Premature Ejaculation

It is the most common sexual dysfunction in men and it is seen in 1 out of every 5 men. By definition, it is defined as the unintentional ejaculation of the penis before or immediately after the insertion of the penis into the vagina with a limited sexual stimulation and this event causes significant distress for the person. Although there is no medical time interval that can define premature ejaculation, this period is accepted by many doctors as the occurrence of ejaculation within 1 minute after sexual intercourse.

Causes of Premature Ejaculation

The reasons for premature ejaculation are not fully known. But there is often an underlying psychological stressor such as depression or anxiety. More rarely, it may have an underlying physical cause: hormonal problems, urological diseases, urogenital infections, and injuries. Premature ejaculation problem is observed more frequently in men who do not engage in sexual activity for a long time or who have a new partner. Many men learn to prolong ejaculation as they get older and gain sexual experience.

How is the Diagnosis Made?

EThe basis for the diagnosis of premature ejaculation is a doctor-patient interview and a detailed anamnesis. If there are physical problems such as underlying hormonal problems, urogenital infections, erectile dysfunction that cause premature ejaculation, research and examinations are made for them. Ejaculation time can be asked to the patient. The patient’s complaints can be evaluated more objectively with various questionnaire forms.

Treatment of Premature Ejaculation

If premature ejaculation is caused by another disease (such as chronic prostatitis or hypothyroidism), treating this disease will have positive effects on the problem of premature ejaculation.

Behavioral and Cognitive Treatments: The most commonly used behavioral techniques are “squeezing” with “stop – start” technique. These maneuvers aim to reduce the stimulation of the penis and thus delay ejaculation. The tightening technique, on the other hand, is to stop the relationship when ejaculation is felt during the intercourse, and the squeezing of the tip of the penis until the feeling of ejaculation passes, thus delaying ejaculation. Again, masturbation before sexual intercourse is a technique used by many young men. The decrease in the sensitivity of the penis after masturbation causes the ejaculation to be delayed after the recovery period

Exercise and Sports: Kegel exercises that work the pelvic floor muscles are also used in the treatment of premature ejaculation. During sexual intercourse, when the person feels that he will ejaculate, he will be able to contract the muscles of the bladder neck and control the ejaculation by contracting the muscles in this area.

Local Anesthetic Creams and Gels: Local anesthetic creams and gels defined as topical agents can prevent premature ejaculation. The most important advantage of these drugs is that they do not have systemic side effects. However, topical agents can reduce the pleasure from intercourse and the feeling of orgasm in men and women.

Medication: Oral medications are among the most preferred methods in the treatment of premature ejaculation. SSRI group antidepressant drugs are used for this purpose. However, the necessity of daily use and having some systemic side effects reduce the preference rates. Dopoxetine, a new form of the same type of drugs, is used only before intercourse (1-3 hours before the intercourse). Since it does not require daily use and does not have systemic side effects, patient satisfaction is very high in treatment with this drug.

NOTE: The content of the page is for informational purposes only, please consult your doctor for diagnosis and treatment.