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Premature Ejaculation Treatment in NYC – Top Specialists – Virtual Video and In-Person Appointments

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Premature Ejaculation Problems in Men

by Dr. Alex Shteynshlyuger

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5747.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. 

We offer affordable prices for treatment by a top urologist with or without insurance.

Why Do Men Come Too Fast and Experience PE (Premature Ejaculation)?

Premature Ejaculation

Premature ejaculation is a fairly common condition that affects many men at some point in their life.  For most men, premature ejaculation is an occasional concern.  Some men have severe and persistent premature ejaculation that has been present their entire life.

In studies, premature ejaculation is measured as intravaginal ejaculatory latency time (IELT), the time from penetration to ejaculation.  For some men, premature ejaculation may be so severe that they ejaculate even before they are able to penetrate as soon as they get excited and often within 30-60 seconds of getting an erection or vaginal penetration.  Premature ejaculation can have a severe effect on relationships both from guilt felt by the man and lack of satisfaction by partners. It can also cause depression and performance anxiety.

Two types of premature ejaculation are commonly seen in men. 

Lifelong premature ejaculation is present since the onset of sexual activity and typically occurs every time a man ejaculates.  Lifelong premature ejaculation tends to be more severe in nature, with time to ejaculation anywhere from 15-30 seconds to 2-3 minutes.

Men can also develop acquired premature ejaculation that often occurs as men get older or may occur occasionally.  Acquired premature ejaculation has many causes, including UTI, prostatitis, erectile dysfunction, neuropathy, and diabetes, among others.  This tends to be less severe, with men typically complaining of ejaculating within 2-5 minutes.

Where to Get Treatment for Premature Ejaculation in NYC?

At New York Urology Specialists, we offer specialized treatment for premature ejaculation (PE) and ED for men. Same-day virtual video appointments and in-person appointments are available.

Call/text today: 1-646-663-5747 or make an appointment online.  

We treat sexual and erection problems and perform penile surgery. We offer comprehensive testing for infections.  We treat penile problems in men, including phimosis, balanitis, penile irritation, and penile redness. We perform cosmetic circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, penile cyst removal, and penile skin bridge removal. We offer confidential appointments.

Our appointment costs are affordable with or without insurance.  Low-cost medications are available to our patients.  We offer free insurance verification.

Causes of Premature Ejaculation

The exact cause of premature ejaculation is not clear, but it is apparent that serotonin pathways in the brain affect premature ejaculation, as SSRI (selective serotonin reuptake inhibitors) prolong ejaculatory time by increasing serotonin levels in the brain.

One hypothesis is that premature ejaculation is an evolutionary adaptation. Men who ejaculate faster may have an advantage in reproduction and survival. 

It appears that men with attention deficit hyperactivity disorder may be at increased risk for premature ejaculation as well.

There are some reports that some men with premature ejaculation who also have scrotal varicoceles benefit from varicocele repair.

Some men develop new-onset premature ejaculation that appears to be related to inflammation around the nerves that go to the penis.  Men with prostatitis, sexually transmitted diseases, sometimes develop premature ejaculation along with urinary symptoms such as frequent urination, urethral pain during or after urination, and perineal pain.

Treatment for Premature Ejaculation At New York Urology Specialists.

Premature ejaculation often coexists with erectile dysfunction.  Often, erectile dysfunction may be masked by severe premature ejaculation.  Anxiety caused by premature ejaculation often leads to problems with obtaining and maintaining erections with a partner.

It is also important to differentiate erectile dysfunction from premature ejaculation. Men with premature ejaculation ejaculate too soon and then lose their erection.  Men with erectile dysfunction lose erections, typically without ejaculation.

Guidelines from the American Urological Association (AUA) and our practice at New York Urology Specialists are that patients with any degree of erectile dysfunction associated with premature ejaculation first get treated with the goal of correcting erectile dysfunction.  Treatment for erectile dysfunction often improves symptoms of premature ejaculation, especially in men with acquired premature ejaculation. 

The exact treatment depends on the individual situation, but medications work well for most men.  In addition to treating erectile dysfunction, medications such as Viagra and Cialis appear to shorten the refractory period in men.  Medications can also allow men to maintain an erection and satisfy their partner even after ejaculation.

Treatment for Premature Ejaculation

Treatment options for premature ejaculation include behavioral therapy, psychotherapy, and medications.   While psychotherapy may be helpful, it is often impractical.

Behavioral Therapy for Premature Ejaculation

Behavioral therapy involves a number of methods. One simple method is for men to stop thrusting to allow the sensation of impending orgasm to pass before resuming.  That can prolong ejaculatory time.  It tends to work for men with acquired premature ejaculation and does not work as well for men with severe PE.  Some men find that after masturbation, when they get a second erection, they are able to last longer. This is more common in men with acquired ejaculation.

