Jon Prezant

THERAPY FOR EJACULATION CONCERNS

Help that goes beyond sprays, pills, and counting

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Jon Prezant, LCSW, sex and couples therapist

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

Not necessarily. If there’s any chance of a physical cause, I’ll suggest a medical evaluation alongside our work.

Often, yes. Medication can change timing, but it doesn’t address the anxiety and expectations that keep the problem going.

It’s up to you. Many men start alone. Couples sessions help when it has become a pattern between you.

Is This For Me?

If it’s affecting how you feel about sex or yourself, yes. You don’t need to wait until it’s a crisis.

Most men are. This is everyday work for a sex therapist, and there is very little I haven’t heard.

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

Jon Prezant, LCSW, AASECT-certified sex and couples therapist

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