The partner should create a relaxed atmosphere, free of pressure, rather than create pressure with questions about whether or not ejaculation has occurred. Finally, any fears or anxieties, such as fear of pregnancy or disease, should be openly discussed. Stimulation of the penis with a vibrator or other increased stimulatory device may determine if an underlying physical often neurological problem exists. A neurological examination may uncover other neurological defects associated with retarded ejaculation. If, however, he is able to ejaculate in a reasonable period of time by some form of stimulation, seek sex therapy from a therapist specializing in this area.
Treatment usually includes both partners.
It usually involves the therapist educating the couple about fundamentals of sexual response and important principles, such as communicating and guiding the partner to provide ideal stimulation, and not trying to will a sexual response to occur. Following the individualized education, therapy commonly involves a series of graduated homework assignments wherein the couple, in the privacy of their home, engage in sexual activities that minimize performance pressure and maximize focusing on pleasure. Treatment typically begins by prohibiting sexual intercourse for a limited period of time, while the couple gradually enhances their ability to enjoy ejaculation through other types of stimulation. In cases where there is a problematic relationship or an inhibition of sexual desire between the couple, therapy to enhance the relationship and emotional intimacy may be required as a preliminary step. Sometimes hypnosis may be a useful adjunct to therapy, particularly if a partner is not willing to participate in therapy.