Unsupervised (Premature) Ejaculation

Uncontrolled ejaculation has been defined in many different ways. One of these is the definition of the man's tendency to ejaculate long before his partner reaches orgasm. More significantly, uncontrolled ejaculation was assessed as the man's inability to control the timing of his ejaculation regardless of the partner's orgasmic behavior. But controlling ejaculation doesn't just mean continuing sexual intercourse until the partner reaches orgasm. Sometimes there are situations when the couple enjoys very slow, passionate lovemaking, or sometimes they get excited and want to ejaculate quickly. Here, a man who can control his ejaculation can adapt to these and similar situations. However, men with uncontrolled ejaculation do not do this.

The DSM-V, published by the American Psychiatric Association, defines uncontrolled ejaculation as follows:

A. Pattern of ejaculation during co-sexual activity, continuously or repetitively, within about one minute after penetration and before the person's will:
Note: Although the diagnosis of premature ejaculation can be made for people who engage in sexual activities that do not involve the vagina, the specific time period for such activities is criteria have not been determined.

B. Symptoms in Criterion A have persisted for at least about six months and should be present at every or nearly every sexual activity (approximately 75-100%) (in certain cases or in all cases if common).

C. Symptoms in Criterion A cause clinically significant distress to the individual.

D. This sexual dysfunction is not better explained by a non-sexual mental disorder, or is not caused by a severe relationship disorder or other significant stressor, and is not attributable to a substance, medication, or other health condition.

Kinsey Report, It was one of the first attempts to document the sexual acts of American men. Interviews conducted by the Kinsey group indicate that 75% of the sample of over 6,000 men ejaculated within 2 minutes after entering the vagina. Again in the 1970s, sexual therapists Masters and Johnson conducted research on premature ejaculation; In at least 50% of the man's sexual encounters, there is enough emptiness for his partner to reach orgasm. defined as the inability to delay taking. However, the difference between couples in women's orgasm times and rates limited this definition. Also, one of the researchers, Zilbergerd, studied what was different in men who felt they had good ejaculation control. According to the answers she received, she found that these men were able to pay much more attention to the degree of sexual pleasure, they used methods such as withdrawing and slowing the penis while in the vagina, and mentioned the importance of sexual myths. Similarly, according to sex therapist Helen Singer Kaplan, uncontrolled ejaculation is when a man is unable to control voluntary ejaculation and ejaculates before he wants to. A normal man gets excited first, then enjoys the excitement (plateau) and then ejaculates. Premature ejaculation does not have this plateau pleasure, she gets excited and ejaculates.

As a result, in a continuous and repetitive manner, with little stimulation and before the person wishes, before entering the vagina, as soon as it enters or ejaculates. It is best to call uncontrolled (premature) ejaculation when there is ejaculation immediately after and most importantly, the man has no voluntary, conscious control about when he will ejaculate. Ejaculation that occurs before the time desired by the man and his partner is a diagnostic criterion. In other words, at least one of the couple must have a situation that creates dissatisfaction in terms of duration.

Classification

Ejaculation time is not the main criterion, although Ejaculation before ejaculation or 1-4 minutes of sexual intercourse was accepted as premature ejaculation. 5-7 minutes of sexual intercourse is considered as premature ejaculation only if the person or his sexual partner sees this as a problem and there are satisfaction problems. The general classification is as follows:

Stage 1 Premature Ejaculation: Ejaculation occurs between 5-7 minutes when the penis is in the vagina. There is no problem according to the man or his partner. There are no sexual satisfaction problems. There is no voluntary control over the ejaculation reflex.
Stage 2 Premature Ejaculation: While the penis is in the vagina, ejaculation occurs within 5-7 minutes. According to the man or his partner, there is a problem. There are sexual satisfaction problems. There is no voluntary control over the ejaculation reflex.
/> Stage 3 Premature Ejaculation: While the penis is in the vagina, ejaculation occurs within 3-4 minutes. There is a good degree of premature ejaculation.
Stage 4 Premature Ejaculation: When the penis is in the vagina, ejaculation occurs within 1-2 minutes. There is moderate premature ejaculation.
Stage 5 Premature Ejaculation: Ejaculation occurs before the penis enters the vagina. There is severe premature ejaculation.
Situational Premature Ejaculation: Premature ejaculation is experienced in some cases or with some partners.

