The problem of premature ejaculation, which is seen in one of every 4 men, is also known as the most common sexual dysfunction. Experts state that ejaculation outside the control and involuntary ejaculation of the person can be considered as the most important criterion when making the diagnosis. According to experts, the sexual therapy process, which lasts for 2-4 months, results in a positive relationship with the existence of a good relationship between the spouses. Experts warn to stay away from wrong treatment applications such as gels and sprays, as they cause loss of sensation in both men and women.
Psychiatrist Dr. Dilek Sarıkaya shared important information about the causes and treatment process of premature ejaculation in men.
Premature ejaculation can lead to avoidance of sexuality
Emphasizing that premature ejaculation is the most common sexual dysfunction in men, Dr. Dilek Sarıkaya said, “Premature ejaculation problem occurs in almost one out of three or four men. Premature ejaculation is a very common problem, but when experiencing it, the person may perceive it as if he or she is experiencing it alone, and this can cause serious performance anxiety. Premature ejaculation is actually defined as occurring without the will and control of the person, with a limited sexual stimulation before or immediately after the penis enters the vagina. This situation can sometimes lead to significant distress in the person, as well as extending to avoidance of sexuality.” said.
Traumatic experiences make learning difficult
Dr. Dilek Sarıkaya, “When diagnosing premature ejaculation, first of all, the extent to which this situation is experienced, how much distress the person suffers from this situation, how much sexuality is affected by this situation and how much the function is impaired are important criteria.” he said and continued his words as follows:
“Perhaps we can accept the most important criterion as the person’s ejaculation that is beyond his control and involuntary. Control of ejaculation is a learning process that develops as the sexual experience and frequency of sexual activity increase. The learning process may be interrupted, especially if there have been some traumatic experiences with the first sexual experiences, if the experiences are insufficient, and if the person has some false beliefs about sexuality. Thus, it can be difficult to control the ejaculation. This is the part that experts treat and intervene in sexual therapies. It is possible to start the overdue learning process from the very beginning during the sexual therapy process, and to teach ejaculation control correctly and appropriately.”
A urologist should be consulted at the first stage
If the person or couples who have premature ejaculation problem have had this problem for a long time and face serious distress due to this condition, an organic treatment should be sought. Recommending that they first apply to their urology doctor to see if there is a problem, Dr. Dilek Sarıkaya said, “It would be appropriate to carry out some examinations and examinations. But if the person often says that premature ejaculation is active from the first period of sexual activity and it is not a problem that starts later, most likely the underlying cause is psychogenic factors or that ejaculation control has not been learned at all. said.
Couple relationships affect therapy efficiency
Stating that they are working to learn the control of re-ejaculation appropriately and correctly in sexual therapy, Dr. Dilek Sarıkaya said, “When we see a significant benefit from sexual therapies, we can talk about a treatment process in which it is almost impossible to repeat or relapse, and completely cure, since ejaculation control is learned. The therapy process usually lasts for 6-12 sessions, ie 2-4 months. It is possible to mention that the treatment is more positive, especially if the couple has a good relationship, if the spouses support each other, and if there is good and open communication between them.” he said.
Gels and sprays cause loss of sensation
Some herbal pills and supplements are mentioned, but it is not known what kind of chemicals they contain. Therefore, we do not recommend such treatments. In addition to these, we know and hear that some antidepressant drugs are also used in the treatment of premature ejaculation because they cause delay in ejaculation in order to benefit from the side effects of the antidepressant drug. However, the use of antidepressants in this way can lead to loss of sexual desire after a while, and while the problem is only premature ejaculation, sexual reluctance and even loss of erection can be seen after a while. For this reason, we definitely do not recommend antidepressant drugs in the treatment of premature ejaculation.