Signs That It’s Time to Consult a Doctor About Premature Ejaculation

July 14, 2025

As a dedicated urology practice here in New York City, we at LuZato Medical Group understand how sensitive and personal the topic of premature ejaculation (PE) can be. Many of the men who come to see me have struggled quietly for years, unsure of when or if they should seek help. I want to reassure you that you are not alone, and that professional support is available when you’re ready.

At LuZato Medical Group, we take great pride in offering compassionate, discreet, and effective care for men dealing with premature ejaculation (PE). Our team recognizes that this condition not only affects physical intimacy, but can also take a toll on emotional well-being, self-esteem, and relationships. We believe that addressing premature ejaculation (PE) is not just about improving sexual performance — it’s about enhancing your overall quality of life and restoring confidence.

In our experience as a leading urology practice here in New York City, men often hesitate to reach out for help because they feel embarrassed or believe the issue might resolve on its own. However, premature ejaculation (PE) is a common concern, and seeking guidance from a specialist can make a significant difference. Our goal is to provide a safe space where you can discuss your concerns openly, knowing that your privacy and dignity will always be respected.

In this blog, I’ll share signs that it may be time to consult a doctor about premature ejaculation, and how we can help you navigate this important aspect of your health. Whether you are experiencing symptoms occasionally or frequently, our team at LuZato Medical Group is here to support you with personalized treatment options tailored to your unique needs.

Understanding Premature Ejaculation

Premature ejaculation is one of the most common sexual health concerns among men, affecting individuals across all ages and backgrounds. While definitions can vary, it typically refers to ejaculation that happens sooner than a man or his partner would like during sexual activity. For some, this may mean ejaculation within one minute of penetration, while for others, it might simply feel too quick to enjoy a fulfilling experience. Regardless of how it manifests, premature ejaculation can impact confidence, emotional connection with a partner, and overall satisfaction with intimacy.

At our practice, we approach this condition with compassion and medical expertise, knowing that every individual’s experience is unique. We understand that premature ejaculation is not just a physical concern — it can also lead to feelings of frustration, anxiety, or even avoidance of intimacy altogether. That’s why we take the time to listen carefully, assess your situation thoroughly, and provide guidance that aligns with your personal health goals and relationship dynamics.

We encourage men experiencing consistent difficulties to speak with us, so we can determine whether premature ejaculation is present and explore solutions together. Our team offers a wide range of treatment options, from behavioral techniques and counseling to innovative medical therapies. At LuZato Medical Group, we are committed to helping you regain control, enhance your sexual well-being, and improve your quality of life. Remember, seeking help is a positive and proactive step toward addressing premature ejaculation and achieving greater confidence in your intimate relationships.

 premature ejaculation
premature ejaculation

When Premature Ejaculation Becomes a Concern

There are several signs that may indicate it’s time to consult with a doctor about premature ejaculation. Recognizing these signs early allows you to take control of your health and well-being, and we’re here to guide you every step of the way.

It Happens Consistently

Occasional instances of early ejaculation can be normal, especially under stress, fatigue, or during new sexual experiences. Life circumstances and emotional states can sometimes influence sexual performance in temporary ways. But if you find that it happens nearly every time you engage in sexual activity, it’s a sign worth discussing with us. We have seen many patients who thought they had to accept this as normal, only to find great relief and improvement after seeking help. At LuZato Medical Group, we use proven strategies to help men gain greater control, restore confidence, and enjoy more satisfying intimacy.

It Causes Distress

Another sign that it’s time to talk to a doctor is if premature ejaculation causes significant personal distress. If you feel frustrated, embarrassed, or anxious about sexual performance, or if these feelings are affecting your self-esteem or relationships, it’s a good reason to reach out to us. Emotional well-being is deeply connected to sexual health, and persistent worries about premature ejaculation can take a toll on mental health over time. Our team is here to listen, provide reassurance, and offer treatments that address both the physical and emotional aspects of this condition.

It Affects Your Relationship

Premature ejaculation can create tension between partners, sometimes leading to misunderstandings or feelings of dissatisfaction on both sides. If you or your partner feel dissatisfied with your sexual relationship because of this issue, I encourage you to make an appointment. Open communication is important, but so is having access to professional guidance and support. Our role as your urology doctor Manhattan is to provide both medical solutions and emotional support, helping couples reconnect and strengthen their intimacy through effective treatment plans tailored to their unique situation.

You Have Other Urological Concerns

Sometimes, premature ejaculation occurs alongside other health issues, such as erectile dysfunction. These conditions can be related, as both may share underlying causes like hormonal imbalances, nerve function issues, or psychological factors including stress and anxiety. When they appear together, it’s especially important to seek professional guidance, because addressing them simultaneously can often lead to better, longer-lasting outcomes.

If you notice difficulty achieving or maintaining an erection in addition to premature ejaculation, please don’t hesitate to consult with us. As an erectile dysfunction doctor New York City, I can help assess these conditions together and design a plan that addresses all aspects of your sexual health. This means looking beyond the immediate symptoms to consider contributing factors such as cardiovascular health, metabolic conditions, or lifestyle influences that may be playing a role.

