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Premature Ejaculation and Psychology

Premature Ejaculation and Psychology

October 1, 2022

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

Premature ejaculation

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

What is the premature ejaculation?

Consists of the expulsion of semen persistently and recurrently in response to a sexual stimulation be it before, during or after penetration without the person so desiring . This disorder, according to the professionals of sexual health, is one of the most experienced by men. Professionals estimate that between 30 and 60% of men have ever suffered. Premature ejaculation can be related to several causes, for that 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 go to a doctor to rule out any organic anomaly that this disorder is resulting. In some cases, ejaculation is also the result 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 what the origin would be.

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


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

What kind of problems does premature ejaculation cause?

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

Many times the sexual relations become tense since the man is more worried in containing the ejaculation and not of enjoying the sexual act. But not only the male is affected, the couple also suffers the consequences both in the psychological field and the organic, the latter which is often manifested in its diminution of the experience of the sexual pleasure during relationships.

Diagnosis of premature ejaculation

For a good diagnosis, the professional must assemble a complete clinical history to understand the problem to the fullest, the professional will inquire about how frequent and what is the duration of premature ejaculation, and the type of relationship the affected has with his partner.


All these points are important for a good diagnosis, many men in the clinic often omit certain details due to the shame they cause to relate them, although in reality these information are often very important when 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 assess the case fully.

Treatment of premature ejaculation

Once the diagnosis is made, we can observe the severity of the case and what kind of treatment we can use, the techniques that can be used range from pharmacological even psychological therapies.

Cognitive behavioral psychotherapies have proved very effective in dealing with 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 and 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 that he suffers, that the patient learn to identify the sensations that precede the orgasm and that he is able to adequately regulate his sexual arousal and therefore to control his ejaculatory reflex.

Sometimes 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 means not endorsed by the health authorities, bringing difficulties in the body in the person who uses it and are not well known) are well known. solving the underlying problem.

The most effective techniques, as mentioned above, are those based on cognitive behavioral therapy . There are many articles and manuals that speak and explain the techniques in detail. One of the authorities in this specialty is the doctor Helen Kaplan , that 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 psychological sciences of the University of Guayaquil.
  • Kaplan, H. (2010), Illustrated manual of sex therapy


Premature Ejaculation Medical Course (October 2022).


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