Premature ejaculation is a sexual dysfunction that affects approximately 20-30% of the male population. This prevalence causes efforts to find effective treatments for both healthcare professionals and patients. The problem of premature ejaculation is also a marital problem that negatively affects the married life of couples and prevents them from having a healthy relationship.
Among the causes of premature ejaculation;
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Psychological factors
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Relational factors
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Hormonal diseases
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Neurological diseases
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Pelvic floor disorders
It is found and each patient/client should take a detailed medical history and decide on their treatment in order to plan treatments for the cause.
Methods used in the treatment of premature ejaculation;
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Sexual Therapy
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SSRI-derived drugs
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Topical anesthetic creams and sprays
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Glans penis augmentation
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Penile Dorsal Nerve Ablation
Sexual Therapy ;
It is a treatment modality that takes about 10 sessions and requires the participation of the couple together. Sex therapy is a behavioral therapy model. Following the evaluation of the couple, the process proceeds with homework and the therapist manages the process according to the interviews with the couple.
Glans Penis Augmentation;
It is an interventional procedure performed in a single session under local anesthesia in office conditions. It has no known major side effects. Hyoluronic acid is generally used as a filling material, instead it can be used as a filling material in autologous adipose tissue obtained from the person. Recovery after the procedure may take about 2 weeks.
SSRI derivative drugs;
In a method using a licensed SSRI (dapoxetine) for the day-to-day symptom treatment. The drug is taken 3 hours before intercourse. It has approximately 12 hours of activity. In studies, its effectiveness has been determined to increase the ejaculation time up to 3 times in 60% of the patients. It is a difficult method to recommend for relationships such as long-term marriage and is not preferred.
Topical Anesthetic Sprays and Creams;
Glans penis is anesthetized for short-term symptom relief, preventing the person from getting pleasure and prolonging the ejaculation time. It should be applied to the head of the penis 20 minutes before intercourse. It is a method that we do not recommend because it can cause a skin reaction on the peins head and cause erection problems.
Treatment Summary;
Processing time; Glans Penis Augmentation is a single session and a 15-minute procedure, Sex Therapy couples participate in approximately 10 sessions, SSRI and Topical Anesthetic may need to be used before each intercourse for life.
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