Premature ejaculation refers to ejaculation occurring sooner than desired during sexual intercourse due to genetic, psychological, chronic prostatic, hormonal, or physical problems. In the treatment of premature ejaculation, which can be defined as a type of sexual dysfunction, pelvic floor exercises, desensitizing products, psychological therapies, behavioral techniques, and medication applications are utilized. Adana Private Yaşam Center explained for you what premature ejaculation is and how it is treated.
What is Premature Ejaculation?
Premature ejaculation is a type of sexual dysfunction that refers to ejaculation occurring within less than one minute during sexual intercourse. First defined in the 1970s, the problem of premature ejaculation was expressed as: "The male's inability to delay orgasm until his partner orgasms, and this situation occurring in fifty percent of sexual intercourses." Premature ejaculation is the state of ejaculation occurring within approximately one minute after the start of vaginal penetration in most or all intercourses. Premature ejaculation is a health problem that must be treated so that both partners can enjoy and experience satisfaction from sexual union.
What are the Types of Premature Ejaculation?
Lifelong Premature Ejaculation: Premature ejaculation problems that start with the person's first sexual experience and continue throughout life are called lifelong premature ejaculation. This condition, also referred to as primary premature ejaculation in medical literature, has an incidence of 2.3 percent worldwide and 2.5 percent in our country.
Acquired Premature Ejaculation: This is defined as acquired premature ejaculation if normal ejaculation is experienced when sexual life actively begins, but premature ejaculation develops later due to any problem. This problem, which has an incidence of 3.9 percent worldwide, has a prevalence of 4.8 percent in our country.
Variable Premature Ejaculation: The situation where a person sometimes experiences premature ejaculation and sometimes does not is called variable premature ejaculation. This is the most common form of premature ejaculation. Variable premature ejaculation, seen at levels of 8.5 percent in our country, is seen at levels of 8.5 to 11.4 percent worldwide.
Subjective Premature Ejaculation: Individuals who physically have no reason for premature ejaculation under normal conditions may experience premature ejaculation problems as a result of cultural or abnormal psychological issues. Or they may develop anxiety regarding premature ejaculation. Statistical data in Turkey reveals that this type of premature ejaculation is seen at a rate of five percent. It has an incidence level of 5.1 to 6.4 percent worldwide.
What Causes Premature Ejaculation? What are the Causes of Premature Ejaculation?
Technically, the act of ejaculation occurs as a result of signals being transmitted from the spinal cord to the brain following sexual arousal, and the brain giving commands to the reproductive organ when pleasure reaches its peak. Semen is expelled from the body through the penis. One of the causes of premature ejaculation is prostate inflammation, namely prostatitis. In addition, stress, depression, anxiety, and similar psychological problems, as well as premature ejaculation anxiety, can cause the problem. Abnormal hormone levels, medications used, or diabetes may also be among the underlying causes of premature ejaculation. Variable and subjective premature ejaculation problems stem entirely from psychological factors. Especially the daily life conditions and stress factors the person lives in are effective on premature ejaculation problems. Acquired premature ejaculation problems mostly stem from causes such as:
- Daily life stress, environmental factors, problems regarding the relationship with the partner, or the person's lifestyle can create a basis for premature ejaculation.
- Endocrinological or hormonal factors such as goiter, thyroid problems, or hyperthyroidism can cause premature ejaculation.
- Urological problems such as prostate diseases, urinary tract infections, venereal diseases, or prostate infections can cause a person to experience premature ejaculation.
- Apart from these, sexual harmony issues, sexual dysfunctions, or sexual health problems experienced by your partner can also trigger premature ejaculation problems.
What are the Diseases That Cause Premature Ejaculation?
Sexual problems, hormone disorders, stress factors, and prostate diseases are among the diseases accepted as causes of premature ejaculation. Apart from these: Diabetes also affects the blood vessels responsible for carrying blood to the penis. For this reason, erectile problems can be seen in diabetic patients. In addition, diabetes can trigger premature ejaculation by negatively affecting the penile nerves. If the testosterone hormone is insufficient, premature ejaculation problems may occur. On the other hand, scientific studies on this subject also present views that testosterone deficiency may be the source of delayed ejaculation and orgasm problems. Pituitary gland diseases are among the factors thought to be able to cause premature ejaculation. However, views and findings on this subject are not definitive. But when statistical data is considered, it can be seen that premature ejaculation is common in people with hyperthyroidism. There are also views that Varicocele triggers premature ejaculation.
