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Premature ejaculation · Confidential assessment · Specialist Urologist

Premature Ejaculation Treatment London

Confidential assessment and treatment for premature ejaculation, covering physical, psychological and relationship factors rather than assuming one cause.

Delivered byDr Kishore Bahl, Specialist Urologist
ConsultationAssessment before any treatment
Session timeTypically 15–30 min
DowntimeNone
Back to Men’s HealthAll Services

Educational information — not a substitute for clinical assessment

This page describes premature ejaculation in general terms to help you decide whether an assessment may be useful. It is not a diagnosis and does not promise a particular result. Suitability, the number of sessions and whether treatment is appropriate at all are decided at consultation. Outcomes vary between individuals and treatment is not suitable for everyone.

Why people come to us about this.

Premature ejaculation is the commonest sexual problem in men and one of the least discussed. It responds well to treatment, but only once someone establishes what is actually driving it.

What this condition actually is.

Premature ejaculation means ejaculating sooner than you or your partner would like, with limited control, causing distress.

It is described as lifelong when present since first sexual experiences, and acquired when it develops after a period of normal function. The distinction matters, because acquired premature ejaculation more often has an identifiable cause.

Focal shockwave is not the primary treatment for this condition. We have included it here because it is part of the same clinic, and because premature ejaculation frequently coexists with erectile difficulty, which shockwave may address.

What you might be noticing.

  • Ejaculating sooner than you would like, consistently
  • Little or no sense of control over timing
  • Distress, frustration or avoidance of sexual activity
  • Anxiety in anticipation of sex
  • Relationship strain
  • Sometimes coexisting difficulty achieving or maintaining an erection

What tends to cause it.

  • Anxiety, including performance anxiety and anticipatory anxiety
  • Erectile dysfunction — hurrying to ejaculate before losing an erection
  • Prostatitis or chronic pelvic pain
  • Thyroid dysfunction
  • Neurobiological factors, particularly in lifelong premature ejaculation
  • Relationship factors and infrequent sexual activity
  • Some medications, and withdrawal from others

How treatment helps.

Treatment is directed at the cause identified at assessment rather than at the symptom alone.

Where erectile dysfunction is driving the problem, treating that — which may include focal shockwave — often improves both.

Where prostatitis or pelvic pain is contributing, that is addressed.

Where the cause is primarily psychological or behavioural, consultation and behavioural approaches are more effective than any procedure.

Why we use focal shockwave.

We use focal shockwave because it delivers energy to a defined depth — up to approximately 12 cm — allowing accurate treatment of deeper structures. Radial devices spread energy outwards from the applicator and lose intensity quickly, which limits them to more superficial targets.

Why focal reaches what radial cannot.

Pulses travel from the probe and converge on a target at depth. The dashed line marks where radial devices stop.

036912 cm Radial device range ► stops here Focal probe Target SkinFat layerMuscleDeepmuscle
Focal shockwave · depth of penetration

What treatment can offer.

Assessment that distinguishes lifelong from ac

Assessment that distinguishes lifelong from acquired

Investigation of physical contributors rather

Investigation of physical contributors rather than assuming psychological cause

Treatment matched to the actual driver

Treatment matched to the actual driver

Confidential, unhurried consultation

Confidential, unhurried consultation

Coordinated care where more than one issue is

Coordinated care where more than one issue is present

What to expect during treatment.

  1. Step 1

    A confidential consultation covering when the difficulty started, how consistent it is, and the context.

  2. Step 2

    Questions about erectile function, since the two frequently occur together.

  3. Step 3

    Examination and investigation where relevant, including thyroid function.

  4. Step 4

    Discussion of options, which may include behavioural approaches, consultation, treatment of a coexisting condition, or medication.

  5. Step 5

    Review to assess progress.

Questions people usually ask.

Is this common?

It is the commonest male sexual difficulty. You are not unusual for having it or for finding it difficult to raise.

Is shockwave the treatment for this?

Not usually. Shockwave is relevant where erectile dysfunction is contributing. We will be clear about which applies to you.

Can it be cured?

Many men improve substantially with the right treatment. Outcome depends on the underlying driver.

Should my partner come?

You are welcome to bring them. It can help, but it is entirely your choice.

Is it caused by anxiety?

Anxiety is often involved, but assuming that without assessment misses physical causes that are treatable.

Related treatments.

Sexual Performance Anxiety

Assessment and treatment for sexual performance anxiety — including checking whether a physical prob…

Learn more →

Shockwave Therapy for Erectile Dysfunction

Non-invasive, drug-free focal shockwave therapy for erectile dysfunction of vascular origin — offered after as…

Learn more →

Psychosexual Consultation

Confidential consultation for sexual difficulties where psychological and relationship factors are involved &a…

Learn more →

Before you book.

Referral

No GP referral needed. You can book directly.

First appointment

An assessment with Dr Kishore Bahl, Specialist Urologist. Treatment follows only if the assessment supports it.

Where

Whitechapel, East London. Whitechapel station is on the Elizabeth line, District, Hammersmith & City and Overground.

Fees

Published in full on our price list.

Privacy

Consultations are private and confidential. You are entitled to a chaperone at any appointment, at no cost.

Speak to a specialist.

Speak to Dr Kishore Bahl, Specialist Urologist, about whether this treatment is appropriate for you.

Book a consultation Call 020 7916 0029 See full pricing on our price list
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