Premature Ejaculation
What is Premature Ejaculation?
Premature ejaculation, a sexual dysfunction, is the ejaculation that occurs before or within about a minute of vaginal penetration, beyond the control of the person. In advanced cases, ejaculation occurs without sexual intercourse, even with sexual thoughts.
How Does Premature Ejaculation Happen?
Although premature ejaculation is considered a sexual dysfunction, it is actually a control mechanism disorder. It usually occurs due to psychological problems.
Anxiety, depression, worry, and overstimulation before intercourse can result in premature ejaculation.
How Many Types of Premature Ejaculation Are There?
Premature ejaculation is examined in two types. The first is premature ejaculation, which continues from the beginning, that is, throughout life. This is defined as primary premature ejaculation.
The situation we call secondary premature ejaculation is the premature ejaculation that occurs later.
Is There a Treatment for Premature Ejaculation?
Sex Therapy: Patients with premature ejaculation perceive this as their own failure and generally blame themselves. This causes them to feel ashamed, nervous and anxious. Patients with this problem may need to seek help from sexual therapy.
Squeeze-Release Technique: The squeeze-release technique is a treatment method that individuals with premature ejaculation problems should repeat at home. To briefly explain the technique, it is a method in which the man who has reached the point of ejaculation during sexual intercourse that begins with foreplay squeezes and releases the head of the penis until the ejaculation effect wears off.
Drug Therapy: For the treatment of primary premature ejaculation, local analgesics, PD5 inhibitors, serotonergic antidepressants are used regularly or before sexual intercourse, depending on the condition of the disease. The urologist decides which of these drugs should be used and in what dosage after listening to the patient, examining him/her, and having his/her tests done.
A treatment that is good for one patient may not be good for another and may make it worse. In addition, premature ejaculation disease, like other sexual dysfunctions, can cause permanent psychological problems in the patient and his/her partner after a while. Therefore, the patient should consult a urologist to learn treatment and techniques for delaying ejaculation.
Who is Risky from Drug Treatment?
Erectile dysfunction, heart disease, stress and some medications are risk factors for this disease.