One of the most common sexual dysfunctions seen in men is premature ejaculation, and many men face this issue during a period of their lives. The causes of premature ejaculation may vary from person to person. Sometimes psychological factors come to the forefront, while in other cases hormonal or physical causes may lead to premature ejaculation. Modern approaches in the field of urology address premature ejaculation not only in terms of the duration of sexual intercourse, but also together with the person experiencing loss of control, relationship problems, and dissatisfaction. Correctly identifying the underlying cause of premature ejaculation and planning treatment individually makes it possible to control the problem to a great extent. Serving patients in Adana, Private Yaşam Center explains the physical, psychological, and hormonal factors underlying premature ejaculation for you.
What Is Premature Ejaculation?
Premature ejaculation is the condition in which a person ejaculates sooner than desired and cannot maintain control over ejaculation. In general, ejaculations that occur shortly after sexual intercourse or, in some cases, even before sexual penetration are considered premature ejaculation. The International Society for Sexual Medicine defines premature ejaculation as;
- Short ejaculation duration
- The inability of the person to control ejaculation
- This condition causing stress, anxiety, and relationship problems.
Premature ejaculation may sometimes occur temporarily, while in other cases it may be continuous. Persistent premature ejaculation problems require specialist evaluation.
Is Premature Ejaculation Psychological or Physical?
Premature ejaculation generally occurs due to both physical and psychological factors. Therefore, today’s medical world considers premature ejaculation a multifactorial condition. In some patients, psychological factors such as intense stress and performance anxiety underlie premature ejaculation. In others, hormonal irregularities or prostate diseases may cause premature ejaculation.
What Are the Psychological Causes of Premature Ejaculation?
Premature ejaculation problems caused by psychological factors are more commonly seen in younger men. These psychological causes can be listed as follows:
- Performance anxiety
- Partner incompatibility
- Stress experienced during the first sexual experience
- Depression
- Feelings of guilt
- Loss of self-confidence
- Anxiety disorders
- Strict upbringing style
- And relationship problems.
The intense stress created by the fear of failure may cause the body to produce faster reactions and shorten ejaculation time.
What Are the Physical Causes of Premature Ejaculation?
The physical and biological causes leading to premature ejaculation are as follows:
- Prostatitis
- Hormonal disorders
- Diabetes
- Urinary tract infections
- Thyroid diseases
- Genetic predisposition
- Excessive sensitivity of the glans penis
- Neurological diseases
- Nervous system sensitivity
- Testosterone irregularities
Physical causes are generally effective in cases of premature ejaculation that develop later in life.
How Can Psychological and Physical Premature Ejaculation Be Distinguished?
A specialist physician’s evaluation is required to make a definite distinction on this matter. However, you can get an idea by following some clues.
In cases of psychologically based premature ejaculation;
- It usually occurs periodically
- It increases during stressful periods
- It varies with partner changes
- Morning erections and sexual functions continue normally.
In cases of physically based premature ejaculation;
- There is continuity.
- It occurs similarly with every partner and every time
- It may have started later in life
- Other urological conditions may accompany premature ejaculation.
However, a specialist physician’s evaluation is absolutely necessary for an accurate diagnosis.
What Are the Types of Premature Ejaculation?
Primary Premature Ejaculation
Primary premature ejaculation is present from a person’s first sexual experience. It is generally associated with the person’s neurological and biological predisposition.
Secondary (Acquired) Premature Ejaculation
In cases of acquired premature ejaculation, physical illnesses, relationship problems, and stress factors are generally effective.
How Is Premature Ejaculation Treated?
The methods used in the treatment of premature ejaculation are determined according to the source of the problem. Today, sexual therapy practices, behavioral techniques, medication treatments, locally effective creams, and sprays are used in the treatment of premature ejaculation. The underlying disease causing premature ejaculation should also be treated. For comprehensive information about premature ejaculation treatment, click here.
Do Lifestyle Changes Affect Premature Ejaculation?
Yes, with healthy changes in your daily routine, you can improve your sexual performance, gain control over ejaculation, and increase the level of satisfaction in your sexual life. Lifestyle changes you can make include:
- Regular exercise practices
- Healthy eating habits
- Stopping alcohol and smoking consumption
- A sufficient and quality sleep routine
- Learning stress management
Especially for people who have to work under intense stress, lifestyle changes can provide significant benefits.
Can Premature Ejaculation Go Away on Its Own?
Temporary cases of premature ejaculation caused by stress may improve over time. However, long-standing premature ejaculation problems require professional support. Delaying the treatment of such problems may lead to loss of self-confidence and relationship problems.
At What Ages Is Premature Ejaculation Seen?
Premature ejaculation is a problem that can be seen in almost every age group. However;
Premature ejaculation seen at younger ages is generally related to psychological causes.
Cases of premature ejaculation seen at older ages are mostly associated with physical causes.
What Is the Success Rate in the Treatment of Premature Ejaculation?
Premature ejaculation problems that are correctly diagnosed and whose source is properly identified have a very high chance of being successfully treated. It is possible to achieve significant improvement in cases of premature ejaculation handled with a multidisciplinary approach.
