Premature ejaculation, in other words, uncontrolled and uncontrolled ejaculation: It is called ejaculation that occurs involuntarily without the control of the man, when the person cannot control his ejaculation reflex and ejaculation occurs immediately before or after the penis-vagina intercourse. It is one of the most common sexual
problems in men.
A definition such as "the man ejaculates before his partner orgasms" is not correct as it does not adequately reflect whether the current problem is related to the delay in the partner's
orgasm.
description is now considered a sexual myth.
In a persistent and repetitive manner, with little sexual stimulation, before or immediately after sexual intercourse
and for a period of time desired by the person and his/her partner. A better definition is ejaculation that occurs earlier.
There must be a situation that causes dissatisfaction in terms of duration for at least one of the couple.
What is important in premature ejaculation is not the duration, but the ejaculation reflex. It is the absence of voluntary control.
In DSM-IV, it is defined as ejaculation constantly or recurrently, with little stimulation and before the person wishes
before, immediately after or immediately after penetration of the vagina. is expressed
. It causes a significant disruption of the sexual cycle and sexual life of individuals and couples. The main criterion for a man to be able to talk about premature ejaculation problem is having regular sexual intercourse for at least six months.
PATIENT:–“I ejaculate before I can penetrate or after going back and forth a few times...”
-"When that moment comes, I can't control myself."
-"What I fear happens to me every time."
-"I should enter immediately, if I don't cum outside."
-"Everything is happening so fast, I can't control it."
-"I'm fed up and tired now."
SYMPTOMS OF PREMATURE EJACULATION
An uncontrolled and uncontrolled feeling
Decrease in sexual satisfaction and reluctance
Clearly feeling feelings of worthlessness and inadequacy
Feeling guilt and shame
Insistence on a second sexual intercourse
Constantly early during the day Don't think about ejaculation
During lovemaking, think about whether you will ejaculate early. �reluctant
Avoiding foreplay
Tendency to keep the arousal threshold of sexual intercourse low
Not going beyond routine, habitual sexual excitement and experience
Reluctance that occurs over time due to premature ejaculation
Partner also sexual reluctance and tension
The man's partner sees sexuality as a duty
PERSONAL EJACULATION TIMES AND CLASSIFICATION
Normal ejaculation: There is harmony between partners regardless of the duration. Control and control over ejaculation
is in the hands of the individual. There is controlling the moment of ejaculation with the partner. This
may sometimes be 1 minute, sometimes 60 minutes.
5-7 minutes: There is no voluntary supervision or control over ejaculation. Ejaculation occurs reflexively
. Depending on the partner's orgasm duration, neither party perceives this period as a problem.
Satisfaction and satisfaction problems may not be experienced, this completely depends on the partner's needs. Sometimes
it may be perceived as a problem, sometimes it may be sufficient.
3 -4 minutes: Ejaculation occurs reflexively. There is a good degree of premature ejaculation.
1-2 minutes: Ejaculation occurs reflexively. There is a moderate premature ejaculation situation.
0 seconds: Ejaculation occurs reflexively before the penis enters the vagina. There is an extremely premature
ejaculation condition.
FREQUENCY
The frequency of occurrence in our country is extremely high and it is one of the most common sexual
problems among men. Although the official results are parallel to those abroad, it has been observed that 60% -
70% of men in Turkey have premature ejaculation problems.
CHARACTERISTICS OF MEN WHO EJECT EARLY
They act hastily in many matters.
Their anger threshold is extremely low.
They have a history of learning premature ejaculation
They have an overly competitive and persistent personality
They hide their emotions,
They are punctual,
They force themselves and others to complete their work
They have trouble with trust
They have a typical personality pattern
They have an anxious and excited mood
They show narcissistic personality traits
They had problems with their parents during childhood They had problems, especially with the father.
Gen They are usually highly intellectual.
They are impatient and always in a rush.
They feel the need for approval.
They like to do several things at the same time.
They drive fast cars, eat fast, think fast.
They are afraid of authority
They wet their beds in their childhood,
TREATMENT
To solve this problem, many men buy various medications, delays, creams, etc. br /> They use condoms, psychiatric relievers, and usually none of them work. Premature ejaculation
is a learned behavior. In the sessions, these wrong learnings are identified and efforts are made to change them. In addition, sexual exercises are performed, especially exercises and homework are given to recognize the moment of ejaculation and to control the moment of ejaculation and strengthening. In sexual therapy, special physical
studies are carried out in the form of "homework" which we call "love games"
in parallel with other subjects of therapy. Here too, it is necessary to apply sexual therapy together with the female partner. Sexual therapy in short; cognitive processing of the sexual problem, sensate focus, relaxation exercises when deemed necessary, stop-start method or squeeze technique, etc.
applications.
Premature ejaculation is one of the sexual problems that can be solved most effectively with sexual therapy. Unless there is a special underlying problem, it will be completely resolved within 10-12 sessions.
REASONS – 1
99% of it is due to psychological reasons.
Inadequate perception of the arousal process
Lack of adequate opportunities to achieve control
Fear Men who have this problem are under great pressure during sexual intercourse.
Excitement and tension
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A "vicious circle of tension" is observed in many patients
There is a history of masturbation, often done quickly and with the fear of being caught.
An accusatory, punitive and embarrassing upbringing regarding sexuality
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The message that the child at home receives in the bad and unhealthy couple models that constantly argue about non-sexual issues;
is generally "sexuality is bad and done with guilt." "It is a situation that should be avoided"
Angri, accusatory and humiliating attitudes can reduce the man's self-confidence and cause the ejaculation time to become shorter.
In fact, the whole point is to notice the man's physical sensations.
PERFORMANCE ANXIETY A man who is filled with sexual myths and high expectations will experience difficulties in sexuality
If the man is too busy with his wife and her satisfaction
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