For many men, talking about premature ejaculation (PE) is difficult. It’s personal, emotional, and often accompanied by embarrassment, frustration, or even shame. But here’s something every man in New York—and beyond—needs to know: premature ejaculation is common, treatable, and not something you have to live with forever.
At LuZato Medical Group, Dr. Bruder, MD, a trusted urology doctor in Manhattan, is helping men take back control of their sexual health with evidence-based, compassionate care. Whether you’re dealing with lifelong premature ejaculation or new symptoms, understanding your treatment options is the first step toward reclaiming confidence, intimacy, and peace of mind.
PE can significantly impact your relationships, self-esteem, and overall quality of life. But you are not alone—millions of men across the U.S. experience this condition, and the stigma surrounding it often prevents them from seeking the help they deserve. In a city as fast-paced and demanding as New York, stress, anxiety, and lifestyle factors can all contribute to sexual performance issues, making it even more important to get expert, personalized support.
In this guide, we’ll break down the causes of premature ejaculation, the latest medical and behavioral treatment options available in New York, and what to expect when you seek care. From cutting-edge therapies to proven techniques, you’ll learn what works—and what doesn’t—so you can make informed decisions about your sexual health.
Defining Premature Ejaculation: More Than Just “Too Soon”
Premature ejaculation is typically defined as a condition in which a man ejaculates sooner than desired—often within one minute of penetration—and feels distressed by it. But PE isn’t just about a stopwatch. It’s about feeling out of control, not meeting your or your partner’s expectations, and struggling with the emotional consequences.
There are two main types:
- Primary PE (lifelong): Symptoms present from first sexual experiences.
- Secondary PE (acquired): Develops later, often linked to stress, health conditions, or medication.
According to the National Institutes of Health (NIH), PE affects up to 1 in 3 men at some point. The good news? It’s highly treatable with the right approach—and in NYC, options are better than ever.
Why Men Delay Seeking Help
Many men wait months—or even years—before talking to a doctor about PE. Why?
- Embarrassment or fear of judgment
- Belief that it’s not a “real” medical issue
- Thinking it will go away on its own
- Lack of knowledge about treatments
But silence only prolongs the stress. At LuZato Medical Group, we want you to know: your concerns are valid, your condition is real, and help is available. Whether you’re searching for a premature ejaculation doctor in Manhattan or just starting to learn more, this article is here to guide you.
Common Causes of Premature Ejaculation
PE is rarely caused by just one thing. It’s typically a combination of biological, psychological, and situational factors. These may include:
- Anxiety or stress, especially performance anxiety
- Depression or relationship difficulties
- Hypersensitivity of the penile nerves
- Hormonal imbalances
- Prostatitis or urological inflammation
- Erectile dysfunction (ED)—often these conditions overlap
That’s why working with an experienced urology doctor NYC is so important. Dr. Bruder can identify the root cause—or causes—and build a tailored treatment plan that works for your body and your life.
Medical Treatments for Premature Ejaculation in New York
Let’s explore the most common and advanced treatments available, many of which are offered by Dr. Bruder at LuZato Medical Group.
1. Selective Serotonin Reuptake Inhibitors (SSRIs)
Originally developed as antidepressants, SSRIs like paroxetine, sertraline, or fluoxetine are now commonly used off-label to treat PE. These medications delay ejaculation by altering neurotransmitter activity in the brain.
Pros:
- Effective for many men
- Simple to take
- Low risk when monitored by a physician
Cons:
- May cause drowsiness or decreased libido
- Requires daily or situational use
- Takes time to find the right dosage
2. Topical Anesthetics
These include creams or sprays containing lidocaine or prilocaine, which numb the penis slightly to reduce sensitivity.
Pros:
- Fast-acting
- Easy to use before intercourse
- No systemic side effects
Cons:
- May cause reduced sensation
- Some transfer risk to partner without barrier protection
3. Behavioral Techniques and Therapy
These approaches include the “start-stop” technique, “squeeze method”, and Kegel exercises to build ejaculatory control. When paired with cognitive behavioral therapy (CBT) or sex therapy, they can be even more effective.
Pros:
- No medications required
- Improves body awareness
- Can be done at home
Cons:
- Requires time and consistency
- May not address deeper physiological issues
4. ED Treatment as a PE Solution
When premature ejaculation is linked to erectile dysfunction, treating the ED can help significantly. This is common in older men, where anxiety about maintaining an erection leads to rushing or early climax.
At LuZato Medical Group, Dr. Bruder also treats men as a erectile dysfunction doctor in NYC, providing:
- Oral medications like Viagra and Cialis
- Vacuum devices
- Hormonal therapy
- Penile injections
By managing both PE and ED together, many men experience improved control, performance, and satisfaction.
5. Hormonal Testing and Therapy
In some cases, low testosterone or other hormonal imbalances contribute to PE. Dr. Bruder may recommend blood tests and offer treatment if necessary.
Options include:
- Testosterone replacement therapy (injections, gels, or patches)
- Lifestyle changes (exercise, nutrition, sleep)
6. Pelvic Floor Physical Therapy
Weak or overly tight pelvic floor muscles can affect ejaculation. Targeted physical therapy with guided exercises may help strengthen these muscles and improve endurance.
