premature ejaculation, It is when a man ejaculates during sexual intercourse even though he does not want to ejaculate. This problem is also called uncontrolled ejaculation. This is a situation that happens to most men. Ejaculation is a situation that should occur in relationships after both parties have orgasmed. When talking about premature ejaculation, we should not look at the time, but whether both parties are satisfied or not.
In addition, it can be seen not only during intercourse, but also in uncontrolled ejaculation in an environment where you do not want it. People with thyroid-related problems, which are among the endocrine factors premature ejaculation visible. However, it can also be seen in people with many diseases such as prostate diseases, prostate infection, sexually transmitted diseases, and urinary tract infection.
What Causes Premature Ejaculation?
The examination is basically divided into two parts according to the onset of the uncontrolled ejaculation problem. For this reason, individuals who have persistent uncontrolled ejaculation problems after the first sexual experience may experience primary premature ejaculationIf it occurs later in individuals who have normal sexual experience, it is considered as secondary premature ejaculation.
In the primary form, the problem can last a lifetime and an underlying organic cause can be identified. In the minor form, due to a normal sexual history, it can be concluded that the problem is mostly psychological.
premature ejaculation, Since it's a condition that healthy men experience at some point, it shouldn't cause any major problems as long as it doesn't last long or recur. As a man's sexual experience increases and he learns to control the sensation of ejaculation, problems with premature ejaculation usually disappear. In addition, persistent or recurring uncontrolled ejaculation problems may occur in the following situations and health conditions:
Intense Stress, Anxiety, or DepressionIt is more common in people who are under psychological stress, are worried about their relationships or sexual experiences, and have mood disorders.
Having Poor Judgment About Oneself: It may occur when people have negative thoughts about their own bodies, do not like themselves, or make bad judgments about themselves.
Problems Related to Partner: The person may be affected psychologically due to the problems experienced between couples.
History of Sexual Abuse: Previous sexual abuse is a serious risk factor for negative situations such as uncontrolled ejaculation.
Sexual Dysfunctions Like Erectile Dysfunction: Uncontrolled ejaculation may accompany sexual dysfunctions, such as the inability to maintain an erection for a long time.
Hormone Irregularities: It may occur as a result of changes in the blood levels of testosterone, androgen or estrogen hormones.
Inflammatory Diseases Such as Prostatitis or Urethritis: It can be seen as a result of inflammation of the tissues and organs that make up the reproductive system.
Advanced Age: It is possible to experience sexual dysfunctions such as uncontrolled ejaculation with advancing age.
Chronic Diseases: Sexual dysfunction is more common in people with chronic conditions such as high blood pressure, diabetes and heart disease.
What are the symptoms?
premature ejaculation Various clinical symptoms can be observed in patients with the problem. As a result, the following symptoms are common in men with uncontrolled ejaculation:
- Ejaculation during orgasm at the beginning of intercourse or within one minute of starting,
- Inability to control ejaculation during sexual intercourse,
- Stress, anxiety, severe guilt, depression before intercourse,
- Problems between couples,
- Decreased libido,
- Situations such as experiencing erection problems and not being able to maintain an erection may occur.
Types of Premature Ejaculation
When sexual health problems are mentioned, one of the first things that comes to mind is premature uncontrolled ejaculation. As with many diseases, there are many types of premature ejaculation. In some patients it is long-term, in others it is short-term premature ejaculation The type can be controlled or treated. If you want these types to be accurately and clearly identified and defined, you should seek help from a specialist or therapist.
Primary: Primary or primary premature ejaculation is our first type and is generally considered a lifelong problem in humans. If you have such a sexual health problem, it can be solved by a specialist.
Secondary: It is one of the most common types of premature ejaculation. While people may not have had any problems with uncontrolled ejaculation before, they may later.
Situational (Seasonal): It is a situational type of premature ejaculation that is observed mainly depending on the level of the relationship. It occurs due to the pleasure couples experience during sexual intercourse or the high satisfaction they experience periodically.
The types of premature ejaculation we mentioned above are generally the most common sexual health problems in people. If you are experiencing different health problems or problems, you should try to solve the problem by reviewing it with your doctor. This is important for your normal health and sexual health.
Can Uncontrolled Ejaculation Be Prevented?
Men with uncontrolled ejaculation may use inappropriate strategies to try to solve the problem on their own. Men with this problem may avoid foreplay, as increased penile stimulation and pleasure during foreplay shorten the duration of intercourse. This reduces sexual satisfaction and communication in partners and themselves. It may also cause arousal problems in the female partner. Another bad strategy is to engage in self-destructive behavior during intercourse. The purpose of this method is to try to prolong the duration by reducing sexual pleasure. Even if the duration is extended, the quality of sexual activity will decrease. The sexual environment may become alarming for men who have previously ejaculated by masturbation and are aiming for a second and third ejaculation.
