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Premature Ejaculation

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Premature ejaculation is a problem that men often encounter in their sexual lives and that negatively affects their quality of life. Medically known as “premature ejaculation”, this condition is characterized by an ejaculation that occurs involuntarily shortly after the start of sexual intercourse. This condition, which affects both individual self-confidence and the dynamics of the relationship with the partner, usually occurs as a result of physical, psychological or both factors coming together. Although most men encounter this problem at some point in their lives, professional support should definitely be sought in cases that continue for a long time. Although premature ejaculation is a very common problem today, it can be solved with effective treatment methods.

What is Premature Ejaculation?

Premature ejaculation is the involuntary ejaculation that usually occurs immediately after or before the start of sexual intercourse. This situation causes the individual to end the relationship without experiencing sexual satisfaction and satisfying their partner. Although the average ejaculation time varies from person to person, premature ejaculation is usually diagnosed on a basis of a few minutes. However, rather than these times, the satisfaction level of the individual and their partner and whether they can control ejaculation are more decisive criteria.

This problem can be a lifelong condition for some men, while in some cases it can develop later. Lifelong (primary) premature ejaculation is usually related to biological or genetic factors. Later (secondary) premature ejaculation is usually caused by environmental factors such as stress, relationship problems or physical illnesses. Correctly identifying these two different types is very important for the success of the treatment process.

Causes of Premature Ejaculation


1. Psychological Factors


One of the most common causes of premature ejaculation is psychological conditions. These factors are usually shaped by the individual's sexual experiences and thoughts, starting from puberty.

• Performance Anxiety: Fear of failure during sexual intercourse can cause premature ejaculation.

• Stress and Depression: The stress of daily life, intense work tempo or depressive mood negatively affects sexual functions.

• Traumatic Sexual Experiences: Past negative or traumatic sexual experiences may increase the risk of premature ejaculation.


2. Physical Factors


Certain physical health issues can also cause premature ejaculation. These factors are often related to hormone imbalances, nervous system disorders, or urological problems.

• Hormonal Imbalances: Irregularities in testosterone or other hormone levels can lead to premature ejaculation.

• Chronic Prostatitis: Prostatitis can increase the sensitivity of the nerves in the penis, causing premature ejaculation.

• Neurological Disorders: Disorders related to the nervous system may make it difficult to control the ejaculation reflex.


Symptoms of Premature Ejaculation


Premature ejaculation usually manifests itself with the following symptoms:

• Involuntary ejaculation shortly after the start of sexual intercourse.

• Inability to control ejaculation time.

• Feelings of dissatisfaction or guilt after sexual intercourse.

• Disruption of sexual harmony with the partner.


Treatment Methods


Premature ejaculation treatment may vary depending on the underlying causes of the problem. Individualized treatment plans can be created with psychological support, medical treatments and advanced techniques.


1. Psychotherapy and Behavioral Techniques

• Stop-Start Technique: It is based on the principle of stopping and restarting sexual activity when the feeling of ejaculation approaches.

• Squeeze Technique: When the feeling of ejaculation approaches, the aim is to control the reflex by squeezing the head of the penis.

• Psychological Counseling: Stress management, performance anxiety and other psychological factors are addressed with the assistance of an expert therapist.


2. Medical Treatments

• Local Anesthetic Creams and Sprays: They aim to prolong the ejaculation time by reducing the sensitivity of the penis.

• Antidepressants: Delays the ejaculation reflex by increasing serotonin levels.

• Natural Supplements: Some herbal products can help increase sexual performance.


3. Stem Cell and PRP Treatment


PRP (Platelet Rich Plasma) and stem cell treatments, which are regenerative medicine methods, can increase control of ejaculation time by regenerating nerve endings and tissues in the penis.


4. ESWT (Shock Wave Therapy)


Used in the treatment of premature ejaculation, ESWT increases blood flow and heals nerve tissue with low-intensity shock waves applied to the penis.


5. Surgical Interventions


In severe cases, surgical methods may be used. Surgeries, especially those aimed at reducing nerve sensitivity, can be effective in preventing premature ejaculation.


Things to Consider During the Treatment Process


The success of the treatment process depends not only on the methods applied, but also on the individual's lifestyle. The following recommendations should be taken into consideration for a healthier life:

• Healthy Nutrition and Exercise: Regular physical activity is important for stress management and hormone balance.

• Reducing Alcohol and Cigarette Consumption: Alcohol and cigarettes can trigger sexual dysfunctions.

• Communication in the Relationship: Talking openly with the partner increases mutual understanding and support.


Expert Support in Premature Ejaculation Treatment

Although premature ejaculation may seem like an embarrassing problem, it can be effectively treated thanks to modern medicine. Urology and andrology specialists offer the most appropriate treatment methods to solve sexual health problems with individual approaches and advanced techniques. If you are experiencing premature ejaculation, you can take a step towards a healthy and satisfying sexual life by consulting a specialist.


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