At Rhode Island Sex Therapy, our team understands how deeply personal and complex sexual health issues can be, especially when they affect confidence, relationships, and overall well-being. Premature ejaculation is one of the most common concerns men face, yet it often goes untreated due to embarrassment, shame, or the belief that nothing can be done.

Our practice can help. We offer a sex-positive, judgment-free environment where men can speak openly about sexual difficulties and get expert support from trained professionals. In the process, we use evidence-based approaches for treating premature ejaculation, helping clients identify contributing factors, whether psychological, emotional, or relational, and guiding them toward effective, lasting solutions.

Why Premature Ejaculation Often Goes Untreated

Men are significantly less likely than women to seek treatment for medical or psychological issues, including sexual health concerns. While as many as one in three men experience premature ejaculation, it often remains unspoken about and untreated.

For some, the condition is rooted in physical factors, while for others, it stems from emotional or cognitive patterns. Regardless of the cause, therapy for premature ejaculation is a powerful tool that can help men better understand their experience and work toward greater sexual control and confidence.

What Is Premature Ejaculation?

Premature ejaculation is a sexual dysfunction in which a man ejaculates within the first few minutes of sexual activity, often before he or his partner is satisfied. This can lead to feelings of frustration, shame, or avoidance of sexual intimacy. While occasional episodes are normal and not typically cause for concern, persistent issues may require professional support to resolve.

Lifelong vs. Acquired Premature Ejaculation

Understanding the type of premature ejaculation a person is experiencing is an important part of creating an effective treatment plan. The condition is generally categorized into two types: lifelong and acquired. Each has distinct causes and contributing factors, and recognizing the difference can help guide the most appropriate approach to therapy for premature ejaculation.

Lifelong Premature Ejaculation

This type of premature ejaculation has been present since a man’s earliest sexual experiences. It often reflects long-standing patterns and can involve biological factors or ingrained cognitive responses to sexual activity.

Acquired Premature Ejaculation

Acquired premature ejaculation develops after a period of typical sexual functioning. It may be triggered by stress, anxiety, relationship strain, or unresolved psychological trauma. Sometimes it’s linked to medical conditions or hormonal shifts.

Causes of Premature Ejaculation

Premature ejaculation may have physical causes, including hormonal imbalances, neurological sensitivity, or infections. However, in most cases, the root cause is emotional or psychological. Contributing factors may include:

• Performance anxiety
• Depression or chronic stress
• Shame or guilt about sex
• Negative early sexual experiences
• History of trauma or sexual abuse

Can Therapy Help with Premature Ejaculation?

Absolutely. When premature ejaculation is tied to emotional, relational, or cognitive factors, therapy is a highly effective intervention. Therapeutic work can include:

• Identifying and managing anxiety triggers
• Addressing negative beliefs or shame about sex
• Developing mindfulness and body awareness
• Improving communication with sexual partners
• Practicing techniques to delay ejaculation

When premature ejaculation is rooted in physical issues, therapy can complement medical treatments to address the emotional and relational impacts of the condition. At Rhode Island Sex Therapy, our team offers individual sessions and, when appropriate, work with partners to support shared intimacy and satisfaction.

A Safe, Affirming Space for Men’s Sexual Health

At Rhode Island Sex Therapy, we’re proud to provide specialized care for men experiencing sexual difficulties, including premature ejaculation. Our therapists are trained to approach each client with empathy, discretion, and respect. Sessions are online and conducted in a confidential, supportive way where clients are encouraged to explore their challenges without shame. Whether the issue is lifelong or newly developed, we offer expert, compassionate support to help clients regain control and confidence.

Find Help Achieving Lasting Sexual Confidence & Fulfillment

Getting help for premature ejaculation can feel vulnerable but taking that step can be the key to reclaiming sexual satisfaction and emotional well-being. The team at Rhode Island Sex Therapy is here to make the process as comfortable and approachable as possible.

To get started, call (401) 236-5021, email DrMichaelStokes@gmail.com, or complete the contact form on the website. We look forward to helping you or your partner find clarity, healing, and fulfillment in your sexual health journey.