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Erken boşalmanın tanımı, tıbbi literatürdeki farklı görüşler ve bilimsel çalışmalarda genellikle bir dakikanın altı olarak belirlenen boşalma süresi detaylı olarak açıklanmaktadır. Ayrıca, erken boşalmanın tanımı için gerekli koşullar ve bu durumun ilişkilerdeki olumsuz etkileri de ele alınmaktadır."]},"endTime":134,"title":"Erken Boşalma Hakkında Bilgilendirici Video","beginTime":0}],"fullResult":[{"index":0,"title":"Erken Boşalmanın Tanımı ve Sıklığı","list":{"type":"unordered","items":["Erken boşalma en sık görülen erkek cinsel fonksiyon bozukluğudur.","18-59 yaş grubunda görülme sıklığı %30-40 arasıdır ve yaş ilerledikçe artmaktadır.","Tanımının tam net olmaması nedeniyle toplumda görülme ihtimalinin daha yüksek olduğu düşünülmektedir."]},"beginTime":3,"endTime":23,"href":"/video/preview/1688016298181663137?parent-reqid=1765298653322674-16760195114833497467-balancer-l7leveler-kubr-yp-klg-207-BAL&text=Prof.+Dr.+Sinan+Ekici%2C+Specialist+in+Urology+and+Urooncology&t=3&ask_summarization=1"},{"index":1,"title":"Erken Boşalmanın Özellikleri","list":{"type":"unordered","items":["Erken boşalma (prematür ejekülasyon) kişiye ve cinsel partnerine göre farklılık arz edebilen bir durumdur.","Kısa sürede boşalan bir erkeğin partneri bu süre içinde tatmin oluyorsa çift arasında sorun oluşmazken, normal sürede boşalan erkeğin eşi tatmin olmuyorsa erken boşalma sorunu söz konusudur.","Bilimsel çalışmalarda erken boşalma bir dakikanın altı olarak tanımlanmıştır çünkü şikayet eden erkeklerin %77-92'sinin boşalma süresi bir dakikanın altında bulunmuştur."]},"beginTime":23,"endTime":89,"href":"/video/preview/1688016298181663137?parent-reqid=1765298653322674-16760195114833497467-balancer-l7leveler-kubr-yp-klg-207-BAL&text=Prof.+Dr.+Sinan+Ekici%2C+Specialist+in+Urology+and+Urooncology&t=23&ask_summarization=1"},{"index":2,"title":"Erken Boşalmanın Tanımlanması ve Etkileri","list":{"type":"unordered","items":["Erken boşalma, en az üç ay aynı partner ile düzenli ilişkiye rağmen boşalmayı erteleme yetersizliği ile birlikte olan kişide sıkıntı, üzülme, doyumsal yoksunluk ve hayal kırıklığına bağlı performans kaygısıyla cinsel yakınlıktan çekilmeye yol açan olumsuz durumlardır.","Bu durum partnerde cinsel tatminsizlik ve stres oluşturabilir.","Erken boşalma ilişkilerin sonlanmasına kadar giden sorunlara neden olabilir."]},"beginTime":89,"endTime":123,"href":"/video/preview/1688016298181663137?parent-reqid=1765298653322674-16760195114833497467-balancer-l7leveler-kubr-yp-klg-207-BAL&text=Prof.+Dr.+Sinan+Ekici%2C+Specialist+in+Urology+and+Urooncology&t=89&ask_summarization=1"}],"linkTemplate":"/video/preview/1688016298181663137?parent-reqid=1765298653322674-16760195114833497467-balancer-l7leveler-kubr-yp-klg-207-BAL&text=Prof.+Dr.+Sinan+Ekici%2C+Specialist+in+Urology+and+Urooncology&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Erken boşalma nedir? 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Emisyon aşamasında seminal veziküllerin ve prostatın kasılması, enjeksiyon aşamasında ise covernöz kasların ve sfinkterin gevşemesi anlatılmaktadır. Ayrıca, boşalma refleksinin sinir sistemi aracılığıyla nasıl tetiklendiği, dopamin ve serotonin gibi nörotransmitterlerin bu süreçteki rolleri ve tedavide kullanılan ilaçların bu sinirleri nasıl etkilediği açıklanmaktadır."]