What is Premature Ejaculation?

Ejaculation means the ejaculation of semen with orgasm at the end of sexual intercourse, while premature means not fully developed or premature (premature babies are called premature). Although there is no clear definition of premature ejaculation; It is when a man ejaculates before his will as orgasm. This can be continuous or intermittent.

Is premature ejaculation a disease?

There has been much discussion about the definition and duration of premature ejaculation, but no clear conclusion has been reached. First of all, it should be known that this is not a disease. As each individual’s height and weight are different, the duration of ejaculation during sexual intercourse is also different. In fact, this situation does not pose a big problem in terms of pleasure (orgasm) that the man will receive, but the woman cannot reach orgasm and cannot enjoy sexual intercourse enough, and this situation makes both parties uneasy.

Over time, this can lead to loss of confidence in men, avoidance of sexual intercourse, deterioration in relationships and even erectile dysfunction. Therefore, this period should be extended to these people, that is, they should be treated.

How long should ejaculation be during sexual intercourse?

As stated above, many different ideas have been put forward on this subject.

Ejaculation before 15 entry-exit movements into the vagina,

Absence of female orgasm or male ejaculation before at least half of sexual intercourse

Ejaculation when the male genitalia enters the vagina or just before it

Ejaculation within 7 minutes after the male genitalia enters the vagina,

Ejaculation within 2 minutes after the male genitalia enters the vagina,

Ejaculation within 1 minute after the male genitalia enters the vagina,

As it can be understood from here, it is not a very correct method to give time on this issue. With this point of view, some authors; argued that the important thing is not how long the man can delay ejaculation, but how satisfied the man and his partner are with the duration of the sexual intercourse.

How common is premature ejaculation in society?

About a third of the population has this problem, but because of this, hospital and doctor visits are very low. This is mostly due to shyness and shyness. In societies where sexuality is considered shameful, most of the time, men may not even know or question whether their partner has an orgasm. Women also do not share with their partners that they do not have an orgasm. This is another reason why the number of doctoral applications is low.

Are there types of premature ejaculation?

Two types of premature ejaculation have been described. The first is premature ejaculation (primary premature ejaculation), which continues for life, starts from the first sexual intercourse and is present in every partner, and the second is premature ejaculation that develops later (acquired, acquired premature ejaculation). The latter usually develops due to certain diseases (such as prostate or urinary tract infections, spinal cord tumors and injuries).

How is premature ejaculation diagnosed?

First of all, the patient’s detailed history should be taken and the doctor should distinguish whether the patient really has premature ejaculation. Because this concept, which cannot be defined clearly, is interpreted differently by patients.

Here, expectations come to the fore. It is as if the person is not experiencing premature ejaculation and wants this period to be much longer. Thanks to the detailed history, it is understood whether the premature ejaculation is for life or an acquired premature ejaculation. If it is a late-onset condition, all diseases that may cause it should be reviewed. For this, blood and urine tests and, if necessary, films can be taken.

How is premature ejaculation treated?

The goal of treatment is to increase the person’s control over ejaculation, thereby increasing sexual pleasure for both parties. The treatment options for this are as follows;

Behavioral Therapy and Psychotherapy

First of all, men’s concerns on this issue should be addressed. Since sexual intercourse does not concern only one person, this problem should be seen as a common problem of couples and a solution should be sought together. Couples are taken to sexual therapy together and these therapies are continued for a certain period of time. Here, an exercise is recommended for couples to masturbate without having intercourse and relationship anxiety in the first period.

When there will be ejaculation, masturbation is stopped by the woman, waited for a while and repeated. In the second stage, the same start-stop exercise is applied during intercourse. After a certain period of time, it is aimed for the man to control the ejaculation time. However, although this method provides benefits in the early period, couples have difficulty maintaining this attitude. Because frequently interrupted sexual intercourse can cause problems in reaching orgasm, especially in women.

Using Condoms

Condoms act by reducing the direct stimulation of the penile skin. Some men reported that they were less aroused with condoms and were able to engage in sexual activity for longer periods of time.

Creams That Relieve Penis Sensitivity

This form of treatment is based on the application of creams containing anesthetic drugs to the penile skin before sexual intercourse. To prevent vaginal numbness that may occur during sexual intercourse,