Unsupervised (Premature) Ejaculation

Unsupervised ejaculation has been defined in many different ways. One of them is the definition of the man’s tendency to ejaculate long before his partner reaches orgasm. More significantly, uncontrolled ejaculation was assessed as the man’s inability to control the timing of his ejaculation regardless of the partner’s orgasmic behavior. But controlling ejaculation doesn’t just mean continuing sexual intercourse until the partner reaches orgasm. Sometimes there are situations when the couple enjoys very slow, passionate lovemaking, or sometimes they get excited and want to ejaculate quickly. Here, a man who can control his ejaculation can adapt to these and similar situations. However, men with uncontrolled ejaculation do not do this.

DSM-V, published by the American Psychiatric Association, defines uncontrolled ejaculation as follows:

A. Pattern of ejaculation during co-sexual activity, either continuously or recurrently, within about one minute of vaginal penetration and before the person’s request:
Note: Although the diagnosis of premature ejaculation can be made for people who engage in sexual activities that do not involve the vagina, no specific time criteria have been determined for such activities.

B. Symptoms in Criterion A have persisted for at least about six months and must be present at every or nearly every sexual activity (approximately 75-100%) (in certain situations or in all cases if common).

C. Symptoms in Criterion A cause clinically significant distress to the individual.

D. This sexual dysfunction is not better explained by a mental disorder of non-sexual origin, or is not caused by a severe relationship disorder or other significant stressor, and is not attributable to a substance, medication, or other health condition.

The Kinsey Report was one of the first attempts to document the sexual acts of American men. Interviews conducted by the Kinsey group indicate that 75% of the sample of over 6,000 men ejaculated within 2 minutes after entering the vagina. Again in the 1970s, sexual therapists Masters and Johnson conducted research on premature ejaculation; defined it as the inability of a man to delay ejaculation long enough for his partner to reach orgasm in at least 50% of sexual intercourses. However, the difference between couples in women’s orgasm times and rates limited this definition. Also, one of the researchers, Zilbergerd, studied what was different in men who felt they had good ejaculation control. According to the answers she received, she found that these men were able to pay much more attention to the degree of sexual pleasure, they used methods such as withdrawing and slowing the penis while in the vagina, and mentioned the importance of sexual myths. Similarly, according to sex therapist Helen Singer Kaplan, uncontrolled ejaculation is when a man is unable to control voluntary ejaculation and ejaculates before he wants to. A normal man gets excited first, then enjoys the excitement (plateau) and then ejaculates. Those who ejaculate early do not have this plateau pleasure, they get excited and ejaculate.

As a result, unsupervised (premature) ejaculation is the best term for ejaculation to occur continuously and repetitively, with very little stimulation and before the person wants it, before, immediately after, and most importantly, when the man has no voluntary, conscious control over when to ejaculate. it is true. Ejaculation that occurs before the time desired by the man and his partner is a diagnostic criterion. In other words, there must be a situation that creates dissatisfaction in terms of duration in at least one of the couples.


Although ejaculation time is not the main criterion, premature ejaculation is accepted as ejaculation before intercourse or 1-4 minutes of sexual intercourse. 5-7 minutes of sexual intercourse is considered as premature ejaculation only if the person or his sexual partner sees this as a problem and there are satisfaction problems. The general classification is as follows:

Stage 1 Premature Ejaculation: When the penis is in the vagina, ejaculation occurs in 5-7 minutes. There is no problem according to the man or his partner. There are no sexual satisfaction problems. There is no voluntary control over the ejaculation reflex.
Stage 2 Premature Ejaculation: When the penis is in the vagina, ejaculation occurs in 5-7 minutes. According to the man or his partner, there is a problem. There are sexual satisfaction problems. There is no voluntary control over the ejaculation reflex.
Stage 3 Premature Ejaculation: While the penis is in the vagina, ejaculation occurs in 3-4 minutes. There is a good degree of premature ejaculation.
Stage 4 Premature Ejaculation : When the penis is in the vagina, ejaculation occurs within 1-2 minutes. There is moderate premature ejaculation.
Stage 5 Premature Ejaculation : Ejaculation occurs before the penis enters the vagina. There is severe premature ejaculation.
Situational Premature Ejaculation: Premature ejaculation is experienced in some cases or with some partners.

