Erection and ejaculation concerns
Sexual health.Start here.
Men’s sexual health consultations at Dr Stavy’s practice cover erectile difficulties and premature or delayed ejaculation within Mr Stefanos Kachrilas’s programme. Start by explaining what has changed and what matters to you. An individual assessment helps guide the next discussion, without assuming a cause or a particular treatment.
Men’s health programme lead
Know who you are asking to seeMeet Mr Kachrilas
A first conversation is availableAsk about the complimentary men’s health discovery appointment
What would you like help with?
Start with the concern that matters to you. You can ask about difficulty getting or keeping an erection, ejaculation sooner than you want, or difficulty reaching ejaculation. You do not need to choose a diagnosis or a treatment before contacting the practice.
This page explains sexual-function assessment within the men’s health programme. Use it to find a starting point and prepare questions. An enquiry helps you ask about care; it cannot establish the cause of your symptoms.
Erections, ejaculation and desire: what is different?
These words describe different parts of sexual function. Separating them can help you explain your concern. An erection problem is not the same as a change in sexual desire, and a timing concern is not a diagnosis on its own. Clinical assessment looks at the pattern and its impact. [1] [2]
| Area | What to describe | Useful question to bring |
|---|---|---|
| Erections | Difficulty getting firm enough, staying firm, or both. | What could help explain this pattern? |
| Earlier ejaculation | Timing, sense of control and how much it troubles you. | Does it matter whether this is new or longstanding? |
| Delayed ejaculation | Difficulty reaching ejaculation and when this happens. | What should we review before discussing options? |
| Sexual desire | Whether your interest in sex has changed. | How does this fit with my other concerns? |
You may want to discuss more than one area. Explain each in your own words, including which concern came first. The aim is to give the clinician a useful account of what is happening, rather than trying to fit your experience into one label.
01 / Erection concerns
Difficulty getting or keeping an erection
Erectile dysfunction, often shortened to ED, means a persistent difficulty getting and keeping an erection firm enough for satisfactory sexual activity. The clinical term describes the difficulty; it does not tell you its cause. An assessment is the starting point for discussing suitable options. [1]
It helps to explain when the problem began, what happens and how it affects you. You might want help with a recent change, a longstanding problem, or a concern that remains despite previous care. If you have already tried something, have its name and details ready for the clinician.
Be clear about your own goals. You may want to understand the cause, discuss options or ask about the benefits and drawbacks of further care. Current guidance supports choices that take account of the findings and the patient’s preferences. No single option suits every person. [1]
When ejaculation is the concern
Timing, control and the effect on your wellbeing are useful things to discuss. Premature and delayed ejaculation are different concerns. Both deserve an individual conversation, including what you want from care and which options you would feel comfortable considering. [2]
02 / Earlier ejaculation
Sooner than you want
Premature ejaculation concerns can involve ejaculating very early, feeling unable to control the timing and distress about what happens. A stopwatch result alone does not describe the whole concern. Tell the clinician what you notice and how it affects you. [2]
Explain whether this has been the pattern from your earliest sexual experiences or is a more recent change. Guidelines distinguish lifelong from acquired premature ejaculation because the assessment and discussion of care can differ. This distinction needs a clinical conversation, not a conclusion drawn from a web page. [1]
03 / Delayed ejaculation
Difficulty reaching ejaculation
Delayed ejaculation concerns involve difficulty ejaculating. Explain whether you can reach orgasm (sexual climax), whether ejaculation occurs and what is troubling you. The AUA/SMSNA guideline supports appropriate assessment and discussion of available care. [2]
If it helps, write down the questions you want to ask before your visit. Let the clinician know about previous advice or treatment and whether your main goal is understanding the change, discussing options or addressing its effect on your relationship.
What can help you prepare for assessment?
You can start an enquiry with a brief description. For a clinical appointment, it can help to have a fuller account ready. Include what has changed, when it started and any previous care. Ask the practice how to share records before sending medical information.
- Your concernWhat happens, how often you notice it and what you most want help with.
- Your health and previous careRelevant diagnoses, medicines and supplements, past advice and any tests you already have.
- Your prioritiesQuestions about sexual function, plans for children, treatment choices or the effect on your relationship.
There is no need to write a perfect medical history to get in touch. A short outline helps you ask about the right appointment. More detailed questions belong in the clinical assessment, where you can explain your concerns and discuss what information is needed.
How are the next steps chosen?
An assessment helps you and the clinician discuss what is appropriate for your situation. The next step may be further assessment, a discussion of care options or advice about another service. What is offered at this practice needs to be confirmed with the clinician.
Before agreeing to a plan, ask about its aim, likely benefits, possible harms and practical demands. Also ask what other options exist and what would happen if you chose to wait. This is a shared decision: the clinical findings and your priorities both matter. [1] [2]
If another clinician or service is suggested, ask why, who should arrange it and what information would be useful to share. A recommendation for referral does not mean that every test or procedure is provided within this practice. Keep your existing GP or specialist care in view.
Does a sexual-function concern mean low testosterone?
No. A symptom alone does not establish testosterone deficiency. The diagnosis requires relevant symptoms and consistently low blood-test results. Tell the clinician about any tests you already have and ask whether further assessment is useful. Detailed hormone and programme information is on the men’s health programme page. [4]
Can a partner be involved in the discussion?
