Ejaculation Issues

Premature Ejaculation (PE)
or Rapid/Early Ejaculation

Premature ejaculation, now more often called rapid ejaculation or early ejaculation, can be a very frustrating issue. The DSM-IV-TR defines PE as “persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it” (p. 554). Beth completes a thorough psychotherapy assessment so that a treatment plan can be customized that best addresses the issue. The relevance of pelvic floor health to erectile and ejaculatory issues is now better understood. Beth incorporates the latest knowledge/research of pelvic floor health in her treatment approach. Many men who engage in the treatment program see significant improvement within 2-4 sessions.

Although the time it takes men to ejaculate varies by each individual, by country and by other factors, Waldinger, Quinn, and Dilleen (2005), found in their study of 500 couples from 5 countries that the overall median value of Intravaginal Ejaculation Latency Time (IELT) was 5.4 minutes. There are multiple factors that can contribute to Early Ejaculation, including new sexual partners, anxiety, pelvic floor dysfunction, medical/hormonal issues, neurobiological contributors, relationship problems, lack of body awareness, and previous traumas. Sometimes, an exam by a physician is recommended as part of the treatment process. Beth provides psychosexual education, cognitive strategies, behavioral exercises, and solution-focused options.

References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington, DC.

Waldinger, M., Quinn, P.,Dilleen, M., Mundayat R., Schweitzer, D., Boolell M. (2005). Ejaculation disorders: A multinational population survey of intravaginal ejaculation latency time. Journal of Sexual Medicine, 2, 492-497.