If sufficient erotic stimulation (mainly through tactile sensory stimulation) is provided in the period following the erection in the man, it results in Ejaculation.
60-70% of this fluid that comes out immediately. seminal vesicles located behind the bladder, and 20-30% originate from the prostate. Only 1-5% of testicular-derived sperm cells are present.
The resulting ejaculate fluid is first collected in the back part of the urinary tract surrounded by the prostate (emission) and then expelled (ejection). The pelvic region contractions that occur during this period are defined by the brain as a feeling of pleasure called orgasm.
Ejaculation and orgasm are physiological processes that follow each other one after the other. After this process, a period called Refractory period begins, which varies from person to person and whose duration increases with age. During this period, it is not possible for the man to turn sexual stimulation into action.
Situations in which this physiological process is disrupted in the sexual life of the man are seen in various ways;
1. Premature Ejaculation (Ejaculatio Praecox)
It is the situation where ejaculation always or almost always occurs before vaginal intercourse or within the first minute following the start of vaginal intercourse. For this person, it can become a growing problem in his sexual life, damage his relationship with his partner, and even cause erection problems.
Although premature ejaculation is observed at varying rates with age in various societies, it is known that it affects an average of 20-25% of men.
Premature ejaculation can be observed with the beginning of sexual life (lifelong premature ejaculation) or it can be observed as acquired premature ejaculation due to various reasons while maintaining a normal sexual life.
Among the detectable causes. Erectile dysfunction, penile anomalies, prostate and lower urinary tract symptoms, hormonal disorders, psychological or neurogenic factors may be present.
The diagnosis is made after detailed information obtained from the patient is combined with physical examination and, if necessary, examined with appropriate laboratory or imaging tools. .
There are many treatments available, including psychosexual therapy, topical anesthetic drugs, and oral medications. There are many options.
As with all sexual problems, this problem is considered by the patient and his/her partner as a factor affecting their sexual intercourse and there is a long and tiring process in applying to the relevant physician for treatment. The shorter this process is kept, the less likely the treatment couple will be negatively affected.
2. Delayed Ejaculation
It is the state in which ejaculation may occur after a long-term sexual activity.
3. No Ejaculation
It is the absence of ejaculation despite a long-term sexual intercourse.
4. Involuntary Ejaculation
This type of ejaculation can physiologically occur spontaneously at night during sleep. However, it is a condition that can also be experienced neurologically or pathologically due to medication.
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