Hosted by Vic
On UroNurse, host Vic - a urology nurse with more than 40 years of experience - sits down with Promescent CEO Jeff Abraham for a science-backed conversation about premature ejaculation. They cover what PE actually is, how untreated PE can lead to erectile difficulty, why...
On UroNurse, host Vic - a urology nurse with more than 40 years in the field - welcomed Jeff Abraham, CEO of Promescent, for an open, science-backed conversation about premature ejaculation. Their goal was simple: take one of the most common and least-discussed sexual health concerns out of the closet and replace shame with information. What followed was a candid look at what PE actually is, why it carries so much stigma, and what real treatment looks like.
Premature ejaculation is far more common than most people assume, and Jeff Abraham wants that understood from the start. Major medical bodies - the Sexual Medicine Society of North America, the International Society of Sexual Medicine, and the American Urological Association - all maintain clinical guidelines for PE. He argues the condition is at least as widespread as erectile dysfunction, and that men should not be defined by it.
"Premature ejaculation, let's make sure people listening understand, is a huge problem. It's actually as big, if not bigger, than ED."
For a clear, clinical overview of symptoms and causes, the Urology Care Foundation is a reliable starting point. As Abraham explains, PE is usually not a matter of willpower or selfishness. Most cases trace to physical factors such as penile nerve hypersensitivity, prostatitis, or low testosterone, with only a minority being primarily psychological.
Abraham notes that the vast majority of PE cases are physical, not psychological, and estimates that only roughly 18 to 22% of men who experience PE are dealing primarily with a psychological cause.
One of the most important points raised on UroNurse is how untreated PE can spiral into erectile difficulty over time. When intimacy repeatedly ends in disappointment, the body and mind begin to associate arousal with failure.
"Eventually his body knows that getting an erection leads to an unsatisfactory conclusion. And it's like stage fright. He will develop ED because he doesn't want to get an erection."
This is why Abraham treats early action as so important. Addressing PE is not only about a better experience tonight - it can help protect long-term sexual function. The Cleveland Clinic reinforces that PE is a recognized, treatable condition rather than a personal failing.
Before Promescent, the options available to urologists were limited and frustrating. Standard numbing agents sat on the surface of the skin, which dulled sensation for the user and, just as problematic, transferred to the partner. Off-label use of SSRIs could delay ejaculation but carried a heavier burden of side effects, including loss of libido, nausea, and worse.
Abraham described the prior reality with a memorable image: a numbing approach where everyone is moving but no one reaches a satisfying conclusion. That gap between a real medical need and the available tools is exactly what inspired urologist Dr. Ronald Gilbert to develop something better, and what eventually became Promescent's flagship delay spray.
The breakthrough behind Promescent Delay Spray is a eutectic lidocaine formula. In plain terms, the formula changes how lidocaine behaves on the skin so it absorbs below the surface within minutes rather than sitting on top of it.
"When you apply Promescent, it goes subdermal. So within eight to ten minutes, it is gone from the surface of your skin. It gives you that control, but it doesn't transfer to your partner."
That subdermal absorption is the key difference from traditional numbing gels: it helps reduce the urge to ejaculate while preserving surface sensitivity and avoiding transfer to a partner. Abraham stresses that correct dosing matters as much as the product itself, which is why he encourages people to start at the source and learn how to use it properly. You can read more about treatment approaches on the Promescent premature ejaculation guide.
Perhaps the strongest theme of the episode is the shame that keeps men silent. Abraham points out that no one feels embarrassed taking insulin for diabetes or undergoing treatment for other conditions, yet PE still carries an outsized sense of personal failure. That silence keeps men from seeking help and can leave partners suffering quietly as well.
"This isn't something you should be ashamed about. Almost everybody experiences this at some point in their life. Information and communication is the key to solving any issue."
Both host and guest agree that open education - through conversations exactly like this one - is how the stigma erodes. Abraham encourages framing the topic with a partner positively, as a desire to be a better, more attentive lover rather than an admission of weakness. To learn more about the condition and the brand's full approach, visit Promescent.
The message from this UroNurse episode is steady and reassuring: premature ejaculation is common, it is usually physical, and it is treatable. The shame around it is a cultural habit, not a clinical reality. With honest information, a supportive partner, and science-backed tools, men do not have to navigate it alone.
Watch the full episode on YouTube.
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