What is Premature Ejaculation? Premature Ejaculation Symptoms and Treatment

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Premature ejaculation adversely affects the relationship between partners. The most common premature ejaculation symptom is involuntary ejaculation with limited sexual stimulation.

What is Premature Ejaculation (PE)?

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Premature ejaculation still has no definitive definition.

The fact that ejaculation is almost always or usually within one minute after vaginal entry and cannot be delayed in all sexual intercourse is defined as male sexual dysfunction with negative consequences such as stress, avoidance of sexual intercourse, and anxiety.

erken boşalma tedavisiIn at least half of the sexual attempts, it is essential that the partner cannot reach sexual satisfaction. Considering all age groups, it is one of the most common sexual dysfunctions and is seen in about 10-30% of men. premature ejaculation interest rate in Turkey is 20%. It can occur throughout life or afterwards.

What are the Types of Premature Ejaculation?

  • Lifetime: 2.5%
  • Acquired: 3.9%
  • Natural variable: 8.5%
  • Premature ejaculation-like disorders: 5.1%

What are the Causes of Premature Ejaculation?

Based on visual, sensory, intellectual, and physical stimuli, sexual stimuli from the brain come to the neural networks that provide hardening through the spinal cord.

The impulses from here send signals to the nerves that stimulate the penis. By loosening the muscles in the penile vessels, blood begins to fill into the penis, shrinkage occurs in the veins, and hardening occurs when more blood is filled.

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The penis, which is ready for sexual intercourse, enters the vagina and the intercourse begins. With the occurrence of orgasm, the fluid coming from the testis, prostate and seminal vesicle is thrown out of the penis and ejaculation occurs. Ejaculation disorders occur in cases that affect all this system.

All events such as infections affecting prostate, diseases affecting the spinal cord and brain, psychogenic events, hormonal disorders, metabolic disorders can cause premature ejaculation disorders.

How Is Premature Ejaculation Treated?

Behavior therapy: Natural variant and premature ejaculation treatment may be recommended.

In the stop-start behavior technique, it is exited from the vagina just before ejaculation, the stimulation is terminated, and after the feeling of ejaculation passes, the vaginal entry is made and continued. The success of this method is limited.

Another behavioral therapy is to tighten the head of the penis just before ejaculation.

When the feeling of ejaculation comes, the penis is removed from the vagina and the head part is tightened and the feeling of ejaculation is lost. The success of this method is also limited.

 

Local anesthetic creams: Anesthetic creams are applied to the penis before intercourse and it is aimed to create penile numbness. Numbness in both the penis and vagina after vaginal insertion is a negative side, but ejaculation can be delayed. Treatment success is limited.

Surgical treatment: It is the surgical cut of the dorsal nerve that forms the sensation of the penis. It creates numbness in the penis. Ejaculation is delayed. It is not recommended today because it creates numbness.

 

Use of depression medications (antidepressants): Among the side effects of antidepressant drugs are erectile dysfunction and delayed ejaculation. It has come to the fore by taking advantage of the side effect of delaying ejaculation and seriously delaying ejaculation.

The drug called Dapoxetine is produced for this purpose only and prolongs the ejaculation 3-4 times. In addition, other antidepressant drugs can be given.

Prof. Dr. Abdullah ArmağanUrology Specialist

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