Erectile Dysfunction
Penile Pyschological Impotence

Success rates of counseling are difficult to evaluate, since therapists use a variety of methods to measure success. The second approach to treating premature ejaculation is behavior modification. A popular technique is the "stop-start" exercise.

The man receives sexual stimulation for a short period of time. He is allowed to have an erection but stimulation is stopped before he ejaculates. Then we wait till the erection subsides. This exercise is repeated numerous times. It is supposed to increase the amount of time that a man can maintain his erection without ejaculating. It is a somewhat frustrating exercise that needs the patience of a saint to make it work.


The third and most recently introduced treatment method is medication. Low doses of some antidepressants seem to produce a delay in the ejaculation response. While the potential benefits of these medications may be significant, there are some concerns that treatment may be offered without first evaluating the man's health history  and actual need for the medication.

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