How to overcome premature ejaculation: Information, tips and help in Berlin & online

Frequently asked question

Premature ejaculation

Premature ejaculation can be frustrating. If you’re climaxing sooner than you and your partner would like, sex may not be satisfying for either of you. One cause of premature ejaculation is anxiety, but also other factors can lead to this sexual dysfunction. Learn more about how hypnotherapy with Hypnobalancing™ can help you.

Overview

• What is premature ejaculation?
• What causes premature ejaculation?
• How can premature ejaculation be treated?
  • Your therapist
  • What does hypnotherapy cost?
  • Therapy duration
  • Appointment booking
  • You are not in Berlin or prefer an alternative to sessions in my practice?
  • Preparing for your first session
  • The first session
• Self-hypnosis
• Just ask me personally 

What is premature ejaculation?

Premature ejaculation can happen in as little as 30 seconds to a minute, and may even occur before penetration. There is no set time when a man should ejaculate during sex. If you’re climaxing sooner than you and your partner would like, sex may not be satisfying for either of you. When you ejaculate, you lose your erection and can’t continue having sex that way. It is not something to worry about if it happens only occasionally. You and your partner may feel there is not enough time to enjoy it, it’s a problem called premature ejaculation.

Premature ejaculation – or in other words, coming too quickly – is one of the most common of all sexual problems. Many men suffer from premature ejaculation. It can be frustrating and even embarrassing. It can hurt your relationship too. You don’t have to live with it. It is more common in younger men – which is not surprising, as there’s a distinct tendency for it to improve with age. Men generally get better control as they grow older.

Premature ejaculation makes people unhappy and frustrated. And in severe cases, premature ejaculation can threaten or even ruin a relationship – simply because it spoils the sex lives of both partners. Sometimes, the condition is so bad that the man cannot even manage to have intercourse because he invariably ejaculates before he even enters the vagina. This can be devastating to a man’s self-confidence. And it can be hugely frustrating and annoying for his partner, too.

What causes premature ejaculation?

One cause of premature ejaculation is anxiety, but other factors can lead to this sexual dysfunction. For many years, sex experts have tended to say that premature ejaculation is caused by early conditioning. In other words, the man’s early, rushed, and perhaps furtive sexual experiences had to be quick to avoid detection!

The theory is that this hectic rush conditions men to climax as quickly as possible. Research shows that this is actually not true. Surveys have revealed that many men with premature ejaculation claim that they did not have rushed, hasty early sexual experiences. Most of them were highly triggered right from the beginning of their sex lives. It’s worth noting that from an evolutionary point of view, it’s probable that throughout human history, males who climaxed quickly were more likely to have children.

The tendency to reach orgasm quickly may actually be an inherited state rather than a learned one. But life has changed and sexuality is nowadays not only about reproduction. Finally, there’s no question that anxiety plays a part in many cases of premature ejaculation. If you’re nervous, you’re likely to come too quickly (or not at all).

Potential emotional factors:

• Anxiety
• Relationship problem
• Guilt
• Pressure to perform
• Stress
• Depression

Premature ejaculation: when is early too early?

What is premature? A second, half a minute, a minute, 10 minutes, or anytime it happens before a woman’s orgasm during intercourse with a partner? Premature is when it is experienced as a massive restriction because it feels beyond personal control.

How long fulfilling sex lasts varies greatly from individual to individual. Not every man suffers when ejaculation occurs in just two minutes or even more quickly. And not every woman immediately perceives a short lovemaking act as unfulfilling sex. Premature ejaculation is when one of the partners regularly desires a significantly longer duration of sexual intercourse and at least one partner suffers from the too-short lovemaking.

Then the symptom affects the quality of life and brings additional disadvantages. Self-esteem and the relationship suffer. The expectation, the fear of repetition, increases the pressure and thus the likelihood of experiencing just that. Anxiety increases over time. Of course, the situation, mood, position, and many other factors affect the duration of intercourse. And time and performance pressures can also have a negative impact on sexual quality of life.

