Premature ejaculation is the most common sexual problem in men under the age of 40. Premature ejaculation seriously reduces the quality of sexual life of men and women and even leads to divorce.
Although there is no precise definition of the ejaculation time of a man, ejaculation that is less than 3 minutes and is against the wishes of the man or his partner can be defined as premature ejaculation. On the other hand, every man may ejaculate prematurely from time to time for various reasons and this period may be under 3 minutes. However, if this type of ejaculation covers more than 30% of your sexual life, it can be said that you have a premature ejaculation problem that requires treatment. In fact, a more accurate definition would be made if the problem is not called premature ejaculation but rather ejaculation control problem or uncontrolled ejaculation.
The average duration of lovemaking varies from couple to couple. For example, while some couples can reach orgasm within 5 minutes, for others this period may take up to half an hour. The important thing here is that both men and women can reach orgasm. For this reason, being able to ejaculate for longer than 3 minutes may not be enough for a quality and satisfying sexual life. Although not always, women generally ejaculate later than men. For example, a man who ejaculates on average within 5-10 minutes does not have a premature ejaculation problem. However, if this man's partner is a woman who needs 15 minutes of vaginal intercourse to ejaculate, it will be difficult for the woman to reach orgasm, which will reduce the couple's quality of sexual life. Therefore, the ideal ejaculation time for a man should be defined as the time when both partners reach saturation. And for this reason, the man's ability to delay ejaculation is as important as his ejaculation time. In sexual therapy, it is necessary to evaluate the sexual life history of the couple rather than the individuals.
There are 3 types of premature ejaculation
a) Those who ejaculate before entering the vagina,
b) Those who ejaculate during penetration.
c) Those who ejaculate immediately after penetration
Premature ejaculation according to DSM-IV diagnostic criteria; Permanent and recurrent ejaculation with little stimulation or within a very short time after erection and against the person's will, and this problem occurs in the person's sexual life. It is defined as causing negativities related to If premature ejaculation is a problem that has existed since the beginning of a person's sexual life and continues, it is called primary premature ejaculation, and premature ejaculation that occurs later in the person's life is called secondary premature ejaculation. Secondary (occurring later) premature ejaculation may have different causes such as psychological problems, sexual trauma, alcohol-substance use, physical health problems, and medications used.
Many people think that their problem will improve over time, so there is no need to seek treatment. In fact, he has convinced himself that there is no cure for this and that there is no point in going to a specialist. These obstacles cause stress and disappointment in the person, and their desire to satisfy their partner is hindered. Studies show that men with premature ejaculation problems have more problems with their partners, feel more insecure, suspect being cheated on, and are accused of being selfish and unsympathetic by their partners. /p>
There is a lot of misinformation about the causes of premature ejaculation problem, such as that it is caused by too much masturbation. Although premature ejaculation is a problem of psychological origin, the physiological reasons accompanying this problem are also important. And for treatment, both physiological and psychological intervention is required.
According to evolutionary theory, since the main purpose of sexuality is to reproduce, the man focuses on getting the woman pregnant as quickly as possible, therefore premature ejaculation is evolutionarily successful, ensuring the continuation of the generation and getting the woman pregnant quickly. By moving away from there, it ensures survival.
PHYSIOLOGICAL REASONS OF PREMATURE EJACULATION
The muscular system in the penis, prostate and testicle area is not sufficiently developed and therefore the ejaculation reflex cannot be controlled.
Bio-chemical problems at the testosterone level of men. High levels of testosterone can make it difficult to control the ejaculation reflex, leading to premature ejaculation.
High levels of prolactin can lead to premature ejaculation by increasing anxiety.
Diseases.
Alcohol abuse. .
Substance use.
ERKE N PSYCHOLOGICAL REASONS OF EJACULATION
During puberty or before, the adolescent's muscular system is conditioned to ejaculate in a short time as a result of the adolescent getting used to masturbating quickly to avoid being caught.
The man's threshold of arousal towards the female body is low. . (ejaculation as soon as touched)
Negative, traumatic and inadequate sexual experiences such as prostitutes and general home experiences.
The man is very excited (ejaculation before he even undresses).
>Anxiety disorders (panic attack, generalized anxiety disorder, etc.).
Being caught masturbating in the past.
Feeling of guilt. Feeling dirty.
Fear of punishment.
Having been sexually abused.
Other psychological problems.
Being raised in a conservative family environment.
Misinformation and sexual myths about sexuality.
Sexual inexperience.
Problems with the partner, the partner's reactions to sexual behavior (accusatory attitude, etc.).
Performance anxiety.
Stressful life.
PRIMARY EJACULATION TREATMENT
General and sexual life history of the person with premature ejaculation problem. It is very important to take the procedure in detail and to determine whether it is primary or secondary premature ejaculation (premature ejaculation that occurs later or premature ejaculation that exists throughout life) and to choose the most suitable method for the person. The solution to the premature ejaculation problem that occurs later is solved in a shorter time than the premature ejaculation that exists throughout life.
Due to the premature ejaculation problem, other problems such as erectile dysfunction (erectile dysfunction), depression, loss of self-confidence, relationship problems with the spouse, etc. may occur. In order to prepare a treatment plan suitable for the individual, a comprehensive treatment plan should be prepared by evaluating the premature ejaculation problem as well as other possible problems.
For this reason, it is very important that the specialist consulted for the treatment of premature ejaculation problem is an expert psychologist who has special training in sexual matters.
During premature ejaculation treatment, after collecting information about the person's past sexual history and vital history, it is evaluated whether there is any other psychological or partner problem accompanying premature ejaculation. In some cases, men Due to the early divorce problem experienced by the couple, the relationship may wear out and the couple may be on the verge of divorce. In this case, the man's increased anxiety level may make treatment difficult. Or the fact that the man has such a problem may be used by his partner to punish the man. Solving such relationship problems will make treatment easier.
Treatment is started after other possible risk factors are identified. During the treatment phase, preferably the couple is taken together, but in cases where this is not possible, sexual therapy can be applied individually. In addition to applying some exercises to strengthen the muscles that control the person's ejaculation reflex, it is treated by addressing the psychological factors that feed the person's premature ejaculation problem.
The aim of sexual therapy is not only to prolong the ejaculation time, but also to increase the person's quality of sexual life. It is to have a sexual life in which both partners are more satisfied and enjoyable.
Although the duration of premature ejaculation treatment varies from person to person, almost all of those who experience this problem solve it permanently in an average of 4-8 sessions.
On the other hand, people who claim to treat premature ejaculation or other sexual health problems with some medications, substances said to be natural, and techniques such as hypnosis, reiki, nlp, and subconscious should be strictly avoided. Some creams are recommended because they have a delaying effect.
In addition, ejaculation time may be prolonged as a side effect of some psychiatric drugs (for example, some antidepressants), and such drugs are recommended by physicians. Using a drug that you do not actually need, just to benefit from its side effects, can cause damage to other organs of the body, and when the person stops taking the drug, the problem of premature ejaculation continues. While it is possible to get rid of this problem throughout your life in a few sessions with sexual therapy, such side ways will not provide any gain other than perpetuating the problem you are experiencing.
As stated above, this problem is a problem with both psychological and physiological dimensions. And the psychologist who has received special training on this subject must have the ability to provide both physiological and psychological intervention. Apply to the wrong people for treatment Howling may lead to new problems for the person experiencing the problem, as well as demotivating the person.
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