Jon Prezant
THERAPY FOR EJACULATION CONCERNS
Help that goes beyond sprays, pills, and counting
PREMATURE AND DELAYED EJACULATION THERAPIST
JON PREZANT, LCSW, MA, CST — AASECT-CERTIFIED SEX AND COUPLES THERAPIST
Therapy for men who finish sooner than they want to, men who can’t finish with a partner even though they can on their own, and the couples living with either. I’m a licensed clinical social worker and an AASECT-certified sex therapist, and I work online across New York, New Jersey, New Hampshire, and Florida.
Most men arrive having tried everything: numbing sprays, thinking about baseball, pills, tracking the minutes. Those approaches treat sex as a performance to be managed, and that pressure is usually part of the problem. I work on the expectations men have absorbed about what sex is supposed to look like, and on building the ability to stay present instead of monitoring yourself. Where a physical cause is possible, I’ll recommend a urologist or pelvic floor physical therapist and coordinate with them.
What I work with: premature ejaculation, delayed ejaculation or difficulty reaching orgasm with a partner, ejaculation changes from antidepressants or other medications, anxiety that builds from one bad experience, avoiding sex or dating because of it, and the strain it puts on a relationship. I work with gay, bi, and straight men, alone or with a partner.
I hold an MSW from Yeshiva University, an MA in Trauma and Crisis Studies from Tel Aviv University, and certification in sex therapy through AASECT and the Modern Sex Therapy Institutes. I live in Brooklyn with my husband and our dog, Bernie.
WHAT CLIENTS BRING IN:
IT'S OVER BEFORE IT STARTS
You've started bracing before sex even begins, which makes it more likely to happen. We work on the anxiety loop, not just the timing.
IT STARTED WITH MY MEDICATION
Antidepressants and some other medications commonly affect ejaculation. We'll look at it together, and I'll help you raise it with your prescriber.
I CAN'T FINISH WITH A PARTNER
Alone it works fine. With someone else, you can go for a long time without reaching orgasm, and sex starts to feel like work. This is common, and it often has more to do with arousal and attention than with your body.
IT'S AFFECTING MY RELATIONSHIP
Your partner may feel rejected, or you may be avoiding sex to avoid the problem. Bringing your partner in can help you both stop working around it.
Your Questions, Answered.
What to expect when you start working on this.
HOW THERAPY WORKS
Do I need to see a doctor first?
Not necessarily. If there’s any chance of a physical cause, I’ll suggest a medical evaluation alongside our work.
Can therapy help if medication hasn't?
Often, yes. Medication can change timing, but it doesn’t address the anxiety and expectations that keep the problem going.
Should my partner come?
It’s up to you. Many men start alone. Couples sessions help when it has become a pattern between you.
Is This For Me?
Is this really a big enough problem for therapy?
If it’s affecting how you feel about sex or yourself, yes. You don’t need to wait until it’s a crisis.
I'm embarrassed to talk about this.
Most men are. This is everyday work for a sex therapist, and there is very little I haven’t heard.
I'm single. Can you still help?
Yes. Plenty of men avoid dating because of this. We can work on it before you’re in a relationship.
Where I work
NYC and all of New York State, New Jersey, New Hampshire, Florida. All sessions online.
Work With Me
Jon Prezant, LCSW, MA
AASECT-CERTIFIED SEX THERAPIST · NY, NJ, NH, FL
- Leave Your Details
- Free 15-minute consultation
- AASECT-Certified
Leave Your Details!
My Blogs
Gay Men and Porn: When It Becomes a Problem (And When It Doesn’t)
Almost everything written about gay men and porn...
Read MoreReady for a Relationship? Why That’s the Wrong Question
Most people asking whether they’re ready for a...
Read MoreCouples Therapy and the Growth Edge: Rethinking Low Desire, Erectile Dysfunction, and Sexual Boredom
Most couples who come in for couples therapy...
Read More