If you would like a partner involved, ask how this could be arranged. The ejaculation guideline supports shared decisions and notes that partner involvement can be useful where possible. Your own preferences still matter. This page does not promise a couples-therapy service or a particular appointment format. [2]
What if I also hope to have children?
Tell the clinician about your plans for children before discussing hormone-related care, because these plans can affect treatment choices. Fertility and sperm health are separate areas within the men’s health programme. Ask which appointment is appropriate if both sexual function and fertility are concerns. [4]
Who should you ask to see?
Mr Stefanos Kachrilas leads the men’s health programme at Dr Stavy’s practice. Its published scope includes sexual-function and ejaculatory concerns. Mention his programme when you enquire, so the practice can discuss the relevant appointment.
His practitioner profile explains his programme role and published professional background. Confirm who will see you and the location or format before you book. An enquiry is a request for information or care, not a confirmed appointment.
Keep existing care connected
If you already have a GP, urologist or another clinician involved, say so. Ask how a new appointment would fit with that care. Bring relevant letters or reports if the practice asks for them, using the sharing route it confirms.
Before any follow-up, clarify who will review results, how you will receive advice and whether a further appointment is needed. These arrangements should be agreed for your care; this page does not set a fixed results or follow-up timetable.
What will it cost to get started?
A complimentary discovery appointment is available for the men’s health service. Ask what it covers and how to arrange it. It should not be assumed to include a medical consultation, investigations or treatment.
For a medical consultation with Mr Kachrilas, ask the practice for the current fee and what it includes. Laboratory tests are charged separately. Clarify any test and follow-up costs before agreeing to them, so you can make a decision with the full cost in view.
You can enquire before buying a test package or committing to a treatment. Explain whether you want to ask about the discovery appointment or arrange a clinical assessment. The practice will need to confirm availability, the clinician and the appointment details.
What patients say about Dr Stavy
Read patient feedback in its original context on Google, then compare it with the service, clinician and fee information on this site. Individual reviews describe personal experiences and do not predict clinical outcomes.
Questions before you get in touch
Can I enquire without knowing what is causing the problem?
Yes. Start with what you have noticed and what you would like help to understand. The programme covers erectile and ejaculatory concerns. You do not need to choose a diagnosis or buy a test before contacting the practice. A clinical assessment is needed to discuss the cause and appropriate next steps.
Can I discuss premature or delayed ejaculation?
Both form part of the programme’s published sexual-function scope. Explain the concern in your own words, including whether it is longstanding or a recent change and how it affects you. Assessment and discussion of options should reflect the individual concern and your priorities. [2]
Do erection problems always mean low testosterone?
No. An erection problem alone does not establish testosterone deficiency. That diagnosis needs relevant symptoms and consistently low blood-test results. If you already have a hormone result, tell the clinician and ask how to share the full report. The result needs to be interpreted in its clinical context. [4]
Will I need tests before I can get help?
You can contact the practice before choosing any tests. If you already have reports, mention them and ask how to share them. The clinician can discuss whether further assessment would be useful. Ask what any proposed test is intended to answer, what it costs and who will review the result.
Can I ask about involving my partner?
Yes. Tell the practice that you would like to discuss whether a partner can be involved and ask about the arrangements. Shared decisions are central to care for ejaculation concerns, and a partner’s involvement can be useful where possible. Your own preferences remain part of that discussion. [2]
How much does a consultation with Mr Kachrilas cost?
Ask the practice for his current consultation fee, what it includes and the cost of any follow-up. Laboratory tests are charged separately. The complimentary discovery appointment applies to the men’s health service; it should not be assumed to include a medical consultation, investigations or treatment.
How do I arrange a sexual-health appointment?
Contact the practice by phone or email and mention Mr Kachrilas’s men’s health programme. A brief outline of your enquiry is enough to start. Ask how to share medical details, then confirm the clinician, fee and appointment format. Sending an enquiry does not reserve an appointment.
Begin with one conversation
Ask about an appointment within Mr Kachrilas’s men’s health programme. You can start with a brief enquiry and ask how to share further details.
Appointment request information. Please wait for the practice to confirm your appointment.
Research and practice sources
- A. Salonia, P. Capogrosso et al. (2025). European Association of Urology Guidelines on Male Sexual and Reproductive Health: 2025 Update on Male Hypogonadism, Erectile Dysfunction, Premature Ejaculation, and Peyronie's Disease. European urology. DOI: 10.1016/j.eururo.2025.04.010.
- A. Shindel, S. Althof et al. (2021). Disorders of Ejaculation: An AUA/SMSNA Guideline The Journal of Urology. DOI: 10.1097/ju.0000000000002392.
- T. Kohler, Robert A Kloner et al. (2024). The Princeton IV Consensus Recommendations for the Management of Erectile Dysfunction and Cardiovascular Disease. Mayo Clinic proceedings. DOI: 10.1016/j.mayocp.2024.06.002.
- S. Bhasin, J. Brito et al. (2018). Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. The Journal of clinical endocrinology and metabolism. DOI: 10.1210/jc.2018-00229.
- T. Bivalacqua, Bryant K. Allen et al. (2021). Acute Ischemic Priapism: An AUA/SMSNA Guideline The Journal of Urology. DOI: 10.1097/ju.0000000000002236.
The named programme role, service scope and discovery appointment follow the practice’s published men’s health information and approved practice records. Sources checked 7 September 2026.
Dr Stavy practice information. Published 7 September 2026.