Premature Ejaculation
What is Premature Ejaculation (PE)? Premature ejaculation, or PE, is one of the most common sexual dysfunctions that affect men. It accounts for 60-70% of patients complaining of male sexual dysfunction. Premature Ejaculation refers to the condition where a man ejaculates too quickly, making it difficult to delay ejaculation or ejaculating before he desires. This can lead to reduced sexual confidence and satisfaction, causing feelings of anxiety and depression.
Causes of the Premature Ejaculation
In the past, Premature Ejaculation was primarily attributed to psychological factors, such as early sexual experiences, deteriorating relationships with sexual partners, lack of knowledge about sex, and inner psychological factors. However, more recently, there has been a tendency to consider both central nervous system and peripheral nervous system dysfunction as possible causes.
For a long time, Premature Ejaculation was classified as primarily “psychological,” and most treatments focused on psychological approaches. Normally, ejaculation involves the coordination of both the autonomic nervous system and the somatic nervous system, influenced by various factors such as physical condition, the surrounding environment, psychological pressure related to the female partner, and the degree of erectile function. Therefore, Premature Ejaculation is a complex symptom resulting from various underlying mechanisms.
Premature Ejaculation can induce significant stress in men and lead to reduced sexual confidence and self-esteem, causing anxiety and depression. It can also create psychological stress for sexual partners and negatively impact the formation of intimate relationships. As a result, men with Premature Ejaculation may become passive in sexual relationships, avoiding or forming new relationships with reluctance.
Symptoms of Premature Ejaculation
Patients with Premature Ejaculation experience symptoms where they have difficulty controlling ejaculation. These symptoms include reaching a climax and ejaculation with minimal sexual stimulation, before or shortly after vaginal penetration, or before the individual desires. This repetitive or persistent state of ejaculation being difficult to control can lead to dissatisfaction during sexual intercourse with a partner.
Self-diagnosis
- 1 How difficult is it for you to delay ejaculation?
- 2 How often do you ejaculate before you want to?
- 3 Do you ejaculate even with very minimal stimulation?
- 4 Do you experience stress due to ejaculating faster than you’d like?
- 5 How much do you worry about your partner’s dissatisfaction due to the time it takes for you to ejaculate?
Premature Ejaculation Surgery
Neurectomy Surgery aimed at selectively and partially blocking the sensitive sensory nerves distributed in the penis to address premature ejaculation.
Frenulectomy In cases where the frenulum area of the penis is excessively sensitive, surgical intervention to block the frenulum nerve can be considered. In cases of complex neural hypersensitivity, concurrent treatments may also be pursued.
Glans Desenstitization Glans desensitization surgery desensitizes the sensitive glans by relocating the sensitive nerves on the glans using fine peeling technology. It is suitable for people who only have a sensitive glans.
Dermis Enlargement Dermal graft implantation for PE surgery does not involve nerve resection but rather lowers sensitivity in specific areas based on individual requirements. This involves the surgical insertion of preserved dermal grafts, either in their original form or as powdered dermal grafts, to reduce neural sensitivity.
Indicators
- Individuals who are unable to delay satisfaction for a satisfactory duration during sexual activity.
- Those who frequently ejaculate within 1 minute after insertion.
- Individuals engaging in piston reciprocation fewer than 15 times before ejaculation after insertion.
- Those who experience significant stress due to ejaculating before their desired time.
- Individuals whose partners express high levels of dissatisfaction due to ejaculation duration.
