Treatment of a doctor

There is a time when it is not possible to treat a man without help in a white chalat, whose special training enables patients with sexual disorders to be treated.

In order to help men with this dysfunction, doctors need not only to know the basic methods of correcting and treating premature ejaculation, but also to be able to apply them in practice.

The treatment of psychological assistance to a specialist in our country has not yet become a common and common phenomenon. Unlike some Western European countries and the United States, the population in Russia still remembers the period when everything that was connected to the introduction of the “psycho” filled people ' s awareness of fear and the desire to avoid the sad plight of becoming a patient of psychiatric hospitals.

The situation is gradually changing, and psychoanalysts, psychologists and psychiatrists have not only patients but also permanent clients who need help, communication, advice, self-response, including sexual behaviour. Addressing them about their personal problems is a common phenomenon, no less common than visiting a dentist or sitting with a close friend who is capable of resolving human concerns.

It was often recalled that there was a time when the question of non-existence and education, the limitation of sexual life to age, moral prohibitions of what was a pleasure.

Modern society dictates its requirements, and a person has to accept the surrounding reality with its laws and regulations, norms and attitudes, needs and requests.

A man who has regular sex will, over time, recognize his feelings until a critical moment when he is no longer able to control himself and cannot resist orgasm.

This critical moment is referred to by some professionals as the " point of irreversibility " , where the movement behind leads to the inability to abandon the incoming orgasm. If all sexual incentives cease at this point, sexual initiation falls a little bit and a man will be able to have sex again until the " irreversibility " point again.

By reaching her, a man may be suspended again and then continue the sexual act again. Thus, controlled love can be extended for the time needed to satisfy the partner or the man himself.

Such experience comes with practice, requires patience and ability to control its ejaculation. When a man learns to recognize his feelings in sexual initiation, he will be able to catch his " unimaginable flash " and will distribute the " windows " there and when he wants. And if a man has failed to do so himself, he'll be helped.

The failure to control seeding reduces the time of sexual activity.

Inadequate assessment of the sexual feelings that have been experienced leads to anxiety, anxiety or fear, often exacerbated by the claims of a particular partner, " fills a man ' s body " Noradrenal

Primary care for people with disabilities premature ejaculationshould be able to provide various professional groups with techniques and forms of influence on the psycho-sexual sphere of personal life: medical sexologists, psychotherapists, psychiatrists, psychoanalysts, psychologists, urologists, Andrology, therapists, neuropathologists.

Psychotherapists in Russia are popular with the dual-track work of Johannes Kemper, in which he describes the experience of treating psychogenic sexual disorders through psychoanalysis and behavioural therapy (Cemper, 1994). G. S. Kacharian and A. S. Kacharyan (Kacharyan, Kacharyan, 1994), considering the psychotherapy of sexual disorders, are referred to as awareness-raising and rational psychotherapy as the leading agents of sexual recreation.

Acceptances in psychological practice:

" Somatization " ,

reducing the importance of sexual disorders,

Receipt of " contrasting " ,

psychotherapy, taking into account the projection mechanism,

Reception of " comparisons by analogy " ,


According to K. Imelinski (K. Imelinski, 1990), there are four basic concepts of psychotherapy, which explain in various ways the occurrence and removal of disorders during their treatment.

Not one of them is not dominated by the others, they are mutually reinforcing, each using their technology and methods. But everyone knows that the effectiveness of sexual therapy, like the other, is the best way to use those methods that lead to therapeutic effect.

Psychotherapy treatments are at least an important part of the treatment of sexual disorders, leading to a reduction in the time spent on sexual acts.

In modern clinical practice, rational, family, suggest psychotherapy, hypnosis, autogenic training (self-obeducation, self-defense, etc.), musical therapy, psychoanalysis, auto-suggestion, relaxing, etc. are used.

Psychotherapy care is often the main means of solving the problem, with the effectiveness, for example, of psycho-sexual and behavioural therapy of 25 per cent (3 years after treatment) (Masters, Johnson, Kolodna, 1991).

However, most sex-related manuals essentially contain only a list of psychotherapeutic approaches and methods that are effective in the authors ' view when sexually abused, but data on the effectiveness of psychotherapy are often not sex-specific.

Virtually all sexuality researchers recognize the important use of existing psychotherapy methods, its basic directions and forms in the dominance of individual approaches.

Methods of psycho-sex correction

Roman, 19, Krasnodar.

