Premature ejaculation treatment covers medical and behavioural methods for a condition in which ejaculation happens earlier than a man wishes, with poor control, causing distress to him or his partner. Its aim is to lengthen the time to ejaculation and improve control and satisfaction.
Treatment starts with a careful medical and sexual history and a search for related causes such as erectile dysfunction, prostatitis or thyroid disorders. The suitable approach is then chosen: behavioural techniques such as stop-start and squeeze, pelvic floor training, topical numbing products, and oral medicines prescribed by the doctor, with the partner involved and psychological support when helpful. This approach normally needs no anaesthesia or surgery.
Treatment is followed up in the clinic without a hospital stay; judging its effect requires weeks of consistent exercises or medication, and the doctor adjusts the plan according to the response. The effect usually becomes clear after several weeks of regular adherence and varies with the cause and chosen method.
The final cost is set after a medical consultant reviews your case and photos.
Assoc. Prof. Dr. Zülfü Sertkaya is an Istanbul urologist who focuses on andrology. He graduated from Gazi University Faculty of Medicine in 2008, completed his urology residency at Haydarpaşa Numune Training and Research Hospital in 2014, and holds the FEBU title (2017). He worked at state, university and private hospitals, including Memorial Diyarbakır and Başakşehir Çam and Sakura City Hospital. Since 2022 he has run his own clinic in Zeytinburnu, focusing on penile prosthesis, Peyronie's disease, premature ejaculation and male infertility.
Our medical consultants review all requests regularly, every three hours.
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Better control over the timing of ejaculation, less performance anxiety, and improved satisfaction and communication within the couple.
Men with recurrent early ejaculation that is hard to control and causes distress, whether present from the start or acquired later.
Note your symptoms, how long they have lasted and any medicines you take; hormone or urine tests may be requested. Never stop any medicine, such as blood thinners or antidepressants, on your own; the doctor decides.
Depending on the case: behavioural exercises explained by the doctor, a topical product applied a set time before intimacy, or an oral medicine taken daily or on demand; methods may be combined.
No; treatment is non-surgical and painless, although topical products can cause excessive numbness if not used as advised.
No, but it requires patience, regular practice or medication, and periodic reviews of the response.
Improvement may come within weeks; how long it lasts depends on the cause and adherence, and the effect of some medicines fades when they are stopped.
Oral medicines may cause nausea, dizziness or headache, and topical products may reduce sensation for both partners. No result can be guaranteed.
Recognised guidelines do not recommend surgical procedures such as nerve cutting for premature ejaculation, because their effectiveness and safety are unproven; behavioural and medical treatment remain the foundation.
You can travel right after the consultation; staying a few days is advisable if tests are requested, and follow-up is often remote. Your doctor confirms the plan.
