What Is Premature Ejaculation?

Premature ejaculation is a very common sexual function problem that severely reduces sexual satisfaction for both men and women. Premature ejaculation is at the top of the most common sexual problems under the age of 40. Premature ejaculation both shortens the duration of sexual intercourse and lowers the quality of behaviors and stimulation during sex. It also triggers erectile dysfunction, making it difficult for the partner to enjoy sex and achieve orgasm. In summary, premature ejaculation leads to psychological issues such as depression in men, and low desire and orgasm problems in women.

Why Does Premature Ejaculation Occur?

Premature ejaculation is not only seen from the very first intercourse; it can also present as an acquired condition developing later on. “Causes of Premature Ejaculation” is a topic of frequent curiosity. How and when your premature ejaculation problem started, along with the underlying causes of this problem, hold great importance when creating your customized treatment plan. It is now known that this issue is not merely psychological, but a complex disorder resulting from a combination of psychological and biological factors.
Particularly in young men, lack of experience during initial sexual encounters, performance-related anxiety, and tension can be the cause of premature ejaculation. As these experiences increase, a man can mostly learn to control his ejaculation. However, at times, this reflex cannot be controlled. Even if the man wants to delay ejaculation, he cannot achieve it.
When speaking of the causes of premature ejaculation in its acquired form, the most important trigger is erectile dysfunction. In fact, erectile dysfunction triggers premature ejaculation, and premature ejaculation triggers erectile dysfunction. In other words, these two issues are risk factors for each other. The ejaculation of a man experiencing erectile dysfunction is affected both organically and psychologically. While ejaculation control becomes harder, ejaculating right after getting an erection can become a habit in order to complete sex without losing the erection. Premature ejaculation also lowers erection quality. Ultimately, especially in long-standing, untreated cases, these two sexual difficulties trigger each other.

In addition, other organic causes must not be forgotten: urological problems such as urinary tract infections or prostate issues, hormonal problems such as thyroid issues, and certain nervous system-related difficulties. According to research, genetic factors can also lay the groundwork for premature ejaculation.

How Is Premature Ejaculation Diagnosed?

When looking at international standards, premature ejaculation is defined as ejaculation occurring prior to vaginal penetration or within approximately 1 minute after penetration. We also evaluate ejaculations occurring within 1 to 1.5 minutes as premature ejaculation. In more severe cases, simply thinking about sex can trigger ejaculation. When diagnosing premature ejaculation, time is of course important, but even more important is whether you achieve sufficient sexual satisfaction and whether you are negatively affected as a couple. The most important factor in the diagnosis of premature ejaculation is that ejaculation occurs before the couple desires it and reduces satisfaction.

Causes of Premature Ejaculation

If you have not experienced the problem of premature ejaculation throughout your life and it has newly developed, then you can suspect certain underlying organic factors.

Urological causes: Erectile dysfunction, prostate infections, urinary tract infections, benign prostatic hyperplasia
Hormonal causes: Abnormal hormone levels, thyroid problems (hyperthyroidism and hypothyroidism)
Neurological causes: Cerebrovascular problems, transient ischemic attacks, problems in ejaculation reflexes, sympathetic nervous system damage (for example after abdominal and surrounding surgeries), localized sensory damage, nerve damage due to diabetes

How Is Premature Ejaculation Diagnosed?

Once the diagnosis of your premature ejaculation problem is established by Prof. Dr. Halim Hattat based on the information you provide, your clinical history, and the results of your psychological/organic evaluations, your “Personalized” treatment protocol is prepared. Here, we use diagnostic tests aimed at identifying risk conditions that draw our attention specifically as “Causes of Premature Ejaculation”.

There are certain conditions that increase the risk as causes of premature ejaculation:

Erectile dysfunction: Erectile dysfunction is the most important risk factor triggering premature ejaculation. Particularly, constant fear of losing an erection increases the premature ejaculation problem.
Health problems: Feeling overly anxious and nervous during sexual intercourse in various health issues (for example in heart diseases) and rushing to ejaculate increases premature ejaculation. Likewise, prostate, thyroid, and diabetes can be seen as underlying causes of premature ejaculation.
Certain medications: Although rare, the use of a medication that affects brain chemicals can also lead to premature ejaculation.
Stress: Stress in work and family life is among the most significant causes restricting relaxation and focus during sexual intercourse.
Irregular sex life: Lack of regularity in sex life increases the risk of premature ejaculation.
Performance anxiety: Premature ejaculation is seen more frequently in individuals who attach great importance to sexual performance and intensely experience the tension created by performance.

