Understanding Premature Ejaculation (PE)
Intense Orgasm: Within one minute of penetration, an intense, brief, burning sensation develops within the penis and may continue for several minutes. This intense, brief sensation is also referred to as “spanking” and is an effective tool in a therapist’s hands trained in treating PE. Repeated spanking of the penis (without ejaculation) can significantly reduce the amount of ejaculatory activity over the course of one week. However, this is a relatively new treatment option, and further studies must be conducted to ascertain whether this treatment produces results beyond those provided by traditional spanking.
Stimulation Anticipation: This technique involves waiting for a minimum of three minutes before beginning penetration. Doctors may recommend that such waiting time be trained into the patient or adopt a policy of “practice makes perfect.” Waiting three minutes allows the penis to respond to stimulation and therefore helps to delay ejaculation. While this method has proven successful for some men, it may not be effective for others.
Other possible causes of premature ejaculatory response may include a combination of psychological and physical factors. Those who suffer from mild to moderate social anxiety cases may want to consider consulting a psychotherapist who can offer suggestions and/or therapies that may help delay orgasm. Similarly, individuals who suffer from extreme levels of stress, worry, and anxiety may want to discuss options with their primary care physician or a clinical psychologist to determine which avenues of treatment may prove most helpful in their case.
To determine the most appropriate treatment for a patient, doctors will often take a history, interview patients, and then perform a physical exam to determine a physical condition. Once the cause of male sexual dysfunction is determined, medical treatments will be discussed. If the cause of premature ejaculatory response is not physical, then the doctor may make recommendations based on his personal opinion or the patient’s partner. These treatments may include medication, lifestyle changes, or psychological therapy. If the problem is physical, a healthcare provider’s consultation will provide more information about available treatments.
Many of these treatments are similar, and physicians will generally recommend one option to address the most common cause of male sexual dysfunction. However, sometimes a combination of psychological and medical approaches is required to fully treat a man’s Peyronie’s disease (PE). In these instances, discussing one’s feelings with a trained psychologist or medical professional will provide valuable input about how to proceed with treatment. If the cause of male sexual dysfunction is due to a mental or physical condition, a combination of psychotherapy and medication may be recommended. Whether the cause of premature ejaculatory response is psychological, physical, or behavioral, males should discuss any treatment options with a healthcare provider to determine which is best for them.