Sexual Health

Psychological Causes and Remedies for Premature Ejaculation

August 19, 2018

Premature ejaculation, sometimes called rapid ejaculation, is the incidence of ejaculation prior to the wishes of both sexual partners. The cause, or causes, aren’t fully understood. Explanations for premature ejaculation include the purely biological into this purely emotional, with yet others indicating that a more intricate connection between biology and psychology.

Psychological factors, but are known to aggravate or precipitate premature ejaculation that is the reason why treatment may involve emotional treatments.

Psychological Effects

Premature ejaculation may lower self-confidence, make guys reluctant to start new relationships or contribute to concerns which a spouse may seek a connection with another man. In a connection, men might feel misunderstood, that their spouse is not aware of the extent of humiliation and frustration that they regularly encounter. Their spouses might suffer in silence for fear of upsetting their individual further or may become frustrated at the apparent unwillingness of the guy to deal with the problem.

Advantages of Psychotherapy

Stanley E. Althof, Ph.D., in the Center for Marital and Sexual Health of South Florida, has analyzed the advantages and limits of distinct psychological interventions for premature ejaculation. He feels that psychotherapy alone is most effective for guys or couples where the problem is clearly psychological–for example, brought on by depression or performance stress.

Current approaches to psychotherapy emphasize control of ejaculation by learning new techniques, gaining confidence, lessening anxiety and learning better communication.

Individual Psychotherapy

For unmarried guys not in relationships, individual psychotherapy might help to address men’s reluctance to enter into associations.

For guys in relationships, individual psychotherapy might help when the dysfunction is apparently rooted in childhood issues or excessive fear or hostility to girls.

Individual psychotherapy may be exploratory by examining the developmental underpinnings of hesitation to enter into associations, and fear or hostility toward women. It can also be behavioral, and specific techniques can be learned that help control ejaculation, enhance attention to arousal, and handle anxiety.

Couples Psychotherapy

For couples, joint psychotherapy may help where the two partners are motivated to seek treatment and where the various factors involved with premature ejaculation can be researched.

Couples treatment can be exploratory, looking into problems in the relationship that lead to sexual difficulties and early ejaculation, or it might be behavioral, examining specific techniques around ejaculatory control and stimulation that are worked on straight with the couple together (“sex therapy”).

Psychotherapy With Medication

Combining medications with psychological therapies may, according to Dr. Althof, offer the best of both worlds. The result of certain medications to delay ejaculation can help build confidence before emotional treatments are used.

In time, the man can be taught not to fear his arousal and to attend to other sensations. Once achieved, many men can be weaned off drugs completely.

Do Psychological Therapies Work?

Sex treatment studies are normally small and uncontrolled. This sits somewhat uncomfortably in comparison to evidence-based medical research requiring large, randomized controlled studies.

The high success rates of larger sex studies conducted by Masters and Johnson (1970) have never been duplicated in subsequent studies. All studies using long-term follow-up report a trend for men to endure a certain amount of relapse, at a rate as large as 75 percent, although sexual satisfaction overall seems relatively excellent.

On balance, Dr. Althof believes that psychological therapies have significance for both guys and couples, whether traditional psychotherapy is used alongside medicines. The outcome, he believes, point to an overall improvement in sexual and relationship satisfaction.