A 27-yrs-old man comes to the physician with the chief complaint of premature ejaculation. He has been married for 4 months but has been unable to consummate the marriage due to his sexual problem. Which of the following treatments will be most helpful for the man’s premature ejaculation? (LQ)
|A||Exploration of the husband’s relationship with his domineering mother.|
|B||Discussion of the wife’s unexpressed masochistic fantasies|
|C||Interpretation of the husband’s dreams|
|D||Squeeze technique and stop-and-start technique|
a. Treatment of sexual dysfunctions relies on specific exercises, called sensate focus exercises, aimed at decreasing anxiety, to teach the couple to give and take pleasure without the pressure of performance and to increase communication between partners.
b. Furthermore, specific problems are addressed with special techniques.
c. The squeeze technique, used to treat premature ejaculation, aims to raise the threshold of penile excitability by firmly squeezing the coronal ridge of the penis, so as to abruptly decrease the level of excitation, at the earliest sensation of impending orgasm.
d. In the start-and-stop technique, stimulation is repeatedly stopped for a few seconds as soon as orgasm is impending and resumed when the level of excitability decreases.