♪ Doctor, hello! I've got a lot of seeds coming out, so I'm gonna be quick. Sometimes I don't even hang in one minute. Can you tell me how to treat this? I just don't want to enjoy it in one minute. Thank you. It's a question for a sexist.

Sex therapy

In therapeutic practice, the most notable is the sexual therapy methodology, which, according to many sexologists, is better than the other forms of therapy, offers a successful prediction of premature ejaculation.

The purpose of sexual therapy, which takes the form of sexual exercises, is to change the causes of psychophysiological symptoms of sexual partners.

Each case requires the selection of a certain behavioural programme, specific erotic " homework " proposed by a doctor to treat different disorders. The main purpose of this methodology is to provide a patient with a clear understanding of the perceptions of an orgasm.

The formation of this reverse sensory communication is carried out in a calm environment, in the presence and participation of a permanent partner (the most common wife). To get a patient to think or say something, and to turn a thought or a word into a sense is the essence of this therapy. It is difficult to call a certain feeling (hungry, heat, for example) that is modified in a similar sense, but possible. Under the leadership of the therapist, these feelings can change each other, with due effect. Spend the time before the seeding.

The most popular means of treating premature ejaculation is the " compression " offered by U. Masters and V. Johnson, and the " stop " developed by James Samance and adapted for practical use at Cornell Hospital.

These interventions are based on the ability of a patient in a heterosexual situation to " raise " awareness of his pre-argastic feelings. For example, in the last resort, the partner should stimulate men ' s penis, man ' s man ' s, man ' s, man ' s, man ' s, man ' s, man ' s, man ' s, man ' s, or ' s, until the time before the orgasm. And at this very moment, it stops the stimulus until the senses that precede the ejaculation.

Clinical experience shows that all cases of premature ejaculation are well predicted in the application of these techniques, except in cases where eyagulative " maintenance " serves a deep-rooted psychological need.

Stop Start

Urologist James Semans offered a technician designed to extend the senses before the orgasm, which gives a man the opportunity to get a better look at them and eventually gain control of the electrical reflex. Similar approaches for individual sexual recalculation have already been considered in chapter 1. Now the doctor is dealing with a man (and partner) with his problems.

Initially, the patient seeks control by means of a manuscript by his wife.

Spouses are encouraged to hold pre-screen until the husband has a steady erection. Then he lays on his back, closes his eyes, and his wife stimulates a penis. In this case, the wife performs manipulations that the man could do on his own, but moral or religious instructions about masturbation prevent him from fulfilling them.

Examples include male believers, Catholics and Jews who are not recommended for masturbation exercises, i.e., in religious denominations noted There's a sin. (grunting seeds).

Masturbation can thus lead to unnecessary resistance of patients during treatment. That is why, in treating premature ejaculation from observed Catholics and Jews, we are following the standard " stop-start " procedure. The wife receives instructions to stimulate her husband ' s penis in a normal interruption manner, with her husband lying on her back, and she sits on it with her knees so that her sexual organs are close to his penis. She is asked to inject his penis into the vagina in order to " catch his seed as soon as he begins to ejaculate after the third " pause " . This modification is in full compliance with the purpose of treatment, namely, to strengthen the patient ' s insufficient sensory self-regulation. The religious beliefs of the couple are taken into account. (Masters, Johnson, Colds, 1991).

The man focuses on his own erotic feelings.

Feeling like an orgasm approaching, he's telling his wife to stop. In a few seconds, the call for ejaculation will be weakened, and the wife will continue the stimulus again. When it comes to pre-orgastic feelings, he again requests a pause. The procedure is repeated four times. He's ejaculating for the fourth time. A man is being set to focus on his feelings and not let himself distract. Unlike impotence and slow ejaculation, where distraction in fantasy is specially encouraged, the patient ' s premature ejaculation must, on the contrary, refrain from any distraction. The essence of the therapy is that the patient learns to recognize signs of an orgasm.

After two successful attempts, the spouses repeat the entire procedure, but this time the vaseline is used to strengthen the institution. After three to four successful vaseline attempts, the spouses are ready for the coitus, which is also modelled as the " bottom-up " .

A woman takes a position on top. After the introitus, a man puts his hands on her hips and directs her movements upwards. Then he stops her. In a few seconds, after the ejaculation weakened, they continue again. Initially, he doesn't make any moves. In the fourth case of an orgasm approach, it is driving and achieving seedlings. And this time, it is imperative that a man focus on feelings. After three to four exercises (the woman is in the top position and is actively engaged in collateral movements) and, as self-control is successful, the couple can move towards the same actions in the pole-side. As previously noted, " classic " or " superhuman " is a problem for this type of procedure and is recommended for adoption by the latest.

