Premature ejaculation, according to the diagnostic and statistical manual of mental disorders (DSM 5), is part of male sexual dysfunctions. Although the diagnostic criteria report the need for the episodes to have a duration of about a minute and have been present for about six months in at least 75% of sexual relations, it should be noted that there is no unique criterion to determine the presence of premature ejaculation.
Overall, it is estimated that the prevalence of dysfunction interests between 3% and 30% of the male population (Serefoglu et al., 2014). With regard toziopathogenesis, that is, the causes of premature ejaculation, literature indicates how they can be physical, psychological or a coexistence of both.
Remedies for premature ejaculation
The first step for face premature ejaculation It is an accurate diagnosis that can evaluate the presence of organic factors that cause or maintain dysfunction. This evaluation can be carried out by a andrologist doctor and allows to identify and possibly intervene on this type of causes, for example through the administration of Dapoxetinea drug that increases the availability of serotonin in the cerebral level and modulates ejaculators.
More often, however, the factors that originate and maintain the disorder are psychological and as such must be treated through Specific remedies for premature ejaculation. Since stress levels have a physiological impact on sexual response, the first option is to alleviate the working load and regularize the sleep-wake rhythms; In this sense, it is also useful to reduce, if not eliminate, the intake of substances such as alcohol and nicotine.
On the other hand, literature underlines how the men suffering from premature ejaculation Often attempting to managing strategies, resorting to distraction during sexual intercourse. These attempts prevent him from paying attention to his sensations by facilitating the sudden achievement of orgasm. Therefore, a first remedy is to induce a state of relaxation before the sexual performance and maintain attention on the physical sensations during the relationship. To do this, it is important that whenever the mind is distracted by the coitus simply it is noticed where the mind lingers and reported attention to body sensations.
It can also be useful to practice in relaxation techniques progressive that with practice allow you to reach muscle relaxation in a short time.
A particular form of relaxation is that of the pelvic musculature. In fact, these muscles facilitate or inhibit ejaculation and are the same muscles that interrupt urination. By contracting and releasing them voluntarily during the day (Kegel exercises) it is possible to reach a degree of awareness that allows you to relax them and delay ejaculation.
A second potential remedy for premature ejaculation is to practice relaxation even during masturbation. To do this, it is necessary to practice autoeroticism by purchasing and repeatedly losing the erection through light caresses and focusing attention exclusively on physical sensations. Once taken confidence with this procedure, the technique of Stop-star (Semans, 1956).
This exercise allows you to learn to maintain high levels of excitement without reaching orgasm; Always during masturbation, man tries to reach the maximum level of excitement – about seven on a scale from zero to ten – and then, when hears orgasm, stop stimulation. Ejaculatory urgency will decrease within a few seconds and the man takes up stimulation. The repetition of this exercise weekly allows to increase latency times and get used to the sensations that precede orgasm.
Finally, if the man is in a stable relationship, it is useful to establish in the couple an atmosphere of serenity and intimacy, for example, discussing openly and with respect for what he likes or does not like during the relationship and what are the feelings and emotions evoked by sexual activity. Create a positive and welcoming climate facilitates the reduction of anxiety and increases thesexual and couple understanding.
It should be emphasized that thepremature ejaculation both a complex dysfunction that deeply undermines the psychological well -being of man; As such requires careful evaluation and targeted interventions for its resolution.
THE remedies for premature ejaculation As soon as they are hardly described, they are in itself decisive. If, in fact, the psychological or relational factors have been identified as causal or dysfunction maintenance factors, the cognitive-behavioral therapy The treatment of election appears.
It provides for a targeted path aimed at increasing ejaculatory latency times through the development of awareness about the physical sensations that precede orgasm. This goal is achieved both through behavioral techniques such as Stop-starboth through a cognitive work of performance anxiety.
As mentioned, however, premature ejaculation involves the entire couple, becoming a reason for frustration, anger, sadness and dissatisfaction. So here in these cases the couple psychotherapy It becomes the method of election that allows you to deal with the relational dynamics that maintain or sharp dysfunction.
