Delayed ejaculation in psychosexual therapy This article discusses delayed ejaculation in psychosexual therapy and Porn induced delayed ejaculation.

Male delayed ejaculation (DE) is where ejaculation is possible, but with delay of perhaps 25‐30 minutes or more.

The causes of DE are often psychogenic, but there are some cases of organic diseases (diabetes and drug side effects, etc). that cause anejaculation. This is the pathological inability to ejaculate in males, with (orgasmic) or without (anorgasmic) orgasm. Ejaculation and orgasm are two different systems that usually work together, but in fact are separate. E.g. a nocturnal emission or wet dream isn’t with an orgasm. Though these are not die-hard rules, but good guidance

Porn induced delayed ejaculation

The above slide shows the glorious complication is how the penis works and when the dysfunction cannot be readily explained through a medical diagnosis, it comes to the realm of psycho sexual therapist.

DE can be:

  • a subconscious fear of letting go,
  • an obscure condition
  • an attack on the object from 1974 theorized as an object being even the thoughts of something being sabotaged or destroyed
  • In 1985, theories portrayed it as also being likely to have hostile feelings towards their partner (Hawton ’85)
  • And now, with the onset of affordable, anonymous and accessible (triple A effect) pornography, more males at quite young ages, presenting now with DE due to excessive over stimulation and conditioning of the penis to porn stimulus and not stimulus of a real person

So, how difficult is it to treat delayed ejaculation?

Start with organic and medical in approach, or secondary and through any operations etc. then it’s under psycho sexual and then is it situational i.e. can the individual ejaculate away from the sexual situation that is causing the distress?

Simply put, can the individual ejaculate whilst masturbating (might even wish to explore at this point, to what fantasy?)

In 2017 research demonstrated the first study to address the potential impact of pornography use on ejaculatory dysfunction. It was conducted on a group of 115 hypersexual, predominantly heterosexual men (mean age 41 years, range 19–76 years).

A relatively significant percentage of subjects (23.5%; n = 27) masturbated chronically (at least 1 hour a day or over 7 hours a week), usually whilst viewing pornography.

In comparison with other subjects, this particular group was characterized by a higher anxiety level and was less likely to establish partner relationships or to persevere in them, even if they were established.

These subjects frequently (71%) reported some sexual dysfunctions with delayed ejaculation being reported the most often (in over 30% of cases).

As in Porn induced erectile dysfunction in my other blog, this Porn induced delayed ejaculation (PIDE) is about correlations, the causality is a contentious debate. But for the individual presenting with their concerns, its how to help someone make sense of how this may have developed, the etiology of it. And this can be through a psychosexual route and or through a sexual addictions route with excessive porn use

Porn Induced Delayed Ejaculation Issues? Contact Ian Baker

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