Diagnosis of psychogenic erectile dysfunction and handling of "getting stuck" on the wedding night

**IV. Psychogenic Erectile Dysfunction**

If you experience temporary erectile dysfunction or are unable to complete sexual intercourse, do not immediately conclude that you have erectile dysfunction. Here are four points to consider, based on your specific situation, to determine if it is psychogenic erectile dysfunction. If it is psychogenic erectile dysfunction, with your wife's cooperation, gradually eliminating the psychological factors will lead to a slow recovery.

1. First, recall your sexual experiences. Have you ever masturbated? If you can get an erection during masturbation and maintain it for a certain period of time before ejaculation, then your current erectile dysfunction is psychogenic impotence.

2. Do you experience nocturnal or morning erections? If so, and the current lack of erection is sudden, then psychogenic erectile dysfunction is highly likely.

3. Did the current erectile dysfunction occur suddenly or gradually? If it occurred suddenly, it is psychogenic erectile dysfunction.

4. Are there any undetectable psychological factors, such as anxiety about work or life, worry about children's schooling, or arguments between spouses? If so, then the current erectile dysfunction is mostly psychological.

Of course, the above four points are important indicators. Don't worry if you lack one or two of them. Seek medical advice from a male specialist in time.

**V. Stuck on the Wedding Night**

We know that during a man's first sexual intercourse, the man must use his penis to break through the woman's hymen and the relatively tight vaginal opening. A virgin's vagina is already quite tight, and given that it's her first time having intercourse, some women experience tension and fear, making the vagina even tighter. If the newlyweds are not adequately prepared before intercourse, and the husband forces penetration, vaginal spasms can easily occur, leading to an inability to separate after intercourse. When vaginal spasms occur, some of the foreskin, which is normally unable to retract, can be forcibly pulled back, tightly constricting the tip of the penis like a hoop. This obstructs blood circulation to the glans penis, causing swelling, excruciating pain, and even ischemia and necrosis.

If severe spasms prevent the sexual organs from separating, remain calm and do not panic. You can try a sudden stimulation method, such as splashing a basin of cold water on your face to cause a sudden muscle contraction, followed by relaxation, which can relieve the spasm. Alternatively, if vaginal spasms occur, temporarily interrupt intercourse until the spasms subside. Repeat this interruption process if spasms recur; this usually relieves the spasms. If this is unsuccessful, consult a doctor.

The key to preventing vaginismus is that both partners should have some sexual knowledge, have sufficient foreplay before intercourse to stimulate sexual arousal, and ensure that the vagina is fully lubricated before intercourse. Rough sexual impulses should be avoided, and intercourse should be performed gently.

If paraphimosis occurs, the groom should immediately attempt to remove it himself. He should use the index and middle fingers of both hands to grasp the penis beneath the foreskin and use his thumbs to forcefully push the penis back into the foreskin. If he cannot handle it himself, he should immediately go to the hospital for surgery to remove the paraphimosis.

**VI. Is premature ejaculation considered premature ejaculation?**

Many men have experienced this: ejaculation is faster during their first sexual encounter on their wedding night, but after living together for a while, ejaculation becomes more delayed. Some couples who have been separated for a long time also experience faster ejaculation upon reuniting, but this improves after a period of cohabitation. Could this phenomenon be considered premature ejaculation?

It is generally believed that premature ejaculation is a normal phenomenon during the honeymoon or when separated from one another, and should not be called premature ejaculation. There are three reasons for this:

1. Excessive sexual arousal: During the courtship and premarital intimacy phase, both the brain's sexual activity center and the sexual organs are often in a state of high sexual arousal, inevitably causing the ejaculation center to also be in a state of sexual arousal, thus reducing the demand for sexual stimulation; at the same time, for a newlywed man, the first sexual contact with his woman is both sudden and very intense, so it is not surprising that he ejaculates quickly.

2. Stimulation from semen accumulation: Unmarried men need to release semen through nocturnal emission once their reproductive organs have produced a certain amount. Newlywed men, before their first sexual intercourse, have already accumulated a considerable amount of semen in their sexual organs, which can create a feeling of fullness and stimulation. If this occurs during sexual activity, they may prematurely ejaculate.

3. Sexual function has not yet been fully developed. This does not mean that there is a problem with sexual function, but rather that sexual function is at a turning point when it comes to sexual activity. In the initial stage, it may not be fully adapted. The various links of nerve and endocrine activity have not yet been fully sorted out, so premature ejaculation may occur in the beginning. After gradually adapting and getting used to it, it will return to normal.

Once you understand the underlying principles, there's no need to worry if you experience premature ejaculation during your honeymoon. However, if you mistakenly believe it's a problem with your sexual function, causing psychological and emotional harm, it might actually lead to sexual dysfunction.