Inclusion Criteria:  male between the ages of 18-50 years, being sexually active, and in a stable relationship with a single partner for the last 6 months meeting diagnostic criteria of Premature ejaculation according to ISSM.  Exclusion Criteria:  having a history of neurological and/or psychiatric disorders, any malignancies, sexual dysfunction other than PE, chronic systemic disease, or if they were taking alpha-blockers, phosphodiesterase type-5 inhibitors, 5-alpha reductase inhibitors, anticholinergics, antipsychotics, or antidepressants. presence of obesity (body mass index (BMI)> 30) presence of Erectile Dysfunction (IIEF-5 score <22)