When a man feels that he is not in control over his ability to preform then this can affect every aspect of his life, in severe cases it can lead to a life of celibacy.
For some men they will seek the opinion of a urologist to rule out any medical issues, but once the medical issues are ruled out a man is left with the same problem and no way to resolve it.
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As a certified clinical sexologist, I help men with psychological issues surrounding sexual issues. This is a specialized field that many people do not realize exist. Certified clinical sexologists are trained to rule out medical issues related to sexual problems referring their patients to the medical doctors first for any health issues as well as prescriptive medication, drugs and alcohol, all of which can affect sexual performance. The problems then is directly related to psychological issues, that can encompass lack of sex education, societal and religious views, abuse issues, and patterns that may need to be adjusted.
Cycle Of Anxiety
There is a cycle of anxiety that a man may go through that needs to be broken so that he can begin to gain control over his performance issues. This cycle can start as early as the teen years and up until a man is in his 70's. As men age their level of testosterone drops along with this men go through different stages in their 20's, 30's, 40's, 50's and up. A man in their 20's is going to have a higher sex drive but he may also have less control over his performance, if at this age he does have per-mature ejaculation and does not get past it, this can affect him for the rest of his life. Many times a few bad experiences with a women, can leave him feeling out of control and this begins the cycle of anxiety concerning it happening again.
Learning through self pleasure how to control this from happening and not being climax focused a young man in his twenties can begin to correct this problem. As a man ages, and if he does not correct the problem it can become a bigger issue and affect his dating and intimate life with women.
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If you are a man that is older with this issue, you can still retrain yourself but it does require more time and patience with help from a clinical sexologist. Part of the process in helping with erectile dysfunction is to use different techniques to self pleasure, one that Masters and Johnson coined as the holding technique, and stopping and starting.
Fear Can Cause Sexual Problems