Premature Ejaculation Treatment

Premature ejaculation is a common male health issue that negatively affects both the individual and their partner by preventing a healthy and satisfying sexual life. Depending on the underlying cause, personalized treatment methods can provide a permanent solution to this problem.

What Is Premature Ejaculation?

Premature ejaculation refers to the involuntary ejaculation that occurs either before or shortly after sexual activity begins. In an ideal sexual experience, prolonging ejaculation and achieving mutual satisfaction are key factors. This condition not only prevents a fulfilling sexual relationship but also negatively affects the bond between partners. Over time, the individual may experience anxiety, frustration, shyness, and stress. Permanent solutions to premature ejaculation are possible through various surgical and non-surgical treatments.

Before and After Premature Ejaculation Treatment

There are noticeable differences between the pre- and post-treatment phases for individuals with premature ejaculation. The treatment process improves the quality of sexual life, helping individuals regain their confidence and strengthen their relationships.

What Are the Symptoms of Premature Ejaculation?

• Involuntary ejaculation within the first minutes of sexual activity or before it begins
• Inability to control the timing of ejaculation
• Reduced sense of sexual satisfaction
• Compatibility issues with the partner

Premature Ejaculation Treatment Prices

The cost of premature ejaculation treatment can vary depending on factors such as the treatment method, number of sessions, the doctor's experience, and additional services included in the treatment. For detailed information, it is recommended to consult with a specialist doctor.

How to Treat Premature Ejaculation?

Treating premature ejaculation is one of the most challenging issues to diagnose in urology. It is essential to identify the root cause of the problem accurately and apply personalized treatment methods. After a urological examination, the condition can be treated using one or a combination of therapies.
Non-Medicated Treatments:

• Exercise Therapy: Exercises such as “Stop-start” and “Kegel” help individuals control ejaculation during sexual activity.
• Condom Use: Reduces sensitivity in men with an overly sensitive penis.
• Creams and Sprays: Local anesthetic creams, gels, or sprays can decrease penile sensitivity when applied 15-20 minutes before intercourse.
• Medication:There are two main types of medications used for premature ejaculation:
• Continuous Medications: SSRIs (Selective Serotonin Reuptake Inhibitors) are typically antidepressants, with delayed ejaculation as a side effect, making them useful for treatment.
• Pre-Intercourse Medications: Drugs taken before intercourse to delay ejaculation.

In cases caused by hormonal imbalances, urinary tract infections, or prostate diseases, appropriate medications targeting these issues are administered.

Psychological Therapy:

If premature ejaculation stems from psychological factors, therapy with a psychologist or psychiatrist is recommended.

Shockwave Therapy (ESWT):

If erectile dysfunction accompanies premature ejaculation, shockwave therapy can help by increasing blood circulation, activating stem cells, and promoting new blood vessel formation. Around six sessions typically resolve both conditions.

Filler Application:

Injecting dermal filler (hyaluronic acid) into the glans of the penis reduces sensitivity, helping delay ejaculation. The procedure takes 10-15 minutes using an injector.

Botox Application:

Botulinum toxin (Botox) is injected into the bulbospongiosus muscles responsible for ejaculation, weakening these muscles to treat premature ejaculation. The procedure is completed in 10-15 minutes.

Radiofrequency Treatment:

This technique (penis dorsal nerve neuromodulation) reduces sensitivity in the penile nerves through a localized anesthetic procedure.

Surgical Treatments:

Selective dorsal neurotomy surgery, performed under local anesthesia, involves selectively cutting the dorsal nerves in the penis to reduce sensitivity and delay ejaculation. This provides a permanent solution when non-surgical treatments are ineffective. The procedure is simple, quick, and highly effective.

Frequently Asked Questions (FAQ)

How Long Does It Take for a Healthy Man to Ejaculate?

While ejaculation time varies for each man, the average healthy ejaculation time in most cases is around 3-4 minutes during intercourse. If ejaculation occurs within 1 minute, it is classified as definite premature ejaculation. Ejaculation between 1-2 minutes is considered the critical threshold. A urologist can determine whether the person has premature ejaculation by evaluating additional symptoms.

Does Masturbation Cause Premature Ejaculation?

If masturbation is performed just before sexual intercourse, it can help reduce penile sensitivity and potentially delay ejaculation. This effect is typically observed in cases where premature ejaculation is caused by heightened penile sensitivity.

How to Delay Ejaculation?

Several methods can be tried at home to delay ejaculation, but it is essential to consult a urologist before attempting any approach that could affect your health:

• Foreplay: Engaging in foreplay before direct intercourse can reduce penile sensitivity, helping to delay ejaculation.
• Masturbation Before Intercourse: Masturbating 30 minutes before intercourse can help prolong ejaculation time.
• Kegel Exercises: The stop-start method involves stopping sexual activity just before ejaculation and waiting for the sensation to subside, helping gain control over ejaculation.
• Couples Therapy: Addressing non-sexual relationship issues through therapy can improve overall harmony and lead to better sexual satisfaction.

How Can Premature Ejaculation Be Prevented?

Anyone experiencing premature ejaculation should first consult an experienced urologist. After diagnosis, the doctor will suggest a suitable treatment plan tailored to the individual's needs.

Can Premature Ejaculation Be Permanently Treated?

Yes, premature ejaculation can be permanently resolved. The key is accurately identifying the underlying cause and applying the appropriate treatment to eliminate the source of the problem.

Does Premature Ejaculation Resolve on Its Own?

In some cases, it may improve with reduced stress and lifestyle changes. However, for a permanent solution, professional treatment is recommended.

Which Treatment Method Is Most Effective?

Treatment is personalized based on severity. Non-medicated methods are suitable for mild cases, while medications or surgical options are recommended for more advanced conditions.

Are There Natural Remedies for Premature Ejaculation?

Natural methods like Kegel exercises, the stop-start technique, and stress management can help but may not provide a permanent solution. Medical treatment is often necessary for lasting results.

Can Premature Ejaculation Be Fully Treated?

Yes, with appropriate treatment tailored to the individual, premature ejaculation can be permanently resolved.

Does Shockwave Therapy (ESWT) Treat Premature Ejaculation?

Yes, by improving blood circulation and strengthening the penile structure, ESWT can help control premature ejaculation.

Is Botox Treatment for Premature Ejaculation Safe?

Yes, when administered by a qualified doctor, botox injections are a safe and effective treatment for premature ejaculation.