Premature Ejaculation Treatment in Lake Success, New York (NY)
Premature ejaculation (PE), also known as premature climax or early ejaculation, can occur at any stage of a man’s life. The exact cause of PE is unknown, but doctors and researchers believe there are psychological, behavioral, and medical factors which may contribute to the condition. Your doctor will work with you to identify any contributing factors. Your treatment plan may include psychological therapy, behavioral therapy, medicine, or a combination of these.
Psychological Treatments
Psychological factors such as depression, stress, unrealistic expectations, and lack of confidence are all factors which can contribute to PE. An individual counselor, couples counselor or a sex therapist can teach you how to relax, communicate with your partner, and identify issues in your relationships which may be affecting intimacy. Your therapist can also give you suggestions on how to enhance sexual satisfaction in your relationships. While psychological treatment can be effective for treating PE on its own, you may benefit from a multifaceted approach which combines psychological therapy, behavioral therapy, and medication.Behavioral Therapy
Behavioral therapy makes use of exercises to treat premature ejaculation. Masters and Johnson developed the squeeze method in which a partner stimulates the man’s penis until just before ejaculation, and then firmly squeezes the shaft of the penis to lessen arousal and prevent ejaculation. This exercise aims to teach a man to be aware of the sensations leading to orgasm, and then regain control of ejaculation. The stop-start method is an exercise where the partner stimulates the man’s penis until just before ejaculation, and then stops all stimulation until the man regains control. The exercise is repeated three times until the man is permitted to ejaculate the fourth time. Therapists recommend that couples practice the stop-start method three times a week until the man gains good control over his ejaculations.Although behavioral methods may temporarily alleviate symptoms of PE, the exercises rely on working with a partner, and may not provide a permanent solution to the problem.
Medications
Although the use of antidepressants and local anesthetics have not been approved by the US Food and Drug Administration (FDA) for treatment of premature ejaculation, some doctors prescribe them “off-label” (medication prescribed for a different illness than it was developed for) because it helps their patients.Some studies suggest that low levels of serotonin cause delays in ejaculation. As such, antidepressants which increase serotonin in the brain can be prescribed to delay ejaculation.Local anesthetic creams can be applied to the head of the penis to reduce sensitivity during arousal. Prior to actual intercourse the cream should be washed off so it does not cause vaginal numbness.
Speak with your doctor about which treatment approaches are right for you.
About Bruce R. Gilbert, M.D., Ph.D.
Dr. Bruce R. Gilbert is a Urologist who has been in Private Practice
in Great Neck, Long Island, New York for the past 22 years. He
specializes in complex microsurgical procedures for male fertility and
male prosthetic surgery. He also treats both men and women with sexual
function concerns.
Aiming to shape the minds of future physicians, Dr. Gilbert is Professor of Urology at the Hofstra North Shore LIJ
Medical School and the Director of Reproductive and Sexual Medicine at
the Smith Institute for Urology of the North Shore LIJ Health System.
Dr. Gilbert has authored over 100 publications and is recognized as an expert in Male Fertility and Urologic Ultrasound. He is passionate about Urologic education and has organized training programs in microsurgery and urologic ultrasound. In addition, he lectures locally, nationally and internationally on various urological topics. He is the Chairman of the AUA’s National Urologic Ultrasound Faculty and a member of the AUA’s Urologic Diagnostic and Therapeutic Imaging Committee.
Dr. Gilbert completed his medical degree in 1983 at Cornell University Medical College and Urology Residency at the New York Hospital Cornell Medical Center. Prior to that he completed a Doctorate (Ph.D.) at the New York Medical College followed by postdoctoral work in Renal Physiology supported by the New York Heart Association in the Department of Physiology at Cornell University Medical College.
Dr. Gilbert’s private practice for the past 20 years has specialized in male reproductive and sexual medicine and surgery including male prosthetic surgery. He is a highly experienced microsurgeon, having performed over 1000 microsurgical procedures including vasectomy reversals, microsurgical varicocele ligation and microsurgical testicular sperm retrieval. In addition, quite notably, he was also one of the first Urologists in the region to perform the no-needle, no-scalpel vasectomy.
Dr. Gilbert also serves as the Medical and Laboratory Director of New York Cryo, one of the few long term reproductive tissue banks for sperm, oocytes and embryos in the region. Dr. Gilbert gained national prominence for his use of Holistic approaches for the treatment of chronic Urologic problems. A fellow of both the American College of Surgeons and the American Academy of Medical Acupuncture, Dr. Gilbert is certified by the American Board of Urology and the American Board of Medical Acupuncture. He serves as a reviewer for many Urological, Reproductive Medicine and Complementary Medicine Journals. At the top of his game, he has been selected as one of “America’s Top Physicians” and is listed in the “Guide to America’s Top Physicians” published by the Consumers’ Research Council of America, Washington, DC.
Dr. Gilbert has authored over 100 publications and is recognized as an expert in Male Fertility and Urologic Ultrasound. He is passionate about Urologic education and has organized training programs in microsurgery and urologic ultrasound. In addition, he lectures locally, nationally and internationally on various urological topics. He is the Chairman of the AUA’s National Urologic Ultrasound Faculty and a member of the AUA’s Urologic Diagnostic and Therapeutic Imaging Committee.
Dr. Gilbert completed his medical degree in 1983 at Cornell University Medical College and Urology Residency at the New York Hospital Cornell Medical Center. Prior to that he completed a Doctorate (Ph.D.) at the New York Medical College followed by postdoctoral work in Renal Physiology supported by the New York Heart Association in the Department of Physiology at Cornell University Medical College.
Dr. Gilbert’s private practice for the past 20 years has specialized in male reproductive and sexual medicine and surgery including male prosthetic surgery. He is a highly experienced microsurgeon, having performed over 1000 microsurgical procedures including vasectomy reversals, microsurgical varicocele ligation and microsurgical testicular sperm retrieval. In addition, quite notably, he was also one of the first Urologists in the region to perform the no-needle, no-scalpel vasectomy.
Dr. Gilbert also serves as the Medical and Laboratory Director of New York Cryo, one of the few long term reproductive tissue banks for sperm, oocytes and embryos in the region. Dr. Gilbert gained national prominence for his use of Holistic approaches for the treatment of chronic Urologic problems. A fellow of both the American College of Surgeons and the American Academy of Medical Acupuncture, Dr. Gilbert is certified by the American Board of Urology and the American Board of Medical Acupuncture. He serves as a reviewer for many Urological, Reproductive Medicine and Complementary Medicine Journals. At the top of his game, he has been selected as one of “America’s Top Physicians” and is listed in the “Guide to America’s Top Physicians” published by the Consumers’ Research Council of America, Washington, DC.
Featured Specialist for Premature Ejaculation Treatment in Lake Success, NY
Call Now: (516) 342-7229 450 Lakeville Road Suite M41Lake Success, NY 11040
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