For most couples premature ejaculation is a major problem because it creates distress and dissatisfaction. Sometimes the problem is so severe that the man ejaculates before even penetrating. For some men, premature ejaculation is detrimental to their self-esteem. But, it can be particularly annoying and unpleasant for their partner as well.
Studies on the causes of the problem have not reached any specific conclusion. However, it is now clear that anxiety has a significant effect on the problem. However, despite the fact that we do not yet understand the exact causes, we have the ability to deal with the problem in various ways depending on the severity and characteristics of each individual or couple. As part of the treatment, the man and later the couple are trained to increase their control over ejaculation. The couple must follow an exercise program, which is tailored to their own needs.
The exercises are done by the couple at their home, and during the review sessions the specialist evaluates the course, resolves any difficulties and problems that arise, so that the couple can reach the desired goal. Exercises have low success rates when done without the systematic guidance of an expert. The specialist, in some cases, will also assess the need for pharmacotherapy, which can sometimes accompany the exercise program.
