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Erken bo\u015falman\u0131n d\u00fcnyada cinsel aktif erkeklerin y\u00fczde 40\u2019\u0131n\u0131 etkiledi\u011fini ifade eden Ondokuz May\u0131s \u00dcniversitesi (OM\u00dc) T\u0131p Fak\u00fcltesi \u00dcroloji Anabilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Ramazan A\u015f\u00e7\u0131, internet ortam\u0131 ve aktarlardan sa\u011flanan ila\u00e7lar\u0131n ciddi yan etkilerinin olabilece\u011fini s\u00f6yledi.<\/p>\n
T\u00fcrkiye dahil, d\u00fcnyadaki erkeklerin ortalama 5.4 dakikada bo\u015fald\u0131\u011f\u0131n\u0131 ifade eden Prof. Dr. Ramazan A\u015f\u00e7\u0131, erken bo\u015falman\u0131n daha \u00e7ok gen\u00e7 cinsel aktif erkeklerde g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc s\u00f6yledi. Erken bo\u015falma-bo\u015falman\u0131n geciktirilememesinin; endi\u015fe, s\u0131k\u0131nt\u0131, hayal k\u0131r\u0131kl\u0131\u011f\u0131, cinsel ili\u015fkide \u00f6zg\u00fcven kayb\u0131 gibi negatif ki\u015fisel sonu\u00e7lara neden oldu\u011funu belirten A\u015f\u00e7\u0131, erken bo\u015falman\u0131n e\u015fler aras\u0131nda bo\u015fanmaya kadar gidebilen, ki\u015filer aras\u0131 bir sorun olu\u015fturabilece\u011fini s\u00f6yledi. Erken bo\u015falma tedavisinin kan\u0131ta dayal\u0131 olarak \u00fcroloji ve cinsel t\u0131p konusunda deneyimli psikiyatri uzmanlar\u0131 taraf\u0131ndan yap\u0131lmas\u0131n\u0131n uygun olaca\u011f\u0131n\u0131 a\u00e7\u0131klayan A\u015f\u00e7\u0131, internet ortam\u0131 ve aktarlardan sa\u011flanan ila\u00e7lar\u0131n ciddi yan etkilerinin olabilece\u011fine dikkat \u00e7ekti.<\/p>\n
ERKEN BO\u015eALMA \u015eEK\u0130LLER\u0130<\/p>\n
Erken bo\u015falman\u0131n ortaya \u00e7\u0131k\u0131\u015f durumuna g\u00f6re ya\u015fam boyu ve kazan\u0131lm\u0131\u015f olarak iki grupta incelendi\u011fini belirten Prof. Dr. Ramazan A\u015f\u00e7\u0131, ayr\u0131ca do\u011fal de\u011fi\u015fken ve erken bo\u015falma benzeri bo\u015falma bozukluklar\u0131n\u0131n da oldu\u011funu s\u00f6yledi. Prof. Dr. A\u015f\u00e7\u0131, \u201cYa\u015fam boyu erken bo\u015falma ilk cinsel deneyim ile ba\u015flar, bo\u015falma s\u00fcresi partner de\u011fi\u015fikli\u011fi ve zamana g\u00f6re de\u011fi\u015fmeden bir dakikan\u0131n alt\u0131ndad\u0131r. Baz\u0131 erkekler \u00f6n sevi\u015fme s\u0131ras\u0131nda, vajinal giri\u015ften \u00f6nce veya vajene dokundu\u011funda bo\u015fald\u0131klar\u0131ndan yak\u0131n\u0131rlar. Her ili\u015fkide ve her partnere kar\u015f\u0131 geli\u015fmektedir. Ya\u015flanma ile olgular\u0131n y\u00fczde 30\u2019unda bo\u015falma s\u00fcresi daha da k\u0131salmaktad\u0131r. Kazan\u0131lm\u0131\u015f erken bo\u015falma ise normal bo\u015falma deneyimi olanlarda sonradan ba\u015flar ve giderek \u015fiddetlenebilir. Bo\u015falma s\u00fcresi genellikle \u00fc\u00e7 dakikan\u0131n alt\u0131ndad\u0131r. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 d\u00fc\u015f\u00fckt\u00fcr. Genellikle prostatit gibi \u00fcrolojik, hipertiroidi gibi endokrin ve psikolojik hastal\u0131klara ba\u011fl\u0131 geli\u015fir. Do\u011fal de\u011fi\u015fken erken bo\u015falma s\u00fcrekli olmayan ve d\u00fczensiz erken bo\u015falma n\u00f6betleri ile karakterizedir. Ejakulasyon(bo\u015falma) her zaman k\u0131sa s\u00fcrede olmaz, baz\u0131 durum ve partnerlere kar\u015f\u0131 erken olmaktad\u0131r. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 y\u00fcksek olan bu erken bo\u015falma tipi patolojik bir durum olarak kabul edilmez, cinsel performans\u0131n normal bir de\u011fi\u015fkeni olarak kabul edilir. Erken bo\u015falma benzeri bo\u015falma bozuklu\u011funda ki\u015filerin bo\u015falma s\u00fcreleri normal s\u0131n\u0131rlarda (3-6 dakika) veya daha da uzatabilme yetileri olmas\u0131na kar\u015f\u0131n, bo\u015falma s\u00fcrelerinin \u00e7ok k\u0131sa oldu\u011fundan yak\u0131n\u0131rlar. G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 y\u00fcksektir ve ki\u015finin kendisinin kabul etti\u011fi subjektif bir bo\u015falma bozuklu\u011fudur. Bu tip bo\u015falma bozuklu\u011fu ger\u00e7ek t\u0131bbi bir patolojinin semptomu veya geli\u015fimi olarak kabul edilmez\u201d dedi.<\/p>\n
