Psychiatry Fast Five Quiz: How Much Do You Know About Premature Ejaculation?

Stephen Soreff, MD

Disclosures

December 28, 2016

Treatment and counseling should include the female partner as much as possible. To relieve performance pressure on the male, the couple should be instructed not to attempt intercourse until the ejaculatory problem is solved. This can minimize the attempt-failure-guilt cycle.

Unless the male experiences premature ejaculation with initial sexual excitement, consider instruction in sex therapy techniques. The squeeze-pause technique popularized by Masters and Johnson can be highly successful. In it, the female partner stimulates the male but stops and applies pressure just behind the glans when the male feels he may ejaculate. Stimulation is resumed when ejaculation no longer feels imminent.

For younger men, it may be helpful to masturbate 1-2 hours before intercourse to prevent premature ejaculation. However, older men may have trouble achieving a second erection.

To learn more about counseling and sex therapy for premature ejaculation, read here.

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