By taking a comprehensive approach, we aim to enhance your overall quality of life and provide lasting solutions that work for you. At LuZato Medical Group, we are dedicated to offering a full spectrum of men’s health services — so whether your concerns involve ejaculation, erectile function, urinary health, or prostate issues, you can feel confident that you’re receiving thorough, compassionate, and expert care.

Our integrated treatment plans often combine medical therapies, lifestyle recommendations, and emotional support to help you regain control, boost confidence, and improve satisfaction in your intimate relationships.

How We Evaluate Premature Ejaculation

When you come to see us, we start by listening. We want to understand your specific concerns, medical history, and goals, because every individual’s experience with premature ejaculation is unique. Our first priority is to create a safe, non-judgmental space where you can speak openly about what’s going on. We recognize that discussing sexual health can feel sensitive, and we’re committed to making the process as comfortable as possible for you.

We’ll ask thoughtful questions about your sexual experiences, including when the issue began, how often it occurs, and how it impacts your quality of life and relationships. We’ll also discuss any related symptoms you may have noticed, such as difficulty achieving or maintaining an erection, changes in libido, or emotional distress linked to intimacy. This information helps us gain a comprehensive understanding of your situation.

If appropriate, we may perform a physical exam or recommend tests to rule out underlying health conditions. For example, hormonal imbalances, thyroid disorders, or certain neurological issues can sometimes contribute to premature ejaculation. Identifying or ruling out these factors ensures that we can tailor the treatment plan effectively. Our evaluation might also include screening for other urological concerns to provide a complete picture of your sexual health.

Our compassionate, respectful approach helps ensure that you feel comfortable sharing what you’re experiencing. We want you to feel confident that you’re getting care from a trusted urology doctor NYC who genuinely has your best interests at heart. From the initial consultation to follow-up care, we’re here to support you with expertise, discretion, and genuine concern for your well-being.

At LuZato Medical Group, we believe that addressing premature ejaculation is not just about resolving a symptom — it’s about enhancing your overall health, confidence, and satisfaction in life.

Treatment Options We May Recommend

Treatment for premature ejaculation depends on many factors, including its cause and how it’s impacting your life. Our approach at LuZato Medical Group is to create a personalized care plan that addresses both the physical and emotional components of the condition. We’ll work closely with you to find solutions that align with your goals and help restore confidence and satisfaction in your intimate life. We may suggest:

Behavioral techniques

We often recommend strategies designed to increase ejaculatory control and enhance sexual satisfaction. These techniques focus on helping you become more aware of your body’s responses and learn how to manage arousal effectively. Techniques such as the pause-squeeze method or specific pelvic floor exercises to improve awareness and delay ejaculation can be highly effective, especially when practiced consistently.

The pause-squeeze method, for example, involves temporarily stopping stimulation and applying gentle pressure to specific areas of the penis to reduce the urge to ejaculate. Over time, this can help you build better control during sexual activity. Additionally, exercises that strengthen the pelvic floor muscles — similar to Kegel exercises — can also contribute to improved control and confidence.

At LuZato Medical Group, we guide you through these methods with clear instructions and ongoing support, helping you build greater control over time. We understand that adopting new techniques can feel challenging at first, which is why we provide coaching, resources, and follow-up care to ensure you feel confident applying these strategies. Our goal is to help you achieve satisfying, longer-lasting intimate experiences in a way that aligns with your individual needs and comfort level.

Behavioral techniques are often most effective when combined with other forms of care, such as counseling or medical treatment, as part of a comprehensive approach to premature ejaculation.

Counseling or therapy

Addressing emotional and psychological factors is an important part of treatment for premature ejaculation. We recognize that sexual health is closely connected to mental and emotional well-being, and that conditions like premature ejaculation often have both physical and psychological components. Counseling or therapy can be beneficial for managing anxiety, stress, or relationship concerns that may contribute to premature ejaculation, helping you break cycles of worry or tension that can affect performance.

Whether you choose to work with a mental health professional individually or as part of a couple, therapy provides valuable tools for navigating these challenges. You can learn strategies to reduce performance pressure, manage anxious thoughts, and build confidence. For couples, counseling offers a supportive space to improve communication, strengthen intimacy, and address any feelings of frustration or disconnect that may arise from sexual health concerns.

At LuZato Medical Group, we often collaborate with experienced therapists and counselors who specialize in sexual health and men’s wellness. Our goal is to ensure that you have access to a comprehensive support system, so you can approach treatment with confidence and achieve meaningful, lasting improvements. By integrating counseling or therapy into your care plan, you’re taking an important step toward not only addressing premature ejaculation, but also enhancing your overall emotional health and relationship satisfaction.

Medications

In some cases, medications can help delay ejaculation and extend the duration of sexual activity, offering additional support alongside behavioral techniques or counseling. These medical options may be especially useful when premature ejaculation persists despite other strategies, or when the condition significantly impacts confidence, intimacy, or quality of life.

