TREATMENT

A wide range of therapeutic options is available today, including pharmacological and behavioural treatments, and with synergic effect among the two. Pelvic floor exercises and behavioural therapies, aimed at improving control over ejaculation times, help the patient to recover his self-esteem: greater confidence and security during sexual intercourse can reduce anxiety and improve the intimacy time, making it a pleasurable experience. But not only: since its beginnings in the late ´60s and ´70s with behavioural or cognitive techniques such as focused masturbation, and “stop-start” or “squeeze”, many options are available, but the best results are obtained with modern treatments (both in mono or combined therapy) such as EMDR (Eye Movement Desensibilization and Reprocessing), RRT (Regressive Reconstructive Therapy), NLP (Neuro-linguistic Programming) and Systemic Therapy.

Readily available products designed to delay ejaculation are certainly not lacking, but considering the psychological connotations of the disorder it is important both to avoid self-medication (which involves many risks even with natural remedies) and to rely on specialist care. In any case, it is strongly recommended to firstly consult an authorised healthcare professional, to keep away from counterfeit and substandard medicines as well as from uncontrolled substances purchased on the Internet, because of possible ineffectiveness and danger.

Suggested readings

  • McMahon, C.J.; Premature ejaculation; Indian Journal of Urology (2007)
  • Sunay, D., Sunay, M., Aydogmus, Y., Bagbanci, S., Arslan, H., Karabulut, A., Emir, L., Acupuncture versus paroxetine for the treatment of premature ejaculation: A randomized, placebo-controlled clinical trial, Eur. Urol. (2011).
  • Safarinejad, M.R., Hosseini, S.Y., Safety and efficacy of tramadol in the treatment of premature ejaculation: A double-blind, placebo-controlled, fixed-dose, randomized study, J. Clin. Psychopharmacol. (2006).
  • Pu, C., Yang, L., Liu, L., Yuan, H., Wei, Q., Han, P., Topical anesthetic agents for premature ejaculation: A systematic review and meta-analysis, Urology (2013).
  • Hellstrom, W.J., Althof, S., Gittelman, M., Streidle, C., Ho, K.F., Kell, S., Nilson-Beijber, A., Dapoxetine for the treatment of men with premature ejaculation (PE): Dose-finding analysis, J. Urol. (2005).
  • Waldinger. M., Zwinderman, A., Schweitzer, D., Oliver, B., Relevance of methodological design for the interpretation of efficacy of drug treatment of premature ejaculation: A systematic review and metaanalysis, Int. J. Impot. Res. (2004).
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