Puentes RY, Blanco ED

Language: Spanish
References: 0
Page: 149-165
PDF size: 230.77 Kb.

ABSTRACT

The premature ejaculation (PE) is the second most frequent consulting reason in the Clinical Sexology Services in Cuba. Therefore, a design of a care protocol for multidisciplinary groups, through an applied descriptive research, was designed. The aim was to provide a Cuban scientific method for EP clinical care and to homogenize its approach in the country. Updated literature and the European Handbook of Good Practices were reviewed, and the clinical experience of the authors was incorporated. For the development, the following model is agreed: conceptualization, physiology of ejaculation, epidemiology, classification, etiology, clinical characterization, evaluation with questions not to be missed in the interview, complementary examinations and therapeutic recommendations. Two paradigms of treatment are presented: the contemporary one, that proposes starting with selective serotonin reuptake inhibitors (SSRI), and the conciliatory one, that proposes behavioral therapy and SSRI, especially sertraline, successfully used in our country. PE is recommended not to be treated by the specialists of Integral General Medicine. If identified, the cases must be referred to the municipal, provincial or national commission for sexual health care. The pillars of treatment are: learning techniques for ejaculatory control (stop and start, among others), anxiety decrease, communication improvement with the couple, and self-esteem improvement. Auxiliary techniques for ejaculatory control are proposed.