SSRI: Effective Treatment Option for Premature Ejaculation

The most effective treatment option for premature ejaculation involves using an SSRI, an antidepressant medications that have a beneficial side effect of prolonging ejaculatory time.  These medications can be taken a few hours prior to intercourse if sex is planned.  More commonly, we advise that men take medications daily to avoid last-minute worry about the timing of medication use.  

If SSRI medications do not help, certain medications that affect pain receptors can be tried.

Topical ‘numbing” creams, wipes, and sprays can be used to treat premature ejaculation.  They are effective. Men often get frustrated because applying a bit too much causes numbness (not too good); not using enough does not help.  Finding the right balance can be a challenge.

Penile Injection Therapy with Trimix

Another effective treatment option that can overcome premature ejaculation is intracorporeal injection therapy with medications such as Trimix, which produces a very strong erection.  These medications do not affect premature ejaculation but enable men to maintain erections for a prolonged period of time, even after ejaculating, which can allow them to satisfy their partner.  The dose of medications can be adjusted to produce an adequate duration of an erection.  Typically, the goal is to find a dose that will produce an erection that lasts less than 1 hour to avoid risks of priapism (an erection that lasts more than 2-3 hours).  Usually, penile injection therapy is the treatment of last resort as it is associated with risks of priapism and Peyronie’s disease (scar formation in the penis).  Unfortunately, some clinics offer penile injections as the first therapy for PE without trying other, less expensive and safer treatment options.

We advise that you see a board-certified urologist who specializes in the treatment of PE.

Other Treatment Options for PE

There is some evidence that suggests that pelvic floor muscle training may be helpful for men with PE.

Treatment of the underlying erectile dysfunction often improves or overcomes premature ejaculation.

Testosterone replacement therapy in men with low testosterone may be useful for some men with PE.

Surgical Treatment of Premature Ejaculation

Circumcision does not help men with premature ejaculation.  

Did you know?  Dr. Shteynshlyuger has performed over 1,000 penile surgeries, including penile implants, correction of Peyronie’s disease, circumcisions, circumcision revisions, frenuloplasty, and congenital penile curvature.  He performs 150-200 penile surgeries a year.

Read Real Stories of Men Who Underwent Treatment for Penis Problems at New York Urology Specialists.

We offer treatment for penile problems, including ED, Peyronie’s disease, foreskin irritation, penile cysts, skin bridges, and other problems to patients within driving distance to our offices, as well as from other states and countries.  Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.

What do Penile Problems Look Like?

You can find pictures of penile problems, including before and after treatment images, in our image gallery.

What You Need to Know:

Cost of Treatment and Insurance

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

We accept many health insurance plans.  We would be happy to verify your eligibility and benefits and to provide you with detailed information on your health plan’s coverage.  Financing options and credit options are available to help you pay for medical care.

Why Choose New York Urology Specialists for Treatment of Premature Ejaculation?

    • All treatment is performed by a board-certified urologist experienced in treating men with penile problems, symptoms of ED, premature ejaculation, and other sexual problems using medical therapy, minimally invasive therapies, lasers, and surgery.
    • We are one of the few practices in the region to offer a full range of options for the treatment of sexual, penile, and erection problems in men.
    • We offer diagnostic testing in our office, which avoids hospital costs.
    • We offer treatment options for balanitis, genital warts, phimosis, Peyronie’s disease, and penile cysts in our office, which avoids the risks, costs, and recovery from general anesthesia.  
    • Extensive Experience: Thousands of men have been treated successfully using medical therapy, penis surgery, penile injections with Trimix, penile plication, plaque excision, grafting, and penile implant surgery.
    • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
    • We are conveniently located within a 30-60 minute commute to men who are seeking ED treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

Scheduling Appointments for Premature Ejaculation (PE) Treatment at New York Urology Specialists

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5747.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. 

We offer affordable prices for treatment by a top urologist with or without insurance.

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Penile Problems are Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of penile problems and erectile dysfunction.  We understand the challenges that penile problems create for our patients, their relationships, and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, lifestyle, and preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By virtue of our experience and skill, we can offer an effective treatment option for nearly every man who desires an effective treatment for penile problems. We specialize in minimally invasive, highly effective treatment for symptoms of penile pain, urethral burning, foreskin inflammation, and penile cancer. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex ED Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5747 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and treatment of penis problems, including sexual and erection problems in men, using modern, effective, and proven treatment methods.  We offer inflatable penile implants, shockwave therapy for ED, and treatment for Peyronie’s disease.  We perform circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, penile cancer treatment,

He has successfully treated thousands of men of all ages with penile problems, including irritation and inflammation of the penis, bent penis, and weak erections. 

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5747.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients. 

We offer affordable prices for treatment by a top urologist with or without insurance.