How to treat Premature Ejaculationby PEhomepage.com Editorial Team
There are few treatment approaches available for Premature Ejaculation (PE) patients: psychotherapy/behavioral therapy, pharmacotherapy, topical therapy, alternative therapy and more.
Among the behavioral therapy techniques, the “stop-short” and the “squeeze” technique are considered the most effective. Behavioral therapy has always been considered a legitimate approach for PE. The “squeeze” technique was initially promoted by Semans in a 1956 report and later became well-known through Masters and Johnson’s report from the 1970’s. This technique presupposes the withdrawal of the penis during intercourse and just before the ejaculation becomes inevitable. In order to avoid ejaculation, the sexual partner is supposed to squeeze the penis hard. Nonetheless, the “squeeze” technique has been deemed impractical both by patients and physicians.
The “stop-start” technique, on the other hand, is believed to be effective because it makes the man feel more in touch with his sexual sensations This technique has been practiced for 30 years but Kaplan was the one responsible for its popularity in 1983. It involves the man having to stop during sexual stimulation just before ejaculation. This pause provides the subject with the opportunity to get used to the sensation and have a higher degree of ejaculatory control.
Psychotherapy can be used together with behavioral therapy but this does not ensure the success of the treatment. In some cases, the patients have learned to adjust their psychosexual reactions to sexual stimulations and actually attain conscious control over their ejaculatory reflexes. These two approaches (behavioral and psychotherapy) produce the best results only when practiced within a stable relationship because they require commitment and understanding from the partner. These approaches have two disadvantages: the time spent to learn and adapt to these techniques and the high cost of these procedures and side effects associated with pharmacotherapy. Moreover, there are conflicting results from different surveys with regard to behavioral techniques. A survey conducted by Clarke and Parry revealed that 60% of the men who are practicing these techniques are experiencing only short-term benefits. At the same time, De Amicis discovered that the benefits of behavioral therapy disappear after a 3 consecutive-year period.
Back to Articles 
Articles Archive 
E-mail a Friend
