Premature Ejaculation

What is Premature Ejaculation?

Premature ejaculation in men refers to the ejaculation of semen earlier than desired during sexual intercourse, it is unintentional ejaculation before or within 1-3 minutes of entering the vagina. Premature ejaculation is a very common sexual complaint, it is seen in almost ⅓ of sexually active men. If it doesn't happen in every relationship, it's not a problem, but if it's always a complaint, it's a problem and should be treated. Premature ejaculation is a treatable condition and drugs that delay ejaculation, sexual counseling and some techniques can help establish a better quality relationship between spouses.

Premature ejaculation requires treatment in the following cases:

• Semenal ejaculation within 1-3 minutes at all times or almost in every intercourse

• Avoiding sexual intercourse due to mental distress and frustration due to premature ejaculation

What are the Symptoms of Premature Ejaculation?

The main symptom of premature ejaculation is unintentional ejaculation within 1-3 minutes of or before entering the vagina during sexual intercourse, that is, semen ejaculation or ejaculation. the inability to delay the organism for more than three minutes. This can occur in all other sexual situations, including masturbation. Many men think they have a problem with premature ejaculation, but often this complaint does not meet the diagnostic criteria.

Premature ejaculation can be classified as follows:

Lifelong : Lifetime premature ejaculation, premature ejaculation at all times or in almost every intercourse, starting with the first sexual intercourse. .

Acquired: Acquired premature ejaculation; Absence of premature ejaculation complaint from previous sexual experiences, premature ejaculation that occurs later.

When to See a Doctor for Premature Ejaculation?

If premature ejaculation occurs during almost every sexual intercourse, the doctor It would be beneficial to open the subject without being embarrassed and bored. Because premature ejaculation is a common complaint and a treatable condition. Talking to a urologist can help reduce anxiety, for example, it can be reassuring to hear that it is normal to have premature ejaculation from time to time. It's also important to know that the average time from the start of intercourse to ejaculation is about five minutes.

What are the Causes of Premature Ejaculation?

Although the exact cause of premature ejaculation is unknown; It is considered to be a problem that includes the complex interaction of psychological and biological factors.

Psychological causes of premature ejaculation are:

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Having sexual experiences at an early age

Sexual abuse

Poor body image

Depression

Anxiety of premature ejaculation

The culprit that can cause you to rush into sexual intercourse emotions

Other factors that play a role in premature ejaculation include:

Erectile dysfunction : Worrying about erectile dysfunction or loss of erection can create a desire or pattern to rush to ejaculate, and it may be difficult to change this desire and motivation.

Anxiety and anxiety: Premature ejaculation Co-occurrence of anxiety and anxiety is common. Anxiety can be related to sexual performance or other problems.

Relationship problems with partner: Relationship problems with partner can cause premature ejaculation. If premature ejaculation does not occur with another partner, this is a problem.

Biological causes of premature ejaculation include:

• Disorder of hormone levels, hormonal causes

• Abnormal levels of brain chemicals or mediators

• Swelling of the prostate or urinary tract and infection

• Hereditary characteristics, genetic factors

 Premature Ejaculation Risk Factors To What rdir?

Erection Problem: Those who have erectile dysfunction or erectile dysfunction may be at high risk of premature ejaculation. It can cause a rush to ejaculate for fear of losing the erection, whether you are aware of it or not.

Stress:  Emotional and/or mental tension in any area of ​​life plays a role in premature ejaculation. can play. Stress can limit the ability to relax and focus during intercourse.

What Are the Side Effects and Complications of Premature Ejaculation?

Stress and relationship problems: The most common side effect and complication of premature ejaculation is relationship stress, anxiety about premature ejaculation again and the stress of having intercourse

Infertility The problem: Premature ejaculation can sometimes make it difficult for a partner to get pregnant, if ejaculation is not in the vagina.

