Psychogenic premature ejaculation
A psychogenic form of premature ejaculation is a sexual act that is accompanied by excessively rapid ejaculation. The reason for this is the traumatic factors caused by any situations or events. In this case, premature ejaculation is in no way associated with physiological causes: excessive sensitivity (sensitivity) of the glans penis, neuropathology or other urological problems, such as prostatitis, vesiculitis, short frenulum of the penis, etc. The development of premature ejaculation is primarily based on the psychogenic factor. Ignoring this problem in the future can lead to impotence based on a psychogenic factor. Therefore, this phenomenon is studied in detail in such fields of science as sexology, andrology, psychotherapy and urology.
The content of the article:
The causes of the psychogenic form of premature ejaculation
Symptoms of a psychogenic form of premature ejaculation
Diagnosis and treatment of the psychogenic form of premature ejaculation
Psychogenic premature ejaculation
Statistics show that the majority of violations in the sexual sphere in both sexes in most cases are associated with factors that depend on psychology. In the female sex, the number of violations of the functions of sexual desire of a psychogenic nature often includes absence (alibidemia) and decrease (frigidity) sexual desire, lack of orgasm (anorgasmia), as well as pain during the process of sexual intercourse, such as dyspareunia, genitalgia and convulsive reflex spasms of the muscles of the genital tract (vaginismus).
Sexual disorders of a psychogenic nature in men include a decrease in libido (sexual desire) or its complete absence, erectile psychogenic dysfunction (impotence), disorders associated with ejaculation (premature ejaculation, anejaculation, asthenic ejaculation), mild or no orgasm, fear of loss of sexual power. The psychogenic form of premature ejaculation can be both permanent and transient.
The causes of the psychogenic form of premature ejaculation
The main cause of premature ejaculation of a psychogenic nature is most often too much sexual arousal. The phenomenon of sexual overexcitation is mainly characteristic of adolescents and young men who have recently started an active sexual life. However, this condition can also be characteristic of sufficiently mature and experienced males. Excessive sexual arousal is associated with a sharp and sudden increase in tension in certain parts of the brain. When the “threshold level” of sexual arousal is reached, a man is unable to control the process of ejaculation itself. As a result, ejaculation occurs prematurely.
Also, the source of the psychogenic form of premature ejaculation is the neurosis of “expectation of failure”. Such cases are most often characterized by a not very successful “beginning of sexual life”, most often associated with a lack of experience of a young person in this area, a state of alcoholic or narcotic intoxication, fear that he will be rejected or laughed at, fear that the partner will remain unsatisfied, etc. As a result, a young man in anxiety subconsciously expects a repeat of an unsuccessful experience from the past. A similar phenomenon occurs in anxious-hypochondriac people with a weak sexual constitution.
Often, the root cause of the psychogenic form of premature ejaculation is in the direct personal relationship between sexual partners. This case is characterized by such psychological factors of premature ejaculation as lack of trust and mutual understanding between partners, lack of strong attachment and sexual attraction to each other, fear of infidelity, unhappiness in relationships, fear of infection with sexually transmitted diseases and other reasons. Men who often live in a state of constant stress, depression, lack of sleep and rest are also often subject to a psychogenic form of premature ejaculation.
There are cases when this problem is purely individual or situational in nature and is found only with sexual attraction to one particular woman or in a certain definite situation.
Symptoms of a psychogenic form of premature ejaculation
The failure of a man and the inability to satisfy a partner leads to a violation of family relationships, often everything ends with a break in the relationship. Single men who are subject to a psychogenic form of premature ejaculation are afraid and do not want to start a family. All this translates into fear and avoidance of close and full-fledged communication with the female sex. Men are very sensitive to their sexual “insolvency”. As a result, this leads to an underestimation of self-esteem, as well as to a deterioration in the quality of sexual life. All of the above further worsens the psychological component of premature ejaculation.
The psychogenic form of premature ejaculation is characterized by such a feature as a completely different duration of coitus (sexual intercourse) with different women. To improve this situation, men most often try to think about abstract topics that are not related to sexual attraction or take small doses of alcoholic beverages. Sometimes men with a psychogenic form of premature ejaculation focus their eyes and attention on imaginary diseases that they find in their body. So they try to find the root of their sexual inadequacy in this. But in fact, with all this, orgasm, erection and libido in the psychogenic form of premature ejaculation may be quite normal or somewhat weakened.
Diagnosis and treatment of the psychogenic form of premature ejaculation
As a rule, the problem of premature ejaculation in men is found in the absence of indications for early ejaculation, which are associated with diseases of the genitourinary tract. Therefore, before making this diagnosis, a man who has premature ejaculation first undergoes all the necessary examinations in the office of a urologist or andrologist. In these offices, a qualified doctor will perform a number of diagnostic actions and a comprehensive urological examination (urethral smear, prostate secretion examination, functional tests, ultrasound of the prostate gland, scrotum, penis, etc.).
Psychological problems with premature ejaculation can be resolved independently as a result of growing up or acquiring sufficient experience of sexual life. There are cases when sexual excitability decreases in men after the age of 30, but at the same time the duration of sexual intercourse on the male side increases. If the problem persists, despite his age and experience, a man needs the help of a qualified psychologist or psychotherapist. There are many methods of treating this problem, but the main one is psychotherapy, which in this case includes: autogenic training, suggestive therapy, hypnotherapy. At the same time, psychotherapeutic work is being carried out with a permanent sexual partner or spouse, since the root of the problem may lie in the area of the relationship between these people themselves.
To reduce increased anxiety, the following techniques can be recommended by a doctor: ascending and circular showers, shared baths and vibrating massage of the perineum, galvanization of the spinal centers, reducing the excitability of the ejaculation center and simultaneously having a positive psychotherapeutic effect. In extreme cases, pharmacological treatment of sexual dysfunction is used. Then the doctor prescribes special antipsychotics, tranquilizers and antidepressants.
Most often, premature ejaculation is a reversible process. For this reason, it is not recommended to be afraid, not to notice the presence of a problem, and also avoid the help of professional doctors. The most important role in the fight against sexual dysfunction is played by a sensitive and attentive woman who will always help a man and support him in solving this problem.
