Expert Care in South Florida

Ejaculation Disorders

Ejaculation disorders, such as premature, delayed, and retrograde ejaculation, can significantly impact men’s sexual health and emotional well-being. At Z Urology, we specialize in diagnosing and treating ejaculation disorders with advanced therapies tailored to your individual needs.

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What are Ejaculation Disorders?

Ejaculation disorders are among the most common sexual dysfunctions in men and can interfere with sexual satisfaction, fertility, and self-esteem. These conditions include:

Premature Ejaculation

Occurs when ejaculation happens before or shortly after penetration, often caused by performance anxiety or other psychological factors.

Delayed Ejaculation

Refers to difficulty or an inability to ejaculate, even with adequate stimulation.

Retrograde Ejaculation

Occurs when ejaculate is redirected into the bladder instead of exiting through the urethra, often due to nerve damage or prior surgeries.

Causes of Ejaculation Disorders

Ejaculation disorders can have physical, psychological, or mixed causes.

Physical Causes

Nerve damage: Resulting from spinal cord or pelvic injuries.
Chronic illnesses: Such as diabetes or prostate-related surgeries.
Medication side effects: Including antidepressants and other prescriptions.
Substance abuse: Alcohol and drug misuse can impair ejaculation.

Psychological Causes

Performance anxiety
Stress or depression
Trauma or strict religious upbringing

At Z Urology, our specialists work to identify the underlying cause to ensure effective treatment.

Symptoms of Ejaculation Disorders

Men experiencing ejaculation disorders may notice:

Ejaculation occurring too quickly during intercourse (premature ejaculation).
Persistent difficulty achieving ejaculation (delayed ejaculation).
A lack of ejaculation during orgasm (retrograde ejaculation).

If these symptoms persist and affect your quality of life, it’s important to seek professional care.

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Diagnosis of Ejaculation Disorders

Diagnosing ejaculation disorders at Z Urology involves:

A detailed review of your personal and sexual history.
Physical examinations to rule out medical causes.
Diagnostic tests, such as blood tests, urinalysis, or imaging, if needed.

Treatment Options for Ejaculation Disorders

Our team provides comprehensive and personalized treatment plans to address ejaculation disorders:

Psychological Counseling

For disorders rooted in anxiety, trauma, or other mental health concerns, therapy can play a critical role in treatment.

Medications

Selective serotonin reuptake inhibitors (SSRIs): Can delay ejaculation in cases of premature ejaculation.
Topical Anesthetics
Alpha-agonists: For retrograde ejaculation caused by bladder neck issues.

Behavioral Techniques

Techniques such as the "start-stop" method or pelvic floor exercises may improve ejaculatory control.

Lifestyle Changes

Reducing alcohol and tobacco use, managing stress, and addressing relationship concerns can improve outcomes.

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Why Choose Z Urology?

Comprehensive Expertise: We specialize in all forms of male sexual health issues, including ejaculation disorders.
Advanced Diagnostics: Our state-of-the-art tools help identify root causes for effective treatment.
Personalized Care: Each treatment plan is tailored to meet your specific needs and concerns.

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Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.

I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
– Alex S.
The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
– Allison T.
"I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
– Jeffery P.
“I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

– Bill S.
“El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
– Ana L.
I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
– Jeffery P.
“Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
– Brent S.
“Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
– Britney C.
Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
– Jimmy Z.
Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
– Jose T.
Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
– Frank C.
They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
– Jeremy C.
Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
– A.D.Z.
I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
– Harvey A.
Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
– Kimaro W.

In Network with Most Insurance Plans

Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.

Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment

Take the first step toward restoring your sexual health and confidence. Contact Z Urology today to learn more about effective treatments for ejaculation disorders.

Schedule an Appointment
or Call (954) 714-8200