How Sex Therapy Helps in Premature Ejaculation
At each session, your therapist will ask questions about masturbation and orgasms and provide exercises to try at home to address them.
Techniques
A sex therapist might utilize techniques such as relaxation exercises, cognitive restructuring of anxious thoughts or exposure to situations which cause anxiety. Based on your needs and goals, they may also offer sexual education or guidance regarding using aids. If sexual dysfunction stems from past sexual traumas, psychoeducation and EMDR (eye movement desensitization and reprocessing) might also be used as treatments.
Men living with PE often feel their partners are frustrated with their inability to reach orgasm during intercourse, leading them down a path toward relationship stress and strain. Sex therapy provides couples an avenue for candidly communicating their issues while developing solutions that will increase satisfaction within the relationship.
Sex therapy not only teaches people to control their ejaculation, but it can also address other factors that contribute to it, including feelings of shame about masturbation or sexual activities, past sexual abuse, relationship difficulties or lack of stimulation. A sex therapist can provide techniques for distracting your mind during sexual stimulation - counting cars or noting businesses passed by while driving could work well as a form of distraction.
At times, sex therapists may suggest alternative therapies like yoga and acupuncture as part of a treatment plan. Although such practices could potentially benefit certain individuals, more research needs to be conducted on their efficacy. The goal of alternative therapies is usually increasing self-confidence which in turn reduces anxiety levels making sex less frightening.
Counseling
As well as treating any medical issues like hormone imbalances or side effects of medications, psychological counseling may also help relieve sex disorder symptoms. Working with a therapist who specializes in sexual disorders is usually effective; couples therapy can also be an option as having both people present can improve satisfaction while strengthening relationships between partners.
At these sessions, the therapist will identify and address any specific causes for PE. This could involve looking back on past relationships to explore sexual desires and expectations or current sexual habits and what's happening during sexual encounters. Counseling may also focus on challenging negative beliefs related to sexual activity that create barriers.
If a sex therapist suspects that the source of their client's problem lies within physical illness, they may refer them for examination and testing by a physician. If there is indeed medical cause behind their sex disorder, he or she may prescribe appropriate medication.
In certain instances, therapists will employ a technique known as "body work," in which patients are massaged prior to engaging in sexual activity so as to learn to appreciate sensations throughout their bodies instead of just those found around the penis. This helps decentralize anxiety about performance while emphasizing pleasure instead.
Medications
A physician will begin with a physical exam to rule out any health issues that could be contributing to PE, followed by a series of personal questions on matters including frequency of PE episodes and whether it occurs at all sexual encounters; whether masturbating causes an orgasm; whether your partner can obtain an erection; and any other concerns you might have related to sexuality.
Psychosocial issues typically play a part in PE. Lack of awareness regarding when orgasm will happen is usually to blame; other times it could be related to relationship troubles or sexual difficulties causing individuals or couples to ejaculate too soon to avoid dissatisfaction with intimacy.
Behavioral therapy and counseling may be recommended to address underlying issues. Techniques such as mindfulness, relaxation exercises and communication training may assist individuals in recognizing negative thoughts that contribute to PE; developing effective coping mechanisms; and improving relationship dynamics.
Medication may also help prevent or postpone ejaculation in some instances. Selective serotonin reuptake inhibitors (SSRIs), like fluoxetine, can be prescribed as treatments for PE; they work by manipulating dopamine pathways that affect reward and pleasure responses within the body. Dapoxetine, another prescription medication similar to SSRIs, may also be helpful in decreasing or postponing ejaculation.
Other Treatments
Your doctor will suggest various treatment options depending on the cause of PE. For instance, if it involves physical health conditions like urinary tract infections, such as visiting a urologist specializing in bladder and prostate conditions. If it involves psychological causes like sexual issues, however, they might refer you to psychologists or psychiatrists with experience helping people manage sexual issues as well as couples therapy as options.
If your health care provider suspects you of suffering from PE, they might recommend laboratory tests to analyze hormone levels or look for possible illnesses that could be contributing. Most often however, behavioral techniques, counseling and medications will be suggested instead as solutions.
Antidepressant medications that block serotonin activity in your brain may help decrease the urge to ejaculate, including selective serotonin reuptake inhibitors (SSRIs) such as Celexa(r), Escitalopram(Lexapro), Prozac,fluoxetine Prozac(r), paroxetine Paxil Paxil Zoloft ZOLOFT(r) as well as tricyclic antidepressants such as Clomipramine Anafranil(r). These antidepressants work best when combined with treatment programs that involve learning and practicing sexual skills as well as working through any emotional or relationship issues contributing to PE.
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