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Review

Integrating psychotherapy and pharmacotherapy in the treatment of premature ejaculationFootnote

, , , , , , & show all
Pages 305-312 | Received 14 Mar 2013, Accepted 11 Apr 2013, Published online: 05 Apr 2019

Figures & data

Figure 1 The squeeze technique to treat PE. When ejaculation seems inevitable, the man’s partner applies pressure, using the thumb of the first two fingers, just below the glans penis. This pressure should inhibit ejaculation and should be done several times before ejaculation is allowed. As a step in the learning of ejaculation control, the squeeze technique is generally no longer needed after therapeutic success.

Table 1 The components of behavioural therapy.

Figure 2 The pathophysiology of PE. Stress from sexual failure and subsequent anxiety have a positive feedback during PE (Panel A). Pharmacological and/or psychological therapies destroy this vicious circle, transforming it into a virtuous circle (Panel B). Note that during the vicious circle, other couple’s pathologies can arise.