Incidence Frequency

The most common sexual problem for men is premature ejaculation. It occurs in one third of young people under the age of 25 and in 10% of those over the age of 40.


  • uncontrolled ejaculation

  • Decreased sexual satisfaction

  • Guilt

  • feel no shame

  • feeling of disappointment

  • Excessive emphasis on sexual intercourse

  • Tension during sexual intercourse

  • Overemphasis on performance

  • inability to live in the moment

  • Anxiety that sexual intercourse will end suddenly

  • Lack of sexual desire over time

  • Insisting on second intercourse after first ejaculation


  • Masturbation done with the fear of being caught in inappropriate environments, shame, prohibition and sin thoughts in youth,

  • Sexual myths such as “masturbation causes blindness”, “one becomes deaf”,

  • Inexperience in sexual intercourse

  • Misunderstandings and unrealistic expectations about sexual physiology

  • Poor sexual skills and inexperience

  • anxiety and depression,

  • Stress, distress and tension,

  • Fatigue, boredom, anger and restlessness,

  • unrealistic expectations about sexuality,

  • Lack of sexual stimulation

  • Failure to meet the necessary conditions,

  • Disproportionate importance given to the hardened penis,

  • Growing up under sexual pressure

  • The tension caused by excessive sexual desire,

  • sense of sin or guilt,

  • Fear of getting sick

  • Unexplained fear or rejection of the partner,

  • fear of conceiving,

  • Fear of castration

  • Fear of partner disappointment

  • Fear of not inoculating the vagina,

  • reluctance towards women,

  • conflict with partner

  • Fear of being discovered by others,

  • Excessive interest, commitment and love to the partner,

  • Relationships established for money or brothel habit,

  • sexual incompatibility,

  • Negative thoughts about sexual intercourse lying in the subconscious,

  • Prostatitis, urethritis etc. diseases,

  • Hypersensitivity of the glans penis (penile hypersensitivity),

  • Sudden discontinuation of narcotic or antipsychotic therapy, etc.

Common Characteristics of Premature Ejaculation Men

It is known that men who experience uncontrolled ejaculation are more controlling and result-oriented according to their values. They tend to consume everything quickly in many areas of life, they are focused on owning and obtaining as soon as they can feel the process fully. These behavioral patterns in social life are also dominant in their sexual lives. The most prominent features of these people are as follows:

  • They move fast for food and eat fast,

  • They drive fast and aggressively,

  • They act hastily in everything,

  • Their anger control is weak, they get angry quickly,

  • Has uncontrollable behavior

  • They live results-oriented, not process-oriented,

  • They either trust too quickly or have a hard time trusting.

  • have anxious moods,

  • Often in childhood they have problems with their father,

  • They often wet the bed in their childhood,

  • Generally, their education level is high,

  • They have type A personality structure. Usually competitive, ambitious in the social and professional field, punctual, strong and impressive, impatient, loves to multitask, gets angry quickly at people and events, waiting for approval, has a problematic resting style, always fussy, few interests outside of home and work those who hide their feelings, force themselves and others to finish their work, etc. It has features.


First of all, it should be known that the treatment of premature ejaculation with sexual therapy is 100% possible. Uncontrolled ejaculation is one of the rare problems that can be treated very easily and very difficult to treat. It is easy if it is due to mislearning or cognitive distortions, but rather difficult if it is due to unconscious conflicts and relationship problems. Considering that Havelock Ellis, one of the world’s leading sexual scientists, could not get rid of the problem of uncontrolled ejaculation throughout his life, we can perceive how meaningful the treatment is.

The aim in the treatment of uncontrolled ejaculation is not to prolong the ejaculation period, but to bring the person to the feeling of intimacy that an unhurried and fearless union will bring, to increase their sexual skills in an untimely manner and to teach them to permanently control the ejaculation reflex. For this purpose, in the treatment;

  • Uncovering the real underlying cause,

  • Relieving anxiety,

  • Providing relaxation and relaxation through exercises,

  • Identifying personality traits that may cause problems and teaching positive behaviors instead,

  • masturbation exercises,

  • Reducing sexual tension by increasing the frequency of sexual intercourse,

  • The Carezza method, which includes at least one hour of foreplay,

  • Providing breath control through breathing exercises,

  • Sensate focus studies,

  • Teaching sexual positions that delay ejaculation,

  • The use of Chinese technique,

  • Medical support is helpful.

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