NOT A CURE FOR SEXUAL PROBLEMS – DIFFICULT CASE
A young plumber sought advice at a counselling clinic soon after the failure of his marriage. He complained of marked premature ejaculation and he blamed this for the breakdown of his marriage, and for the failure of several previous relationships.
He had requested vasectomy in the belief that this would solve his disorder. He was quite unmoved by the fact that the operation was irreversible, but became interested when he was asked why he felt it necessary to hurt and punish himself? This patient finally agreed to postpone the request and to attend for psychosexual counselling.
Again, here is a patient seeking vasectomy for quite inappropriate reasons. It seemed that he had a feeling that he wished to hurt that part which had given him so much pain and disappointment.
Sometimes it can be very difficult to elicit the relevant history that might suggest that all is not well with the marriage. For some women it is not possible to admit that their sex life is not perfect, especially when the husband is present. Fear of hurting him, or of provoking his anger, can lead to a bland assurance that all is well. It is likely that such inhibiting feelings stopped the next patient from sharing her problems at the time of her pre-sterilization counselling.
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