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Erection & ejaculation

When the body doesn't cooperate

The erection doesn't come or fades, or ejaculation happens sooner than you would like – or not at all. Many men experience this – and hardly ever talk about it. Yet a lot can often change.

Common – and often unspoken

Erectile problems are very common – you are not alone. Most men know situations in which the erection doesn't work as hoped or ejaculation comes too early. It becomes a burden when it happens more often and you or your relationship suffer. Typical examples include:

The erection doesn't come or fades during sex
Ejaculation happens sooner than you would like
Ejaculation doesn't happen at all
Worrying about next time and avoiding intimacy

Individual experiences can turn into a cycle: fear of failing creates tension – and tension makes an erection harder or speeds up ejaculation. This cycle can be broken.

Get a medical check-up

With erectile problems, a medical assessment is important – for example with a urologist or your GP. Erectile problems can be an early sign of cardiovascular disease or diabetes. Medication or hormonal causes are also possible. If ejaculation doesn't happen at all, a medical assessment is also advisable – sometimes medication is the cause, for example.

Physical and psychological factors often work together. Sex therapy can be useful alongside medical treatment.

How sex therapy can help

Sex therapy is about perceiving and guiding your own arousal better. This can include, for example:

Information about arousal, erection and ejaculation
Exercises for breathing, movement and muscle tension
Shifting the focus from performance to pleasure
Making sexuality more varied

Sessions take place fully clothed; there is no physical contact. You do the exercises on your own and at your own pace.

Frequently asked questions

Should I see a doctor first?

For erectile problems I recommend a medical assessment, as there may be physical causes. For premature ejaculation this is less urgent, but it can also be useful.

Doesn't medication simply help?

Medication can support an erection. But it doesn't change how you experience and guide arousal. That is where sex therapy comes in – and it combines well with medical treatment.

Can my partner come along?

Yes, of course. But you can also start on your own – many men feel more comfortable that way at first.

Is it covered by health insurance?

Sessions are generally not covered by basic health insurance. If you have supplementary insurance, it is worth checking in advance. A session costs CHF 150 (individual, 50 min) or CHF 225 (couple, 75 min); a reduced rate is available on request.

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