Premature Ejaculation
Take back control in the bedroom — a full ladder of solutions, from topical, oral and filler options to a long-term surgical fix, matched to you in one private consultation.
Overview
Premature ejaculation (PE) means ejaculating sooner than you would like during sex, often with minimal stimulation. It is one of the most common male sexual concerns — and one of the most treatable. For many men the real cost is not the timing itself but the anxiety, avoidance and loss of confidence that build up around it. You do not have to live with that.
The causes vary from man to man: performance anxiety and stress, an over-sensitive glans, or other physical and hormonal factors. Because the cause differs, the right answer differs too — which is exactly why MENHANCE never pushes a single product. We assess you properly first, then recommend the option that fits your severity, your body and your goals.
Our philosophy is simple: start conservative, escalate only if needed. Most men do well with topical agents, oral medication, behavioural techniques or hyaluronic acid (HA) fillers. For men whose PE does not respond to these, Selective Dorsal Neurectomy (SDN) offers a long-term surgical solution that calms over-sensitivity while preserving natural sensation and erectile function. Every consultation is fully discreet and confidential.
Key benefits
- Greater control over timing, so sex feels relaxed instead of rushed
- Renewed confidence — less performance anxiety, less avoidance
- A full ladder of options, from same-day non-surgical fixes to a long-term surgical solution
- Treatment matched to your cause and severity, not a one-size-fits-all product
- Erectile function and natural sensation preserved, even with the surgical route
- Discreet, confidential care led by an experienced urologist
- A clear, honest plan so you know your choices before committing to anything
How it works
PE has a clear ladder of treatments. We always start with the least invasive option that is likely to work for you — and step up only if it is not enough.
Behavioural training: the start–stop method with Kegel exercises builds natural control. No cost, no side effects — the first thing to try.
A light desensitising cream or spray applied before sex reduces over-sensitivity of the glans. Same-day and on-demand.
A prescription capsule that raises serotonin to help delay ejaculation, taken on-demand or daily under medical guidance.
Hyaluronic acid (HA) filler injected into the glans to gently reduce over-sensitivity. Done in clinic; the effect lasts months.
Selective Dorsal Neurectomy (SDN): a long-term solution that calms over-sensitive nerves while preserving sensation and erectile function.
The treatment, step by step
- Private consultationA frank, confidential discussion of your patterns, likely causes, preferences and overall health — so we understand the real picture.
- Personalised planYour doctor talks you through the suitable options — topical, oral, HA filler or surgical — with honest pros, cons and expectations for each.
- Start conservativeWhere appropriate we begin with the least invasive route: topical agents, oral medication, behavioural techniques or HA fillers to the glans.
- Escalate only if neededIf conservative options are not enough, Selective Dorsal Neurectomy offers a long-term surgical solution that preserves natural sensation and erectile function.
- Follow-upWe review your progress and fine-tune the plan so you get a result you are happy with.
Why men choose MENHANCE
Who it's for
- Men who consistently ejaculate sooner than they or their partner would like
- Men whose PE is driven by an over-sensitive glans or penile hypersensitivity
- Men whose timing is affected by performance anxiety or stress
- Men who have tried sprays, condoms or willpower without lasting results
- Men who want a discreet, medically guided plan rather than over-the-counter guesswork
- Men seeking a long-term surgical solution after other options have not worked
Frequently asked questions
How do I choose the best PE treatment?
It depends on the severity, the underlying cause, your preferences and your overall health. In your consultation your doctor weighs the options with you — topical agents, oral medication, HA fillers and SDN — and recommends the right starting point for you.
Will treatment reduce my pleasure?
No — the aim is the opposite. Options such as HA fillers and the circumferential desensitisation technique used in SDN reduce over-sensitivity while preserving natural sensation, so most men report better control without losing pleasure.
Is the surgical option permanent?
Selective Dorsal Neurectomy is designed for long-term benefit, and many patients report sustained improvement without needing to repeat it. Results vary between individuals and cannot be guaranteed.
Do I have to have surgery?
Not at all. We start conservative and escalate only if needed. Most men do well with non-surgical options — topical agents, oral medication, behavioural techniques or HA fillers — and surgery is considered only when these are not enough.
Are there any risks?
As with any procedure there can be minor effects such as infection, temporary swelling or altered sensation, but complications are uncommon in experienced hands. Your doctor explains the specific risks for whichever option you choose.
Is my visit confidential?
Yes. Every consultation is fully discreet and confidential. You can talk openly, and we handle everything with privacy and respect.