- Call Us: +905413386883
- [email protected]
Premature ejaculation, also known as premature ejaculation, is the most common male sexual dysfunction. According to research, one in three men between the ages of 18-59 experience premature ejaculation at some point in their lives. However, the rates of seeking medical advice and receiving treatment are quite low because these individuals are embarrassed to discuss their complaints. If left untreated, premature ejaculation can lead to serious psychological issues for both men and their partners. It can cause problems with self-confidence, depression, and even lead to divorce.
So, what is premature ejaculation? What are its types and causes? How is it diagnosed? Is a solution actually possible for this problem, which can cause such significant issues and is quite common in society? In this article, we will take a closer look at premature ejaculation and seek answers to these questions.
To define premature ejaculation, we first need to understand how ejaculation occurs. When a man is sexually stimulated, signals from the brain and spinal cord reach the genital area. These signals cause the pelvic muscles to contract, and as a result of these contractions, sperm travels through the vas deferens towards the penis. During this journey, sperm combines with fluids from the seminal vesicles and prostate to form what we call semen. With sexual pleasure, semen is expelled from the penis, a process we refer to as 'ejaculation' or 'climax'.
While erection is an uncontrollable state, ejaculation is a controllable phenomenon. However, some individuals may have limitations in their ability to control ejaculation. In these cases, ejaculation can occur uncontrollably and repetitively, either before or immediately after sexual intercourse, without the man's desire. We define this condition as 'premature ejaculation' or 'premature ejaculation'.
We can generally categorize premature ejaculation into 2 subgroups;
• Primary (lifelong) premature ejaculation: This type is seen from the first sexual experience onwards. Typically, ejaculation occurs within one minute of sexual intercourse. It can be due to underlying diseases or an excessive and more sensitive number of nerve endings in the penis head.
• Secondary (acquired) premature ejaculation: In secondary premature ejaculation, individuals do not have sexual problems from their first relationship but start experiencing them later in life. It is more common in society. Physiological and psychological factors can cause it. Treatment success rates are higher in this type.
We can examine the causes of premature ejaculation under two main headings: psychological and organically sourced reasons.
• Psychological causes of premature ejaculation:
Sexual inexperience Negative perceptions related to one's own body image Novelty in the relationship Excessive excitement and arousal Relationship stress Anxiety Feelings of guilt and inadequacy Depression Psychological issues related to control and intimacy Also, psychological or sexual traumas experienced in early life can cause lifelong premature ejaculation.
Being a victim of sexual abuse Strict sexual upbringing and education Traumatic sexual experiences Traumatic masturbation and pornography addiction (masturbations done with the fear of getting caught at a young age and anxieties created by exaggerated sexual relations in the pornography industry) These can lead to psychological or sexual traumas, causing lifelong premature ejaculation.
• Organic causes of premature ejaculation:
Diabetes Hormonal factors (irregularities in oxytocin, luteinizing hormone, prolactin, and thyroid hormones) Prostate and urinary tract inflammation Sexually transmitted diseases Deficiency of serotonin, dopamine, and chemicals creating sexual desire in the brain Excessive sensitivity of the penis head Having undergone a faulty circumcision process Depression Erection problems Additionally, I would like to clarify a frequently asked question by my patients. There is no correlation between penis size and ejaculation time.
We often see the following symptoms in individuals who consult the clinic with premature ejaculation:
Patients with the symptoms mentioned above must be examined by a urology and andrology specialist. To diagnose premature ejaculation, the doctor takes a detailed history. At this time, the patient's additional diseases and medications are also questioned. Additionally, a detailed urological examination is conducted along with a general physical examination. If the doctor suspects an underlying organic cause, laboratory tests may be utilized.
While erection is an uncontrollable phenomenon, it is a medically known fact that ejaculation can be controlled by the individual. However, there is a problem in this control mechanism in individuals with premature ejaculation complaints. To improve this, it is recommended to perform exercises that will develop the muscles controlling ejaculation and use devices designed to enhance the self-control mechanism. Also, creams or thick-textured condoms can be used to reduce the sensitivity of the penis head. However, if all these suggestions do not work or the problem persists, it is necessary to benefit from treatment options.
If left untreated, premature ejaculation can lead to permanent psychological and sexual problems in an individual. There are even many couples known to have divorced due to premature ejaculation. The first step in the treatment of premature ejaculation is for the patient to visit a urology and andrology specialist without feeling ashamed or hesitant. With the innovations emerged in recent years, very encouraging results can be achieved in treatments. Medication treatment can be applied to patients who do not benefit from behavioral therapies. Penile filler treatment is a very successful treatment method for patients who do not benefit from medication treatment or have excessive sensitivity problems in the penis head.