Sexual dysfunctions include decreased sexual desire, lack of arousal, ejaculation and orgasm problems and the resulting difficulties in establishing sexual intercourse. One of the most common sexual dysfunctions is "premature ejaculation." premature ejaculation; It is defined as ejaculation constantly or recurrently, with little sexual stimulation and before the person wishes, before, during or immediately after penetration into the vagina.
Requirements for a man to experience normal sexual arousal; understanding the ejaculation process, being aware of the sexual response cycle, and being familiar with normal response behaviors to sexual stimuli. Male sexual behavior model in general; It includes the stages of sexual desire, sexual arousal, plateau, ejaculation or orgasm, resolution and sexual satisfaction. In the sexual response cycle, it generally starts with the desire for a partner (sexual desire), continues with the erection of the penis (sexual arousal), pleasure comes from the tip of the penis, reaching the pleasure threshold where sexual pleasure is experienced intensely and the highest excitement is experienced (plateau) and the penis is released. The coming of the semen occurs (ejaculation or orgasm), then the penis descends and relaxation (dissolution) begins, and finally a pleasant satisfaction (sexual satisfaction) is felt.
The plateau phase, one of the phases of the male's normal sexual response cycle; It is the phase where arousal is maintained and sexual pleasure and excitement increase. In this phase, intense sexual pleasure is experienced and the erection is full and it is the highest excitement phase. At this stage, a colorless pleasure fluid that does not contain sperm appears at the plateau, the penis continues to become hard, its diameter increases, and the ovaries increase. In addition, an increase in heart rate, rapid and deep breathing, an increase in blood pressure, skin redness, and contractions in the muscles in the hip area are observed; The man realizes that he will ejaculate if he continues and can stop at this point if he wishes. In order for it to stop, the muscles surrounding the anus, ovaries and groin must be relaxed, breathing must be controlled, the rhythm must be stabilized and the partner must be stimulated and focused on making love. A man who has a problem with premature ejaculation is unable to ejaculate voluntarily. He cannot achieve self-control and cannot give the "stop" command, so to speak, and he ejaculates prematurely involuntarily.
The man with premature ejaculation problem experiences the phases of the normal sexual response cycle faster than normal and has a much shorter sexual response cycle. While the normal time for the penis to remain in the vagina should be at least 7 minutes or more, this time is much shorter in men with premature ejaculation problems, and in some cases, ejaculation is observed even before the penis enters the vagina. It is possible for ejaculators to stay at the plateau, which is the highest level of excitement, for a long time and stop when necessary. Men who ejaculate prematurely either do not have a plateau or their plateau is very short. For this reason, they are more affected by sexual stimuli and ejaculate early than men who ejaculate in a normal time.
Premature ejaculation can be defined differently depending on the person himself, his partner, psychological state, expectations and many factors. A well-known fact is that "premature ejaculation is not a disease."
Premature ejaculation is uncontrolled ejaculation before the man, the partner or both desire to ejaculate, and the physiological events that enable ejaculation occur before expected. At this point, premature ejaculation is generally divided into two;
Primary premature ejaculation; It is premature ejaculation from the first intercourse.
Secondary premature ejaculation; It is an ejaculation that does not occur before but occurs later.
Premature ejaculation levels are listed as follows according to the ejaculation time and the entry and exit of the penis into the vagina:
• Level 1 EB- Between 1 and 2 minutes (30-60 entries-exits)
• Level 2 EB- 30-60 seconds (15-30 input-output)
• Level 3 EB- 15-30 seconds (5-15 input-output)
• Level 4 EB- 1-15 seconds (1-5 entry-exit)
• Level 5 EB- ejaculation before the penis enters the vagina
Causes of Premature Ejaculation
1. Physical Conditions
• Fatigue
• Disease
• Drug Use and side effects of drugs
• Nutrition (excess sugar and consumption of sugar derivatives) ;
• Overstimulation
• Alcoholism and Substance Abuse
• First Sexual Experiences
• Being Young
2. Psychological States
• Excitement
• Being raised under sexual pressure
• Regret
• Feeling of guilt
• Excessive love and care for the partner
• Stress and anxiety (impotence, performance anxiety)
• Fear of catching a disease
• Fear of getting pregnant
• Lack of sexual reluctance
• Traumatic sexual experiences (sexual abuse, harassment and rape)
• Relationships established in exchange for money
• Troubled marriages
3. Some Disorders and Diseases
• Sympathetic nervous system damage
• Pelvic malfunctions
• Prostate hypertrophy, urethritis, polycythemia
• Diabetes
• Cardiovascular diseases
• Urinary tract diseases
Although the causes of premature ejaculation vary from person to person, one or more of the reasons listed above may cause premature ejaculation. It may be the cause of ejaculation. Premature ejaculation is not a disease, but it may occur due to some physical reasons or physiological disorders such as prostate and urinary tract diseases. However, premature ejaculation can also be caused by mental disorders such as chronic depression, anxiety disorders, and post-traumatic stress disorders. Traumatic sexual experiences in childhood, personality traits and concerns about one's sexual performance can also be cited as the causes of this problem.
