What is premature ejaculation?
Premature ejaculation (PE) means ejaculating sooner than you or your partner would like, with little sense of control, in a way that causes distress. Nearly every man experiences this at some point. It becomes a medical problem when it happens most of the time and affects your confidence or relationship.
Lifelong and acquired
- Lifelong PE has been present since a man's first sexual experiences. It is thought to have a biological basis, including how the brain handles the chemical messenger serotonin.
- Acquired PE starts later, after a time of normal control. It can be linked to erectile dysfunction, prostate inflammation, thyroid problems, stress, anxiety or relationship difficulties.
Knowing which type you have helps the doctor choose the right treatment.
How it is assessed
Assessment is mainly a confidential conversation about your sexual history, your general health and your medicines. A physical examination is usually carried out. Blood or urine tests are only needed if the history suggests another cause, such as an infection or thyroid problem.
Treatment options
Treatments are often combined, and the plan is tailored to you.
- Behavioural
Techniques to build control
The "stop-start" and "squeeze" techniques, practised alone or with a partner, help many men learn to recognise and delay the point of no return.
- Local treatment
Anaesthetic creams and sprays
Applied to the penis shortly before sex to reduce sensitivity. Instructions matter, so that the partner is not affected.
- Tablets
Prescribed medicines
Some medicines that act on serotonin, including dapoxetine where it is licensed, can delay ejaculation. A doctor checks whether they are suitable for you and explains the side effects.
- Support
Psychosexual therapy
Counselling, alone or as a couple, helps when anxiety or relationship issues are part of the picture.
Surgical and injection "cures" for premature ejaculation are promoted by some clinics. They are not recommended as routine treatment. Be cautious of any offer that promises a permanent fix.
When erectile dysfunction is also present
Some men ejaculate quickly because they are worried about losing their erection. In that case treating the erectile dysfunction first often helps with both problems.
Our specialists in sexual medicine include Prof. Dr. Ege Can Şerefoğlu, whose research has focused on premature ejaculation and erectile dysfunction.
Questions
Is premature ejaculation common?
Yes. It is one of the most common sexual complaints men bring to a doctor. You do not need to feel embarrassed about asking for help.
Can premature ejaculation be treated without tablets?
Often, yes. Behavioural techniques and therapy help many men, and creams or sprays act only locally. Tablets are an option if these are not enough.
Do I need to travel to Istanbul for treatment?
Usually not. Premature ejaculation is normally treated without surgery. A video consultation with a specialist is often a good first step.