There are many theories, approaches and treatments related to premature ejaculation, among them, the Sexofunctional Therapy approach, which deals with men and women holistically, considers premature ejaculation as the unintentional ejaculation of men or women. (de. Carufel.2009).
Premature ejaculation is the most common sexual dysfunction in men. According to Masters and Johnson’s theory, as classical conditioning: When rushed due to fear of being caught during masturbation or sexual intercourse, anxiety, and thoughts of guilt, a rapid ejaculation response may follow. After this first experience, the man is conditioned to premature ejaculation.
Premature ejaculation as a symptom can be lifelong or acquired. If it has been seen since the first sexual intercourse, it is defined as a life-long problem, if it occurs later, it is defined as an acquired premature ejaculation problem. Premature ejaculation is not caused by not being able to control the ejaculation reflex, but rather by not being able to manage sexual arousal. It is not the ejaculation reflex, but overstimulation is the cause of premature ejaculation. The ejaculation period is functioning normally and healthily. The problem is that sexual arousal increases rapidly, reaches the threshold to initiate the ejaculation reflex quickly, and ejaculation arrives before the desired time.
Another issue to be considered in premature ejaculation is that while premature ejaculation occurs with a partner in sexual intercourse, it may not be seen with another partner or with a spouse with whom he or she has regular sexual intercourse. Some men ejaculate shortly before foreplay, as soon as they see their partner being undressed, some during body contact or touching their own genitals, or when the penis touches the vagina, as soon as they make a few back and forth movements in the vagina. Usually, men who have this problem are worried and afraid that they will ejaculate without entering the vagina during sexual interaction, and they do not touch their bodies or genitals. They do not want the partner to touch the penis. Some men overstimulate the woman in foreplay and enter the vagina when the woman is on the verge of orgasm.
The most important thing we need to know is that the man cannot control the ejaculation reflex, but he can control his sexual arousal. Sexofunctional Therapy offers a structured 12-session therapy program in the treatment of Premature Ejaculation. Each session of this therapy program basically includes sexual information, exercises to reduce sexual tension by using the body and homework.