Premature Ejaculation Treatment in Bangkok, Thailand

Understanding the causes of premature ejaculation
What causes Premature Ejaculation (PE)?
Premature ejaculation occurs when a man ejaculates sooner than desired during sexual intercourse, often with minimal stimulation and before their partner achieves orgasm.
This can result from various factors, including psychological issues such as performance anxiety, stress, or relationship problems, as well as physical factors like hypersensitivity of the penis or hormonal imbalances. Additionally, certain medical conditions or medications may contribute to premature ejaculation.
According to the International Society for Sexual Medicine (ISSM), the prevalence of acquired premature ejaculation (developing later in life) affects around 20-30% of men at some point in their life.
Treatments for improve premature ejaculation
Selective Dorsal Neurectomy
A neurectomy is a surgical procedure sometimes considered for cases of premature ejaculation (PE) that have not responded to other treatments. In this context, a neurectomy involves severing specific nerves responsible for hypersensitivity in the penile area, which can contribute to premature ejaculation. By interrupting these nerve signals, the procedure may help to delay ejaculation and improve control. Neurectomy for PE is typically considered only when other interventions, such as behavioral techniques, topical anesthetics, or medications, have not provided sufficient relief.
SSRI Capsules
At Menhance Clinic, we offer SSRIs (Selective Serotonin Reuptake Inhibitors) as an effective treatment option for premature ejaculation. These medications work by increasing serotonin levels in the brain, which helps delay ejaculation and allows for better control during intimate moments. Our experienced team will guide you through the process, tailoring the treatment to your individual needs to enhance sexual satisfaction and confidence.
Pelvic Floor Exercises
Strengthening the pelvic floor muscles through exercises such as Kegels can help improve ejaculatory control and delay ejaculation.
Start-Stop Technique during intercourse
This technique involves pausing sexual activity when nearing ejaculation and allowing arousal to subside before resuming. By practicing this method during intercourse, individuals can learn to recognize and control their arousal levels, ultimately delaying ejaculation.
Multiple layers of condoms
Using multiple layers of condoms can decrease penile sensitivity, helping to delay ejaculation. However, it's essential to ensure proper fit and comfort to avoid any adverse effects on sexual pleasure or condom efficacy.
So, what are the available treatments?

Dorsal Neurectomy
A surgical intervention to gently reduce sensory nerve activity involved in transmitting sexual signals from the penis to the brain, while preserving erectile function.

HA Fillers
Hyaluronic Acid (HA) fillers add volume to the penile glans, enhancing sensation and providing a cushioning effect that helps improve ejaculatory control and prolong sexual performance.

SSRI Capsules
Enhances serotonin levels, leading to better control over ejaculation timing during sexual activity.