In general, a man seeks good control over ejaculation between 2 and 10 weeks, although sustainable control is usually achieved after several months from the time the therapeutic procedures cease. During this time, spouses are encouraged to do one " stop-start " exercise a week.

Stop-start applications require a motivated, willing partner and a delicately literate sexist.

As a general rule, a man seeks good control over ejaculation over the period 2 to 10 weeks♪ If the initial effectiveness of the therapy is 60 to 95 per cent, then in 3 years it is 25 per cent.

There is no single increase in the time of sexual acts in order or more.


When treating premature ejaculation, doctors offer a specific method that U. Masters and V. Johnson called " crushing " or " compressing techniques " . Today, it is more commonly known as a regenerative " compression " method. U. Masters and V. Johnson, usually composed of two stages.

This method includes approximately the same techniques as the " stop-start " approach just described. The main difference is that instead of a stop, a woman squeezes her husband's penis. Specifically, it compresses a member of the middle, pointing and thumbs just below his head (the big finger is located on the member ' s hill, and the pointing and middle fingers are on the coronary rack and underneath it on the opposite side of the penis) and crushes it until the erection partially weakens, after which it renews the incentive.

The authors of the methodology had previously recommended a strong, determined pressurization of about four women ' s fingertips in order not to traumatize the sex penis.

U. Masters and V. Johnson are now offering a “haotic” compression, i.e., not at the request of a man but by accident, unpredictable. This pressure is always taken from the front and never from the side sides, and then removed (Masters, Johnson, Colds, 1991, etc.).

This method reduces the need for ejaculation, its application may cause even partial loss of erection during the sexual act. But you shouldn't be afraid of the symptoms. On the contrary, the reception should be used in the early stages of sexual games and repeated every minute.

A woman may be between 3 and 6 times prior to the introduction of " compression " , but after a member enters a vagina, she and her partner must not move. After that, she takes out the penis, repeats the reception and reintroduces it. This repetition (compression and introduction) lasts between 15 and 32 times.

At some point chosen by the man himself, when he starts to feel control over ejaculation, you can try light and slow.

In the second phase of the treatment, " compression " is intended not only to squeeze in the area of coronary borehole, but also to compress the root(s) of a sexual member.

At the same time, the head of a sexual member is released, and the relationship may not be interrupted for repression because women ' s hands do not interfere with the introduction of their heads. Unlike the first stage of compression, not only a woman but also a man can compress at this stage. The same length of about 4 s is pressed and the compression is reduced. But it is important to keep in mind that the pressure must always be directed from the front, not from the side of the penis.

A compression is also practised during the coitus (woman at the top).

In this case, a woman extracts a penis from the vagina and compresses it before the erection weakens.

It then stimulates it before re-establishing the erection, followed by the vagina and coital movements.

The accompanying reactions of this sex therapy:

It's exhausting.

If training lasts more than a few hours, the whole procedure becomes uniform and exhaustive. For this reason, after approximately three weeks of training, it is recommended that spouses should be allowed to have sex spontaneously for one week, without the " stop " procedure.

A woman's disappointment.

During the training period, a woman ' s admiration can change her frustration. For this reason, and if a woman so wishes, a couple is encouraged to engage in love games to enable her to achieve an orgasm by climatic stimulus. These classes should not distract a man from the focus on the " bottom-up " or be conducted at the expense of general therapy. He needs to get rid of his wife ' s thoughts while he receives stimulus, otherwise exercises may be ineffective. That is why clithary stimulus occurs after a man has experienced orgasm.

This rule is maintained both in the extravaginal and coital phase of the " stop-start " procedure.


Two phases of therapeutic procedures, extravaginal and coital, can lead to the identification of different emotional responses from couple members.

Spouses ' reactions may pose a challenge to therapist to the progress of treatment. At the same time, the patient ' s response provides a unique opportunity for therapeutic intervention, i.e. spousal responses often expose the deep psychological conflicts of the couple or one of its members.

If the wife is hostile to her husband, she may react with anger to " use " herself as a " gay " during the first phase of the treatment (which encourages his sexual member). On the contrary, when the spouses are involved and loving each other, the wife receives great satisfaction from her role as a supporter of her husband; the husband ' s successes give her undiminished pleasure. Stope-start manuscripts can exacerbate men ' s deep feelings and protection against these feelings. A man whose identity is insecure and heterogeneous about his ability to make love often creates protective barriers that are manifested in the unnecessary care of his partner, obsessing her desires. Stope-start exercises remove these protective " facilities " . The man is invited to assume the role of " recipient " of the pleasure of his partner. Such changes in some partners often exacerbate disturbing circumstances. Sometimes this state is expressed by fear of being rejected by his wife. Men with an alarming condition may have paranoid protection.

