|What is premature ejaculation?
Premature ejaculation is a lack of control over the
ejaculatory reflex therefore, it is a disorder of the orgasm phase during
How many types of premature ejaculation exist?
A primary premature ejaculation refers to one that has always existed, that is
to say, that the individual has never been able to control the ejaculation. A
secondary premature ejaculation occurs when it appears suddenly, at a specific
point in an individual’s life.
How does one detect premature ejaculation?
In a normal sexual relationship the level of arousal of the male will increase
progressively until he reaches the climax phase. Sexual pleasure will last
until the climax is reached, voluntarily. Males who suffer PE are not able to
make the climax phase last, on the contrary, they experience a fast arousal and
an early involuntary ejaculation.
Is premature ejaculation the same as impotence?
No. Impotence is a total or partial
lack of erection or the inability to maintain an erection during sufficient
time to have satisfactory sexual intercourse. Occasionally, PE is a symptom of
an incipient impotence.
What are the causes of premature ejaculation?
Organic causes: Uro-genital afflictions of the posterior urethra and of the
prostate, neurological alterations, degenerative disorders, vascular
alterations, drugs (antidepressants, anti-hypertension, stimulants…) hormonal
imbalances and all diseases which alter the reflexes of ejaculation.
Psychological causes: They are more common. The immediate cause which is always
present in premature ejaculation is a lack of perception of sexual sensations.
Other causes include: anti-sexual messages experienced during childhood, lack
of sexual information, pressure to perform induced by the partner, troublesome
family atmosphere, anxiety, stress, fear of failure and difficulty for
How does premature ejaculation affect the couple?
If the male suffers PE, foreplay will undoubtedly be reduced and this in turn
will prevent the female from reaching a high level of arousal. As a result she
will experience more difficulty to reach an orgasm during intercourse.
What treatments are available for premature ejaculation?
The most innovative treatments are drugs and psychotherapy and surgery in only
a small percentage of cases (selective neurotomy). However, the latest trend in
treatment consists of andro-sexological psychotherapy. It consists of the
administration of new drugs which produce a delay in the ejaculatory reflex
together with a psycho therapy process for the couple which will teach them
techniques and exercises.
What is the current success rate for PE treatment?
The therapy has a duration of 3-6 months and a success rate of 95%.
What complications may arise during a PE treatment?
Factors which can put an end to the therapy: the anticipation or fear of
failure anxiety, couple's lack of collaboration and/or commitment, lack of
communication and/or sensitivity towards each other's feelings, objections to
the treatment methodology, attitude issues, etc. If one suffers this pathology
the best option is go to a specialist as soon as possible in order to begin the
treatment and solve the problem as soon as possible.
What is the partner's role during a PE treatment?
The aid and collaboration of the partner is essential for a successful
treatment. The couple must communicate with each other to avoid conflict. The
partner should partake in the therapeutic process, this has become an essential
factor as it directly contributes to treatment's success.
If one has no partner, will the treatment differ?
We offer the possibility to follow a long distance PE treatment that aims to
control premature ejaculation through a series of exercises without having to
attend the doctor's office. If you are interested, please contact us via e-mail
and we will then send further information.
The same therapeutic techniques are usually applied for premature
ejaculators with no partner. The aim is the same one: reaching self-control as
one gets to know his own sexual response better and frees himself from fears,
anxiety, inferiority complexes and/or shyness, increasing his self esteem.