Premature ejaculation: different types of premature ejaculation and practical exercises.

Several tips and techniques easy to apply to overcome premature ejaculation.

Despite the fact that many people live with it on a daily basis, premature ejaculation is a phenomenon that some people do not take the step to begin to overcome, premature ejaculation is a phenomenon that some people do not take the step to begin to treat; they prefer to adapt their sexual practice to this evil that has affected many men and that, with a little work, can be overcome. and that, with a little work, has a solution.

Normally, in the lives of the premature ejaculation patients I see, there are many complications, not only in the most intimate sphere, but also in the relationships they experience in their daily lives. They feel this alteration as if it were a burden on them, and also, in the words of a patient, it is as if they were wearing it on their forehead and could not remove it in any way, always being conditioned when it comes to having relations with a partner.

It is important to know first of all that this problem has a solution.It is also important to know that there are several ways to establish if it is a problem at an organic level and that it needs medication (for this it is important to have a first examination by a urologist before starting therapy) or on the contrary it is a problem at a psychological level (although it is possible to combine pharmacological and psychological treatment).

In this case it simply requires practice, patience, and trust in the professionalism of our psychologist.

First of all: what is premature ejaculation?

According to the International Society for Sexual Medicine (2021) premature ejaculation is a sexual dysfunction characterized by:

• Ejaculation that always occurs within the first minute of vaginal penetration (premature ejaculation from birth).
• Ejaculation that occurs within three minutes of vaginal penetration (which we will call acquired premature ejaculation).
• Inability to delay ejaculation when vaginal penetration occurs.
• Negative personal consequences such as stress, frustration or avoidance of sexual intimacy.

The ISSM has identified different typesThere may of course be more, or one may be more prevalent than another. But it is important to take these three as a starting point, as I think they are quite useful as a guideline and are very accurate.

• Premature ejaculation from birth (< 1 minute): it is defined as ejaculation produced in less than one minute from the beginning of penetration.

• Acquired premature ejaculation (< 3 minutes): is defined as the point in life when premature ejaculation is acquired, not having always been premature ejaculation. For example, a person who was previously able to have intercourse and hold it without any problem later has problems ejaculating in less than three minutes.

• Subjective premature ejaculation (3 - 6 minutes): occurs when ejaculation is centered between three and six minutes, this may be one of the most affecting the population, and fortunately, one of the best solutions.

• Exercises and solutions to premature ejaculation.

  These practical exercises are proposed at a general level, and of course, you have to know that for greater effectiveness you must have a therapist to adapt them to you..

  1. Identify the point of no return

  This is important, it is the point at which if you continue you will ejaculate. It is important to know how to identify it in order to - if I may be obvious - be able to stop before you can't stop.. It seems funny or very obvious but I have seen many patients who do not know how to see this point.

  2. Kegel exercises

  These are exercises to improve the pelvic floor, with them you will achieve more control over the prostate.. There are plenty of examples on YouTube.

  3. Apps

  There are plenty of apps to overcome this issue and on both platforms. Do not hesitate to google and search for them.

  4. Visualize erotic material

  It helps to find the point of no return and control where it is happening and how to stop it.. By visualizing pornographic material you will be able to achieve greater stimulation (in most cases) and thus be able to better explore your points.

  Do you need help to overcome your problem?

  My name is Javier Ares and I am a psychologist expert in problems derived from sexuality, which come mostly from the broad spectrum of anxiety. That is why I have been helping patients to overcome these issues for years, always with the utmost professionalism, respect and discretion.

  My way of working is based on practical exercises at an individual level with the patient and also (if possible and desired) through exercises with your partner. To do this I like to do a good exploration analyzing how your life is and in what aspects it is affecting you so we can get down to work and above all achieve a learning process.

  Do not hesitate to contact me to start your therapy adapted to your circumstances.

  Bibliographical references:
  • International Society of Sexual Medicine. (2021). ISSM Patient Information Sheet on Premature Ejaculation Available at: https://professionals.issm.info/resources/clinical-guidelines/.