SUMMARY :
The author evokes firstly the basic problems in premature ejaculation, insists
on the relativity of its pathological aspects and on the paradox of the medical
attitude, and describes the main therapies.
The success of the treatment depends on modifying and correcting mental and
sensory processes of the patient during his sexual activity. When premature
ejaculation is an isolated symptom without other psychological problem, it can
be conceptualised as a sexual learning disability and has a good prognosis with
sex therapy using behavioural methods.
In other cases, premature ejaculation is associated with deeper psychological
problems and couple’s difficulties ; the treatment here consists in more
complex psychodynamic approach, which do not exclude behavioural measures when
it is time.