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Premature Ejaculation and Psychology

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The premature ejaculation It is one of the most frequent male sexual dysfunctions today, however very few are the men who go to a doctor or mental health professional to express their crisis openly and in confidence.

Premature ejaculation

Silence is the greatest enemy in these cases, not knowing how to share the problem in time can cause major conflicts that are difficult to deal with in the future.

What is the premature ejaculation?

Consists of the Persistent and recurrent expulsion of semen in response to sexual stimulation, be it before, during or after penetration without the person wanting to do so. This disorder, according to sexual health professionals, is one of the most experienced by men. Professionals estimate that between 30 and 60% of men have suffered from it at some time. Premature ejaculation can be related to several causes, for which the doctor or psychotherapist must obtain all the possible information for a good treatment.

Causes of Premature Ejaculation

To discover the main cause of premature ejaculation, it is advisable to see a doctor to rule out any

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organic anomaly that is resulting in this disorder. On some occasions, ejaculation is also the product of infections that usually occur in the urogenital areas of the urethra and prostate, or also of hormonal imbalances.

If the problem is not organic, it is advisable to go to a mental health professional so that through an evaluation you can inquire about the origin.

Within the psychological factors associated with premature ejaculation are the anxiety and the depression, which would be the most frequent non-organic causes that affect the disorder, the stress related to the economic, family, etc. it also plays a very important role.

Some professionals point out that both alcoholism, smoking or the drug use They also affect the occurrence of premature ejaculation.

What Kinds of Problems Does Premature Ejaculation Cause?

  • Low self-esteem
  • Anxiety in the partner and in the man
  • Low levels of sexual satisfaction
  • Depression
  • Anguish
  • Nervousness

Sexual relations often become tense since the man is more concerned with containing the ejaculation and not enjoying the sexual act. But not only the male is affected, the couple also suffers the consequences both in the field psychological as the organic, the latter that is often manifested in its decrease in experience of sexual pleasure during relationships.

Diagnosis of Premature Ejaculation

For a good diagnosis, the professional must compile a complete medical history to fully understand the problem, the The professional will inquire about how frequent and what is the duration of premature ejaculation, and the type of relationship that the affected person has with His couple.

All these points are important for a good diagnosis, many men in the consultation tend to omit certain details due to the ashamed of telling them, although in reality this information is usually very important when it comes to establishing a good diagnosis. The omission of information can hinder the design of the most effective treatment in each case, so it is important to create a good climate of trust to be able to fully assess the case.

Premature Ejaculation Treatment

Once with the diagnosis we can see what the severity of the case is and what type of treatment we can use, the techniques that can be used range from pharmacological to psychological therapies.

Cognitive behavioral psychotherapies have proven to be very effective in treating these problems. It is important to know that putting yourself in the hands of a competent professional in this area also helps an effective treatment with positive results.

Within psychotherapies psychological The most important thing is to give the patient and his sexual partner all the correct information about the problem he is suffering from, that the patient learn to to identify the sensations that precede orgasm and to be able to adequately regulate his sexual arousal and therefore to control his reflex ejaculatory.

On some occasions, pharmacological treatment is recommended, as long as it is prescribed by the specialist. The cases in which couples self-medicate with products (creams, pills, gel that are sold on the internet, TV, or the media are well known). not endorsed by the health authorities, bringing difficulties in the body in the person who uses it and not solving the problem of background.

The most effective techniques, as we mentioned earlier, are those based on cognitive behavioral psychotherapy. There are many articles and manuals that discuss and explain the techniques in detail. One of the authorities in this specialty is doctor Helen Kaplan, which through its manuals has offered a fundamental contribution in the fields of psychiatry, psychology and sexology.

Bibliographic references:

  • Horse, V. (2006) Cognitive Behavioral Manual. Faculty of Psychological Sciences of the University of Guayaquil.
  • Kaplan, H. (2010), Illustrated Manual of Sex Therapy
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