In the course of my work with men I’ve had many occasions to reflect on the causes and effects of premature ejaculation. Basically I am completely convinced that premature ejaculation is caused by psychological issues such as fear of sex, or fear of intimacy with women. Men who are in this situation, either because they suffer from performance anxiety, or because they genuinely have an inherent fear of being intimate with a woman, tend to blame their premature ejaculation physical causes and look for simplistic solutions like a pill which will delay their ejaculation.

I need hardly say that many of the herbal pills sold on the Internet are a complete con; in addition the genuine SSRIs that are available off-label in some countries for use as premature ejaculation “cures” have massive side-effects including nausea, headache, and withdrawal symptoms when the man stops taking them. It’s very clear from this that there is actually only one way to overcome premature ejaculation - and that’s for a man to train his body to respond more slowly to sexual stimulation, so that he doesn’t reach the “point of no return” (point of ejaculatory inevitability”) as quickly, meaning he can also stay below the point at which he will ejaculate for longer. This is the only way in which a man will be able to sustain intercourse for a longer period of time, possibly bringing his partner to orgasm in the process.

Overcoming premature ejaculation is not a difficult process but it does require some dedication and effort. Back in the 1950s, Masters and Johnson claimed 96% success rate for their squeeze technique although later researchers suggested that the true success rate is around 75%. The truth of the matter here is that the success rate for this particular PE cure depends entirely on the dedication of the couple to sustaining the techniques after the initial success has been achieved. Ongoing practice is required once a month or so for as long as the couple are sexually active. In this way a man and his partner can avoid premature ejaculation for as long as they choose to do so. It goes without saying that this in turn will reduce fear of intimacy for those men whose sexual dysfunction is predicated upon a fear of intimacy, a lack of trust, or any other dysfunction of attachment.

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