Both early and delayed ejaculation and orgasm cause significant distress in both individuals and couples. In 2013, the International Society of Sexual Medicine published the first evidence-based definition of both lifelong and acquired premature (early) ejaculation. Delayed ejaculation/orgasm also causes significant distress, including fertility concerns. While there are no FDA approved treatments for delayed ejaculation, behavioral approaches and some medical interventions can provide relief. Most medical and mental health providers haven't had much education about orgasm physiology and disorders. We will review orgasm physiology and assessment and treatment for these prevalent and problematic concerns.
Dr. Pebble Kranz leads the Rochester Center for Sexual Wellness, western New York's only multidisciplinary center devoted to care for sexual, relationship, gender, and menopause concerns. Additionally, she has a sexual medicine clinic in the URMC Department of Gynecologic Oncology. Dr. Kranz graduated from the Warren Alpert Medical School of Brown University and completed her family medicine training with University of Rochester/Highland Hospital Family Medicine Residency Program. She served as chief resident and continued as a member of the residency program’s core faculty with a focus on the psychosocial/behavioral health curriculum. She subsequently pursued additional training in sexual medicine through the European Society of Sexual Medicine, the International Society for the Study of Women's Sexual Health, and the American Association of Sexuality Counselors Educators and Therapists. In addition to clinical work in sexual medicine she teaches residents and medical students about sexual issues in healthcare.