Premature Ejaculation: A Multi-Disciplinary Approach

Extract

[...] Crystallizing the reconstruction of the couple's history, emphasizing both negative and positive moments to identify their strengths and weaknesses. Here, the creation of a collaborative climate allows for the full expression of both partners and, above all, the restoration of psychological and physical intimacy. The potential use of medications, in close collaboration with the specialist doctor who is placed in the same framework. Identifying and knowing how to manage the transference and counter-transference. 10) Verification of the intervention and follow-up. [...]

[...] In fact, for Marc, recognizing that he is 'too quick' (he verbalizes it perfectly as we have above) can represent a psychological wound with alterations to the normal psychological state and develop anxiety related to sexual performance and fear of not satisfying the partner. On the other hand, Candice, although she does not initially accuse the problem and does not express it explicitly to her partner, over time, premature ejaculation is experienced as a problem that may lead to sexual disinterest. B. The difference between an individual interview and a couple's interview As we briefly mentioned above, a psychotherapeutic treatment can be performed as individual therapy or as a couple's therapy. [...]

[...] I come right away, I suffer from premature ejaculation. However, what caught our attention was that during the first interviews, it was quite clear that his request was not solely aimed at resolving the sexual problem. He mentioned a much broader topic with existential deadlines related to obtaining a management position in the near future, affective dissatisfaction at work, and stress that created a more complex image than just the sexual theme. We therefore decided to start a therapeutic path by starting with premature ejaculation, which seems the most concrete to resolve. [...]

[...] In this technique, the penis is stimulated up to the limit that occurs before the point of ejaculation, then put on pause and, as soon as the excitement has returned to a low level, the stimulation is resumed. This change between the stimulus and the pause is intended to modify the neuromuscular reflex mechanism and to prolong the duration of the erection. Another technique called compression or Masters and Johnson pressure method is a modification of the stop-start technique. Here, Marc can learn to perceive his excitement and the moment of unwanted ejaculation more consciously. With this method, the penis is pressed with sensitivity at the tip. [...]

[...] Firstly, it is necessary to recognize that there are different definitions to determine whether there is premature ejaculation or not. This is why the way Marc feels about the situation and the pressure of suffering he feels plays an important role. There is no clear limit and the sensation of the men concerned or their partner varies and is subjective. In general, premature ejaculation is characterized by an ejaculation that occurs always or almost always within less than three minutes after the introduction of the penis into the vagina.4 (Maillé et al. 2012). [...]