Some men are unable to reach the end of treatment without prior psychological resolution of their conflicts.

There are a number of positive emotional reactions to the bottom-up approach. Often these exercises allow a man to feel passive in sexual relationships for the first time. The man is aware that it is not only pleasant to " give " but also to " do " . He reassured his love for himself by a wife who would not abandon him, even giving himself and sacrificed his pleasure at a time when he no longer served her.

If the extravaginal phase of treatment detects emotions associated with the role of the giving/receiving loop and the passive-receptive role of the husband, the coitus of the " stop " exercises tend to reveal emotions associated with progressive improvement in the condition of the man. By the time the treatment had reached the stage of the " stop " phase with the woman ' s " top " , the man already had a considerable degree of control over ejaculation. In simple cases, the improved sexual activity of a man is encouraging and facilitating both spouses. However, this improvement may be a threat to both husband and wife.

Women can be clearly aware of the source of their fears and fears (although often there is no awareness), and then the status of women can be assessed on her actions to " boycott " successfully treat her husband. This " boycott " may be characterized by non-cooperation, fatigue and, even worse, open reversion to recommended procedures. At this point, some women are making aggressive critical attacks against their spouses. They bring their husbands down, let them know that even if they regain control of ejaculation, They'll still be losers in other relationships.

The motives of this kind of negative response to the improvement of the husband ' s condition are rooted in the deep personal uncertainty of the wife.

She feels " not in her dishes " , not convinced of her ability to hold her husband " on her own " . His difficulties and her tolerance made her husband dependent. Now that he's about to restore his ability to act properly, will he look for other, more attractive women? It is clear that in such a situation, a woman should receive support, assurances of love and conviction of her irreplaceability for her husband.

Another source of concern in the event of the restoration of normal ejaculation is the sexual difficulties of the wife.

Many of the wives of men with premature ejaculation are themselves subject to sexual disorders.

No wonder they and their husbands treat these manifestations as a violation of their husband. Finally, how can a woman whose husband prematurely ends sexual activity be expected to have full orgasm? However, in most cases, women ' s sexual disorders are not related to the sexual condition of their spouses.

Her husband's ejaculation problems have long been a cover for his wife's own problems. Now that he can have sex for a long time, the question arises of the wife ' s ability to experience orgasm. This situation poses a threat, especially if there is a legend in the kinship that recognizes the husband as a source of trouble and the wife as a victim.

In order to prevent such emotional reactions, it is already necessary in the first session to give a clear warning that early recovery will necessarily be successful. First, the premature ejaculation of the husband should be rectified, but the successful monitoring of the husband ' s ejaculation does not always guarantee the normal condition of the wife. The re-establishment of husband control is of no particular importance here. The wife ' s sexual condition can only be assessed after her husband has successfully controlled. If it turns out the wife has problems, their permission will be followed.

Excerpts from the book of a well-known Czech sexist, S. Kratohivi, Family and Sexual Disharmonies, are cited as an example of the treatment of premature sexual abuse:

“B., 35 years of age, technician, was sent to hospitalize a doctor from the conjugal clinic about disturbing depressive neurotic disorders caused by the exacerbation of the long-standing conjugal disharmony. Married for 11 years, married for two years younger than husband. They have two kids. Married 24 years after a one-year meeting, love. I really wanted a wife to be a virgin; at the beginning of her sexual life, I didn't realize that was not true. Six months after the wedding, he found out that the wife had a sexual relationship with another man earlier.

I felt deceived and staged jealousy. I was irritating. Four years ago, I accidentally learned that the husband was cheating on him with his employee. Responded aggressively, then constantly reprimanded her infidelity. The husband has recently had a serious relationship with another man. Husband reacted very hard and demanded a divorce. When the husband agreed to divorce, he refused to divorce and made a suicide attempt. The husband decided to break out of marriage, which led to a better family relationship. After resolving the conflict, the relationship between the spouses was good.

Husband was more sexually aroused and wanted to have sex several times a day. He was ejaculated two minutes from the beginning of the sexual act, including repetition.

