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04:22
Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
Practical tips for sexual counseling and psychotherapy in premature ejaculation
David Rowland1, Stewart Cooper
1Department of Psychology, Valparaiso University, Valparaiso, IN 46383-6493, USA. david.rowland@valpo.edu
The Journal of Sexual Medicine
|October 5, 2011
Summary
Psychosexual treatment, considering psychological and relationship factors, is effective for premature ejaculation (PE). Combining this approach with medication can enhance outcomes for both the patient and their partner.
Area of Science:
- Psychology
- Sexology
- Therapeutic Interventions
Background:
- Premature ejaculation (PE) treatment has evolved over 50 years, incorporating behavioral techniques and pharmacotherapies.
- Effective PE management requires addressing physiological, psychobehavioral, cultural, and relationship factors.
Purpose of the Study:
- To review patient suitability for psychosexual treatment for PE.
- To outline psychological approaches for managing PE.
Main Methods:
- Literature review.
- Analysis of psychosexual treatments integrating behavioral, psychological, and relationship functioning.
Main Results:
- PE is often a couple's issue, making partner involvement in psychotherapy beneficial.
- Integrative psychotherapy for PE involves building therapist-patient rapport, empathy, motivational interviewing, and addressing affective, cognitive, and behavioral domains.
- Tailored treatment strategies considering medical, psychological, and relationship history are crucial.
Conclusions:
- Psychosexual treatments can improve sexual function and relationship quality for couples experiencing PE.
- Combining psychosexual therapy with pharmacotherapy may augment treatment effects.
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