The prevalence of ejaculatio praecox

Premature ejaculation is one of the most common male sexual disorders. The problem occurs regardless of age. While erectile dysfunction is a topic of conversation today, this problem has largely remained under wraps. Although there is therapeutic help for premature ejaculation, comparatively few affected men see a therapist.

Along with erectile dysfunction, ejaculatio praecox is one of the most common male sexual disorders. Around two-fifths of 30- to 70-year-old men are affected by erectile dysfunction (erectile dysfunction), and another two-fifths by premature ejaculation.

Self-help

There are a number of self-help techniques you can try before seeking support. These include:

• Masturbating 1 to 2 hours before sex.
  Using a thick condom to reduce sensation.
  Having sex with your partner in a position where she can withdraw when you are about to ejaculate.
• Taking a deep breath when very aroused briefly shut down the ejaculatory reflex (an automatic reflex of the body where you ejaculate).
• Pause during sex and distract yourself by thinking about something completely different.
• If you are in a long-term relationship, you may benefit from couples therapy.

I encourage you to explore the possibilities playfully that can have a positive impact on your relationship and love life. We may also discuss techniques in sessions that can help you unlearn the habit of premature ejaculation as a pattern.

Common techniques for ejaculation control

The goal of ejaculation control techniques is to teach you how to control your body and your feelings. Among the most common methods are:

a. Start and stop

This technique involves you or your partner stimulating your penis just before orgasm, then stopping the stimulation for about 30 seconds until you regain control of your reaction. Repeat this “start and stop” method three or four times before reaching orgasm yourself. Practice this method until you gain good control.

b. Ejaculation control (squeeze, pressure, or squeeze technique).

With this technique, you or your partner stimulate your penis until just before orgasm and then gently squeeze the glans for about 30 seconds so that you lose your erection. Repeat this technique a few times before you reach orgasm. Practice this technique until you can delay your orgasm in a controlled manner.

c. Distracted thinking

This technique is about focusing your attention on common, non-sexual topics while you are sexually stimulated. Systematic naming is a good way to focus your attention. For example, try to imagine naming all the stores you pass on the way to work, all your favorite movies, or all the streets on the way to visit friends.

d. Pelvic floor exercises

Some people with the condition report that regular pelvic floor training has also proven helpful. The pelvic floor is the muscle that supports the sphincter of the urethra, among other things. Training is dedicated to strengthening the pelvic floor.

Better not: dubious methods.

The Internet is full of dubious tricks, like the think-of-your-worst-fear method. A shady instructor promoted the twist-your-favorite-pet’s-neck method at a meeting of therapists. Even if mental distraction reduces arousal thinking like this is not very appealing. Presumably, such idiosyncratic ideas are more likely to lead to further psychological problems.

How can premature ejaculation be treated?

You don’t have to live with that. Sexual problems such as these are related to the subconscious, and hypnotherapy helps in taking away the layers which hide the real reason and focusing on the pleasure without a steady appraisal.

A trance provides a better base for many therapeutic techniques. Trance is a very natural state. Many approved methods are even more effective when carried out in a trance state because the whole experience then becomes more intense.

Hypnotherapy to treat premature ejaculation

Many proven interventions are intensified through hypnosis. Beneficial mental states can be experienced through hypnosis, and previously unused resources are activated. The more external control is discarded, the more inner confidence is experienced.

Hypnotherapy and Hypnobalancing™ offer ways to improve the quality of life in this area. And easy-to-learn techniques can further expand personal influence.

You focus more on the desired outcome and the pleasure of enjoying each moment than on the problem, and limiting beliefs are dissolved through a pleasant experience. Even a change in focus often improves the situation very quickly.

Please remember to clarify physical causes by visiting a doctor and also note the information on contraindications for hypnotherapy before booking an appointment.

