Current Approach To Premature Ejaculation

Year 2010, Volume: 12 Issue: 2, 81 - 84, 01.07.2010

Alper Eken Bilal Fırat Alp

Abstract

Premature ejaculation is a common sexual dysfonction in men. Premature ejaculation negativelyaffects sexual satisfaction, emotional stress and relationship status of the people. This commondisease cause of deterioration in the psychosocial status needs to be well understood. It is dividedas primary (lifelong) and secondary (acquired later). It was thought to be psychological foryears, and focused on role of anxiety for etiology. In the etiology of aquired prematureejaculation, although especially focused on prostatitis, it is thought that the hyperthyroidismand the intervertebral disc herniation are increase the prevalance of premature ejaculation.When the treatment methods are examined, the psychosexual behavioral methods previouslyhave been used more frequently. Especially use of selective serotonin reuptake inhibitors intreatment (SSRI) is revolutionary. The current studies about shorter effective and selective drugshave continue. Premature ejaculation is non-life-threatening, but it may be cause psychologicalproblems in the patients and their partners. Because of the frequency, it must be emphasized.Currently, more effective and selective treatment methods are needed to be investigated

Keywords

Premature ejaculation, Male sexual dysfonction, Serotonin reuptake inhibitors(SSRI)

Prematür Ejakülasyona Güncel Yaklaşım

Abstract

Prematür ejakülasyon, erkeklerde seksüel tatmin, duygusal stres ve ilişki durumlarını negatifyönde etkileyen erkeklerde sık görülen bir seksüel disfonksiyondur. Prematür ejakülasyon,kişilerin seksüel tatmin, duygusal stres ve ilişki durumlarını negatif yönde etkilemektedir. Sıkgörülen ve psikososyal durumda bozulmaya yol açan bu hastalığın iyi anlaşılması gerekmektedir.Prematür ejakülasyon primer (yaşam boyu) ve sekonder (sonradan kazanılmış) olarak ikiyeayrılmaktadır. Primer şeklinin yıllarca psikolojik temelli olduğu düşünülmüş ve anksiyeteninetiyolojideki rolü üzerinde durulmuştur. Sonradan kazanılan prematür ejakülasyon etiyolojisindeise özellikle prostatitler üzerinde durulmakla birlikte hipertiroidizm ve intervertebral diskherniasyonunun da prevalansı artırdığı düşünülmektedir.Tedavi yöntemleri incelendiğinde psikoseksüel davranışsal yöntemlerin önceden daha sıkkullanıldığı görülmektedir. Özellikle tedavide selektif serotonin geri alım inhibitörlerinin (SSRI)kullanılması devrim niteliğindedir. Son yıllarda da daha kısa etkili ve selektif ilaçlar üzerindeçalışmalar devam etmektedir. Prematür ejakülasyon yaşamı tehdit etmeyen ancak hasta vepartnerlerinde psikolojik problemlere yol açabilecek bir hastalıktır. Sık görüldüğünden dolayıüzerinde önemle durulması gerekmektedir. Halen daha etkin ve selektif tedavi yöntemlerininaraştırılmasına ihtiyaç duyulmaktadır

Keywords

Prematür ejekülasyon, Erkek seksüel disfonksiyonu, Seratonin reuptakeinhibitörleri (SSRİ)

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