The most important thing to consider at this point is the fact that "premature ejaculation is a learned condition". Men often learn to ejaculate prematurely due to fear of being caught, shameful-forbidden-sinful thoughts, obsession with score, and false beliefs about masturbation. Men who want to experience the very pleasurable sensations of the ejaculation process over and over again caress their penis quickly during masturbation in order to reach the climax as soon as possible. They are unaware that they can enjoy penis caresses other than the moment of ejaculation. Over time, they make premature ejaculation a habit, and rapid ejaculation seems normal for the man. As a result, this gradually acquired habit becomes a reflex of the muscles that initiate ejaculation, and the habitual rapid ejaculation pattern reacts uncontrollably to even minor sexual stimulation.
Does Circumcision Cause Premature Ejaculation?
Circumcision, which is widely practiced in Muslim countries such as Turkey, has recently become widespread in Western families for health reasons. Circumcision, known for its benefits such as preventing urinary tract infections, preventing foreskin stenosis, and preventing penis skin cancer, also ensures penis hygiene.
However, studies have proven that, in addition to its benefits, circumcision causes premature ejaculation. According to these studies, it has been determined that circumcised men ejaculate 25% earlier. The uncut foreskin covers the head of the penis and ensures that the head of the penis remains in a slippery and warm environment. In this case, the penis head gets used to the hot and slippery environment. Uncircumcised men do not experience premature ejaculation problems when the penis enters the vagina, but they may experience premature ejaculation problems for other reasons.
In circumcised men, the penis head is constantly open because it is not covered by the penis skin. For this reason, the penis head is not used to the slippery and hot environment. Circumcised men are likely to ejaculate prematurely during sexual intercourse when their penis enters a hot and slippery environment to which it is not accustomed.
Common Characteristics of Men Who Ejaculate Prematurely
>It has been observed that men who ejaculate prematurely have some common characteristics, such as acting quickly and hastily.
• They eat fast,
• They act hastily in many matters,
• They cannot control their anger easily,
• They drive fast cars. ,
• They are impatient and fussy,
• They try to do two things at once,
• They are ambitious
Premature ejaculation may also occur in men who do not have these characteristics. However, one of the common characteristics of men who ejaculate prematurely is that they act hastily in every aspect of their lives, just like when they ejaculate.
Premature Ejaculation Treatment
Considering its frequency, the treatment of premature ejaculation problem, which has become a nightmare for many men and therefore their partners, is simple. , it's quick and easy. Here, as in every psychotherapy, what is important is that the client is determined, willing and an active participant on the path to solving the problem.
The treatment phase for clients presenting with premature ejaculation problem follows the following steps: First, we investigate whether the person has any other physical or psychological problems. In addition, we investigate and decide whether the person uses drugs, alcohol, cigarettes or other stimulants. As a result of these results, we recommend some exercises for the man and his partner. These exercises are given as a result of the reasons for premature ejaculation that have been well identified as a result of individual and couple discussions. It is very important to rest your nerves while applying exercises and techniques during the treatment. For this reason, there are a number of other factors and rules that the person must follow when applying the recommendations and techniques determined in cooperation with the therapist in the treatment of premature ejaculation.
Rules such as being in relaxing environments for the nerves, walking outdoors, eating easy-to-digest foods, not using cigarettes and alcohol or reducing them as much as possible, not consuming strong tea and too much coffee, and staying away from sugary foods are other points to be considered in the treatment. It is presented to the client as In order to control sexual desire, sexual arousal, plateau and ejaculation; It is important to learn breathing control, do ejaculation control exercises regularly, communicate openly with the partner, prolong foreplay, exercise regularly and be conditioned, and pay attention to nutrition.
Most men are simple in sexual intercourse.
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