Premature Ejaculation Treatment

We create your personalized premature ejaculation treatment program. Here, our goal is both to eliminate the underlying causes and to teach you ejaculation control.

Effective treatments for premature ejaculation:

Training of muscles that provide ejaculation control,
Medical treatments
Special sex therapy exercises,
Enhancement of the vascular and nervous system of the genital area yields successful results.

Successful treatment is provided with systemic and local medical treatments when necessary, alongside special exercises that teach delaying the ejaculation reflex.

What is needed for a solution to premature ejaculation is to build your program with the right treatments for you. Therefore, within your program, when an underlying organic cause is identified first, this cause is eliminated initially. Apart from treating the underlying causes, sex therapy, muscle exercises performed with specialized systems, as well as certain systemic and local medications are used. Erectile dysfunction, one of the most significant risk factors for premature ejaculation, must also definitely be treated separately. Here, we determine the treatment priority according to which complaint is the primary problem. Treating erectile dysfunction, the most important risk factor (with various treatments such as medications, injections, ESWT Shockwave), also relieves premature ejaculation. When the primary problem is premature ejaculation, sex therapy exercises teaching ejaculation control, systemic pills, and local medications can generally be used in addition to the Specialized Muscle Exercise System. Here, there are points requiring the expertise of Prof. Dr. Halim Hattat: for instance, medications used in premature ejaculation treatment have side effects such as low desire and erectile dysfunction, and solutions to these problems need to be added to the treatment protocol as well. A point we emphasize strongly: If you are experiencing one or both of these issues, do not self-treat. Because success in sexual health is hidden in the details.

Prof. Dr. Halim Hattat decides on the most suitable treatment protocol for you based on the underlying causes and your risks. Therefore, what is important for you is not to treat yourself with hear-say information. If you and your spouse are unhappy due to premature ejaculation, do not delay applying for treatment. Remember, you should consult your specialist without losing time for premature ejaculation treatment.

Solution to Premature Ejaculation: Love Muscles

When asked “How to Prevent Premature Ejaculation?”, the answer lies in the pelvic muscle group. Underworking or overworking of these muscles can lead to many health problems, particularly premature ejaculation and prostate infections.

The way to exercise pelvic muscles is by doing muscle exercises. However, most people exercise the wrong muscle groups and fail to reach their desired results. This situation can disrupt or slow down the treatment process.

In our clinic, we both measure the pelvic muscle tone of the genital area and exercise these muscles. In a clinical environment, we guide you through exercises on how to contract correctly, relax correctly, and, in advanced stages, contract and relax at any time and intensity you desire.

Benefits Provided to Patients

Improvement in erection quality
Control and extension of ejaculation time
Increase in sexual sensation and pleasure
Improvement in prostate health
Reduction in sexual pain
Significant decrease in urinary incontinence complaints

What Are the Side Effects of Premature Ejaculation?

Untreated “premature ejaculation” negatively affects sexual functions for both you and your partner.
Premature ejaculation lowers a man’s self-confidence, leading to feelings of shame and anxiety. However, premature ejaculation is actually a mutual problem of the couple. Many couples prefer not to talk to each other about this issue. Women fear damaging their husband’s self-confidence or hurting his feelings. Furthermore, most think premature ejaculation will pass over time. However, as the pleasure derived from sexual intercourse decreases for the woman and an inability to achieve orgasm persists, a decline in her sexual desire begins after a while. This leads to harboring internal anger toward the man. Sexual problems turn into relationship conflicts. In summary, treating premature ejaculation is extremely essential not only for the quality of the couple’s sex life, but also for their relationship quality.

Remember These Regarding Premature Ejaculation and Premature Ejaculation Treatment!

Premature ejaculation can manifest from the very first intercourse.
There may be an underlying organic condition in premature ejaculation (such as prostate, thyroid, diabetes).
“Premature ejaculation” damages sexual functions and relationship quality for both the man and his partner.
Erectile dysfunction can lead to premature ejaculation.
Partners of men experiencing premature ejaculation also experience arousal and satisfaction issues, which can cause orgasm problems in women.
Gaining control over the ejaculation reflex is difficult but possible.

In controlling this reflex, pelvic muscle exercises, medications, and therapy methods can particularly be used.