Premature ejaculation is one of the most common sexual dysfunctions in men and can negatively affect both self-esteem and couple relationships. One of the methods used in the treatment of this problem is specially formulated creams and medications. In this article, we will discuss in detail the effects of creams and medications used for premature ejaculation, their usage patterns and points to be considered.
Premature Ejaculation Treatment Applications
Premature ejaculation treatmentsis planned individually according to the cause and severity of the problem and the patient’s lifestyle. The aim is to prolong ejaculation time, increase sexual satisfaction and improve the quality of life of couples. In modern medicine, there is more than one effective method for the treatment of premature ejaculation:
- Topical creams and sprays: Prolongs ejaculation time by reducing the sensitivity of the nerve endings on the penis. The effect usually starts within 10-15 minutes after application.
- Oral medications: Drugs, especially serotonin reuptake inhibitors (SSRIs), help control the ejaculatory reflex through the nervous system.
- Behavioral treatments: Exercises such as “stop-start” and “squeeze” techniques strengthen ejaculation control.
- Psychotherapy: Effective in cases of premature ejaculation due to anxiety, stress or performance pressure.
- Combined treatment approaches: Using medication, cream and behavioral techniques together can increase the success rate.
Premature ejaculation treatmentIt requires a holistic approach that takes into account not only physical but also psychological factors. With the right treatment plan and regular follow-up, it is possible to achieve permanent improvement in the vast majority of patients.
Drugs Used in Premature Ejaculation Treatment
Drugs used in the treatment of premature ejaculation generally aim to control the ejaculatory reflex through the nervous system. These drugs prolong ejaculation time and increase sexual satisfaction by affecting certain chemical transmission pathways in the brain. The treatment plan should be prepared specifically for each patient and should be applied under the control of a specialist physician.
The drug groups used in the treatment of premature ejaculation are as follows:
- Drugs that regulate serotonin reuptake: It helps to prolong the time by suppressing the ejaculation reflex.
- Topical drugs with anesthetic effect: Delays ejaculation by reducing the sensitivity of the penile skin.
- Anxiety reducing drugs: In cases where psychological factors are at the forefront, they support treatment by reducing performance anxiety.
- Hormonal stabilizers: Used in rare cases to regulate hormone levels.
These medications can be administered alone or in combination with behavioral therapies, psychotherapy and lifestyle adjustments. In order to prevent side effects and to ensure the highest success rate, drug treatment must be carried out in individualized doses and under the supervision of a physician.
Creams for Ejaculation Disorders
Creams used in the treatment of ejaculation disorders are topical products applied to the skin, which are especially effective in the problem of premature ejaculation. These creams help to control the ejaculation reflex by reducing the sensitivity of the nerve endings on the skin of the penis. Thus, the duration of sexual intercourse is prolonged and the quality of life of couples increases.
The mechanism of action of these creams is usually thanks to local anesthetic ingredients. Shortly after application, the local sensation decreases, which makes it easier to control the duration of arousal. The method of use is usually to apply a thin layer on the penis 10-15 minutes before intercourse and wait long enough for it to take effect. However, overuse can lead to a marked decrease in sensitivity and a decrease in sexual pleasure.
Creams for ejaculation disorders can be used alone or in combination with medication, behavioral exercises or psychotherapy to increase the success rate. This treatment method should be applied with the advice of a specialist physician to prevent side effects and to choose the right product.
Surgical Treatment Options for Premature Ejaculation
Premature ejaculation can be controlled with medication, cream and behavioral treatments. However, in advanced patients who do not respond to these methods and whose quality of life is severely affected, surgical treatment options come to the fore. Surgical interventions usually consist of procedures to reduce the sensitivity of the nerves involved in the ejaculation reflex or to strengthen erection and ejaculation control.
The main surgical treatment options are as follows:
- Nerve desensitization operations: Aims to prolong ejaculation time by reducing hypersensitivity in certain areas of the penis.
- Penile prosthesis applications: In advanced cases of premature ejaculation with erectile dysfunction, penile prosthesis offers a permanent solution for both erection and ejaculation control.
- Combined surgical approaches: In cases where ejaculatory dysfunction is accompanied by structural problems (e.g. penile curvature), corrective procedures can be performed in the same session.
Surgical treatments should be planned by experienced urologists, taking into account the patient’s general health status and expectations. With post-operative recovery and proper rehabilitation, these methods provide high success rates in patients resistant to drug therapy. Especially penile prosthesis treatment offers a permanent and effective solution in advanced cases with both erectile dysfunction and ejaculation control problems.