Physical causes

Anxiety, stress, or depression can cause premature ejaculation. However, since physical causes can also cause premature ejaculation, please check with a medical professional.

Your doctor will probably also ask you about other medical conditions and medications, including over-the-counter medications, dietary supplements, and herbal products you are taking. He or she will probably also ask you about your use of alcohol and illegal drugs. This is important. If physical causes have been largely ruled out, a therapeutic appointment with me is a good idea.

Potential questions in the first session

You will probably be asked:

• How long have you been experiencing this problem?
• Under what circumstances does it occur?
• How often does it occur?
• Does premature ejaculation occur every time you have sex?
• Does it occur with all partners?
• Does premature ejaculation occur when you masturbate?
• Do you have difficulty maintaining an erection?

While the questions are very personal, it is important that you answer them honestly so that it becomes clearer what underlying circumstances may be involved.

How many sessions?

Humans are individuals. Treatment of ejaculatio praecox usually requires only a few sessions. I see most clients with that issue for 3 sessions up to 5 sessions.

How to Decide to Ask for Help

Overcoming Doubts About Seeking Support

Are you wondering whether you need professional help to recover? You might feel that you should handle things on your own, or that seeking help means you’re not strong enough. Perhaps you are afraid that discussing your issues could worsen your symptoms. These concerns are natural, but addressing them can clear the way for meaningful progress.

The Value of Reaching Out

Taking the step to seek help doesn’t mean you’ve failed. It’s a sign of emotional strength and self-awareness. Therapy offers the chance to balance personal autonomy with the support of a trusted professional. An experienced therapist will guide you at a comfortable pace, never pressuring you to discuss topics you’re not ready for. Emotional resilience grows through learning when and how to seek support while maintaining independence.

Assessing the Impact of Symptoms

To determine if professional assistance might benefit you, consider how your symptoms affect your daily life:

• Are your relationships fulfilling and healthy?
• Can you focus and perform effectively at work?
• Do you feel joy and satisfaction in your daily life?
• Is there a sense that life could be more fulfilling?

If your symptoms limit your ability to thrive in these areas, reaching out for help could be a valuable step.

Who Can Assist You?

Are you thinking about working with me? If you know someone I’ve helped, their experience might provide valuable insights. If not, explore the resources on this website to get a clear impression of my approach and expertise. Trust is the cornerstone of effective therapy, and I strive to build it through transparency and openness.​

Meet Your Therapist

Specialized Care for Anxiety, Fear, and Trauma

With over 20 years of experience, I have focused my practice on helping individuals overcome fears, anxiety disorders, and trauma. Each week, I dedicate approximately 20 hours to empowering clients to break free from their limitations and achieve a higher quality of life.

A Trust-Based, Personalized Approach

Therapy is a personal journey. To build trust and provide transparency, I offer insights into my professional background and therapeutic philosophy in my profile. This openness sets the stage for a collaborative relationship, ensuring you feel supported and understood.

Flexible Language Options

To meet your unique needs, sessions are available in German and English. This flexibility ensures effective communication and comfort for all clients.

What does hypnotherapy cost?

Here are some organizational details. Please read them before the appointment reservation. People often ask, "How much does hypnotherapy cost?" What is meant by this are the presumed total costs, which result from the fee and the duration of the psychotherapy with hypnotherapy.

Fee for psychotherapy

Hourly Rates

The fees for a 60-minute psychotherapy session during regular business hours (Monday to Thursday, 10:00 a.m. to 6:00 p.m.) are as follows:

A. Online or telephone sessions: €189
B. In-person sessions at my office: €229
C. Flexible scheduling (short-term appointment changes up to 24 hours in advance for A or B: Additional €45 per session.
Psychotherapy services are VAT-exempt according to § 4 No. 14 a) UStG.

Terms and Conditions

Scheduling

General appointments are available Monday to Thursday, 10:00 a.m. to 6:00 p.m.
Sessions outside these hours, on weekends, or public holidays, incur a 35% surcharge.
The minimum session duration is 60 minutes, with additional time billed in 30-minute increments.