},"endTime":163,"title":"Erkek Cinsel Fonksiyonu ve Boşalma Süreci","beginTime":0}],"fullResult":[{"index":0,"title":"Boşalma ve Enjekülasyonun Fizyolojik Temelleri","list":{"type":"unordered","items":["Boşanma olarak bilinen enjekülasyon, erkek cinsel fonksiyonunun fizyolojik bir evresidir.","Boşalma, birbiriyle bağlantılı iki nörolojik refleks oluşur: emisyon ve enjeksiyon.","Emisyon, seminal veziküllerin ve prostatın kasılmalarını ve beynin prostatik üreteye atılmasını içerir, buna sempatik sinir sistemi aracılık eder."]},"beginTime":3,"endTime":29,"href":"/video/preview/11461395251124734659?parent-reqid=1765298653322674-16760195114833497467-balancer-l7leveler-kubr-yp-klg-207-BAL&text=Prof.+Dr.+Sinan+Ekici%2C+Specialist+in+Urology+and+Urooncology&t=3&ask_summarization=1"},{"index":1,"title":"Enjeksiyon Aşaması","list":{"type":"unordered","items":["Enjeksiyon, covernöz kasların pelvik taban kasları ile birlikte pulsatil kasılmalarını ve sfinkterin gevşemesini içerir, buna somatik sinirler ile sempatik sinir sistemi aracılık eder ve kontrol edilmesi zordur.","İlk aşama olan emisyon aşamasında boşalmanın kaçınılmaz bir şekilde gelmekte olduğu duygusu yaşanır ve meninin prostat kanalında biriktiği ve prostat içinden geçen üretraya atıldığı zamana denk gelir.","Enjeksiyon aşamasında perine ve bu bokavernoz kasların kasılması ile birlikte mini sıvısının üretilen açıklıktan dışarıya boşalması gerçekleşir ve idrar kesesinin iç sfinkterleri kapanır."]},"beginTime":29,"endTime":87,"href":"/video/preview/11461395251124734659?parent-reqid=1765298653322674-16760195114833497467-balancer-l7leveler-kubr-yp-klg-207-BAL&text=Prof.+Dr.+Sinan+Ekici%2C+Specialist+in+Urology+and+Urooncology&t=29&ask_summarization=1"},{"index":2,"title":"Boşalma Refleksinin Nörolojik Temeli","list":{"type":"unordered","items":["Boşalma refleksi, penis klansın ki, sinir uçlarından gelen duyusal iletinin omurga içindeki sakral spinal kort yoluyla beynin duyulardan sorumlu serebral korteks bölümüne giderek tetiklenir.","Bu ileti yolu ağırlıklı olarak santral serotonerjik ve dopaminerjik sinirleri etkilerken, kolinerjik, adrenerjik, oksito-sinerjik ve gama amino bütirik asit sinirlerini de etkiler.","Tedavide kullanılan ilaçlar bu sinirleri etkileyerek boşalma üzerinde etkili olmaktadır."]},"beginTime":87,"endTime":129,"href":"/video/preview/11461395251124734659?parent-reqid=1765298653322674-16760195114833497467-balancer-l7leveler-kubr-yp-klg-207-BAL&text=Prof.+Dr.+Sinan+Ekici%2C+Specialist+in+Urology+and+Urooncology&t=87&ask_summarization=1"},{"index":3,"title":"Nörotransmitterlerin Boşalma Üzerindeki Etkileri","list":{"type":"unordered","items":["Dopamin ve serotonin temel nörotransmitterlerdir, yani sinir iletisini sağlayan moleküllerdir.","Seminal emisyonu ve boşalmayı dopamin D2 reseptörleri aracılığıyla teşvik ederken, serotonin bir grup serotonin reseptörleri aracılığıyla boşalma süresini uzatır.","Sinir uçlarında bulunan diğer serotonin reseptörleri aracılığıyla boşalma süresini kısaltır."]},"beginTime":129,"endTime":151,"href":"/video/preview/11461395251124734659?parent-reqid=1765298653322674-16760195114833497467-balancer-l7leveler-kubr-yp-klg-207-BAL&text=Prof.+Dr.+Sinan+Ekici%2C+Specialist+in+Urology+and+Urooncology&t=129&ask_summarization=1"}],"linkTemplate":"/video/preview/11461395251124734659?parent-reqid=1765298653322674-16760195114833497467-balancer-l7leveler-kubr-yp-klg-207-BAL&text=Prof.+Dr.+Sinan+Ekici%2C+Specialist+in+Urology+and+Urooncology&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"Erken Boşalma Tedavisi mi? 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