Premature ejaculation: causes and treatment in Tashkent

Other names: Раннее семяизвержение, ускоренная эякуляция, ПЭ

Premature ejaculation is the most common sexual disorder in men, in which ejaculation occurs earlier than desired and the man cannot control it. A key point that is often missed: the diagnosis is not made by a stopwatch, but by a combination of three signs - short time, inability to control and associated distress in the man or couple.

🧾 МКБ-10: F52.4 🏥 Where it is treated: 2 Most common disorderTwo forms: primary and acquiredTreatable

👨‍⚕️ Which doctor

Andrologist, urologist, sexologist

🔬 Diagnostics

Examination, thyroid hormones, infection test

💊 Treatment

Behavioral methods, drugs, treatment of the cause

📈 Prognosis

Good, especially with the acquired form

⚠️ At risk

Prostatitis, anxiety, hyperthyroidism

⏱ When to see a doctor

Scheduled appeal

🚨 See a doctor urgently

With these signs do not wait for a scheduled appointment — the condition requires emergency care.

Внезапное появление проблемы вместе с болью при эякуляции
Кровь в сперме
Одновременное нарушение эрекции
Резкое похудание, потливость и сердцебиение — возможен гипертиреоз
Появление симптома после травмы или операции в области таза

What is considered premature ejaculation?

There is no single “correct” time for sexual intercourse, and you should not rely on numbers from the Internet. In medicine, three criteria are used simultaneously to make a diagnosis.

Эякуляция наступает практически всегда очень быстро — обычно в течение примерно минуты при первичной форме или заметно быстрее, чем раньше, при приобретённой
Мужчина не может отсрочить семяизвержение при большинстве половых контактов
Ситуация вызывает переживания, снижает удовлетворённость и приводит к избеганию близости

If the short duration of the act does not bother either the man or the partner, no diagnosis is made and no treatment is required. And vice versa: complaints with a completely normal duration may reflect erroneous expectations - in such a situation, a conversation with a specialist, not pills, helps.

Two forms and why it's important

Primary (lifelong) - exists from the beginning of sexual life. It is based primarily on the characteristics of nervous regulation and receptor sensitivity; Treatment is usually long-term and combines behavioral methods with medications
Acquired - appeared after a period of normal control. Almost always has a specific cause that can be found and eliminated
Variable and subjective forms - episodic situations and inflated expectations; require clarification, not treatment

Практическое следствие: при приобретённой форме первым делом ищут причину — простатит, воспаление, эндокринные нарушения, начинающуюся эректильную дисфункцию. Устранение причины нередко решает проблему полностью.

Reasons

Features of nervous regulation and serotonin metabolism - in the primary form
Increased sensitivity of the glans penis
Chronic prostatitis and urethritis
Hyperthyroidism - increased function of the thyroid gland
Erectile dysfunction: a man unconsciously rushes for fear of losing his erection
Anxiety, stress, depression, fear of failure
Long-term abstinence
Relationship problems and lack of communication in couples
Withdrawal of certain drugs and psychoactive substances
Phimosis and chronic balanoposthitis

Diagnostics

Detailed conversation: at what point does the problem exist, in all situations, are there erectile dysfunctions?
Estimation of approximate time to ejaculation and degree of control
Questionnaires for objectification and assessment of treatment dynamics
Examination of the genital organs, assessment of the foreskin and frenulum
Tests for sexually transmitted infections
Prostate examination for suspected prostatitis
TSH and thyroid hormones
Assessing erectile function is a must, as ED often masquerades as premature ejaculation
Conversation with the participation of the partner with her consent

Treatment: behavioral methods

“Start-stop” technique: stimulation is interrupted when ejaculation approaches and resumes after arousal subsides
Compression technique - mechanical interruption of growing excitation
Pelvic floor exercises - proven to improve ejaculation control
Changing the intimacy scenario: increasing foreplay, changing positions, pauses
Dealing with the anxiety of expecting failure
Involving your partner in the treatment process significantly increases its effectiveness
Sexual counseling and couples therapy

Behavioral methods require time and regularity, but provide the most lasting results, especially when combined with drug support at the initial stage.

