Premature Ejaculation

Premature ejaculation is defined as the inability to control ejaculation during sexual intercourse and ejaculation before vaginal penetration. Premature ejaculation experienced before both partners enjoy sexual intercourse may occur due to psychological or physiological reasons.

Premature ejaculation may continue life-long or may occur later. The main causes of premature ejaculation, which usually occurs due to the hypersensitivity of the stimuli that provide ejaculation in the brain or the sensitive skin of the penis, are as follows:

• Sexual problems: Sexual dysfunction or inability to achieve sexual compatibility with a partner
• Psychological problems: Stress, environmental problems, lifestyle
• Urological problems: Prostatic diseases, sexually transmitted diseases or urinary tract infections
• Endocrinological problems: Thyroid problems (hyperthyroidism)

Diagnosis of premature ejaculation

For the treatment of the patient with premature ejaculation problem, the causes of the problem should be investigated. Doctor-patient communication is very important in the diagnosis process. Various tests can be done to diagnose hormonal problems or infections. The information of the ejaculation time is obtained from the patient and a detailed evaluation is made.

How Is Premature Ejaculation Treated?

Treatment for premature ejaculation depends on its causes, as we mentioned above. For premature ejaculation caused by thyroid problems or a urinary tract infection, these problems are appropriately treated first. However, if there is an ejaculation problem secondary to prostate diseases, evaluation and treatment by a specialist physician is very important.

Treatment methods for premature ejaculation include:

• Medical treatment: Drugs taken a few hours before sexual intercourse.
• Exercise - sport: Includes exercises that will strengthen the pelvic muscles.
• Cream - gel: These products, called topical agents, have local anesthetic properties and delay the ejaculation process.
• Condom: Especially local anesthetic condoms delay the ejaculation process.
• Sexual therapy: Therapy methods aimed at prolonging the foreplay process are effective in solving the problem of premature ejaculation.