Premature ejaculation (PE) is the most common male sexual dysfunction, affecting an estimated 1 in 3 men at some point in their lives. It is defined as ejaculation that consistently occurs sooner than desired — typically within one to two minutes of penetration — causing distress for one or both partners.
PE can be lifelong (primary), present since the first sexual experience, or acquired (secondary), developing after a period of normal ejaculatory control. Both forms are treatable. Despite its prevalence, many men never seek treatment due to embarrassment, even though highly effective therapies exist.
At INTIMÉ Miami, Dr. Robbins provides a thorough, confidential evaluation to identify the cause of your PE and develop a personalized treatment plan that addresses both the physical and psychological components.
Premature ejaculation can stem from biological, psychological, or relationship factors — and often a combination.
Dr. Robbins addresses the underlying cause rather than just the symptom. Treatment is tailored to your specific situation.
SSRIs such as dapoxetine, sertraline, or paroxetine are the most effective pharmacological treatments for PE. They increase serotonin activity, delaying the ejaculatory reflex. PDE5 inhibitors may also be used when PE co-occurs with ED.
Prescription-strength lidocaine or prilocaine sprays reduce penile sensitivity to help delay ejaculation. Applied 10–20 minutes before intercourse, they offer an on-demand option with minimal systemic side effects.
Evidence-based methods including the stop-start technique and squeeze technique retrain the ejaculatory reflex over time. Combined with medical therapy, behavioral techniques provide lasting improvement.
Platelet-Rich Plasma may help address penile hypersensitivity and improve overall sexual function. Growth factors from your own blood promote tissue regeneration and normalize sensation.
Learn More →If thyroid dysfunction, low testosterone, or other hormonal imbalances contribute to PE, correcting these underlying issues can significantly improve ejaculatory control.
Testosterone Therapy →An innovative, non-surgical treatment that reduces glans hypersensitivity by injecting hyaluronic acid into targeted areas. Studies show significant improvements in ejaculatory control lasting 6–18 months.
Learn More →The most effective approach for many patients combines medical treatment with behavioral techniques. Dr. Robbins develops a structured, multi-modal plan addressing both biological and psychological components.
Many men try over-the-counter solutions without success because the underlying cause was never properly identified.
A urologist can distinguish between lifelong and acquired PE, test for prostatitis and hormonal causes, assess whether ED is contributing, and prescribe targeted medical therapy. This diagnostic precision is the difference between guessing and getting results.
Dr. Robbins evaluates every PE patient with a complete medical history, physical examination, relevant lab work, and a candid conversation about your experience and goals. The consultation is private, unhurried, and entirely confidential.
Board-certified urologist Dr. David Robbins specializes in sexual medicine and has treated thousands of men with sexual dysfunction over more than 20 years of practice.
Dr. Robbins trained at NYU School of Medicine and completed his urological residency at NYU Langone. He is a member of the Sexual Medicine Society of North America and the International Society for Sexual Medicine.
Every patient receives individualized treatment — no one-size-fits-all protocols. Your plan is built around your specific diagnosis, lifestyle, and preferences.
PE is a common sexual dysfunction where ejaculation occurs sooner than desired, typically within one to two minutes of penetration. It affects an estimated 1 in 3 men and is highly treatable.
PE can result from low serotonin levels, penile hypersensitivity, prostatitis, hormonal imbalances, performance anxiety, or a combination. A proper evaluation identifies the specific cause so treatment can be targeted.
Many men achieve lasting improvement or resolution with the right treatment. Acquired PE from treatable causes can often be fully resolved. Lifelong PE responds well to medical therapy and behavioral techniques.
Yes. A urologist can identify underlying causes that a general practitioner may miss, including prostatitis, hormonal issues, and penile hypersensitivity. Proper diagnosis leads to more effective treatment.
They are separate conditions but can co-occur. Some men rush to ejaculate before losing an erection, creating a PE pattern. A comprehensive evaluation addresses both conditions if present.
Oral medications often begin working within days to weeks. Topical agents work from the first use. Most patients notice meaningful improvement within the first month of a structured plan.