Drug and other treatments

Drugs that affect serotonin metabolism are the main group of drugs in the primary form; prescribed by a doctor taking into account contraindications
Local anesthetics - reduce the sensitivity of the head; are used taking into account the possible impact on the partner’s sensations
PDE-5 inhibitors - when combined with erectile dysfunction
Treatment of prostatitis, urethritis and other identified inflammatory diseases
Correction of thyroid function
Circumcision - discussed with severe phimosis, short frenulum and chronic balanoposthitis as concomitant factors
Psychotherapy for a significant anxiety component

Отдельно об анестезирующих спреях и кремах, широко доступных без рецепта: они могут временно помочь, но при неправильном применении снижают ощущения у обоих партнёров и не решают причину. Использовать их разумно в рамках плана лечения, а не вместо него.

What you can do yourself

Обсудить проблему с партнёршей — молчание усиливает тревогу и ухудшает ситуацию
Начать регулярные упражнения для мышц тазового дна
Освоить технику «старт-стоп»
Не допускать чрезмерно длительного воздержания
Сократить алкоголь: он может создавать иллюзию улучшения, но ухудшает эрекцию
Наладить сон и снизить общий уровень стресса
Не заниматься самолечением препаратами, влияющими на психику, — они требуют назначения врача

Where is treatment in Tashkent

Treatment begins with the exclusion of avoidable causes: prostatitis, infections, thyroid disorders and concomitant erectile dysfunction.

In Tashkent, examination and treatment for premature ejaculation is carried out at the UROLOGIC COMPLEX medical center and at the Tashkent Medical Park clinic.

You can also come to an appointment with your partner: with this disorder, working together significantly increases the effectiveness of treatment. Clinic contacts are below on the page.

Services and prices for this diagnosis

Based on official price lists of Tashkent clinics. The exact cost is determined after examination.

🔬 Diagnostics

Первичный приём урологаfrom 200 000 Повторный приём урологаfrom 150 000

💊 Treatment

Циркумцизия (обрезание)from 2 800 000 Денервация полового члена при преждевременной эякуляцииfrom 33 020 000 Блокада нервов полового членаfrom 550 000

Frequently asked questions: Premature ejaculation

How long should sexual intercourse last?+

There is no universal norm, and you should not rely on numbers from the Internet. In medicine, the diagnosis is made not by timing per se, but by a combination of rapid ejaculation, the inability to control it, and the man or couple’s feelings about it. If the duration suits both partners, treatment is not required.

Do anesthetic sprays help?+

They can temporarily increase the duration by reducing the sensitivity of the glans. But the method has disadvantages: the partner’s sensations may decrease, and the cause of the problem remains unresolved. It is wise to use such remedies as part of a treatment plan prescribed by a doctor, and not as a permanent independent solution.

Is premature ejaculation associated with prostatitis?+

In the acquired form, such a connection occurs quite often. Inflammation in the prostate gland and seminal tubercle increases the excitability of the structures responsible for ejaculation. After treatment of prostatitis, some men regain control. Therefore, prostate examination is included in the standard program.

Could the problem be related to erection?+

Yes, and this is a very common situation. If the erection weakens, the man unconsciously speeds up the pace, trying to complete the act before losing it. In this case, treatment begins with erectile dysfunction, and premature ejaculation often goes away on its own. Therefore, assessing erection is a mandatory part of the examination.

Do Kegel exercises work for men?+

Yes. Pelvic floor muscle training increases the ability to control the moment of ejaculation and has proven effectiveness. Like any exercise, they require proper technique and regularity over several months, and the results increase gradually.

Is circumcision necessary for premature ejaculation?+

Circumcision is not considered as an independent method of treatment. It is discussed if there are associated problems - severe phimosis, short frenulum, chronic balanoposthitis, which may contribute to the picture. The decision is made individually after examination.

Can this be treated or will I have to live with it?+

It can be treated, and in most cases successfully. The acquired form often goes away completely after eliminating the cause. The primary form requires longer work, combining behavioral techniques and drug support, but even here it is possible to achieve significant improvements in control and satisfaction.

The information on this page is for reference only and does not replace a doctor consultation. Only a qualified specialist can make a diagnosis and prescribe treatment after an in-person examination.

Where it is treated premature ejaculation в Ташкенте

Приобретённая преждевременная эякуляция часто имеет устранимую причину — простатит, воспаление, нарушение работы щитовидной железы или сопутствующую эректильную дисфункцию. В Ташкенте обследование и лечение проводят в медицинском центре UROLOGIC COMPLEX и в clinicsе Tashkent Medical Park.