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NYC Psychotherapist Blog

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Wednesday, April 17, 2024

Getting Help For Premature Ejaculation

As a sex therapist in New York City, I help individual clients and couples who are having problems with premature ejaculation, erectile dysfunction and other sexual related problems. 

Problems With Premature Ejaculation

What is Premature Ejaculation?
Premature ejaculation is a common problem. It's estimated that as many as 1 in 3 men suffer from premature ejaculation at any given time.  

Premature ejaculation is a treatable condition, so if you have been avoiding getting help, please reconsider this because you don't need to continue to suffer with this condition.

If you have premature ejaculation occasionally, it's usually not a cause for concern. However, you might be diagnosed by your doctor with premature ejaculation if:
  • You always or almost always ejaculate within 1 to 3 minutes of penetration
  • You're unable to delay ejaculation beyond 1 to 3 minutes after penetration
  • You avoid having sex because you feel frustrated and ashamed of ejaculating too soon
What Are the Symptoms of Premature Ejaculation?
The main symptom of premature ejaculation is not being able to delay ejaculation beyond 3 minutes during partnered sex or during masturbation.

There are two types of premature ejaculation:
  • Lifelong: Lifelong premature ejaculation occurs all the time or nearly all the time since the first sexual encounter.
  • Acquired: Acquired premature ejaculation occurs after a period of not having this problem.
What Causes Premature Ejaculation?
Premature ejaculation is often a combination of physical and psychological problems so each person needs to be assessed and diagnosed individually.

What Are the Psychological Factor That Can Contribute to Premature Ejaculation?

The psychological factors might include:
  • Early sexual experiences
  • A history of sexual abuse or trauma
  • Depression
  • Poor body image
  • Worry or anxiety about premature ejaculation
  • Guilt or shame that cause you to rush through sex
  • Erectile dysfunction
  • General anxiety
  • Relationship problems
The biological factors might include:
  • Irregular hormone levels or brain chemicals
  • Swelling or infection of the prostate gland or urethra
  • Inherited factors
What Are the Risk Factors for Premature Ejaculation?
The risk factors might include:
How Can Premature Ejaculation Impact Your Life?
Premature ejaculation can create complications in your personal life including:
  • Stress
  • Relationship problems
  • Fertility issues
When Should You Seek Help From a Medical Doctor?
Problems with premature ejaculation can occur from time to time, but you should seek help from a urologist or a sexual health medical doctor if you always or nearly have problems with premature ejaculation.

Help from a Medical Doctor For Premature Ejaculation

You might feel embarrassed to talk to a doctor about your problem, but urologists and sexual health medical doctors have experience with this common problem, so don't allow embarrassment to keep you from getting help.

When Should You Seek Help From a Sex Therapist?
Since premature ejaculation is often caused by psychological issues, you could benefit from seeking help from a sex therapist to deal with these issues (see my article: What is Sex Therapy?).

Help From a Sex Therapist For Premature Ejaculation

A skilled sex therapist can help you to overcome the psychological problems that prevent you from having a satisfying sex life (see my article: What Are Common Issues Discussed in Sex Therapy?).

Rather than suffering on your own, seek help from a qualified medical doctor to rule out any physical problems and get help from a sex therapist for the psychological issues that might be contributing to your problem (see my article: What Are Common Misconceptions About Sex Therapy?).

About Me
I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.