THE CONDITION
What Is Premature Ejaculation?
Premature ejaculation (PE) is defined as ejaculation that occurs sooner than a man or his partner would like during sexual activity. It is the most common male sexual dysfunction, affecting an estimated 1 in 3 men at some point in their lifetime.
PE can be lifelong (primary) — present from the first sexual experience — or acquired (secondary), developing after a period of normal sexual function. Both types are well-recognised medical conditions with effective treatment options.
Despite how common it is, fewer than 10% of men with PE seek professional help. At Shockwave Revibe, every consultation is completely confidential. Dr Bahl provides a thorough clinical assessment before recommending any treatment.
PE is not a character flaw or a sign of weakness. It is a medical condition with recognised causes and effective treatments.— Dr Kishore Bahl
UNDERSTANDING THE CAUSES
What Causes Premature Ejaculation?
PE can have psychological, biological, or combined causes. Accurate assessment is essential because the most effective treatment depends on understanding which factors are contributing in each individual case.
Psychological Factors
- Performance anxiety
- Relationship stress
- Depression or anxiety disorders
- Early sexual experiences
- Lack of confidence
Biological Factors
- Abnormal hormone levels
- Abnormal levels of brain chemicals (serotonin)
- Inflammation or infection of the prostate or urethra
- Erectile dysfunction (ED often co-exists with PE)
- Hypersensitivity
YOUR OPTIONS
Treatment Approaches at Shockwave Revibe
Following your assessment, Dr Bahl will discuss the most appropriate treatment options for your specific situation. Treatment for PE is highly individualised — what works best depends on the underlying cause, severity, and your personal preferences.
Medical Treatment
Topical anaesthetic creams or sprays, or oral medications that increase ejaculatory latency. Dr Bahl will discuss the evidence base, dosing, and what to expect from each option.
- Clinically proven
- Fast acting
- Suitable for most men
- Adjustable dosing
Behavioural Techniques
Evidence-based techniques including the start-stop method and squeeze technique. Often used in combination with medical treatment for optimal outcomes.
- Drug-free
- No side effects
- Long-term skill building
- Can involve partner
Combined Approach
For men with co-existing erectile dysfunction, Dr Bahl may recommend a combined treatment pathway addressing both conditions simultaneously. Shockwave therapy and PRP therapy are available where clinically appropriate. The right combination depends on your individual assessment.
- Tailored to your diagnosis
- Addresses co-existing ED
- Specialist-level assessment
The majority of men who present with PE have never discussed it with a doctor. That's a significant gap — because for most men, this is a treatable condition. The first step is an honest, thorough assessment without judgment.
WHY SHOCKWAVE REVIBE
Why Men Choose Shockwave Revibe
Specialist Assessment
Dr Bahl is a Specialist Grade Doctor in Urology with 30 years of medical experience and 15 years specialising in urology. Specialist-level care from appointment one.
Complete Confidentiality
Your consultation, records, and treatment are completely private. The clinic operates with strict patient confidentiality. Nothing is shared without your explicit consent.
No Referral Needed
You can book directly without a GP referral. Most men wait months on NHS pathways — at Shockwave Revibe, you can be seen within days.
Notting Hill Gate
Conveniently located at 22 Notting Hill Gate, W11 3JE — moments from Notting Hill Gate tube station. Discreet entrance, private waiting area.
Got questions?
Frequently Asked Questions
Related Men's Health Services
ED Treatment
Focal shockwave therapy for erectile dysfunction — drug-free, clinically proven. Often co-exists with PE.
Learn more →Men's Urology Consultation
Not sure which men's health service applies to you? Start with a comprehensive urology consultation.
Learn more →PRP Shot
Platelet-rich plasma therapy for tissue repair and sexual health, available where clinically appropriate.
Learn more →Take the First Step
A confidential consultation with Dr Kishore Bahl — no referral needed, no waiting lists.
📍 22 Notting Hill Gate, London W11 3JE · 100% confidential · GMC-registered
By booking you agree to our Privacy Policy
Find Us on Google
Serving Notting Hill, Kensington, Chelsea, Bayswater, Holland Park and across West London.
Share your experience — your review helps others find our clinic.