Premature ejaculation is a very common sexual dysfunction today. Of course, it is to be expected that men will ejaculate a little earlier when they first start sexual life, or that they will experience this situation several times throughout their lives. However, the fact that this control does not improve and the persistence of this situation means that it needs to be treated. The problem of premature ejaculation is primary (from the moment of sexual intercourse). It can be experienced as secondary (premature ejaculation problem occurring later when there was no problem before), situational (problem experienced depending on the partner, conditions and environment) or atypical (not attributable to any other reason).
Sexuality. When it comes to the subject, the first words that usually come to mind are pleasure, desire, reproduction, love and passion. When sexual dysfunctions occur, problems may gradually increase in the lives of many people, relationships may wear out and conflicts may begin. The person may become dissatisfied with his sexuality and begin to experience many negative emotions such as performance anxiety.
One of the most common sexual dysfunctions in men is 'premature sexual dysfunction'. It is ejaculation.
Premature ejaculation (uncontrolled ejaculation) is the involuntary ejaculation of a person even with very little sexual stimulation, that is, the inability to control ejaculation or to delay it for as long as desired.
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In other words, just before and after penis-vagina intercourse, the person cannot control his or her ejaculation reflex and ejaculates involuntarily: This disorder causes significant distress or difficulties in interpersonal relationships. The rate of premature ejaculation is between 20-30% in research. One in every 4-5 men has a premature ejaculation problem. It is a common problem in men in all societies.
According to Kaplan, men who ejaculate prematurely orgasm so quickly that making love often mutually disappoints their partners. The reason for premature ejaculation is that the man cannot provide sufficient voluntary control over his ejaculation reflex. Some reflexes depend on voluntary control, while others do not. While erection in men and vasocongestion in the opposite sex cannot be controlled voluntarily, ejaculation and orgasm can. The individual who does not have any problems can postpone orgasm whenever he wants and He can also 'release' it inside, but a man who has premature ejaculation problems cannot do this. When he reaches a critical threshold of arousal, he ejaculates uncontrollably and reflexively.
When men realize that they have this problem, their self-confidence may be damaged and they may see themselves as sexual failures.
Organic or psychological reasons lie behind premature ejaculation. Even if the disorder is only organic at first or occurs due to various organic reasons such as drug use, psychological factors can also be added to the picture over time and make the situation worse.
So what is premature ejaculation? ` What are the reasons?
What are the psychogenic points that may underlie your experiencing this problem?
1) Being sexually incompatible with your partner (your desires, expectations..)
2 )Reluctance you feel towards your partner
3)Fear of getting pregnant
4)Traumatic sexual experiences
5)Factors such as fatigue, stress, excitement
6)Sexual intercourse becoming a ritual or routine
7)Upbringing style
8)Negative body image and lack of self-confidence
9)Devaluing sexuality family structure
10)Fear of losing control over emotions and behavior
11)Performance anxiety
12)Having exaggerated sexual expectations
13) Mood Disorders (Depression, Panic Disorder, OCD....)
14)Inadequate or incorrect sexual information
15)Drugs or drugs that have sexual dysfunction side effects substance use
Many psychogenic reasons such as those listed above may cause you to experience this problem.
What is the solution to premature ejaculation?
The first thing to do for the treatment of premature ejaculation should be a 'urological evaluation' by a urologist. During this evaluation, both an examination will be performed and some tests will be requested. In this way, it is reviewed whether the problem is of physical origin.
In cases of psychogenic origin, which do not have a physical cause, the problem of premature ejaculation can be resolved in a short time with sexual therapies applied by an expert sexual therapist.
Premature ejaculation problem If you comply with the treatment, treatment can be provided in an average of 12-14 sessions, depending on the reasons and relational history.
It should not be forgotten that participating in the treatment with your partner will speed up the process.
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