Tengsu News

Essential Tests for Men with Premature Ejaculation: A Malaysian Guide

Posted on by Afrodisiak Kedai

Premature ejaculation (PE) can stem from physical, psychological, or hormonal causes. For Malaysian men seeking lasting solutions, proper medical evaluation is crucial. Here’s a comprehensive breakdown of diagnostic procedures available at leading hospitals like Sunway Medical Centre and KPJ Healthcare.
早泄可能由生理、心理或荷尔蒙因素引发。马来西亚男性若想彻底解决问题，需接受系统化医学检查。本文详解当地主流医疗机构（如双威医疗中心、KPJ医疗集团）的标准化检测流程。

Click to buy

1. **Initial Consultation: The 5 Key Questions

初诊：医生必问的5个关键问题**
Your urologist will typically ask:
泌尿科医师通常会询问：

  1. Duration: How long has PE persisted? (≥6 months indicates chronic PE)
    持续时间：症状出现多久？（≥6个月属慢性早泄）
  2. Latency Time: Average time before ejaculation
    潜伏期：平均射精时间
  3. Impact: Does it affect relationship satisfaction?
    影响程度：是否影响伴侣关系？
  4. Medical History: Diabetes/thyroid issues? Prostate conditions?
    病史：是否患糖尿病/甲状腺疾病？前列腺问题？
  5. Medication Use: SSRIs or blood pressure drugs?
    用药史：是否服用抗抑郁药或降压药？

Tip: Prepare answers using MySejahtera app’s health journal feature.
建议：使用MySejahtera应用的健康日记功能提前准备。

2. **Physical Examinations

生理检查项目**

A. Genital Examination 生殖器检查

  • Penile Sensitivity Test: Brush test for nerve hypersensitivity
    阴茎敏感度测试：毛刷检测神经敏感度
  • Prostate Check: Digital rectal exam (DRE) at hospitals like Gleneagles Penang
    前列腺指检：槟城鹰阁医院等提供此项服务

B. Blood Tests 血液检测

  • Hormone Panel:
    荷尔蒙六项：
    ✓ Testosterone (optimal: 12-35 nmol/L for Malaysians)
    睾酮（马来西亚男性正常值：12-35 nmol/L）
    ✓ Thyroid-Stimulating Hormone (TSH)
    促甲状腺激素
    ✓ Prolactin (排除脑垂体瘤)
  • Inflammation Markers: CRP/ESR for infection screening
    炎症指标：C反应蛋白/血沉

3. **Specialized Diagnostics

专项检测**

A. **Premature Ejaculation Diagnostic Tool (PEDT)

早泄诊断量表**
A 5-question psychological assessment scoring:
5题心理评估量表：

  • 0-8: Normal
    正常
  • 9-10: Mild PE
    轻度早泄
  • 11-20: Moderate/Severe PE
    中重度早泄

Available at University Malaya Medical Centre psychology department.
马来亚大学医学中心心理科提供该测试。

B. **Nocturnal Penile Tumescence (NPT)

夜间勃起监测**
Rules out erectile dysfunction comorbidity:
排除勃起功能障碍共病：

  • 3-night monitoring with Rigiscan device
    使用Rigiscan设备进行3夜监测
  • Covered by AIA Malaysia insurance plans
    AIA马来西亚保险可报销此项

4. **Advanced Imaging

进阶影像检查**

A. **Penile Doppler Ultrasound

阴茎多普勒超声**
Checks blood flow abnormalities:
检测血流异常：

  • Peak systolic velocity (PSV) <25 cm/s indicates arterial insufficiency
    收缩期峰值流速＜25cm/秒提示动脉供血不足
  • Performed at Subang Jaya Medical Centre vascular lab
    梳邦再也医疗中心血管实验室可执行

B. **Lumbar MRI

腰椎核磁共振**
For suspected nerve compression:
排查神经压迫：

  • Required if history of back injury
    有腰部外伤史者需检查
  • 45-minute procedure at Tung Shin Hospital
    同善医院检查需45分钟

5. **When to Get Tested?

何时该就医检查？**
Seek immediate evaluation if:
出现以下情况请立即检查：

  • Sudden onset PE after age 40
    40岁后突然出现早泄
  • Accompanied by painful urination
    伴随排尿疼痛
  • Blood in semen
    精液带血
  • Loss of morning erection
    晨勃消失

**Cost Guide for Malaysian Patients

马来西亚检查费用参考**

Test 项目 Price Range 费用 (MYR)
Hormone Panel 荷尔蒙检测 RM180-350
PEDT 心理量表 RM50-80
Penile Doppler 阴茎超声 RM400-600
Full PE Workup 全套检查 RM900-1,500

Note: BP Healthcare offers 20% discount for package bookings.
备注：BP Healthcare集团提供套餐检查8折优惠。