Premature Ejaculation

Premature ejaculation (PE) is one of the most common sexual concerns among men, affecting up to 30% of men at some point in their lives. This condition can cause significant distress, strain on relationships, and impact self-esteem. Understanding PE, its causes, and the available treatment options can help those affected regain control and improve their quality of life.

At Maiden Lane Medical in New York, we understand the sensitive nature of sexual health issues and offer compassionate, expert care for men experiencing premature ejaculation. Our team is dedicated to providing personalized treatment plans to help manage and overcome this condition. Contact us today!

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“The team was phenomenal and it was a straightforward experience. I came in early and they were able to accommodate me. I was in and out and received quality care.”
Adam

What is Premature Ejaculation?

Premature ejaculation is defined as the occurrence of ejaculation sooner than desired, either before or shortly after penetration, causing distress to one or both partners.

This condition is a type of sexual dysfunction and can be categorized into two types:

  • Lifelong (primary) PE: The problem has been present since the onset of sexual activity.
  • Acquired (secondary) PE: This develops after a period of normal sexual function.
A man alone on a bed with confidence issues due to premature ejaculation in Manhattan, New York.

Causes of Premature Ejaculation

Many patients who experience premature ejaculation often have minimal experience with sexual encounters involving a partner. For much of their adult lives, their sexual activities have primarily been limited to masturbation. This pattern can inadvertently train the body to ejaculate quickly, as the focus during masturbation is often on achieving release as swiftly as possible. This conditioning can lead to early ejaculation during partnered sexual encounters, where performance anxiety further exacerbates the issue.

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How Serious is the Condition?

While premature ejaculation is not physically harmful, its impact on emotional and psychological well-being can be significant. Men experiencing PE often report feelings of embarrassment, frustration, and diminished self-confidence.

Additionally, the condition can lead to relationship problems and decreased sexual satisfaction for both partners. It’s important to address these issues with a healthcare professional who can provide guidance and support.

How is Premature Ejaculation Diagnosed?

Diagnosis of PE typically involves discussing your medical history and sex life, along with a physical examination. In some cases, a doctor may recommend blood tests to check hormone levels or other underlying health issues. Open communication with your healthcare provider is crucial for accurate diagnosis and effective treatment planning.

Can Premature Ejaculation be Prevented or Avoided?

While it may not always be possible to prevent premature ejaculation, several strategies can help reduce the risk or manage the condition:

  • Lifestyle Changes: Maintaining a healthy lifestyle through regular exercise, a balanced diet, and adequate sleep can improve overall health and potentially reduce PE symptoms.
  • Stress Management: Techniques such as mindfulness, meditation, and counseling can help manage stress and anxiety that may contribute to PE.
  • Open Communication: Discussing sexual concerns with your sexual partner can improve intimacy and reduce performance pressure.
  • Avoiding Substance Abuse: Limiting alcohol and avoiding recreational drugs can improve sexual function.
  • Regular Medical Check-Ups: Regular visits to a healthcare provider can help identify and manage any underlying health issues that may contribute to PE.

How to Treat Premature Ejaculation

Premature ejaculation is primarily a behavioral issue, and the most effective treatment involves behavioral modification therapy. This approach helps retrain the body to delay ejaculation, offering greater control during sexual encounters.

Key techniques in behavioral modification therapy include the start/stop method and the squeeze technique. The start/stop method involves stimulating the penis until the urge to ejaculate becomes strong, then pausing until the sensation subsides, which helps delay ejaculation. The squeeze technique is similar but includes gently squeezing the head of the penis to reduce arousal. In addition to these methods, strengthening the pelvic floor muscles through pelvic floor exercises can further enhance control.

At Maiden Lane Medical, our doctors provide a comprehensive Behavioral Modification Conditioning program, that includes these techniques and more. For some patients, this program is complemented by sex therapy, which addresses psychological factors, and selective serotonin reuptake inhibitors (SSRIs) that may help delay ejaculation when necessary. In cases where erectile dysfunction is also present, we can treat erectile dysfunction alongside premature ejaculation to ensure a holistic approach to improving sexual health.

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A man sitting next to a bed disappointed because he has premature ejaculation issues in Manhattan, New York.

Outlook for Those with Premature Ejaculation

With appropriate treatment, many men can manage and overcome premature ejaculation. The prognosis is generally positive, especially with a combination of medical intervention and lifestyle modifications. Continuous communication with a healthcare provider ensures that the treatment plan is effective and adjusted as needed.

Take Control of Your Sexual Health

Premature ejaculation is a common condition that can have a significant impact on your life and relationships. However, it is treatable, and help is available. Don’t hesitate to reach out to Maiden Lane Medical in NYC for expert care and support. Schedule an appointment today to start your journey toward improved sexual health and well-being!

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Our doctors who provide this service

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Ron Bakal, MD

Board Certified Urologist
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David M. Kaufman, MD

Board Certified Urologist

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