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Premature Ejaculation (PE) Treatment in Gomti Nagar Extension, Lucknow – Swastik Urology Clinic
Swastik Urology Clinic in Gomti Nagar Extension, Lucknow provides specialised evaluation and treatment for Premature Ejaculation (PE), one of the most common male sexual dysfunctions. Under the care of Dr. Aditya Sengar (Urologist), we follow a clinical, evidence-based approach to assess underlying physical, neurological and behavioural factors before providing targeted therapy including medical treatment, behavioural strategies and management of associated erectile dysfunction.
What is Premature Ejaculation?
Premature Ejaculation is defined as ejaculation that occurs earlier than
desired, either before or
shortly after penetration, with minimal stimulation and inability to delay
ejaculation consistently.
The most commonly used clinical parameter is intravaginal ejaculatory
latency time (IELT),
which is typically less than 1 minute in severe cases.
PE is a medical condition and may coexist with erectile dysfunction, penile hypersensitivity, prostatitis or neurochemical imbalance. Accurately identifying the cause helps in selecting the most effective therapy.
PE is a medical condition and may coexist with erectile dysfunction, penile hypersensitivity, prostatitis or neurochemical imbalance. Accurately identifying the cause helps in selecting the most effective therapy.
Primary (Lifelong) Premature Ejaculation
Present since the first sexual encounter, usually associated with
neurobiological factors, penile
hypersensitivity or overactive ejaculatory reflex pathways. IELT is
typically very short and consistent.
Secondary (Acquired) Premature Ejaculation
Occurs after a period of normal function. Common causes include erectile
dysfunction, prostatitis,
anxiety, hormonal abnormalities, performance stress or relationship
factors. Treatment depends on
identifying and correcting the precipitating cause.
Penile Hypersensitivity
Increased sensitivity of the glans penis is a major cause of PE in many
men. Clinical examination
and patient history help identify this condition, and treatment may
include topical anesthetic
preparations or specific medical therapy.
Associated Erectile Dysfunction
Men with erectile dysfunction may rush intercourse due to fear of losing
erection, resulting in
premature ejaculation. In such cases, treating the ED significantly
improves PE symptoms.
Causes & Risk Factors for Premature Ejaculation
Premature ejaculation results from a combination of physiological and
neurochemical factors:
1. Neurochemical Imbalance – Low serotonin levels affect ejaculatory control.
2. Penile Hypersensitivity – Excessive sensory stimulation accelerates ejaculation.
3. Chronic Prostatitis – Inflammation increases sensitivity and reduces control.
4. Erectile Dysfunction – Difficulty maintaining erection leads to rapid ejaculation.
5. Hormonal Imbalance – Rarely, abnormal testosterone or thyroid levels contribute.
6. Psychological Factors – Stress may worsen but is not the sole cause in most men.
Accurate evaluation helps identify correctable causes and improves treatment outcomes.
1. Neurochemical Imbalance – Low serotonin levels affect ejaculatory control.
2. Penile Hypersensitivity – Excessive sensory stimulation accelerates ejaculation.
3. Chronic Prostatitis – Inflammation increases sensitivity and reduces control.
4. Erectile Dysfunction – Difficulty maintaining erection leads to rapid ejaculation.
5. Hormonal Imbalance – Rarely, abnormal testosterone or thyroid levels contribute.
6. Psychological Factors – Stress may worsen but is not the sole cause in most men.
Accurate evaluation helps identify correctable causes and improves treatment outcomes.
Why Choose Swastik Urology Clinic for Premature Ejaculation Treatment?
Swastik Urology Clinic provides structured, evidence-based care
for PE:
• Expert Evaluation by Dr. Aditya Sengar
Includes assessment of IELT, penile sensitivity, infection screening and hormonal review.
• Treatment of Underlying Physical Causes
Including prostatitis, erectile dysfunction and hypersensitivity.
• Full Range of Medical Therapies
Including SSRIs, topical agents, PDE5 inhibitors (in PE + ED) and combination therapy.
• Evidence-Based Behavioural Techniques
Techniques such as start-stop and squeeze methods, integrated with medical therapy when needed.
• Individualised Treatment Plans
Tailored to severity, cause, duration and patient expectations.
• Expert Evaluation by Dr. Aditya Sengar
Includes assessment of IELT, penile sensitivity, infection screening and hormonal review.
• Treatment of Underlying Physical Causes
Including prostatitis, erectile dysfunction and hypersensitivity.
• Full Range of Medical Therapies
Including SSRIs, topical agents, PDE5 inhibitors (in PE + ED) and combination therapy.
• Evidence-Based Behavioural Techniques
Techniques such as start-stop and squeeze methods, integrated with medical therapy when needed.
• Individualised Treatment Plans
Tailored to severity, cause, duration and patient expectations.
Premature Ejaculation Treatment Options at Swastik Urology Clinic
Treatment is personalised based on the type of PE and associated factors:
1. Medical Therapy
• SSRIs (daily or on-demand)
• Topical anesthetic creams/sprays
• PDE5 inhibitors in patients with coexisting ED
2. Behavioural Interventions
• Start-stop technique
• Squeeze technique
• Controlled stimulation protocols
3. Treatment of Associated Conditions
• Prostatitis management
• Hormonal correction when indicated
• Erectile dysfunction treatment
4. Combined Therapy
A combination of medical and behavioural therapy provides the best results in most patients.
5. Counselling & Long-Term Monitoring
Regular follow-up ensures stability of response and fine-tuning of treatment.
1. Medical Therapy
• SSRIs (daily or on-demand)
• Topical anesthetic creams/sprays
• PDE5 inhibitors in patients with coexisting ED
2. Behavioural Interventions
• Start-stop technique
• Squeeze technique
• Controlled stimulation protocols
3. Treatment of Associated Conditions
• Prostatitis management
• Hormonal correction when indicated
• Erectile dysfunction treatment
4. Combined Therapy
A combination of medical and behavioural therapy provides the best results in most patients.
5. Counselling & Long-Term Monitoring
Regular follow-up ensures stability of response and fine-tuning of treatment.
When should I consult a urologist for premature ejaculation?
If ejaculation occurs consistently within 1–2 minutes of penetration, if symptoms worsen over time, or if PE is associated with erectile dysfunction, prostatitis or reduced sexual satisfaction, a clinical evaluation is recommended.
Are medications safe for treating premature ejaculation?
Yes. Clinically proven medications such as SSRIs and topical anesthetics are safe when prescribed by a urologist. They significantly improve ejaculatory control and prolong ejaculation time. Combination therapy may be required in some patients.
Is premature ejaculation related to erectile dysfunction?
Yes. PE and ED frequently coexist. Men with ED often rush intercourse due to fear of losing erection, resulting in early ejaculation. Treating ED improves PE symptoms in such cases, and dual therapy may be required.
Can premature ejaculation be permanently cured?
Many men achieve long-term improvement with appropriate medical therapy, behavioural techniques and treatment of underlying causes. Lifelong or intermittent maintenance therapy may be required in some individuals depending on the severity and cause.