Premature Ejaculation is a common sexual dysfunction in men. Up to 15-30% of adult men experience premature ejaculation. It can be divided into 2 groups. Primary premature ejaculation and secondary premature ejaculation. Acupuncture is widely used in the treatment of premature ejaculation, especially in China. Many clinical studies have shown that acupuncture is an effective and safe practice that delays ejaculation.
What is Premature Ejaculation?
There is still no clear definition of premature ejaculation in the medical literature. However, the definition of the European Society of Surgery is that if the intravaginal ejaculation latency time (IELT) is less than one minute, primary premature ejaculation, if the time of intravaginal ejaculation falls below 3 minutes than the previous periods, secondary premature ejaculation and this is the person’s own effort. It is the case that it cannot extend with. In addition, according to this definition, in order to be able to diagnose premature ejaculation, a psychiatric problem is also required.
Causes of Premature Ejaculation
There may be a psychogenic problem due to a recent or ongoing event, and an emotional trauma experienced years ago may continue to present a psychological mood disorder that may cause premature ejaculation. Some organic reasons can also trigger premature ejaculation. These are serotonin neurotransmitter deficiency, penile head hypersensitivity, impaired thyroid hormone levels … Short-term mood changes may cause short-term premature ejaculation problem and may pass spontaneously after a while, or there may be situations that require external support to recover from deeper psychogenic traumas. .
A correlation between the hormone serotonin and premature ejaculation was first discovered in the 1990s. In the following years, it was scientifically proven that the time of intravaginal ejaculation was prolonged by stimulation of the 5HT1B and 5HT2C serotonin receptors. Therefore, we first need to recognize the hormone serotonin (5 Hydroxytryptophan). It is a hormone synthesized from the amino acid Tirctophan. It is synthesized from almost every cell in the body and has receptors in many organs. Effect on the brain; process control sleep, beginning of ejaculation, ejaculation, memory, learning, body temperature, cardiovascular system order, hormonal regulation, behavior and affect. In the body; It provides the platelets and the order of the gastrointestinal system. In other words, there are dozens of different factors that affect the level of the serotonin hormone. However, giving only this hormone can often cause insomnia, weakness, decreased sexual desire, abdominal pain, diarrhea, constipation. Therefore, we need treatments that will bring this hormone to normal, rather than administering drugs that increase the level of this hormone (SSRI).
Premature Ejaculation Treatment
Acupuncture constitutes the basis of Premature Ejaculation treatment applied in our clinic. With the behavioral therapies (clinic-home) we give to our patients who undergo acupuncture psychotherapy and very rarely, we can add short-term hormonal regulation therapies.
The most important effect of acupuncture is that it provides hormonal balance in the body. According to the acupuncture philosophy, the circulation of the life energy called Qi (Chi) in the body is regulated by balancing Yin and Yang. Acupuncture provides hormonal balance. Disorders due to a previous psychogenic trauma usually successfully disappear with ear and body acupuncture and clinical-home behavioral therapies. However, detecting and preventing negative psychogenic traumas with ongoing effects will prevent the problem from happening again.