Premature ejaculation treatment : Aesthetic medicine

Photo ejaculation precoce

The International Society for Sexual Medicine defines premature ejaculation in relation to three criteria :
– Delay of less than a minute between introducing the penis and ejaculation.
– Impossibility of delaying ejaculation.
– The feeling of dissatisfaction or frustration in one or both partners.
Primary premature ejaculation concerns problems from the beginning of sexual relations, whilst secondary premature ejaculation concerns problems which occur after a period of satisfactory sexual activity.

Causes of premature ejaculation include :
– Psychological factors such as stress, one’s relationship to women, and the fear of sex itself.
– Emotional factors, as the inexperienced man is often very tense and stressed.
– Physical causes such as a short foreskin, an overly sensitive penis head, or even a urethral irritation (temporary premature ejaculation ).
The most common cause is an overly sensitive penis head, as the nerve endings are stimulated too quickly.


Some medicines can slow down ejaculation; however, they are prescribed in tandem with psychodynamic and behavioural analysis, and seen as a temporary solution as they have associated side effects.

Anti-depressants, and especially serotonin inhibitors can be used for this purpose (Prozac ,fluoxetine, Deroxat ,paroxetine)

The first medicine specifically for the treatment of premature ejaculation, dapoxetine, or ‘Priligy’, has been licensed in France since 2013. It triples the delay in ejaculation time, and has minimal side effect.


Several exercises can help you control ejaculation, for example :
– Acontracting the pelvic muscle and thigh adductors during sex, as this speeds up ejaculation.
– Daily perineal strengthening exercises.
– Learn to recognise the sensation which pre-figure ejaculation, so that you’re not surprised by it.
– Practising relaxation techniques.
– Masturbation sessions during which you are constrained not to ejaculate too quickly.


Photo injection acide hyaluronique pour ejaculation precoce

Hyaluronic Acid

Hyaluronic acid injections are a quick non-surgical treatment for premature ejaculation.
The hyaluronic acid injected under the skin of the penis head or glans acts like a cushion between the surface and the nerve endings. Consequently, the nerves are less stimulated, the head is less sensitive and intercourse will last longer.
This technique has additional benefits:
– Enlarging the penis head or glans/
– Increasing female pleasure (a larger head stimulates the G-spot more easily).


The injection takes about ten minutes, and will take place at the doctor’s office.
Thirty minutes beforehand, the patient applies an anaesthetising cream, or this can be applied in the office (it takes 5 minutes to act).
A small local anaesthetic is administered by needle to the base of the glans.
A supple, flexibly hyaluronic acid must be used: as such, I use Restylane.


I suffered from precocious ejaculation, it completely wasted my sex life. Thank you Doctor for your injections, I didn’t feel any pain and you changed my life.


Doctor Romano saved my couple’s life. Precocious ejaculation were really a problem, the injections have slowed down the ejaculation time.


I was frustrated because of very fast ejaculation. Doctor Romano fixed my issue in a single injection session. I recommend her.


I wanted to thank Doctor Romano. You have enhanced my sex life by treating my precocious ejaculation with injections.



Type of consultationAmount generally charged
Hyaluronic Acid350€ each syringe. It needs 2-3 syringes.

Written by Valeria Romano

    Former intern at the Hospitals of Paris Graduate of the Faculty of Medicine, University of Paris 7 – Paris Diderot Registered with the medical board of Paris, n° 75/80452 More informations

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