How to deal with premature ejaculation caused by psychological factors

Premature ejaculation caused by psychological factors can be improved through psychological counseling, behavioral training, medication treatment, partner cooperation, and lifestyle adjustments.

1. Psychological counseling

Cognitive behavioral therapy can help patients identify and correct misconceptions about sexual behavior, and alleviate anxiety. Sex therapists will guide patients to establish healthy sexual psychological patterns through professional communication skills, including mindfulness meditation training, progressive muscle relaxation, and other methods. Psychological counseling clinics in medical institutions usually provide relevant services, such as the standardized intervention process established by the Psychology Clinic of Peking University Sixth Hospital for such issues.

2. Behavioral Training

Stopping technique is a commonly used clinical behavioral training method, which pauses activity until the excitability decreases when sexual stimulation reaches a critical point. Kegel exercises can enhance pelvic floor muscle control, with 3 sets of 10-15 contractions per day per group. The biofeedback therapy carried out by some tertiary hospitals' male departments helps patients master control skills through real-time monitoring with instruments.

3. Drug therapy

Dapoxetine tablets, as serotonin reuptake inhibitors, can prolong the latency period of ejaculation; Lidocaine gel should be applied 20 minutes before sexual life when used locally to reduce the sensitivity of glans penis; Paroxetine tablets are suitable for patients with comorbid anxiety symptoms. The use of the above drugs should be carried out under the guidance of a doctor, avoiding self adjustment of dosage.

4. When using the sexy concentration training method, partners should avoid criticism and blame, and establish a sense of security through non consensual caresses. Both parties can jointly participate in the sexual health workshop organized by the hospital to learn scientific communication skills. Establishing a regular sexual activity plan can also help alleviate performance anxiety.

5. Lifestyle habit adjustment

Maintaining aerobic exercise 3-5 times a week for 30 minutes each time, such as swimming or jogging, can improve overall blood circulation. Limit alcohol intake and ensure adequate sleep, avoiding excessive use of electronic devices before bedtime. Seafood rich in zinc can be added to the diet, but attention should be paid to controlling the intake of spicy and stimulating foods.

It is recommended to establish a regular schedule and take a walk after dinner to promote digestive health. You can try using soft warm lighting in the bedroom to create a relaxed sleeping environment. If self-regulation is not effective, it is necessary to seek timely treatment at a regular hospital's urology or psychology department to avoid worsening symptoms due to delayed treatment.