Premature Ejaculation Causes and Treatment – Dr. Tepeler

Sexual dysfunctions can cause physical and psychological problems in both men and women.

Today, many sexual dysfunctions can be treated. Male ejaculation, which is one of the common problems in men, is one of the sexual health problems that can be treated.

So what is premature ejaculation, what causes it and what are the treatment methods?

What is Premature Ejaculation?

Premature ejaculation is a condition that occurs in most modern-day relationships. In premature ejaculation, the man reaches orgasm earlier than the desired time. This means that sexual satisfaction between the partners cannot be reached at the desired rate. Different definitions have been made so far.

In men with premature ejaculation, ejaculation occurs within 1-3 minutes after vaginal penetration and cannot be delayed. Since this situation creates stress and anxiety, it can cause men to withdraw from sexual intercourse and lose self-confidence.

According to studies, 1 out of every 3 men between the ages of 18 and 59 has this problem. Premature ejaculation, a problem that can lead to the deterioration of the relationship between partners, is a sexual health problem that can be treated in a clinical setting.


Causes of Premature Ejaculation

Premature ejaculation may be due to physical reasons as well as psychological reasons. Elimination of these causes is possible thanks to the treatment methods developed today. Premature ejaculation, which is seen as a shameful problem, can be resolved if this feeling of embarrassment is overcome and a doctor is sought for help. Premature ejaculation problems, which are mild at first, can reach a much more serious dimension if not intervened.

We can make a list of psychological and biological reasons that may cause premature ejaculation:

  • Psychological Causes: Disliking one's own body or having negative thoughts, sexual inexperience, anxiety or relationship stress, relationship novelty, overexcitement and arousal, depression, self-blame or feeling inadequate.
  • Biological Causes: Diabetes, hormone disorders, multiple sclerosis, prostate gland problems, thyroid problems such as goiter, urinary tract infections and sexually transmitted diseases.

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Unlike these reasons, premature ejaculation may also occur due to some traumas experienced in the early period. For example, the following reasons can be mentioned in this regard:

  • Being sexually abused
  • Having had a traumatic sexual intercourse experience,
  • Having been exposed to a strict sexual education and upbringing,
  • Psychological conditioning.

Premature Ejaculation Diagnosis

For the diagnosis of premature ejaculation, a doctor and patient consultation is needed first. During this interview, it is of great importance for the patient to fully tell the doctor about his/her own story, stories that may cause premature ejaculation. If necessary, a physical examination may also be performed.

If premature ejaculation is accompanied by erectile dysfunction, some laboratory tests may be requested to see if the problem is caused by hormones. The treatment method required by the doctor is determined according to the patient's history and the results of the laboratory tests.

Premature Ejaculation Treatment

Today, there are many methods developed for the treatment of premature ejaculation. With these treatment methods, which are performed without the need for surgical intervention, premature ejaculation can be successfully eliminated. It is possible to list these methods as follows:


  • Drug Treatment: Oral medications, called SSRIs, show their effect in an average of 5 to 10 days. These drugs need to be used regularly every day and some patients cannot continue the treatment because side effects such as sweating, nausea, vomiting and fatigue occur. In such cases, drugs containing dapoxetine can be used. These drugs do not need to be used regularly and are effective when taken 1 to 3 hours before sexual intercourse.
  • Use of Creams and Gels: Local anesthetic gels and creams used in the treatment of premature ejaculation cause loss of sensation in the penis and thus delay ejaculation. This method does not have any side effects like pills. It is recommended to be applied 15-30 minutes before intercourse and to remove and clean these creams from the skin before starting the intercourse.
  • Exercise and Sports: Kegel exercise is one of the most commonly used methods in the treatment of premature ejaculation. The important thing in this method is to strengthen the muscles that prevent urine retention and also prevent ejaculation. In addition to Kegel exercises, exercises to work the pelvic muscles can also be done.
  • Condom Use: The use of condoms reduces the sensation of sensation in the penis and delays ejaculation since there is no direct contact during sexual intercourse. At the same time, it may be preferable to use condoms with local anesthetic gel, which is widely used today.

Thanks to all these treatment methods, success can be achieved in the treatment of premature ejaculation. But in addition to the above methods, it is also useful to listen to the following suggestions offered by doctors to help treat premature ejaculation:

  • Masturbating 1 hour before intercourse can help delay ejaculation during intercourse.
  • Preparing for sexual intercourse with a foreplay session, rather than having direct intercourse, can delay ejaculation.
  • The stop-start method is one of the most commonly used methods. When the person is close to ejaculation, he stops and waits for the feeling of ejaculation to disappear. In this way, ejaculation is allowed after 3 repetitions. Regular application of this method is effective in eliminating the problem of premature ejaculation.
  • Psychotherapy can be effective if premature ejaculation is due to problems with the person or their partner.

Although premature ejaculation is a problem that most of the men in the society hide, it can be easily solved if shared with a doctor. Therefore, share your problem with a physician without hiding it, and overcome this problem before it is too late.

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