How is Premature Ejaculation Diagnosed? How is Premature Ejaculation Detected?
Doctor and patient consultation carries great importance when diagnosing premature ejaculation. If underlying urinary tract infections, hormonal problems, and similar ailments are present, these must first be identified and necessary tests must be applied. The diagnosis of premature ejaculation can be made as a result of taking a comprehensive medical history of the patient. The ejaculation time is learned. The difference between erectile dysfunction and premature ejaculation can be revealed by taking the patient's comprehensive medical history.
How is Premature Ejaculation Treated?
Various methods are used in the treatment of premature ejaculation. One of these methods is preferred or several are applied in combination according to the patient's subjective conditions and needs. If we need to examine the methods used in premature ejaculation treatment one by one:
Medication: Today, there are many medical treatment tools used in the treatment of sexual dysfunctions. There are medications that prevent premature ejaculation, such as drugs that provide erections, or different delaying products. If it meets the patient's needs or solves their problem, this method can be preferred.
Regular Exercise and Sports: One of the most effective steps in the treatment of premature ejaculation is the strengthening of the pelvic floor muscles. For this purpose, Kegel exercises are utilized. These exercises, which we can describe as urinary retention exercises along with the anal muscles, can be applied at any time of the day. Strengthening the pelvic floor muscles can enable the person to take the ejaculation reflex under control by contracting their muscles during sexual intercourse.
Creams and Gels: Topically applicable creams and gels can prevent the person's ejaculation by showing a local anesthesia effect. Products in gel or cream form applied to the head of the penis and the foreskin do not cause a systemic side effect because they are applied locally. However, as a result of incorrect use, they can eliminate the sensation of orgasm in the man and woman. They may even damage the quality and satisfaction of sexual life due to their scents.
Condom Use: Condoms reduce the sense of touch experienced by men during sexual intercourse and can prevent premature ejaculation in this way. Condoms with delaying and local anesthesia effects can be used in the treatment of premature ejaculation.
Sexual Therapy Applications: One of the most effective and successful methods used in the treatment of premature ejaculation is sexual therapy applications. Since a significant portion of premature ejaculation cases originate from the brain and central nervous system, sexual therapy is the most suitable option for this group of patients.
Glans Penis Filler – By injecting hyaluronic acid-based filler material into the head of the penis, the sensitivity in the glans penis is reduced. In this way, the ejaculation time is prolonged and the person's ejaculation control is improved. Glans penis filler, which is a non-surgical, minimally invasive treatment procedure, also provides a full, voluminous, and aesthetic appearance to the head of the penis. Click here for comprehensive information about glans penis filler.
Selective Dorsal Neurectomy – In the selective dorsal neurectomy procedure applied against permanent premature ejaculation problems where results cannot be obtained with medical treatments, some of the dorsal nerves are selected and cut. This reduces the hypersensitivity in the head of the penis and prolongs the ejaculation time. It strengthens the person's control over the ejaculation reflex. Click here for comprehensive information about selective dorsal neurectomy.
Selective Dorsal Nerve Cryoablation – This method can be consulted when results cannot be obtained with therapy applications and medical treatments for premature ejaculation. A solution for premature ejaculation can be provided by controlled freezing of certain branches of the dorsal penile nerves. Selective Dorsal Nerve Cryoablation temporarily blocks a part of the nerve branches and prolongs the ejaculation time. Click here for comprehensive information about Selective Dorsal Nerve Cryoablation.
Premature Ejaculation Treatment Prices
The treatment prices for premature ejaculation are shaped according to the method or methods to be applied in the treatment. In addition, the expertise and experience of the doctor performing the treatment and the equipment of the clinic are effective on prices and costs. To get up-to-date and clear information about premature ejaculation treatment prices, you can contact Private Yaşam Center, which serves its patients in Adana.
Provinces Where We Provide Premature Ejaculation Treatment Services
Private Yaşam Center also provides premature ejaculation treatment services to patients coming from surrounding provinces such as Mersin, Osmaniye, and Hatay in its Adana-based clinic. Furthermore, services are provided within the scope of health tourism to international health tourists coming to our country at Private Yaşam Center.
