(PNM-53) Psychocorporal approach in male sexual reeducation: a clinical study on erectile dysfunction and premature ejaculation

Abstract Objective Sexual dysfunctions, such as erectile dysfunction (ED) and premature ejaculation (PE), are often addressed in a fragmented fashion, overlooking the interdependence between mind, body, emotions, and personal history. This theoretical-reflective study aims to present a body-oriented therapeutic framework as a complementary approach to support sexual reeducation in men presenting with ED and PE. Materials and Methods Through an interdisciplinary literature review, contributions from Body Psychotherapy, Bioenergetics, Somatic Approaches, Polyvagal Theory, and the Neuroscience of Touch and Arousal were analyzed. The analysis suggests that ED and PE can be understood as psychophysiological responses associated with chronic emotional defense states, affective insecurity, and bodily disconnection. The absence of both physiological and relational safety deeply impacts the orgasmic cycle and the experience of sustained pleasure. Therapeutic strategies involving active clinical listening and body-based interventions — such as conscious touch, breathwork, co-regulation, and embodied presence — may help restore a sense of safety and support the reintegration of the body as an erotic and vital domain. Results Among 100 men treated, at least 50% reported significant improvements — after approximately three sessions combined with home-based body exercises — in their relationship with their own bodies, sexual surrender, ability to sustain arousal, and recovery of erotic spontaneity. Conclusions Sexuality can be conceptualized as a psychophysical phenomenon. Integrative, body-oriented practices should be considered a fundamental component of sexual healthcare for men, particularly in cases of dysfunction with multifactorial etiologies and significant subjective impact. Financing No conflict.