Premature Ejaculation

Premature ejaculation (PE) is a common sexual health concern in men, defined as ejaculation occurring sooner during sexual intercourse than desired by the man or his partner. While occasional early ejaculation is normal, persistent PE can impact relationships and quality of life. At AUCNY, our urologists provide comprehensive evaluation and treatment for men experiencing this condition.

Statistics suggest that approximately 1 in 3 men between ages 18 and 59 experience premature ejaculation. Our experienced urologists explore both psychological and physical factors that may contribute to PE, providing tailored solutions that address the root cause and help reduce recurrence.

Men experiencing premature ejaculation may notice:

  • Ejaculation occurring before or shortly after penetration, often sooner than desired

  • Difficulty delaying ejaculation during sexual activity

  • Distress, frustration, or anxiety related to sexual performance

  • Impact on sexual satisfaction for the patient or their partner

Premature ejaculation may result from a combination of psychological and biological factors, including:

  • Psychological factors: Early sexual experiences, depression, poor body image, anxiety, stress, relationship difficulties, or guilt. Worrying about premature ejaculation can create a cycle that worsens the condition.

  • Biological factors: Erectile dysfunction, hormonal imbalances, abnormal neurotransmitter levels, inflammation or infection of the prostate or urethra, and inherited abnormalities.

Your AUCNY urologist will perform a thorough evaluation to identify the underlying cause of PE, which may include:

  • Detailed medical history, including sexual history and psychological factors

  • Physical examination, focusing on the genital and pelvic area

  • Laboratory tests if indicated to check hormone levels or screen for infections

  • Review of medications and lifestyle factors that may contribute

Treatment is individualized and may include:

  • Pelvic floor (Kegel) exercises: Strengthen the pelvic muscles to improve ejaculatory control

  • Partner-assisted techniques: Methods such as compression of the penis tip to delay ejaculation

  • Condom use: Reduces sensation; options include thicker latex or condoms with topical anesthetics

  • Medications: Topical anesthetics or prescription drugs (e.g., certain antidepressants or erectile dysfunction medications) that can help delay orgasm

  • Counseling and behavioral strategies: Techniques such as timed masturbation, cognitive behavioral therapy, or guided sexual therapy

Take Control of Your Sexual Health

Persistent premature ejaculation is treatable. Early intervention can improve sexual performance, confidence, and overall satisfaction for both you and your partner. The expert urologists at AUCNY offer personalized care and evidence-based therapies to address PE effectively.

Schedule a consultation today at one of our convenient locations to begin your individualized treatment plan.

Take Control of Your Sexual Health

Persistent premature ejaculation is treatable. Early intervention can improve sexual performance, confidence, and overall satisfaction for both you and your partner. The expert urologists at AUCNY offer personalized care and evidence-based therapies to address PE effectively.

Schedule a consultation today at one of our convenient locations to begin your individualized treatment plan.