Premature Ejaculation Therapy in Dallas & Texarkana, TX

Upset depressed young man sitting on the edge of bed against his wife lying on the bedUsing a novel technique of injecting hyaluronic acid (HA) dermal filler, a naturally occuring 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.

At Elite Enhancement, using approximately 2 syringes of hyaluronic acid, several injections are placed into the glans penis (“the head”) after a topical anesthetic cream is placed on the glans and allowed to provide localized numbness for about 15 minutes. The HA 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. 

Most clients notice glans penis enlargement as well as delayed orgasms at 1, 3, 6, and 12 months. Most clients who average 30-50 seconds before orgasm find they can last up to 4-5 minutes!

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.


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

Dapoxetine (30-60mg, 1-3 hours prior to sex)

  • Sertraline, Fluoxetine, etc. (serotonin reuptake inhibitors)
  • Clomipramine (tricyclic antidepressant)

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 hyaluronic acid injections into the glans penis 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 with the hyaluronic acid injections procedure. This method is known for its safety and effectiveness in increasing the size and volume of the glans penis without the need for surgery. The procedure is performed with a local 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 HA injection procedure stands out as a minimally invasive and safe option for those seeking enhancement without the complications often associated with surgical interventions. 

At Elite Enhancement of East Texas, we want to help you obtain and maintain the level of sexual satisfaction you desire. The injection of hyaluronic acid is but one way we can help you regain your sexual health and restore your confidence! Our desire is to provide stronger, more durable erections, and hopefully provide a longer lasting, satisfying sexual experience! Additionally, options such as  Penile Botox injections, the P-shot/Priapus Enhancement Exosome Therapy, and even UroFill treatments can be given at the same time. 

Allow Elite Enhancement to assist you on your road to restoring youthfulness and confidence! 

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