Premature Ejaculation: Therapies

Summary

We have reached the last chapters to treat "premature ejaculation: in the previous insights we have analyzed what is meant by premature ejaculation, the incidence of the disorder, the triggering causes, the diagnostic strategies and, lastly, we have traced a psychological profile of the affected patients, in order to place them within a therapeutic context aimed at healing the problem. And it is from this last point that we will resume the discussion, trying to highlight the therapies and - in the next article - the most useful natural remedies to correct premature ejaculation. In order to avoid weighing the issue down, in these latest articles premature ejaculation will not be considered a "problem", rather a "misunderstanding" which, as we shall see, will prove to be absolutely reversible.

Therapies

After the specialist check-up, the patient will undergo a therapeutic procedure useful for overcoming the unpleasant misunderstanding under examination; com "is known," premature ejaculation frames a mix of vulnerable causal elements of mental, psychosexual, physical or relational origin. Each of these problems will have to be addressed individually, since, if this were not the case, they would foment the subject's ejaculatory precocity even more: in this regard, the therapeutic strategies against premature ejaculation can be summarized as follows:

Sexological rehabilitation therapy
Pharmacological therapy
Psychodynamic therapy
Natural remedies

Among the various therapeutic options useful for delaying premature ejaculation, circumcision should also be mentioned: it seems, in fact, that hypersensitivity to the glans is an important cause of premature ejaculation. Strictly speaking, the doctor may recommend circumcision to the patient. associated with glandular neurotomy, useful for significantly decreasing sensitivity to the glans, consequently postponing ejaculation.

Psychological therapy

Many elements considered responsible for premature ejaculation have a psycho-sexual origin: consequently, the best therapeutic approach to remedy this unpleasant misunderstanding is represented precisely by sexological rehabilitation. From the writings of Dr. A. Graziottin, important conclusions emerged: first of all, sexological rehabilitation therapy is useful for monitoring not only anxiety, but also and above all bodily perceptions, those physical sensations useful for controlling ejaculation, therefore to postpone as much as possible the so-called - and already discussed - “point of no return”.
In order to (re) acquire an "excellent mastery of one's body, this therapy consists of manual practices (masturbation) associated with" respiratory training, aimed at releasing tension and muscles. Targeted self-massage practices, yoga and muscle training also help control ejaculatory timing. But not only: through the rehabilitation therapy - sexology, the premature ejaculator will be able, progressively, to "feel" his own body, to begin to love it and to listen to his own impulses, managing them. It must be the mind to guide the body, never vice versa.

Pharmacological therapy

The use of drugs to correct the timing of ejaculation during intercourse is a much discussed issue, but at the same time the subject of great interest for the medical profession. There are controversial theories: some specialists take sides against the administration of pharmacological specialties. to delay ejaculation, others are absolutely in favor.
Let's try to understand the reasons. According to some authors, to correct premature ejaculation drugs should be avoided not because they are not very effective, but because of the side effects, which far exceed the expected effects.
On the other side of the ideology, there are doctors who are absolutely in favor of administering pharmacological specialties for these patients: regardless of the consequences, in fact the drugs slow down ejaculatory times.
It seems that ejaculatory precocity is due to functional deficits of neurotransmitters, among which serotonin stands out: in the light of these considerations, it is clear that a drug capable of interacting with serotonin appears capable of prolonging the duration of intercourse, therefore postponing the " male orgasm. Two substances useful in this regard have been isolated: fluoxetine and paroxetine. This elective therapy should last for a rather long period, even six months, during which the doctor will modify the dosage, gradually decreasing it during the course of the months.
Of course, the advantages of drug therapy are surprising and immediate: they allow a better self-control, a strengthening of self-esteem and an optimization of interpersonal relationships with the partner. On the other hand, the abuse of these drugs could cause considerable anxiety states.
As an alternative to fluoxetine and paroxetine, there are vasoactive substances, reserved, however, only for those patients suffering from severe premature ejaculation, whose treatment of choice has not given satisfactory results. Again, vasoactive substances (eg. Viagra) could be a valuable aid, particularly when ejaculatory precocity mirrors erectile deficits.
Among the other possible solutions useful to remedy premature ejaculation, local anesthetics also appear: however, these pharmaceutical formulations are only useful in case of hypersensitivity to the glans. The use of condoms is recommended for men who use such local anesthetics, to avoid also anesthetizing the partner's genital area. [taken from www.alessandragraziottin.it/]

Psychodynamic therapy

Of all, psychodynamic therapy is perhaps the most complex, since it is aimed at decoding the patient's psyche, at discovering that "mental illness" that is externally reflected on the physical, that psychological discomfort that prevents man from fully living his sexuality. Through this internal analysis and this search for self, the patient learns to recognize his mistakes and to manage them: the awareness of the basic problem helps to strengthen the man, both from a psychological and physical point of view, thus acquiring complete mastery of their body. Many men who undertake the psychodynamic therapeutic path are able to make their mistakes a strength, a stimulus from which to start from scratch, in search of a new, cleaner sexuality, dismembered by anxieties, fears and tensions, sometimes totally Of course, the partner plays a fundamental role in this case too: it is essential that the woman is sensitized and that she understands the fragility. masculine. It is more than clear the absolute prohibition for the woman to laugh at her partner and to use heavy or offensive verbal expressions, which would worsen even more “that” unpleasant misunderstanding of premature ejaculation.