Rescheduling Policy

Sessions lasting up to 120 minutes may be rescheduled once, with at least 72 hours’ notice.
Longer sessions or sessions exceeding 120 minutes in a week require at least 14 days’ notice for rescheduling.
Missed or late cancellations are charged in full. Rescheduled sessions must be used within 12 months.

Alternatives for Missed Appointments

If you cannot attend in person, you can switch to an online video or telephone session at the scheduled time.

Payment Terms

Payment must be fully received via bank transfer 7 days before the appointment.
Cash payments on the day of the session may be allowed on a case-by-case basis; please inquire in advance.

Package Offers

Package deals are not available for psychotherapy services.

Travel Expenses

Travel, accommodation, and per diem expenses are charged separately.
For travel within Berlin, a minimum hourly rate applies.
Travel outside Berlin is billed based on time and effort, subject to individual agreement.

Personalized and Non-Transferable Services

All bookings are exclusively for one-on-one sessions and are non-transferable.

Right of Withdrawal

The provisions of the Distance Selling Act (Fernabsatzgesetz) apply to services booked by telephone, letter, email, or online form.

You may cancel a booking within 14 days of purchase without providing a reason.
If the service begins within the withdrawal period, the registration is considered a request to initiate service early.

Cost Coverage by Health Insurance Companies and Other Insurers

National health insurance companies typically do not cover psychotherapy fees. However, policies vary, so you must contact your insurance provider to clarify their specific guidelines and coverage options.

What You Need to Know

• Invoice Classification:
  You will receive an invoice from me, classified according to ICD-10 standards, to assist with any reimbursement claims.
• Prior Approval:
  Please discuss your therapy plans with your insurer in advance to avoid unexpected issues.
• Application Support:
  If additional documentation or applications are required by your insurer, we can address this together during our sessions.

For more information or assistance, feel free to reach out to me directly.

Therapy Duration and Expectations

Initial Session

The first therapy session lasts 90 minutes. This extended duration allows us to establish a foundation, understand your unique concerns, and set goals for your therapy journey.

Follow-Up Sessions

Subsequent sessions are typically 60 minutes long. The number of sessions required varies significantly based on individual personalities and specific circumstances.

Typical Session Range

• For anxiety disorders, clients often attend 3 to 8 sessions.
• By the second session, many clients gain clarity about their commitment and therapy trajectory.

Personalized Guidance

After the initial sessions, I will provide an estimate of the number of sessions you may need based on your progress and my professional experience. This collaborative approach ensures that therapy is tailored to your specific needs and goals.

Appointment booking

Please read the important information before making an appointment with me, including the contraindications for psychotherapy with hypnotherapy. I have answered frequently asked questions for you. For the success of your therapy, this information is of crucial importance. If this attracts you, then you can find out about booking your appointment here. The better you are informed, the faster we can focus on you and your wishes.

To make an appointment, you can preferably contact me by e-mail (mail@noack-hypnose.de) or by using the contact form (privacy policy) as well as by phone 01577 704 53 56 or 030 - 864 213 69. You will then receive a confirmation of your reservation by e-mail. In this reply, you will find the details for the first session. This usually happens within 24 hours. If you do not receive a reply, it could be because an email has ended up in the spam filter. In such a case, please call me.

There are only a few practice hours available, and they want to be used well. The fee for individual session hours is therefore always to be paid in full by bank transfer, with payment received at least 7 days before the session.

Why at least 7 days in advance? I would like to do it differently, but this is the best practice. Appointments that have not been confirmed with payment received seven days in advance are noticeably more likely to be canceled. And the repeated callbacks take up a lot of time. Because of this, I'm currently faced with the decision of whether and how to either significantly adjust fees to absorb this or to consistently organize in a way that is fair to all parties. Because of this, I am also offering options in terms of shifting appointments with the fees.