Diagnosis of Premature Ejaculation

Diagnosis can be made easily with detailed general health and sexual history, physical examination, blood and hormone tests. In addition, if there is an erection problem, some tests may be required for it. The specialist can be a urologist, psychiatrist and sexuality consultant

Treatment of Premature Ejaculation

Treatment options for premature ejaculation include behavioral techniques, medications, and sexual counseling. Finding the individual, treatment or combination of treatments that works can sometimes take time. Behavioral therapy plus drug therapy is usually the most effective. The physician may ask very personal questions and may want to talk to your partner as well, which is the way it should be.

Behavioral Techniques for the Treatment of Premature Ejaculation

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Simple Applications: Sometimes simple steps can work in the treatment of premature ejaculation. For example, masturbating an hour or two before intercourse can cause delayed ejaculation during intercourse. In addition, it may be recommended to stay away from sexual intercourse for a while, focusing on other types of sexual games or fantasy during sexual intercourse.

Pelvic floor exercises: Male Kegel exercises, and can help strengthen the weak pelvic muscles targeted during this exercise, can help with premature ejaculation

The following points should be considered while performing these exercises:

• Finding the right muscles: To find useful pelvic floor muscles; By cutting the urine suddenly during urination, or by contracting the muscles that prevent gas, we work the targeted muscles. Both actions are heavily used for pelvic floor exercise. These exercises can be done sitting, lying or standing.

• Perfecting your technique:  Squeeze your targeted pelvic floor muscles, hold for three seconds, then relax for three seconds and try this several times in a row. Once your muscles get stronger, this can be repeated while sitting, standing, or walking

• Focus: For best results, focus only on contracting the pelvic floor muscles, as well as ; Care should be taken not to stretch the abdominal, thigh and hip muscles. It is also important to avoid holding your breath and to breathe comfortably during the exercises.

• It is recommended to do this exercise at least three sets of 10 repetitions per day.

Pause-squeeze technique: It may work for one of the partners to do the pause-squeeze technique, this is how it is done. Before ejaculation is near, you or your partner can partially prevent premature ejaculation by pressing with two fingers on the area where the head of your penis meets the shaft and squeezing for a few seconds until the urge to ejaculate is gone. In addition, this process can be repeated as many times as necessary, so that the spouses can ejaculate together or have an orgasm.

After some practice, delaying ejaculation may no longer require the pause-squeeze technique, delaying may become a habit.

If the pause-squeeze technique is causing pain or discomfort try the stop-start technique. just before ejaculation c stop sexual stimulation, then wait until the arousal level subsides and start intercourse again.

Using condoms during intercourse: Condoms can make the penis less sensitive, which can cause It can help delay ejaculation. Specially designed "climax control" condoms with orgasm delay feature are available without a prescription. These condoms contain local anesthetics such as benzocaine or lidocaine to delay ejaculation. Also, condoms made of thicker latex can be effective.

Drugs and Applications Used in the Treatment of Premature Ejaculation

Local Anesthesia-numbing drugs used: Creams, gels and sprays containing local anesthetic-numbing agents are used to treat premature ejaculation. They are applied to the penis 10 to 15 minutes before sexual intercourse to reduce stimulation and delay ejaculation. Combined creams containing both lidocaine and prilocaine (EMLA) can be used.

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Oral medications: Many types of drugs can delay premature ejaculation-orgasm. These drugs include antidepressants, pain relievers, and drugs for erectile dysfunction. In addition, these drugs can be used alone or in combination with other treatments.

Antidepressants: It is used in the treatment of premature ejaculation by making use of the side effect of delaying ejaculation, which is a side effect of some antidepressants. . Mostly, selective serotonin reuptake inhibitors (SSRIs) are used for this purpose. Among these SSRI antidepressants, paroxetine, escitalopram, citalopram, sertraline or fluoxetine are found.

Antidepressants can cause nausea, sweating, drowsiness and decreased sex drive as side effects.

Painkillers:

Phosphodiesterase-5 inhibitors: Some drugs used for erectile dysfunction can also be used for premature ejaculation. Side effects include headache, flushing, and indigestion.

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