Premature Ejaculation

First, we have to define it! The ISSM (International Society for Sexual Medicine) uses the definition of " ... ejaculation which always or nearly always occurs prior to or within about one minute of penetration, the inability to delay ejaculation on all or nearly all penetrations, and the presence of negative personal consequences, such as distress, bother, frustration and/or the avoidance of sexual intimacy."  So when we look into this further, it's important to note that premature ejaculation isn't about ejaculating faster that what he would necessarily want.  It's about ejaculating very quickly (some prior definitions used 2 minutes as the time frame), without being able to stop it, and probably the most important criteria, it needs to present itself as a problem.  Because if it doesn't bother the patient and/or his partner, then it isn't a problem.

What causes premature ejaculation is still somewhat of a mystery.  The theories range from the biological to the psychological, and all points in-between.  In reality, there are probably multiple different answers which overlap.  The theories range from:  neuro-chemical/biological, concurrent urological problems including inflammation and ED, Thyroid disorders, hormonal imbalances (i.e. testosterone), anxiety and its influence on the nervous system ...

Are there ways to prevent it?  Unfortunately, the current answer is no.  In order to prevent an event, a basic understanding of what causes it, needs to be understood.  Which, sadly, we do not have yet.  The best advice for limiting the negative effects of premature ejaculation is awareness and education, with early evaluation and treatment.

Increasing endurance, otherwise referred to as treatment of premature ejaculation, can often be accomplished.  It starts with a proper evaluation of the patient, including history and physical to determine possible causes for the dysfunction.  If something is found, treatment of the underlying cause, can often resolved the premature ejaculation.  If nothing specific is identified then there are several options available.  First, patient education is an important step, limiting anxiety and optimizing treatment results.  Medication does exist to help the problem, they can be given daily or even on-demand, these are often the SSRIs which have been shown to significantly delay ejaculation.  Topical anesthetics have also been used with success.  They were often dismissed in the past, as following application to the penis it was transferred to the partner with resulting de-sensitization.  Newer technologies now allow the absorption with significantly reduced transfer.  Counseling, has also shown to have a significant benefit to pt's with PE.  It allows pts to become more at ease with the problem, help them develop techniques to increase partner satisfaction and length

Eric Rottenberg, MD

Urologist located in Manhattan, New York, NY

A life-long New Yorking and urological expert dedicated to your health, Dr. Rottenberg was born and raised in New York city and Long Island. His current practice is located in Midtown West neighborhood of Manhattan.

Dr. Rottenberg attended Johns Hopkins University for his undergraduate degree, where he earned a BA in Biology. Dr. Rottenberg received his medical degree from the Temple University School of Medicine in Philadelphia, Pennsylvania in 1997. He went on to complete his post-doctoral training at The Brookdale University Hospital and Medical Center in New York, first as a resident in General Surgery, and later as Chief Resident in Urology.

Dr. Rottenberg is a New York licensed physician who has been in practice for over 10 years. He is board certified by the American Board of Urology and he holds an American Urology Association (AUA) certification in Ultrasound. Dr. Rottenberg has hospital appointments at numerous hospitals around New York City, including Mount Sinai Medical Center, New York University Langone Medical Center, Beth Israel Medical Center, and New York Methodist Hospital.

When not practicing medicine, Dr. Rottenberg loves spending time with his two kids and their dog, a Great Briard named Arwen. He is also an amateur craft beer brewer, and enjoys practicing Krav Mga.

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Eric Rottenberg, MD

A life-long New Yorking and urological expert dedicated to your health, Dr. Rottenberg was born and raised in New York city and Long Island. His current practice is located in Midtown West neighborhood of Manhattan.

Dr. Rottenberg attended Johns Hopkins University for his undergraduate degree, where he earned a BA in Biology. Dr. Rottenberg received his medical degree from the Temple University School of Medicine in Philadelphia, Pennsylvania in 1997. He went on to complete his post-doctoral training at The Brookdale University Hospital and Medical Center in New York, first as a resident in General Surgery, and later as Chief Resident in Urology.

Dr. Rottenberg is a New York licensed physician who has been in practice for over 10 years. He is board certified by the American Board of Urology and he holds an American Urology Association (AUA) certification in Ultrasound. Dr. Rottenberg has hospital appointments at numerous hospitals around New York City, including Mount Sinai Medical Center, New York University Langone Medical Center, Beth Israel Medical Center, and New York Methodist Hospital.

When not practicing medicine, Dr. Rottenberg loves spending time with his two kids and their dog, a Great Briard named Arwen. He is also an amateur craft beer brewer, and enjoys practicing Krav Mga.


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Our Office

Our office is located in Midtown West across the street from the Time Warner Building on Columbus Circle.

Amenities:

  • Private, upscale location
  • In office lab collection
  • In office sonograms performed by Dr. Rottenberg
  • Advanced diagnostic imaging located in the building
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Major Insurance Plans

Please Note: Dr. Rottenberg is an out of network physician, however we work with the insurances listed. Please contact our office if you have any questions.

  Regence Blue Cross Blue Shield
Aetna
American Republic Insurance
Anthem Blue Cross Blue Shield
Anthem Blue Cross of California
Assurant Health
Blue Cross Blue Shield
Blue Cross Blue Shield of Florida (Florida Blue)
Blue Cross Blue Shield of Illinois
Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Texas
Blue Cross of Idaho
Blue Cross of Northeastern Pennsylvania
Blue Shield of California
Blue Shield of Northeastern New York
Capital Blue Cross
Testimonials

Words from our patients

  • Patient Fusion

    "Dr Rottenberg is a real professional and very talented in his field."

    Dan O.
  • City Search

    "Dr. Rottenberg was patient, thorough, and upbeat in explaining and performing the procedures. One of the best office visit experiences I've ever had. Highly recommend."

    Stephen S.
  • Vitals

    "I was passed around among other Urology doctors in Brooklyn (NYC). It took Dr. Rottenberg's ability to listen to diagnose and relieve my overactive bladder symptoms."

    Anonymous
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Eric Rottenberg, MD
330 W. 58th Street
Suite 610
New York, NY 10019