Advanced Diagnostic Tools in NYC
What sets LuZato Medical Group apart is the technology behind the care. Dr. Bruder uses diagnostic tools such as:
- Penile Doppler ultrasound: To evaluate blood flow and vascular health
- Hormone panels: To detect Low T or thyroid imbalances
- Neurological exams: For nerve function and reflex testing
These allow for precise diagnoses and personalized treatment plans—essential for successful outcomes.
The Emotional Side of PE: Why Mental Health Matters
Sexual dysfunction doesn’t just live in the body—it can weigh heavily on your mental health, relationships, and self-image. Many men describe feelings of:
- Shame
- Anxiety
- Depression
- Avoidance of intimacy
Dr. Bruder offers a supportive, judgment-free environment where emotional well-being is part of the conversation. For many patients, combining medical treatment with therapy is the key to long-term success.
What to Expect at Your First Appointment
Here’s what your initial visit may look like:
- Confidential conversation about your symptoms and goals
- Review of medical history and medications
- Physical exam and possible lab work
- Discussion of treatment options and next steps
- Time to ask questions and set expectations
No pressure, no embarrassment—just a safe place to start getting answers from a compassionate premature ejaculation doctor NYC.
Real Patient Experience: Stories of Renewal and Relief
“I had no idea how many options were out there. I waited far too long to see a doctor, but Dr. Bruder made the process so comfortable. I only wish I had gone sooner.” – G.L., Manhattan
G.L. had been living with premature ejaculation since his early 30s, convinced there was little he could do. Like many men, he tried to ignore it, chalking it up to stress or bad luck. Years passed, and frustration built up—impacting not only his confidence, but also his relationship.
When he finally made an appointment with Dr. Bruder, he was surprised by how simple and respectful the process was. “It was nothing like I imagined,” he said. “No embarrassment. Just real help.” With a custom plan that included a combination of medication and behavioral techniques, G.L. found control—and confidence—he hadn’t felt in years.
“After trying pills that didn’t work, I finally found relief through combination therapy at LuZato. I feel like myself again.” – D.S., New York City
D.S. had tried every over-the-counter solution he could find, and even a few prescriptions from general practitioners, but nothing worked long-term. “Everything felt temporary—like a Band-Aid, not a solution,” he shared.
When he found LuZato Medical Group, he finally felt heard. Dr. Bruder took time to understand D.S.’s full medical history, ordered hormone testing, and uncovered that low testosterone was a contributing factor. With a blend of hormone therapy and pelvic floor strengthening, D.S. noticed results within a few weeks.
“It wasn’t just about the treatment,” he said. “It was the way Dr. Bruder and his team treated me. I felt respected, not judged.”
Trusted Resources to Learn More
Want to read further? These government and medical resources offer trusted, in-depth information:
Frequently Asked Questions: Taking the First Step Toward Treatment
- Is it really worth seeing a doctor about premature ejaculation?
Yes—without a doubt. While many men think they just have to “deal with it,” premature ejaculation is a medical condition with proven treatments. More importantly, it’s not just about sex—it’s about confidence, connection, and emotional well-being. Talking to someone like Dr. Bruder, a specialist in men’s sexual health, can help you understand what’s going on and take action.
- What happens at the first appointment?
Your first visit is designed to be comfortable, informative, and pressure-free. Dr. Bruder will ask about your medical history, lifestyle, and symptoms. You may undergo a basic physical exam or simple lab tests to better understand any underlying issues. Most importantly, you’ll be heard and supported, without judgment or embarrassment.
- How soon will I see results?
It depends on the cause and treatment, but many patients report improvements within just a few weeks. Some approaches take longer, especially when combining therapy with medication or exercises. The key is personalized care and consistency, and Dr. Bruder will guide you at every step.
- What if I feel embarrassed to talk about this?
That’s totally normal. You’re not alone—and you’re not the first man to walk into our office feeling that way. Dr. Bruder has spent decades helping men just like you, and his approach is all about kindness, professionalism, and understanding. By the end of your visit, many men say they feel relieved, hopeful, and empowered.
- Can I involve my partner in the process?
Absolutely. Many men choose to bring their partner to appointments, and we welcome that. It often helps foster better communication and shared understanding, especially when intimacy is impacted by PE. Whether or not you bring someone with you, you’ll always be treated with respect.
- Will this be covered by insurance?
Most evaluations, tests, and many treatments are covered. Some advanced therapies may not be, depending on your plan. Our office staff is experienced in navigating insurance questions and will help you understand your benefits and costs upfront, so you’re never left guessing.
- What if I also have erectile dysfunction?
That’s more common than you think. In fact, ED and PE often go hand-in-hand, especially in older men. Dr. Bruder specializes in treating both and can create a plan that tackles both conditions together—for better outcomes and restored confidence.
- Are there side effects from treatment?
Like any medical treatment, side effects are possible—but they’re usually minimal and manageable. Dr. Bruder will walk you through each option’s pros and cons, so you can make informed decisions with confidence.
- Do I have to take medication forever?
Not always. Some men benefit from short-term medication while learning new techniques or making lifestyle changes. Others may need longer-term support. The goal is always improvement, not dependency.
- How do I book a consultation with Dr. Bruder?
It’s easy—and private. You can call the office or visit the LuZato Medical Group website to request an appointment. Our team will guide you through the process, answer your questions, and help you schedule a time that works for you.
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