Introduction to Psychological Therapy for Premature Ejaculation

Premature ejaculation is the most common ejaculation dysfunction, with an incidence rate of more than 1/3 of adult men. The definition of premature ejaculation is still controversial. It is usually evaluated based on the male's ejaculation latency or the frequency of female orgasm during sexual intercourse. For example, if a man loses the ability to control ejaculation during sexual intercourse, ejaculation occurs before or immediately after the penis is inserted into the vagina; or if the frequency of female orgasm during sexual intercourse is less than 50%, premature ejaculation is defined as the standard. However, these are not generally accepted.

In order to prolong the latent period of ejaculation, most patients turn their attention to other aspects such as eating, playing, etc. during sexual intercourse, or use condoms, drink, etc., but the effect is not good. On the contrary, it often leads to decreased libido, sexual pleasure disorders, and even erectile dysfunction, which aggravates the condition. Therefore, the treatment of premature ejaculation should be based on the cause of the disease and choose the appropriate treatment method.

1. Psychological therapy

The couple needs to agree. They should be informed that premature ejaculation is a common problem. They need to understand the necessity and possibility of rebuilding the conditioned reflex of ejaculation, eliminate the patient's abnormal psychology such as anxiety, uneasiness, and guilt, and build confidence in curing the disease. As long as both parties cooperate in the treatment, it can still be cured.

2. Behavioral method guidance

The basic treatment method of sexual concentration training aims to teach patients to experience and enjoy sexual pleasure and overcome psychological barriers through tactile stimulation such as hugging, caressing, and massage. You can also pull the scrotum and testicles downward before reaching orgasm, or use the thumb and index finger to press and squeeze the glans to reduce sexual excitement, and the hardness of the erection can also be reduced by 10% to 25%. After long-term training, sexual intercourse is performed in the woman-on-top position, and the training is still repeated in the form of twitching-stopping-twitching again, gradually improving the ejaculation stimulation threshold, so that ejaculation can be achieved only after a more satisfactory artificial control.

The organic factors that cause premature ejaculation are still under discussion. Some people believe that spinal cord diseases such as multiple sclerosis or spinal cord tumors, epileptic seizures, or organic lesions of the cerebral cortex such as cerebrovascular accidents can cause uncontrolled ejaculation. There are also reports suggesting that diabetes, cardiovascular disease, pelvic fractures, urogenital diseases such as urethritis, prostatitis, seminal vesiculitis, and prostate hyperplasia are all related to premature ejaculation.