Providing sexual satisfaction by keeping foreplay longer is the best strategy that a person can implement on his own.
Does Frequent Masturbation Cause Premature Ejaculation?
This is a very controversial and misunderstood topic. Especially for young men or men who are new to sexuality, masturbation before intercourse may be recommended to eliminate the feeling of excitement during the first sexual intercourse. Contrary to popular belief, this is one of the situations that prevent premature ejaculation. However, frequent masturbation can cause ejaculation problems in the future, especially if psychological and genetic factors are involved. The condition presented here as genetic predisposition is the changes in the sensitivity of the penile skin and penis due to primary premature ejaculation.
How Is It Diagnosed?
premature ejaculation To diagnose it, the doctor will first take the patient's medical history and perform a physical examination. The patient's medical history is a very important factor in determining the type and treatment of premature ejaculation. The doctor may order certain blood tests, testosterone tests, or imaging tests based on the patient's medical history. Primary (primary); It is defined as prolonged premature ejaculation that people experience since their first sexual experience. In primary premature ejaculation, the underlying cause is investigated and the most appropriate treatment is selected for the patient.
Secondary premature ejaculation, the second type of premature ejaculation, is defined as experiencing premature ejaculation for the first time before experiencing any premature ejaculation problems. Secondary premature ejaculation It is usually caused by psychological reasons such as stress or anxiety disorders. In both cases, doctors look for medical conditions that may cause premature ejaculation. If the factors causing premature ejaculation are physical disorders, the doctor will apply treatment for these disorders.
Treatment Methods
Once the underlying cause of uncontrolled ejaculation is determined, one or more of the following treatments can be applied together, depending on the patient's condition.
Medication: Oral medications are one of the most preferred treatment methods. When drugs called SSRIs are taken as tablets every day, their effects begin to appear after approximately 5-10 days. In addition, when these drugs are used every day, side effects such as fatigue, nausea, sweating and yawning occur, causing the rate of treatment continuation to be low. Dapoxetine, a new form of the same drugs, gives successful results when taken 1-3 hours before intercourse. Patients are very satisfied with this treatment because it does not require daily use.
Exercise and Sports: Kegel exercises, which are performed in children, women and men with urinary incontinence, are also used in the treatment of uncontrolled ejaculation. This exercise helps strengthen the pelvic floor muscles and can be done at any time during the day. A person who realizes that he is about to ejaculate during sexual intercourse will control ejaculation by contracting the muscles in this area and causing the muscle structure in the bladder neck to contract. Kegel exercises are one of the effective treatments for uncontrolled ejaculation. Additionally, exercises and similar sports that exercise the pelvic floor muscles are also useful in preventing uncontrolled ejaculation.
Creams and Gels: Treatment of premature ejaculation Another treatment method is the application of creams containing local anesthetic. Cream/gel/spray applied to the penis before intercourse causes loss of sensation in the penis and slows down ejaculation. Since these treatments are local, systemic side effects seen with the drug have not been observed. However, creams and gels can prevent orgasm in both men and women, depending on the amount used. Especially the bad smell of the gels used can create unpleasant sensations during sexual intercourse.
Condom: Since condoms, like creams and gels, reduce sensation during intercourse, they are one of the effective lice treatment methods to prevent uncontrolled ejaculation.
Sexual Intercourse Therapies: One of the effective treatment methods is sexual intercourse therapies. Keeping foreplay as long as possible; Applying some maneuvers such as “stop-start” and “squeezing” is effective in obtaining a successful result in the treatment. The stop and start technique is a progressive technique. Each phase takes approximately 2 weeks and it is recommended that the movements be performed at least three times a week. These maneuvers are effective in delaying ejaculation by reducing stimulation of the penis. The squeezing technique is to stop sexual intercourse when the person feels that he is going to ejaculate, and to delay ejaculation by pressing tightly on the tip of the penis until the feeling of ejaculation disappears.
Surgical Treatments: This method is irreversible and is applied very rarely. The logic of this treatment is to reduce this hypersensitivity due to the hypersensitivity of the penis in patients and by cutting the nerves going to the penis in different ways.
The best treatment strategy for uncontrolled ejaculation is individually planned treatments with a medical professional. premature ejaculation If you think you have a problem, go to the nearest health institution.
What Happens If It Is Not Treated?
Uncontrolled ejaculation problems may recur, depending on the type and previous treatment. If left untreated, couples may experience discomfort, psychological problems, avoidance of sexuality, and unwanted separation.
