Premature ejaculation in Spanish men

Abstract

The vast majority of men experience premature ejaculation at some point in their sexual life. It is the most common sexual problem in men, affecting between 25–40% of them. This disease has both organic and psychological causes so it is important to search an organic disorder in order to dismiss the organic causes. The following case is about a 56-year-old male, married and retired. He went to the USMC in Huelva relating a premature ejaculation problem from approximately two years ago. He relates feeling a great discomfort due to the inability to maintain a satisfactory sexual relationship with his partner. The patient was diverted from the Department of Urology at the Juan Ramon Jimenez hospital, so we dismissed an organic or physical disorder. He refers an intervention of a herniated disc, which made him staying in bed during a long season, as a precipitating event. After that appears a first episode of premature ejaculation, what produced him a great discomfort, presenting anticipatory anxiety symptoms to the sexual experience from then. These anticipatory anxiety symptoms were characterized by negative thoughts about the own sexual performance and the capability to satisfy the partner. After this first episode more episodes of the same type occurred, increasing the described anxiety and worsening his sexual performance. During the treatment, the basilar compression technique was practiced in addition a restructuration of the negative thoughts of the patient regarding to his sexual performance was made. Lastly, we worked together with his partner strengthening the relationship and the communication between them.