Premature ejaculation!

Premature ejaculation (premature ejaculation), which is observed in approximately one third of men, is the occurrence of ejaculation together with sexual stimulation at a time before, during or shortly after penetration, against the will of the person. It affects the quality of sexual life not only of men but also of their partners.

the reason

It can be caused by psychological and organic diseases, or it can be seen without any underlying disease. It is the most common sexual dysfunction in men, especially young men. It is one of the situations where couples should be evaluated together, and when there is a disease that causes premature ejaculation, it should be determined and the treatment planned.

Is premature ejaculation very common?

Premature ejaculation is the most common sexual problem in young men (under 40 years old). Although different definitions have been made so far, the simplest is the ejaculation before the desire of the couple who has intercourse. Although it seems like a simple problem, it can cause problems in many relationships in different dimensions.

Is premature ejaculation the same in all men?

Premature ejaculation may continue since the beginning of sexual life and may occur in every relationship, or it may manifest itself with the deterioration of sexual life for other reasons and the onset of premature ejaculation in men who do not initially have such a problem and do not ejaculate until the woman reaches orgasm. We call them primary and secondary in medical language.

How long does ejaculation take to be considered premature ejaculation?

When we look at the discharge times, it is not possible to give an exact time. According to some studies, ejaculation within 5 minutes is considered premature, while ejaculation in 2 minutes is considered premature. Sometimes, the ejaculation of the man can be considered premature before he can have sexual intercourse, that is, before he enters the vagina. Regardless of which of these, premature ejaculation is considered when the man ejaculates during intercourse before the woman has an orgasm or before the woman is satisfied.

What is the role of women in premature ejaculation?

It is very difficult to diagnose premature ejaculation in the spouses of women who have orgasm for a long time. In this case, we will have to treat the female orgasmic disorder. In this case, treating the man will not help. As a matter of fact, treating spouses together gives more successful results, and we want both spouses to be present in the treatment we apply in the presence of a psychologist or psychiatrist.

Do women also experience sexual problems?

Certainly. Since the sexual problems in women are not talked about much, they are not well known. When sexual problems are mentioned, the problems of men immediately come to mind. However, very serious problems such as vaginal dryness, pain during intercourse, orgasm disorder, dissatisfaction and inability to have intercourse, which we call vaginismus, can be seen in women. If the woman already has one or more of these problems, it is inappropriate to treat premature ejaculation in men alone and will not be successful.

Is it related to Erectile Dysfunction?

Ejaculation and penile erection work very differently, but they have to be in harmony together. In other words, penile erection ends after ejaculation and then erection continues until ejaculation occurs again. However, some men experience premature ejaculation with penile erection disorder. Therefore, these men should be treated in a way that both prolongs the erection and delays ejaculation.

Does Premature Ejaculation have anything to do with age?

It is more common in young men than in older men. The effect of sexual experience, sexual education and self-knowledge play a major role in this.

Men’s psychological state, familial history, duration of complaints, onset (acute or gradual), disease history, medications used, condition of partner or spouse are definitely questioned. After the diagnosis of premature ejaculation (premature ejaculation), the treatment is arranged according to the cause, the health status of the man, the severity of premature ejaculation, and the preference of the patient and his partner. An SSRI such as paroxetine and dapoxetine (10-40 mg/day or 3-4 hours before sexual intercourse) may be used in addition to psychotherapy or behavioral therapy. Penile sensitivity can be reduced with a condom or topical anesthetic cream.

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