Episode 502: Rethinking Premature Ejaculation

About this episode

This episode explores a new understanding of premature ejaculation, focusing on the nervous system and emotional factors rather than just performance.

When people talk about premature ejaculation, the conversation is usually framed around performance: lasting longer, gaining control, or somehow “fixing” the problem. But what if we’ve been thinking about this issue all wrong? In today’s episode, we explore a different way of understanding early ejaculation that’s less rooted less in performance and more in the nervous system, anxiety, shame, and body awareness. My guest is Michelle Fischler, an ASTO Certified Sex Therapist with over a decade of clinical experience. She is also the founder of GETSOME, a platform and podcast dedicated to dissolving sexual shame. Her new book is titled Coming Soon: The Unshaming Guide to Early Ejaculation and Lasting Longer. Some of the specific topics we explore in this episode include: What counts as early ejaculation? Why isn’t early ejaculation just a performance problem? How can breath help regulate arousal? What can solo practice teach us about arousal and pleasure? How can couples approach early ejaculation as a team? You can check out Michelle’s website to learn more about her work and follow her on the socials at @getsome_podcast Got a sex question? Send me a podcast voicemail…

People in this episode

Host: Dr. Justin Lehmiller

Guest: Michelle Fischler

Topics covered

• premature ejaculation
• nervous system
• anxiety
• shame
• body awareness
• arousal
• couples therapy

Keywords

• premature ejaculation
• sexual shame
• arousal regulation
• breath techniques
• couples therapy
• sexual health
• anxiety management

Sponsors

Feeld

Mentioned in this episode

Organizations: GETSOME

Books & works: Coming Soon: The Unshaming Guide to Early Ejaculation and Lasting Longer

More episodes of Sex and Psychology Podcast

• Episode 509: Out-Of-Control Sexual Behavior In Women · June 12, 2026 · 30 min
• Episode 508: When Your Sexuality Changes Later In Life · June 9, 2026 · 32 min
• Episode 507: Is Non-Monogamy Right For You? · June 5, 2026 · 30 min
• Episode 506: Trauma-Informed Non-Monogamy · June 2, 2026 · 31 min
• Episode 505: How To Move Beyond Small Talk · May 29, 2026 · 30 min
• Episode 504: Why We Avoid Connection (Even When We Crave It) · May 26, 2026 · 34 min