Incidence

 Men's sexual problems The most common is premature ejaculation. It occurs in one-third of young people under the age of 25 and 10% of those over the age of 40.

Symptoms

• Uncontrolled ejaculation

• Decreased sexual satisfaction

• Guilt

• Shame

• Feeling of disappointment

• Excessive emphasis on sexual intercourse

• Tension during sexual intercourse

• Emphasis on performance

• Inability to live in the moment

• Sudden sexual intercourse anxiety that it will end

• Lack of sexual desire that develops over time

• Insistence for a second sexual intercourse after the first ejaculation

Reasons

• Masturbation in youth with the fear of being caught in inappropriate environments, with thoughts of shame, prohibition and sin,

• Sexual myths such as "masturbation makes you blind", "one becomes deaf",

• Inexperience in sexual intercourse,

• Misunderstandings and unrealistic expectations about sexual physiology,

• Poor sexual skills and inexperience,

• Anxiety and depression,

• Stress, distress and tension,

• Fatigue, boredom, anger and restlessness,

• Unrealistic expectations about sexuality,

• Lack of sexual stimulation,

• Failure to meet the necessary conditions,

• The disproportionate advantage given to the hardened penis m,

• Growing up under sexual pressure,

• Stress caused by excessive sexual desire,

• Fear of sin or guilt,

• Fear of contracting illness,

• Unexplained fear or rejection of the partner,

• Fear of conceiving,

• Fear of castration,

• Fear of disappointment of the partner,

• Fear of the vagina not being inseminated,

• Reluctance towards the woman,

• Conflict with partner,

• Fear of being discovered by others,

• Excessive interest, commitment and love for the partner ,

• Relationships for money or brothel habit,

• Sexual incompatibility,

• Negative thoughts about sexual intercourse underlying the subconscious,

• Prostatitis, urethritis, etc. diseases,

• Extreme sensitivity of the glans penis (penile hypersensitivity),

• Sudden discontinuation of narcotic or antipsychotic treatment, etc.

Common Characteristics of Men Who Ejaculate Premature

Men who experience uncontrolled ejaculation are known to be more controlling and result-oriented than their values. They tend to consume everything quickly in many areas of life, they are focused on owning and obtaining as soon as they can feel the process fully. These behavioral patterns in social life are also dominant in their sexual lives. The most distinctive features of these people are as follows:

• They move fast for food and eat fast,

• Fast and aggressive car

• They act hastily in everything,

• They have poor anger control, they get angry quickly,

• They have uncontrolled behaviors,

• They live results-oriented, not process-oriented,

• They either trust too quickly or They also have difficulty in trusting,

• They have anxious moods,

• They often have problems with their fathers in childhood,

• Often wet the bed in childhood

• Generally, their education level is high,

• They have a type A personality. Usually competitive, ambitious in the social and professional sphere, punctual, strong and impressive, impatient, loves to multitask, gets angry quickly at people and events, waiting for approval, has a problematic resting style, always fussy, few interests outside of home and work those who hide their feelings, force themselves and others to finish their work, etc.

Treatment

First of all, it should be known that the treatment of premature ejaculation with sexual therapy is 100% possible. Uncontrolled ejaculation is one of the rare problems that can be treated very easily and very difficult to treat. It is easy if it is due to mislearning or cognitive distortions, but rather difficult if it is due to unconscious conflicts and relationship problems. Considering that Havelock Ellis, one of the world's leading sexual scientists, could not get rid of the problem of uncontrolled ejaculation throughout his life, we can perceive how meaningful the treatment is. to bring the sense of intimacy it will bring, to increase his sexual skill in an untimely manner and to teach him to provide voluntary control over the ejaculation reflex permanently. In line with this purpose, in the treatment;

• Uncovering the underlying real cause,

• Anxiety relief,

• Providing relaxation and relaxation through exercises,

• Detection of personality traits that may cause problems and teaching positive behaviors instead,

• Masturbation exercises,

• Reducing sexual tension by increasing the frequency of sexual intercourse,

• Carezza method, which includes at least one hour of foreplay ,

• Providing breath control through breathing exercises,

• Sensate focus exercises,

• Teaching sexual positions that delay ejaculation,

• Use of Chinese technique,

• Medical support is helpful.

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