Premature Ejaculation

Premature ejaculation is a common problem, occurs when a man ejaculates during sexual intercourse before he or his partner desires. If it happens infrequently, it may be of no concern but if it persists, it can be treated by the urologists at AUCNY.

While 1 in 3 men between the ages of 18 to 59 are thought to experience premature ejaculation. Our urologic experts can help patients explore the psychological and physical issues that may be causing premature ejaculation or contributing to it. We may prescribe behavioral therapies or medical therapies (medications) to try to help find the source of the problem. Then, we can work with patients to address those problems and reduce the incidence of PE going forward. It all starts by making an appointment with one of our physicians at one of our many convenient locations.

The most common causes and risk factors include:

Psychological factors – early sexual experiences, abuse, depression, poor body image, guilty feelings, anxiety, stress, and relationship difficulties. Worrying about premature ejaculation can be a cause of the problem itself resulting in a circular process worsening the condition.
Biological problems — erectile dysfunction (inability to maintain an erection), abnormal hormone or brain chemical levels, inflammation or infection of the prostate or urethra, or inherited abnormalities

Treatment Options

Your AUCNY physician will review the treatment options available for issues with premature ejaculation.

Treatment options include:

Pelvic floor (Kegel) exercises to strengthen the muscles of the pelvic floor to afford better ejaculation control
Use of “bedroom” techniques assisted by the partner such as compression of the end of the penis for several seconds until the urge to ejaculate passes
Condom use – will decrease sensation to the penis, especially condoms with a local anesthetic or use of thicker latex
Medication such as topical local anesthetics or prescription antidepressants using their side effects of delaying orgasm, or erectile dysfunction medication
Counseling and behavioral techniques – such as masturbating before intercourse

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Premature Ejaculation

Treatment Options

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