Depending on your specific situation, we may discuss prescription options that are safe and effective. This can include certain antidepressants known to have a side effect of delaying ejaculation, or topical anesthetic creams that help reduce penile sensitivity. Each option has its own benefits and considerations, and we take the time to explain these clearly, answering your questions so you feel comfortable with your treatment plan.

Our goal is to identify solutions that offer meaningful improvement while minimizing side effects, always keeping your overall health and well-being in mind. At LuZato Medical Group, we carefully assess any other medications you may be taking, your health history, and your personal preferences before recommending a course of treatment. We believe that working together to find the right balance is key to achieving the best outcomes — helping you enjoy greater sexual satisfaction and peace of mind.

Addressing related conditions

If erectile dysfunction is also present, we provide solutions as a trusted erectile dysfunction doctor NYC and can help improve both conditions simultaneously. Since premature ejaculation and erectile dysfunction sometimes occur together, treating both can lead to better outcomes and greater satisfaction. Our integrated approach ensures that no aspect of your sexual health is overlooked, and that your care plan is comprehensive and tailored to your unique needs.

Throughout your treatment, we remain dedicated to offering compassionate, respectful, and confidential care. We encourage you to reach out and take the first step toward improving your sexual health and quality of life.

 premature ejaculation
premature ejaculation

Why It’s Important Not to Delay Care

I often share with patients that premature ejaculation is not something you have to just “live with.” It’s a medical condition, and like any other health concern, it deserves attention and care. Seeking help is not a sign of weakness — it’s a proactive step toward improving both your physical and emotional well-being. By addressing the issue early, we can help you prevent additional stress, strengthen your relationships, and restore confidence in your intimate life.

The sooner you reach out, the sooner we can work together on solutions that improve your quality of life. At LuZato Medical Group, we are dedicated to offering personalized, compassionate care that respects your privacy and focuses on results. Our expertise as a urology doctor NYC means that you’ll receive guidance based on the latest research and proven treatments, all tailored to your unique needs.

You might find it helpful to explore resources from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) to learn more about male reproductive health. I often recommend their educational materials to patients looking for reliable information. These trusted resources can provide additional insight into conditions like premature ejaculation, erectile dysfunction, and other aspects of men’s health, empowering you to make informed decisions about your care.

Remember, you don’t have to face this alone. Our team is here to support you every step of the way — from your first consultation to ongoing care and follow-up. If you’re ready to take the next step, schedule a confidential appointment with our urology doctor NYC today and discover how we can help you regain control and confidence.

Supporting Your Whole Health

At LuZato Medical Group, we see sexual health as part of your overall well-being. We believe that concerns like premature ejaculation are best addressed within the broader context of your health — because true wellness includes both physical and emotional balance. When you consult with me as your urology doctor Manhattan, you can expect care that looks at the big picture. We consider not only the physical aspects of your condition, but also how emotional, psychological, and relationship factors might play a role. This holistic approach allows us to design treatment plans that are truly personalized and effective.

Our goal is to create an environment where you feel heard, supported, and empowered. We understand that discussing sensitive health concerns requires trust, and we’re committed to earning that trust at every step of your care. Whether you’re seeking guidance for premature ejaculation or simply want to better understand your sexual health, we’re here to help you navigate the journey with confidence.

If you’re looking for trusted guidance on men’s health in general, the CDC Men’s Health portal is another valuable resource I point patients to. This authoritative source offers comprehensive information on a wide range of topics, from preventative care to chronic conditions, and can be a helpful companion to the care we provide.

In addition to premature ejaculation, we can help with a wide range of men’s health issues, from prostate concerns to urinary difficulties to erectile dysfunction. As your dedicated urology doctor NYC, I am here to answer your questions, address your concerns, and provide comprehensive care designed to improve your quality of life. No matter where you are on your health journey, know that you have a partner in us — ready to offer expert guidance, proven solutions, and compassionate support.

If you’re ready to take the next step toward better health, schedule a private consultation with our urology doctor Manhattan or our urology doctor NYC team today. Let’s work together to support your whole health.

Taking the Next Step

If you’ve recognized some of these signs in your own experience, I encourage you to contact us. Taking action is a positive and empowering choice — one that can lead to greater confidence, stronger relationships, and improved well-being. Together, we can explore the best path forward so you feel confident and supported at every stage of your care. You don’t have to navigate these concerns alone — we’re here to help, offering expert guidance, proven solutions, and genuine compassion.

For additional trusted information on men’s health topics, I also suggest visiting the U.S. Department of Health & Human Services website, where you’ll find valuable insights on maintaining your overall well-being. These resources complement the personalized care we provide at LuZato Medical Group, helping you stay informed and proactive about your health.

Please don’t hesitate to reach out to us at LuZato Medical Group. Whether you’re seeking care from a urology doctor Manhattan, a urology doctor NYC, or an experienced erectile dysfunction doctor New York City, we’re ready to provide compassionate, expert care that’s tailored to your needs.

Call today to schedule your private consultation and take the first step toward improved sexual health, greater confidence, and a better quality of life. We look forward to partnering with you on your journey to optimal health.