G\u00d6R\u00dcLME SIKLI\u011eI<\/p>\n
Erken bo\u015falman\u0131n d\u00fcnyada cinsel aktif erkeklerin y\u00fczde 40\u2019\u0131n\u0131 etkilemekte oldu\u011funu ve en s\u0131k ad\u00f6lesan(ergen) ve gen\u00e7 eri\u015fkinler taraf\u0131ndan bildirildi\u011fini ifade eden Prof. Dr. Ramazan A\u015f\u00e7\u0131, \u201c18 ya\u015f sonras\u0131 gen\u00e7 erkeklerde y\u00fczde 30 oran\u0131nda g\u00f6r\u00fclmektedir. T\u00fcrk Androloji Derne\u011fi\u2019nin yapt\u0131\u011f\u0131 ara\u015ft\u0131rmada T\u00fcrkiye\u2019de erken bo\u015falma s\u0131kl\u0131\u011f\u0131 y\u00fczde 20 olarak bulunmu\u015ftur. T\u00fcrkiye\u2019de ya\u015fam boyu erken bo\u015falma y\u00fczde 2.3, kazan\u0131lm\u0131\u015f (edinsel) erken bo\u015falma y\u00fczde 3.9, do\u011fal de\u011fi\u015fken y\u00fczde 8.5 ve erken bo\u015falma benzeri bozukluk y\u00fczde 5.1 olarak g\u00f6r\u00fclmektedir. Erken bo\u015falma ile sertle\u015fme sorunu (iktidars\u0131zl\u0131k) birlikte g\u00f6r\u00fclebilir. Erken bo\u015falma \u00e7o\u011fu zaman bir sertle\u015fme bozuklu\u011funu maskeleyebilir. Erken bo\u015falmas\u0131 ve sertle\u015fme bozuklu\u011fu olan ki\u015filerde \u00f6ncelikle iktidars\u0131zl\u0131\u011f\u0131n tedavisi yap\u0131l\u0131r. Erken bo\u015falman\u0131n \u00f6nemi cinsel ili\u015fkide partner uyumsuzlu\u011fu ve ki\u015filerde s\u0131k\u0131nt\u0131 olu\u015fturmas\u0131d\u0131r. Ya\u015fam\u0131 tehdit eden bir durum de\u011fildir\u201d diye konu\u015ftu.<\/p>\n
TEDAV\u0130 Y\u00d6NTEM\u0130<\/p>\n
Erken bo\u015falma tedavisine de\u011finen Prof. Dr. Ramazan A\u015f\u00e7\u0131, “Tedavide davran\u0131\u015f de\u011fi\u015ftirme, ili\u015fki s\u0131ras\u0131nda penisin s\u0131k\u0131lmas\u0131 (squeeze) ve soland\u0131rma-ba\u015flatma (stop-start) teknikleri, penis \u00fczerine lokal anestetik kremler veya spreylerin s\u00fcr\u00fclmesi ve seratonin geri al\u0131m inhibit\u00f6r\u00fc (SSRI) ila\u00e7lar\u0131 kullan\u0131labilir. Uzun etkili SSRI\u2019lerin ciddi yan etkilerinin olmas\u0131 nedeniyle, g\u00fcn\u00fcm\u00fczde erken bo\u015falman\u0131n tedavisi i\u00e7in sadece k\u0131sa etki s\u00fcreli bir SSRI olan \u2019dapoxetin\u2019in kullan\u0131lmas\u0131 onaylanm\u0131\u015ft\u0131r. Erken bo\u015falma tedavisi kan\u0131ta dayal\u0131 olarak \u00fcroloji ve cinsel t\u0131p konusunda deneyimli psikiyatri uzmanlar\u0131ndan yap\u0131lmas\u0131 uygundur. \u0130nternet ortam\u0131 ve aktarlardan sa\u011flanan ila\u00e7lar\u0131n ciddi yan etkilerinin olabilece\u011fi unutulmamal\u0131d\u0131r\u201d \u015feklinde konu\u015ftu.<\/p>\n","protected":false},"excerpt":{"rendered":"
ONDOKUZ MAYIS \u00dcN\u0130VERS\u0130TES\u0130 (OM\u00dc) TIP FAK\u00dcLTES\u0130 \u00dcROLOJ\u0130 ANAB\u0130L\u0130M DALI \u00d6\u011eRET\u0130M \u00dcYES\u0130 PROF. DR. RAMAZAN A\u015e\u00c7I, \u0130NTERNETTEN SATILAN ERKEN BO\u015eALMA \u0130LA\u00c7LARINA D\u0130KKAT ED\u0130LMES\u0130 GEREKT\u0130\u011e\u0130N\u0130 BEL\u0130RTT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[14360,35673,4992,8773,35674,35625,17918],"class_list":["post-203214","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-asci","tag-bosalma","tag-dikkat","tag-erken","tag-ilaclarina","tag-internetten","tag-satilan"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/203214","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=203214"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/203214\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=203214"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=203214"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=203214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}