Sexual Problem: Premature Ejaculation

When a relationship that starts with pleasure ends in disappointment, it can leave negative traces on us. The term premature ejaculation is defined as ejaculation before or shortly after entering the vagina. To give an analogy, you are waiting for food at home and you are eagerly imagining how it will arrive and how you will eat it. After the food comes, something happens that makes you lose your appetite and you cannot eat it and you are left staring with reluctant eyes. Even though this example cannot fully explain premature ejaculation, it may explain the fact that we lose our taste.

Schemes about sexuality, negative thoughts, and negative experiences in the past that cause premature ejaculation cause us to be disappointed. A healthy sexuality between spouses can only be achieved through harmony. Couples getting to know each other and maintaining their sexual lives will prevent them from contracting different mental illnesses. Early orgasm, not only for men but also for women, can be a positive sign for each other. What is important here is whether the couple has orgasm and premature ejaculation.

These sexual problems cause negative thoughts in the minds of individuals such as inadequacy and failure, which can lead to hesitation in expressing this problem and not going to a therapist or doctor, which can lead to a dead end in the relationship. If we continue with the causes of premature ejaculation, we can say that having infrequent sexual intercourse or taking a break for a long time, the intensity of stress factors, frequent masturbation in early adolescence, having sexual experience at an early age and under inappropriate conditions, the reluctance of the woman and disrupting the psychological structure of the man, causing premature ejaculation.

By mentioning the definition and causes above, it is useful to talk about premature ejaculation as a sexual problem that can be treated, contrary to the view that it is not possible to solve it. Then, if he shares his treatment;

1. MAN'S SELF-CONTROL: Two approaches are important here. First of all, position. The position in which the man is on the bottom and does not move is the one that delays ejaculation the most. In this position, the man lies on his back, relaxes his muscles completely and does not tighten them, while the woman remains on top and continues the intercourse very slowly, without squeezing too much or making stimulating movements. Secondly, it is the development of the will to control. It would be beneficial to direct your attention to another direction when you are close to ejaculation. Particularly, areas that arouse sexual desire in women should be avoided. Additionally, movements that increase desire should be avoided. For example, some men state that they become very aroused when they touch or look at certain parts of the woman. In this case, it is important not to perform these movements and to move to other, less stimulating positions.

 

2. MASTERS AND JOHNSON MANEUVER: Developed by Masters and Johnson. It is based on the principle of thoroughly stimulating the man and suppressing the ejaculation reflex by squeezing the penis just before ejaculation. It is important here not to divert attention but rather to stimulate it to increase sexual desire. In a short time, the threshold of arousal is reached and at this point the penis is squeezed with the hand. In this way, the man learns how much arousal he can achieve ejaculation in a real relationship.

3. START-STOP APPLICATION: It is a similar maneuver for learning the threshold of sexual stimulation. During sexual intercourse, when the man feels that he is going to ejaculate, he warns his partner and ends the relationship. After the feeling of ejaculation passes, intercourse is resumed. Normal ejaculation is allowed after 3 attempts.

4. MEDICATION TREATMENT:With the help of physicians, antidepressants for this problem can solve premature ejaculation problems

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