ABSTRACT

This chapter looks at how the skills that learned from our Institute of Psychosexual Medicine training to help those men who present with ejaculation disorders. It reviews the normal sexual response to see where ejaculation fits in. The chapter provides to the behavioural approach to treating ejaculation problems where it is especially important to understand the normal sexual responses. In those with retarded ejaculation the waves build up but either take a long time to reach the trigger or never reach it at all. For most men, ejaculation is the climax of sexual excitement and they should feel a sense of relaxation, relief and fulfilment. Fear of losing an erection can produce a hurried ejaculation response or worse still, avoidance of sexual activity with a partner, leading to avoidance of intimacy and strain on a previously close relationship. Those people who practice tantric sex can, in some case, cause self-induced retrograde ejaculation.