Among the sexual problems experienced by men, premature ejaculation is one of the most common. Premature ejaculation, in short, is the condition in which a man ejaculates uncontrollably during sexual intercourse. In fact, many men may ejaculate before intercourse has even begun, or within a few minutes after penetration. Based on this, premature ejaculation is characterized as ejaculation before penetration, during penetration, or immediately after intercourse begins. For men who do not have such a problem, it is possible to control the timing of ejaculation. However, men who experience premature ejaculation cannot control the ejaculation reflex. From the moment intercourse begins, when they are stimulated, they experience uncontrolled and rapid ejaculation.
Premature ejaculation is generally a condition seen in young men. Due to slowing that occurs in sexuality in later ages, premature ejaculation is less common in older individuals. Among the diagnostic criteria for premature ejaculation are ejaculation with minimal sexual stimulation before penetration or immediately after penetration, and the problem continuing persistently. When diagnosing premature ejaculation, factors such as how frequently individuals have sexual intercourse and whether the sexual partner or the environment in which intercourse occurs is new should also be taken into consideration. To make a clear diagnosis of premature ejaculation, individuals need to be actively engaging in sexual intercourse for 6 months.
What Are the Causes of Premature Ejaculation?
The causes of premature ejaculation frequently experienced by men are listed as follows;
- Lack of experience in sexual intimacy
- Frequent masturbation during adolescence
- Depression and anxiety
- Stress, fatigue, and nervousness
- Growing up under sexual pressure during adolescence
- Fear of impregnating a partner
- Being rejected by a partner
- An unsafe environment created for sexual intercourse
- Worry about contracting a disease from sexual intercourse
- Being unwilling toward the sexual partner
- Habit of visiting brothels
- Excessive attachment and love toward the sexual partner
- Negative thoughts formed in the subconscious about sexual intercourse
- Excessive sensitivity of the penile glans
- Insufficient sexual stimulation
- Tension created by sexual desire
- Feeling guilty or as if committing a sin
- Fear of not being able to satisfy the sexual partner
- Conflict with the sexual partner regarding sexuality
- The importance the individual gives to the penis
How Is Premature Ejaculation Treated With Psychotherapy?
Individuals who experience premature ejaculation definitely need to be treated. There are many methods used in premature ejaculation treatment. Of course, medication is at the forefront. Especially numbing creams and sprays are used in premature ejaculation treatment. However, these numbing sprays and creams only numb the nerve endings on the penis. Since premature ejaculation is a condition related to the entire nervous system, this will not be effective in solving the problem. In addition, because it makes the penis numb, it will not be very possible to enjoy sexual intercourse. Within drug treatment, there are also medications used especially for depression treatment. However, long-term medication use will not be a recommended method in terms of overall body health.
Another treatment for premature ejaculation is the squeeze-and-release technique. The squeeze-and-release technique is a form of treatment that individuals with premature ejaculation need to repeat regularly at home. To explain the technique briefly, it is the method where the man who is about to ejaculate during intercourse that begins with foreplay squeezes and releases the head of the penis until the ejaculation sensation passes. After the sensation passes, foreplay continues again, and when ejaculation is about to occur, the squeeze-and-release method is repeated. With these practices repeated several times, individuals learn to control the ejaculation reflex.
The solution to premature ejaculation lies in learning to control the ejaculation reflex. If there is no underlying medical cause for premature ejaculation, patients should apply for sex therapy treatments. Many studies have stated that the medical causes of premature ejaculation are less common than psychological causes. Sex therapies given for premature ejaculation must be performed by therapists who are specialized in the field and trained for this work. Only in this way can success be achieved in premature ejaculation treatment. Individuals who experience premature ejaculation coming to treatment together with their sexual partners will allow the treatment to be completed in a shorter time and more successfully.
The main purpose of sex therapy is to accustom individuals with premature ejaculation to periods of intercourse in which they can ejaculate later and after a longer time through positive approaches. In addition, after arousal, men need to constantly repeat homework such as taking a break before the moment ejaculation occurs and gaining the ability to control their urges. With sex therapy, individuals gain the ability to tolerate the intensity of sexual urges without ejaculating. In this way, the habitual behavior related to ejaculation is broken, and it is replaced with the use of newly learned behaviors.
How Does the Psychotherapy Process Progress?
Individuals believing in sex therapy treatment and being determined in this regard will increase success in solving premature ejaculation. With sex therapy treatment, individuals with premature ejaculation are also supported in getting rid of the fear of premature ejaculation. In this way, individuals will focus only on the pleasure of lovemaking without fear, experience sexuality more naturally, and get rid of the problem of premature ejaculation. The purpose of the homework applied in sex therapy treatment is to enable focusing on emotions and sensations during sexual intimacy. In this way, high arousal sensations will be felt and ejaculation will be brought under control. Performing homework regularly and consistently greatly affects the success of sex therapy treatment.
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