The wife was also a sexy lung, but she did not reach an orgasm during a short sexual act, so she never had sex with her husband. It was possible to bring her into a state of orgasm in a manuscript or oral stimulus that her husband used, but her full satisfaction was achieved only in coitusm. What she couldn't get when she had sex with her husband was searching for extramarital relationships, which, when her husband was jealous, caused conflict and a deterioration in sexual relations.

The training.

The husband was hospitalized for six weeks, and the wife was hospitalized for the last two weeks. Prior to this, the husband was given group therapy to correct his form of response in marriage. It seemed that he had already developed a critical attitude towards his illegitimate, “unadaptive” behaviour. However, upon entry into the secession, his wife re-established old behavioural stereotyping. During his first class, he arranged a jealousy for his wife and they accused each other. I should have taught them the right thing to do.

This was a week in which the spouses slept separately.

In the second week of co-hosting, they were offered sexual tasks. There was no problem in the choice of contraception, i.e., the wife had previously been given birth control. During the first evening of the class, the spouses had a tactile stimulus; then the husband had to try to satisfy his wife with the stimulus of the clitoris (the wife should have kept his hand in her hand).

The wife was then required to encourage a husband ' s sexual member using a head restraint method to prevent ejaculation. Then in a position sitting on top, she was doing slow friction.

On the other day, the spouses were engaged in a tactile stimulus, determining the existence of other erogas. They have easily attained an orgasm in the wife ' s stimulus (with her active assistance). Afterwards, she went to the stimulus of her husband ' s sex penis. The stimulus with two sex cuts continued for 8 mines without ejaculation.

Then the wife, in a state of strong sexual initiation in the position of sitting on the top, introduced a sexual penis into the vagina and, through her own movements (the man remained mobile, in a state of relativation), quickly reached the second orgasm at the same time as the husband ' s ejaculation.

Suddenly rapid success has stimulated spouses.

In future sessions, they were to extend the period of intravaginal friction by slowing, interrupting and applying the head of a sexual member.

On the 3rd day, the spouses reported that they had first taken a tactile stimulus, obtained a clinical orgasm from the wife, and then, in the top of the seat, they had occasionally produced slow frictions. The husband in charge focused on perceptions and recognition of the time of the pre-equivalent phase when the stimulus had to be stopped. After a half-minute stimulus, they carried out a new immission and continued slow friction. At the end of the sexual act, the wife, by her rapid movements, called for a double orgasm.

On the other evening, the spouses were given an assignment to train the husband ' s " extraction " in the conduct of sexual acts and other regulations, and the ejaculation should have been achieved in the wife ' s position on the top.

On the 4th day, they reported that the wife had reached the first orgasm with extra-conventional stimulus, followed by a sexual act in the wife ' s position with her back to her husband, and the orgasm had re-established her seat on top. The wife conducted friction movements in the recommended position without further stimulation of the clitoris and reached orgasm twice, first and then at the same time as the spouse.

This " vaginal orgasm " , it felt very different from the orgasm created by the clitoris.

It has made it more sexual.

After a one-day rest, it was recommended that the sexual act should be carried out in connection with men ' s activity: in a classical post and a tergo post.

During the 5th consultation, the spouses reported that the husband had continued without ejaculating the sexual act for 4 mines in the podium a tergo. In the transition to a classic position, the deep penetration of a penis into the vagina strongly excavated the wife. The sexual act ended in the position of the wife sitting on the top. The wife reached an orgasm with fast motions on the husband ' s penis for 4 minutes. Husband ruled his inspiration so that ejaculation would arise immediately after the wife had an orgasm.

After the 6th consultation during the sexual act, the husband triggered an orgasm in the wife ' s frickin' motions in a state of latitude before he reached ejaculation. In the transition to an initial sexual act, the wife continued to encourage a sexual member, sat on top of him and moved in a straight-up position, reaching a double orgasm after 5 minutes.

Husband learned to continue sexual intercourse with short breaks for more than 20 minutes and caused coital orgasm to the wife twice for one sexual act. The normalization of sexual relations has led to the sexual satisfaction of partners, the restoration of emotional ties and the mutual normalization of behaviour.

The positive result of the exercise was due to the active cooperation of the wife and the existence of a good sexual activity that had previously been inhibited during the marriage.

The wife noted that her activities had increased sexuality, which she had not previously decided to engage with her husband.

It is well known that sexual and spousal relations with partners are normal” (Kratohville, 1991, pp. 81-83).

by means of a book entitled " 65 means of prolonging sexual acts " by Evgeny Augustovich Caschenko

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