Sexual problems are not limited to problems with erections. Premature and delayed ejaculation are common concerns we see in our clinic. Premature ejaculation can be defined as ejaculation that is too soon, that is, not satisfactory for the patient or partner. The time that defines premature ejaculation is obviously very subjective. A normal time to ejaculation for one person can be too short or too long for another. Furthermore, patients can have this condition since their first experience (lifelong) or could have developed it over time (acquired). 

Most patients and professional societies agree that ejaculating within one minute of penetration is distressful for most. On the opposite end of ejaculation disorders is delayed ejaculation. Again, the time that defines “delayed” (except when a patient is not able to ejaculate at all) is very subjective and patients can have lifelong or acquired forms. It is common for patients with acquired forms to have erectile dysfunction. This type of erectile dysfunction is often easier to treat, as restoring normal erections can usually resolve the issue. No matter the underlying cause, we can help determine whether the problem is physical or hormonal and guide you toward the most appropriate treatment.