Terapia sexual de las disfunciones eyaculatorias y orgásmicas: alternativas e innovaciones

The problems of ejaculation control despite being highly prevalent throughout the life cycle are rarely the subject of publications in specialised professional journals, of research or of theoretical reviews. The most common elements included in the definitions of premature ejaculation are the latency, the lack of self-efficacy control and the sexual dissatisfaction of the patient and/or his partner. Recent research shows the impact that PE has on self-esteem, on the couple's relationship and on the quality of life. Over the last years, there has been an increasing interest in establishing the effectiveness and, therefore, cost-effectiveness, of different psychotherapeutic approaches, that is, to identify empirically validated psychotherapeutic treatments. Sexual therapies of SD in general and of PE in particular have also been the subject of scrutiny. Research has identified the cognitive behavioural approach as the most effective model of therapeutic intervention for this type of disorder. Although numerous sexual therapy 'techniques' and drugs are available, the percentage of treatment success found is far less than the onereported by Masters and Johnson. The lack of controlled studies on the effectiveness of the techniques, and the high percentage of relapse seems to account for this difference. Nevertheless, a real alternative, an innovative approach, would require us therapists to reframe our function and to make holistic interventions in agreement with the concept of sexual health that has been unanimously accepted. Thus, fostering maturity and questioning dominant values with the best weapons: education and prevention.