The male sexual response is a series of events that include desire, arousal, orgasm with ejaculation, and finally relaxation. When the first two stages take place quickly then it results the most common sexual dysfunction which is called premature ejaculation.
Premature ejaculation is the most frequent but also at the same time the most underrated problem in men's sex life. It usually affects young men up to the age of 50 and appears based on the international literature at a rate of 20-25%. In men who experience premature ejaculation, the sexual act is usually completed within 1-2 minutes from the moment of penetration, which does not allow either the man to enjoy the sexual act or the partner as well.
There are two types of premature ejaculation, i primary (ie the man experiences the problem from his first sexual experience) and the secondary (i.e. the problem appears suddenly or gradually, while until then the man had control over ejaculation).
The causes they differ according to the type of premature ejaculation. For primary prematurity, the main cause is anxiety disorders. For the secondary, the causes differ and various pathological conditions are responsible, such as chronic prostatitis, hyperthyroidism, erectile dysfunction, neurological diseases and side effects of drugs.
THE diagnostic approach it is done by a specialized urologist - andrologist. Taking a sexual and medical history, completing special questionnaires on premature ejaculation, ultrasound examination of the prostate gland and penis (penis triplex) and laboratory testing of the man's hormonal profile will lead to the correct distinction of the type of premature ejaculation on the one hand and on the other targeted therapy.
The treatment options that exist include simple self-restraint techniques, the use of local anesthetics, medicinal preparations (with the main representative now being the medicinal substance dapoxetine, which produces very good therapeutic results) and special behavioral techniques and exercises aimed at
