Premature Ejaculation

PE is ejaculation that occurs earlier than desired during sexual activity. Ejaculation within the first 1–2 minutes after vaginal penetration is commonly considered PE. In healthy men, the average intravaginal ejaculation latency time is about 5–7 minutes; however, comfort and control matter more than the exact duration.

Psychological factors (stress, anxiety, performance pressure, relationship issues) and biological factors (glans hypersensitivity, prostatitis, thyroid problems, genetic predisposition) can play a role. Causes are often combined.

Yes. After long gaps, control time may be shorter in the first encounter; this can be temporary and typically improves with regular sexual activity.

In most men, PE can be effectively controlled. Outcomes vary by individual; however, a combination of start–stop, squeeze, and Kegel techniques; medications; and in selected cases glans hyaluronic acid (HA) filler can provide durable improvement.

Yes. Certain antidepressants (SSRIs) at specific doses and topical anesthetics (sprays/gels) are used to delay ejaculation. Their effects are usually temporary and diminish as the drug wears off. They should be used under medical supervision; self-medication carries risks of side effects and drug interactions.

By reducing sensitivity, they can extend duration, but effects are temporary and vary between individuals. Possible side effects include numbness and, if misused, reduced sensation in the partner. They are not a standalone permanent solution; best results come when combined with behavioral training and clinical guidance.

Yes. The start–stop and squeeze techniques are well known. Regular Kegel exercises strengthen the pelvic floor and improve control (essentially the muscles used to stop urination).

If the issue persists for a long time and occurs with every partner, biological causes should be evaluated. In many cases, both psychological and biological factors are involved. A medical assessment is needed for a clear diagnosis and plan.

Not by itself. However, if ejaculation occurs before intercourse is completed, it can reduce the chance of pregnancy. Reproductive health evaluation can be arranged if needed.

It usually does not resolve on its own. It may begin early and persist without treatment. While reduced libido with age may lessen symptoms for some, a structured treatment plan is typically more effective for a lasting solution.

Under local anesthesia, hyaluronic acid filler can be injected into the glans to reduce sensitivity. The notable effect generally lasts about ~12 months; ~40% resorption may occur. Many patients do not require routine repeat. Still, first-line care often includes medications, exercises, and psychotherapy.

The effect is strongest during the first year; around 40% of the filler may resorb by about 12 months. After this period, most patients do not need additional sessions.

If only the glans was treated, the first intercourse can usually be attempted after 3–4 days. Follow your doctor’s aftercare and hygiene instructions closely.

Yes. It can be combined with girth enhancement in the same session without additional anesthesia. This may offer comfort and cost advantages. Your clinician will assess suitability.