| mon.: | 8 am - 8 pm |
| tue.: | 8 am - 8 pm |
| wed.: | 8 am - 8 pm |
| thu.: | 8 am - 8 pm |
| fri.: | 8 am - 8 pm |
| sat.: | Closed |
| sun.: | Closed |
Premature ejaculation affects approximately 30% of the sexually active male population. It is one of the most common male sexual dysfunctions.
Premature ejaculation is defined as achieving orgasm and semen ejaculation soon after the beginning of any type of sexual activity especially if minimal penile stimulation is present. Premature ejaculation typically occurs soon after vaginal, oral or anal penetration. Treatment of premature ejaculation is now possible at Vedi Clinic Warsaw.
This sexual dysfunction is often associated with feelings of tension, frustration, unease and lack of sexual satisfaction in both the male and their sexual partner.
The course of treatment for premature ejaculation or lack of ejaculation depends on the cause of the disorder. Premature ejaculation has many potential causes, so the treatment plan is individual and depending on the cause, different methods can be offered to the patient. Diagnosis and treatment begins by ruling out and possibly treating potential somatic causes, then move on to psychological causes, if any.
Often, in order to treat premature ejaculation effectively, it is first and foremost necessary to remain under the care of a urologist who is a specialist in dysfunctions related to the genitourinary system. This specialist will determine whether your difficulties with premature ejaculation are related to a systemic condition, such as a prostate problem or urinary tract inflammation, and will be able to implement appropriate treatment. In addition, the urologist will be able to order tests or consultations that will identify aspects of premature ejaculation potentially caused by other conditions.
At VediClinic, we carry out a comprehensive diagnosis where we consider all possible aspects of premature ejaculation. You can benefit from a comprehensive premature ejaculation diagnosis and treatment package, which allows you to make all appointments with specialists on the same day. This means a fast and convenient diagnosis covering all aspects of premature ejaculation!
The diagnostic package includes the following medical procedures:
(analysis of blood and urine samples)
(including extensive medical history and physical examination)
As a result of the above procedures, we receive a large set of information on the basis of which our specialists can make a diagnosis and plan further diagnostic (if necessary) or therapeutic procedures, e.g. pharmacological treatment.
| Consultation with a sexologist | 390 PLN |
| Consultation with an urologist/andrologist | 350 PLN |
| Urological treansrectal ultrasound | 260 PLN |
| Comprehensive Package of Diagnostics and Treatment of Premature Ejaculation | 1 900 PLN |
According to the International Classification of Diseases and Health Problems ICD-10, premature ejaculation is characterised by the inability to delay ejaculation sufficiently to achieve satisfaction from sexual intercourse. Premature ejaculation occurs before or immediately after the onset of intercourse. It can also occur when there is an erection that is not sufficient for penetration to occur.
The diagnosis can be made for patients who meet the general criteria for sexual dysfunction, which include:
Premature ejaculation can cause frustration or even fear of intercourse. The awareness of not being able to satisfy a partner or partner creates anxiety and stress, which only exacerbates erection problems and ejaculation too quickly.
Ejaculation (ejaculation of semen) occurs through the vas deferens and urethra as a result of sexual stimulation. Ejaculation of semen is a neurobiological phenomenon that is controlled by the central nervous system.
Ejaculation is made possible by the rhythmic contraction of the palpebral-cavernosus muscle. Ejaculation is regulated by the sensory and motor centres of the brain. During ejaculation, neurotransmitters such as serotonin, oxytocin and dopamine, whose levels are closely linked to the duration of intercourse, also play a key function.
Of course, men who have just undergone sexual initiation may have a problem with premature ejaculation which is completely natural and will resolve with age. In general, ejaculatory disorders are very common. Approximately 20-30% of the male population suffers from premature ejaculation. The majority of this number are men who occasionally struggle with the problem of premature ejaculation or who have what is known as premature pseudo ejaculation. This means that these are perfectly healthy people who are not satisfied with the length of intercourse, most often due to unrealistic expectations or lack of knowledge about male sexual physiology.
On the other hand, in order to talk about the presence of somatic disorders of premature ejaculation, which are disorders that affect the whole life, a diagnosis must be obtained from an urology specialist. These disorders are much rarer and only occur in 5-10% of the male population.
There are several types of premature ejaculation: premature primary ejaculation, premature secondary ejaculation, and premature pseudo ejaculation. Premature primary ejaculation occurs throughout a man's life, starting from his sexual initiation. Ejaculation of semen always or almost always occurs before penetration of the partner, or within 1 minute of the start of vaginal penetration. A man cannot delay ejaculation, and aspects of premature ejaculation lead to negative emotions such as anxiety, stress, frustration, and avoidance of sexual activity.
Premature secondary ejaculation is acquired during a man's life. It manifests itself in the fact that the ejaculation of semen occurs much more quickly than during previous sexual functioning. Premature secondary ejaculation can occur during a stressful situation and then disappear and not manifest itself for a long period of time. Here, the decision to seek treatment depends on the frequency of premature ejaculation and how the man feels. If a man is able to manage his premature ejaculation problem himself through calming exercises, better stress management, a visit to a specialist may not be necessary.
In addition, sometimes specialists can determine that a man is suffering from what is known as pseudo premature ejaculation. This diagnosis means that a man is convinced that he ejaculates too early, but in reality premature ejaculation disorder does not occur. Premature ejaculation is most often caused by unrealistic expectations that men set for themselves. It may be due to watching pornographic films, where intercourse gives the impression of having no end. For this reason, a man may think that he should also be able to maintain an erection and refrain from climaxing for a very long time. In reality, this is neither required by the partner nor physiologically possible.
Why do some men struggle with premature ejaculation, while others have never had this problem? This problem is most often approached in a very broad way, as it can be neurological, urological, endocrinological or a result of medication.
As in many other conditions, we can look for the cause in genetic and neurobiological predispositions. In particular, primary premature ejaculation can be genetically predisposed, due to abnormalities in the activity of transmitter substances in neurons (brain cells). Among other things, specialists are looking for a link between premature ejaculation and the serotonin system.
Premature ejaculation also has a lot to do with psychological problems. A very common cause of premature ejaculation is simply bad sexual experiences or fears (of many things, e.g. closeness, intimacy, rejection, pregnancy, lack of acceptance, etc.).
Urologists often hear patients ask whether dapoxetine will be helpful for premature ejaculation. It is worth being aware that drug treatment is one potential therapy. Dapoxetine is indeed a drug with proven efficacy in delaying ejaculation. However, any other disorders that may be causing premature ejaculation in the patient in question should be ruled out first.
At VEDI CLINIC, a comprehensive diagnostic process for premature ejaculation is performed:
Important elements of the medical history in the diagnosis of premature ejaculation are:
The main treatments for premature ejaculation are:
Ad hoc pharmacological treatment is based on the use of substances from the group of selective serotonin specific reuptake inhibitors (SSRIs), in particular the short-acting SSRI dapoxetine.
The use of special anaesthetic ointments is also possible in short-term treatment. Chronic pharmacological treatment, on the other hand, is based on the use of fluoxetine. The use of dapoxetine significantly prolongs ejaculatory latency and effectively improves the patient's control over ejaculation.
Behavioural therapy, in the case of premature ejaculation, focuses primarily on changing or replacing negative or maladaptive thinking patterns and perceptions of sexual activity.
There are also a number of personal training methods for extending the duration of intercourse.
