Premature ejaculation is a common problem in men's sexual lives and can negatively impact their quality of life. Medically, premature ejaculation is defined as the unintentional ejaculation of a man before he achieves sufficient sexual satisfaction or before he satisfies his partner. This condition can create psychological and emotional stress for both the man and his partner. Yes, it is a condition that affects 22.7% of men aged 18-70 worldwide, and therefore affects a similar proportion of couples. According to this rate, there were an estimated 4,829,901 men in Turkey experiencing premature ejaculation as of 2009. This figure is an estimate calculated for Turkey using international data. To calculate the actual figures for Turkey, the Turkish Andrology Association has launched a urological study involving 2,700 men in 16 provinces. This will be the first time the prevalence of premature ejaculation in the general population in Turkey has been calculated.
Causes of Premature Ejaculation
The causes of premature ejaculation are complex and generally include both physical and psychological factors:
Psychological Factors: Stress, anxiety, relationship problems, or depression can trigger premature ejaculation.
Physiological Factors: Hormonal imbalances, prostate or urinary tract problems, and nervous system sensitivity can lead to premature ejaculation.
Genetic Factors: Some men may have a congenital tendency to ejaculate quickly.
Other Factors: Smoking, alcohol, drug use, and certain medications can also increase premature ejaculation.
Symptoms of Premature Ejaculation
Premature ejaculation usually manifests itself in the following ways: It indicates:
Loss of control during sexual intercourse
Partner's dissatisfaction
Premature ejaculation during masturbation
Distress and stress in sexual life
While symptoms vary from person to person, the main problem is that the ejaculation time does not meet the expectations of the person and their partner and does not provide satisfaction.
Premature Ejaculation Treatment Methods
Treatment for premature ejaculation varies depending on the cause and severity. Currently, both medication and psychological and behavioral methods are used.
1. Behavioral Therapy and Exercises
Stop and Start Technique: Stopping and restarting sexual activity when the ejaculation threshold is reached.
Squeeze Technique: Ejaculation is delayed by gently squeezing the tip of the penis.
Regular practice can increase the duration of control.
2. Psychological Support
Sex therapy and psychological counseling address anxiety, stress, and relationship problems.
It is a particularly effective method for men with performance anxiety.
3. Medication
SSRI Antidepressants: Selective Serotonin reuptake inhibitors (such as paroxetine and sertraline) can delay premature ejaculation.
Topical Anesthetic Creams: Creams applied to the penis reduce sensitivity and delay ejaculation.
Medications should always be used under the supervision of a doctor.
4. Combined Treatments
Combining psychological support, exercise, and medication can achieve greater success.
Methods for Coping with Premature Ejaculation
Reducing stress through regular sexual activity and communication
Healthy diet and exercise
Reducing alcohol and smoking
Creating open communication and a comfortable environment with your partner
Conclusion
Premature ejaculation is a very common sexual problem today, but it can be treated. Choosing the right treatment for the cause can improve the quality of sexual life for both men and their partners. For serious and long-term problems, it is essential to consult a urologist or sexual health specialist. The rationale for surgical treatment for premature ejaculation is based on the assumption that the penis is hypersensitive in these patients, and the goal is to reduce this hypersensitivity by severing the nerves supplying the penis through various methods. However, this method is often overlooked. It is an irreversible method and is rarely applied in urology.