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Premature Ejaculation Therapy in Dallas, TX

Upset depressed young man sitting on the edge of bed against his wife lying on the bedUsing a novel technique of injecting a naturally occurring substance in our bodies, that dermatologists, plastic surgeons, and cosmetic surgeons have been injecting for years, appears to have impressive and long-lasting results to decrease premature ejaculation.

Dr. Williams, of Elite Enhancement, has developed a way of delaying orgasm in men with a specialized, site specific technique using several simple injections into the glans penis (“the head”) after a topical anesthetic cream is placed on the glans which provide localized numbness for about 15 minutes. The injectable enhances the glans penis with enlargement and by doing so, may decrease the sensation by creating a barrier between the sexual stimulation and the nerve endings. This barrier to sensation is what delays ejaculation and studies have shown delayed ejaculations from 8-10 minutes and oftentimes delayed for 20 minutes or more.

Most clients who average 30-50 seconds before orgasm find they can last up to 4-5 minutes!

Our board-certified urologist, Dr. R. Clay Williams is dedicated to helping you reclaim your sexual health with confidence. Schedule a premature ejaculation treatment appointment in Dallas, TX today by calling (903) 732-2005.

What is Premature Ejaculation?

Premature ejaculation (PE) is the release of semen during orgasm in men before he desires to do so. It is extremely common and can be quite stressful on the man and his partner. It has been reported to occur in 1 out of 3 men aged 18-59. Unfortunately, this can lead to embarrassment, depression, frustration, and overall dissatisfaction with sexual relations. Surprisingly, this is the most common type of sexual dysfunction in men, not erectile dysfunction.

According to the American Urology Association guidelines 2020 (AUA), a new and simpler definition was established, stating that PE was a poor ejaculatory control and ejaculation within approximately 2 minutes after the start of penetrative sex. However, the majority of men appear to have ejaculation within 30-60 seconds. This can be categorized as “recently acquired” when previously was normal. Or it could be a “life-long” issue due to a hydroxytryptamine peripheral nerve hypersensitivity. But the exact cause is unknown.

Potential Causes of Premature Ejaculation

  • Low serotonin or dopamine
  • Depression, anxiety, stress
  • Unrealistic expectations about sex
  • Lack of confidence
  • Relationship problems
  • Age

What are the Treatment Options?

Psychological Therapy

Seeking the guidance of a mental health provider allows for discussions on relationships and experiences, aiding in the reduction of performance anxiety and effective stress coping. 

Combining counseling with drug therapy is often the most beneficial approach. For those facing premature ejaculation, it can strain the emotional closeness with a partner, leading to feelings of anger, shame, and withdrawal. 

Open communication and seeking help through relationship counseling or sex therapy can be crucial in addressing and resolving these challenges.

Behavioral Therapy

The Start-Stop Method

You and your partner stimulate your penis close to the point of orgasm then stop stimulation for about 30 seconds until you regain control of your response. Repeat this “start and stop” approach 3-4x before allowing yourself to orgasm. Continue to practice this method until you gain control.

The Squeeze Method

You and your partner stimulate your penis to the point of orgasm then gently squeeze the head of your penis for 20-30 seconds so that your erection begins to fade. Repeat this a few times before having an orgasm; continue to practice this until you gain control in delaying your orgasm.

Edging

This is the practice of purposeful stimulation to the point of Ejaculation before stopping and starting again. Usually this is performed with the aim to extend and intensify sexual enjoyment; however, this can help with premature ejaculation as well.

Distracted Thinking

Thick Condoms

Medical Therapy

Oral Medication

  • Sertraline, Fluoxetine, etc. (serotonin reuptake inhibitors)
  • Clomipramine (tricyclic antidepressant)
  • Dapoxetine (30-60mg, 1-3 hours prior to sex – not available in the US)

Topical Numbing Creams and Sprays

So What Should I Do?

Any one or combination of these treatments is acceptable and depends upon how you (and partner) wish to proceed. But our site specific technique using several simple injections into the glans penis (“the head”) may be an adjunct to these options or even (and hopefully) prevent you from having to utilize them! 

The Elite Enhancement Premature Ejaculation Therapy may be the answer you have been searching for!!

Are There Side Effects?

No systemic side effects have been reported for the procedure of injecting a naturally occurring substance in our bodies into the penis. The procedure is performed with a topical anesthetic, making it relatively painless and reducing the risks associated with general anesthesia.

While the majority of individuals experience no adverse effects, it’s worth noting that mild bruising and swelling may occur as temporary side effects. These are common and typically resolve on their own within a short period. Overall, the injection procedure stands out as a minimally invasive and safe option for those seeking enhancement without the complications often associated with surgical interventions. 

Frequently Asked Questions About Premature Ejaculation

Is premature ejaculation common?

Yes, premature ejaculation (PE) is one of the most common sexual concerns among men. An occasional episode is not usually cause for concern, but consistently ejaculating sooner than you would like or feeling unable to control ejaculation are experiences that should be discussed with your provider. 

Premature ejaculation isnt just about timing. Your healthcare provider will also consider difficulty controlling ejaculation and whether the issue causes you distress or dissatisfaction with your sex life. A urologist can evaluate your symptoms to determine whether you have PE and what the best treatment plan might be.  

Premature ejaculation can involve a combination of factors, including brain chemistry, anxiety, stress, relationship concerns, and other aspects of sexual health. PE may be lifelong or develop after normal ejaculatory control. 

Yes, anxiety can contribute to premature ejaculation. Performance anxiety, stress, and worry about ejaculating too quickly can sometimes create a cycle that makes it even more difficult to control ejaculation. However, many men find that counseling, behavioral techniques, medical treatment, or a combination of approaches helps. 

Yes. Some men experience premature ejaculation throughout their sexually active lives, but others develop it after previously having ejaculatory control. If PE is new, it’s worth discussing with a healthcare provider, especially if you are experiencing other sexual or urinary symptoms. 

No. Premature ejaculation involves difficulty controlling when ejaculation occurs, while erectile dysfunction (ED) involves difficulty achieving or maintaining an erection. The two conditions can sometimes occur together, and an evaluation by a urologist can help determine the root cause of your symptoms. 

Yes. Several approaches are used to manage premature ejaculation, including behavioral techniques, counseling, topical treatments, medications, and other therapies. The right approach depends on your symptoms and preferences, and your urologist can help you find the best treatment for you. 

Elite Enhancement offers a specialized injection technique designed to reduce sensitivity in the glans (the head of the penis). By creating a barrier between sexual stimulation and the nerve endings, the treatment may help improve ejaculatory control. 

Elite Enhancement applies a topical anesthetic cream to the glans before treatment to temporarily numb the area and minimize discomfort. Mild bruising or swelling may occur afterward, but these effects are generally temporary. 

Results vary from person to person. Elite Enhancements injectable premature ejaculation treatment was created to provide longer-lasting improvement (and more convenience) than methods that you have to use before every sexual encounter. Dr. Williams can discuss expected results with you during your evaluation.  

PE doesnt necessarily mean that a man is infertile, since PE usually affects the timing of ejaculation, not sperm production. But severe PE can sometimes make conception more difficult because ejaculation is occurring before vaginal penetration. Talk with a healthcare provider if you have concerns about fertility. 

Consider seeing a urologist if premature ejaculation happens regularly, causes you distress, affects your relationship or sexual satisfaction, or has developed suddenly, especially if you have additional symptoms. Dr. R. Clay Williams at Elite Enhancement of East Texas will evaluate your concerns and explore premature ejaculation treatment options based on your unique needs. 

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This content has been reviewed by board-certified urologist Dr. R. Clay Williams

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