries and regions as a key recommended option for local de-sensitization treatment。
Ii. Why is there an increasing clinical recommendation for a “second-level lidocaine spray”
In local treatments for early discharges by men, traditional formulations such as gel, emulsions, etc. Have revealed some significant limitations in their practical application:
(a) slower start: usually 20-30 minutes in advance of the natural rhythm of a sexual life
(a) inconvenient use, uncontrollable dose: easily contaminated hand or clothing and less accurate control of usage
Local irritation is strong: some patients experience stings, fever, influence attachment and experience。
With the upgrading of pharmaceutical preparations and drug delivery technologies, the new generation of lidocaine aerosols (the second-generation lidocaine spray) is gradually replacing older products in clinical practice as more recommended local treatment options, mainly for the following reasons:
1. Fuzzy particles are smaller and more efficient
Second-generation sprays employ nano-mogification techniques ranging from 10 to 50 micrometres, are more nuanced, have virtually no alien sense after spraying, can quickly penetrate the skin and act at the nerve end。
The effect is to achieve the desired dissensitization within a minute, soon to 15 seconds, resulting in a significant improvement in the ease and immediacy of use。
2. Formulation optimization, moderate and unstimulating
The improved alkaline lydocaine formulation has significantly reduced the sting and heat common in traditional external agents and is more suitable for skin-sensitive or first-time users. This improvement enhances patient comfort and drug dependence。
3. Precision control, more scientific operation
For each 0. 1-ml drug spray at pressure, the doctor may recommend an appropriate dose based on the patient's individual sensitivity, with a general pre-life spray of between one and two. Dose stability and simplicity also reduce the risk of overuse。
4. Local, very low system side effects
The drug only acts at the end of the subsurface nerve of the skin and does not have any effect on the cardiovascular or central nervous system without blood circulation. It is a safer option for patients who are resistant to oral drugs or who wish to avoid systemic side effects。
Iii. Should it be percidine or lidocaine spray
A male patient of about 40 years of age who spoke of “sex life lasts less than two minutes” has long-term anxiety and even affects marital relations. He had tried oral administration of dar estimine, but had to interrupt his treatment due to a vertigo, lack of strength, etc。
After a detailed medical history and a sensitivity assessment, he was recommended for partial de-sensitization with a second-delidobin spray. Simple use: 5 minutes before sex, one to two blow-outs to coronary ditches, one to two minutes after absorption。
When he came back two weeks later, he said: “the effect was unexpected, not only in terms of the apparent length of time, but also in terms of the absence of manifest discomfort and the reduced psychological burden”
At the clinic, we're often asked, "doc, should i choose darcetine or lidocaine spray?"
In fact, there is no absolute distinction between the two. The key is to develop individualized programmes based on the individual's physical condition, history of use, expected effects and degree of tolerance for side effects:
Whatever form of treatment is chosen, it is important that the medication be evaluated and used under the guidance of a professional physician to avoid blindness or self-purchase. Scientific intervention and the rational use of medicines can truly improve the quality of sexual life and improve the overall mental and physical health。
