Episode 502: Rethinking Premature Ejaculation episode artwork

EPISODE · May 19, 2026 · 35 MIN

Episode 502: Rethinking Premature Ejaculation

from Sex and Psychology Podcast · host Dr. Justin Lehmiller

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 to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  If you’re looking for a dating experience where you can explore on your own terms, check out Feeld, a dating app for the curious. Go to feeld.co or download Feeld on the App Store or Google Play. Load Boost is a supplement designed to improve the taste, volume, and overall health of your semen. If you want to elevate your sexual performance, check out Load Boost from VB Health. Visit vb.health to learn more and save 10% with code JUSTIN. Passionate about building a career in sexuality? Check out the Sexual Health Alliance. With SHA, you’ll connect with world-class experts and join an engaged community of sexuality professionals from around the world. Visit SexualHealthAlliance.com and start building the sexuality career of your dreams today. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

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 to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  If you’re looking for a dating experience where you can explore on your own terms, check out Feeld, a dating app for the curious. Go to feeld.co or download Feeld on the App Store or Google Play. Load Boost is a supplement designed to improve the taste, volume, and overall health of your semen. If you want to elevate your sexual performance, check out Load Boost from VB Health. Visit vb.health to learn more and save 10% with code JUSTIN. Passionate about building a career in sexuality? Check out the Sexual Health Alliance. With SHA, you’ll connect with world-class experts and join an engaged community of sexuality professionals from around the world. Visit SexualHealthAlliance.com and start building the sexuality career of your dreams today. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

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Episode 502: Rethinking Premature Ejaculation

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This episode is 35 minutes long.

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This episode was published on May 19, 2026.

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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...

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