Between one in three and one in five men struggle with premature ejaculation, but fewer than a quarter of them seek medical treatment. It’s the most common ejaculation problem, and it’s often caused by psychological factors such as stress, anxiety and depression. Finding more out about the problem helps you understand what’s happening and whether it’s worth attending premature ejaculation counselling in Luton and Dunstable to help you manage or rectify the problem.
What is Premature Ejaculation?
Precisely defining premature ejaculation or rapid ejaculation is fairly difficult, because there is no accepted “normal” length of time for sex to last – whatever you and your partner are happy with is absolutely fine. However, ejaculation is generally considered premature if it occurs within one minute of vaginal penetration most or all times you have sex – having only occasional episodes is completely normal. There are two different forms of premature ejaculation, depending on how long you’ve had the problem. Most men with the problem will have what is known as “secondary” premature ejaculation, meaning that the issue develops later in life but you’ll have ejaculated normally in the past.
In more rare cases – for about one in 50 men in England – it will have been an issue since the first sexual experience: in this case it’s known as “primary” premature ejaculation. In either case, the condition can lead to shame, and may cause the man to avoid sex, negatively affecting quality of life in the process.
What Causes Premature Ejaculation?
The causes of the condition can vary, but many are psychological in nature and in these cases premature ejaculation counselling is recommended as treatment. Common psychological causes of rapid ejaculation include stress, depression and anxiety – including anxiety about sexual performance, possibly related to earlier instances of premature ejaculation. There are also potential physical causes, including diabetes, multiple sclerosis, high blood pressure and drug or alcohol use. For lifelong (primary) premature ejaculation, biological differences (such as an extra-sensitive penis), traumatic sexual experiences or factors relating to upbringing (such as being raised to think that sex is wrong or sinful) may be causing the issue.
Premature Ejaculation Counselling and Treatment
Premature ejaculation counselling is one of the most common treatments for the problem because it is often psychological in nature. Psychosexual counselling is one widely-used approach, which aims to help with the problem by addressing the underlying psychological and emotional issues that are impacting on your sex life. In the early stages of counselling, you’ll explore the issues you’re facing and the thoughts and feelings that accompany or possibly contribute to them, and when the most relevant issues have been identified, the counsellor will help you work through them. Therapy can be attended as a couple, because sexual issues affect both partners, but you can attend alone if you prefer.
This is usually combined with some more practical tips for managing rapid ejaculation. These include things like the stop-start technique (pausing prior to ejaculation and waiting for a short time before continuing), the squeeze technique (similar to the stop-start, but the penis is also squeezed just below the head to delay ejaculation) and other tips like wearing a thick condom or masturbating an hour or two prior to sex. Medical treatments – including selective serotonin reuptake inhibitors – can also be used to help with rapid ejaculation in some cases.
If you’re struggling with premature ejaculation, the most important thing to remember is that it’s nothing to be ashamed of. If the problem is persistent, or if self-help tips alone haven’t proven effective, premature ejaculation counselling in Luton and Dunstable can help you understand what’s happening and address any underlying causes of the issue. If you want more information about rapid ejaculation or your treatment options, get in touch with us today for an informal chat. We’re here to help you regain a healthy sex life.
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