There is a maximum of 20 hours a week available for psychotherapy, and any canceled appointment means patients are unable to benefit from psychotherapy help. I understand that it would be more convenient for you otherwise, but this solution is the fairest for all involved.

You can use real-time bank transfer (costs 25 Ct. at Sparkasse Berlin, for example) for time-sensitive appointments, and the transfer takes a few minutes, or we can make an appointment with appropriate advance preparation. If this is not an option for you, please let me know immediately so that I can assign your appointment. Otherwise, I appreciate your understanding and look forward to intensive cooperation.

Just ask me personally.

Let's talk. Please read the privacy policy. If you are interested, you can contact me for questions and appointments via this contact form or by e-mail (mail@berlin-hypnosis.com). Make sure I understand what you are asking for.

You can find answers to frequently asked questions, such as fees, on the home page. There are also lots of articles and details about me (profile) to help you get an idea of who I am. This will also make it easier for you to decide if I am the right therapist for you and your problem.

Message

Remarks:

In the address bar of your browser, the URL should begin with "https://www.berlin-hypnosis.com/...". This indicates a secure connection (SSL). Whether you enter your real name is up to you.

You are not in Berlin or prefer an alternative instead of coming to me?

You are not in Berlin or do not want or cannot come to the practice for other reasons? Then it is worth reading the following information about the options:

a. Travel to Berlin

For clients traveling to Berlin, there is the possibility, if booked in advance, to hold 2 sessions on the same day. It should be discussed in advance by telephone whether this is a recommendable option, as it requires appropriate prerequisites. Any sources of additional pressure should be avoided in the interest of the therapeutic success.

Here you will find further information when considering to travel to me in Berlin.

b. Online sessions

At times a personal meeting is not possible. In such cases, a telephone session or a session with video support via the Internet is an alternative or supplement. I have been using this setting for many years, and many clients have achieved excellent results with it. These experiences make it easy to achieve very intensive sessions in this way as well. You are more flexible and can also use my support very promptly. There are currently reduced fees for such sessions.

You are also on the safe side regarding the coronavirus. By the way, this is also an option if you should be unexpectedly unable to attend a session personally.​

Self-hypnosis  

When appropriate, I will teach you self-hypnosis to complement the hypnosis sessions. Self-hypnosis is a tool to control unconscious processes and thus mental states by yourself.

After you enjoyed positive trance experiences with my support, you can learn self-hypnosis very quickly. This helps you to progress self-determined. It accelerates the process, deepens, and consolidates what has been achieved in the therapy sessions. Your autonomy is thus fostered. A good therapist makes himself superfluous as soon as possible. Self-hypnosis is an excellent method of self-help that can be used beyond the actual issue.

Important Information Before Contacting Me

Read This First

Before reaching out, please take the time to review the detailed information on the following topics:

• Fees and Booking Procedures
• Contraindications for Hypnotherapy
• Answers to Frequently Asked Questions (FAQ)

About This Page

This page is designed to provide essential information for individuals interested in psychotherapy through hypnotherapy. However, it is not intended to replace professional psychotherapy, medical consultations, examinations, or diagnoses by a licensed medical practitioner.

My Role and Expertise

I am a hypnotherapist licensed to practice psychotherapy under the HPG (Heilpraktikergesetz). My work focuses on helping people manage anxiety and anxiety disorders. It is important to note the following distinctions:

• I am not a medical doctor.
• I do not provide medical diagnoses, prescribe medications, or make promises of healing.
• Hypnotherapy is not a substitute for medical or psychiatric care where such intervention is necessary.

Contact Me

If you have any questions about psychotherapy with hypnotherapy, feel free to reach out. I am happy to provide more information and guide you on how hypnotherapy can support your journey to improved well-being.​

Articles

Published: March 1, 2008
Author: Karsten Noack
Revision: January 17, 2025
Translation: May 26, 2009
K:
H:
T: RR
AN: #3433