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.
Because the cause differs, so does the right treatment. Your options span topical agents, oral medication and behavioural techniques through to hyaluronic acid (HA) filler, frenuloplasty and Selective Dorsal Neurectomy (SDN) — a long-term surgical solution that calms over-sensitivity while preserving natural sensation and erectile function. Your physician talks you through which fits best. Every consultation is fully discreet and confidential.
Book a consultation to discuss Premature Ejaculation.
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
Treatment options
The cause of PE differs from man to man, so the right treatment does too — your physician matches you to the option that best fits your body and your goals.
Behavioural training: the start–stop method with Kegel exercises builds natural control — no cost, no side effects.
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 injected into the glans to gently reduce over-sensitivity. Done in clinic; the effect lasts months.
For some men, PE is linked to a short or tight frenulum — the sensitive band on the underside of the head — that pulls taut during sex and tips them over the edge early. Frenuloplasty is a quick, minor procedure that releases the frenulum, relieving that tension and pull while preserving every bit of natural sensation.
For persistent PE caused by an over-sensitive glans, SDN selectively cuts some of the dorsal nerve branches that carry sensation from the head — dialling down the hypersensitivity that triggers early ejaculation, while leaving enough nerves intact to keep sensation and erectile function. Done under a surgical microscope and headlight, with a typical 3–5× increase in lasting time.
Selective Dorsal Neurectomy (SDN), in depth
For many men, PE isn’t about willpower or anxiety — it’s biology. When the dorsal nerves of the penis carry an oversupply of sensation, the threshold for ejaculation is reached far too quickly. SDN addresses that root cause directly: the surgeon selectively cuts only the sensory nerve fibres responsible for the excess sensitivity, while carefully preserving the nerves that drive erection and the sensation that makes intimacy pleasurable.
The goal is not numbness — it is control. SDN is performed as an outpatient procedure under a surgical microscope and headlight, using a circumferential desensitisation technique. Most men report a typical 3–5× increase in lasting time once healed — a one-time, long-term result. Read the full SDN page →
- Selective — only the over-active sensory fibres are treated; the erectile nerves are left alone.
- Microsurgical precision — a circumferential desensitisation technique, worked under microscope and headlight.
- 3–5× lasting time — the typical increase once the area has healed.
- One-time, long-term — no need to repeat the procedure.
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.
- Your treatmentWe carry out the option you and your doctor choose — from topical, oral or behavioural care to HA filler, frenuloplasty or SDN.
- Lasting resultFor persistent PE, Selective Dorsal Neurectomy offers a long-term surgical fix 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. Most men do well with non-surgical options — topical agents, oral medication, behavioural techniques or HA filler. Surgery (SDN) is simply one choice among several — a long-term fix, particularly for men whose PE is driven by an over-sensitive glans.
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.
Your surgeon
Dr. Teanchai Siricharoensang — “Dr. Chai”
Senior urologist with 30 years’ experience, including 13 at Samitivej Hospital. MD from Siriraj Medical School and a member of both the Thai and American Urological Associations. He performs the surgical treatment for premature ejaculation (SDN) at MENHANCE and follows up with every patient directly on WhatsApp after surgery.
Real feedback from our customers
A message from a real patient after treatment, kept anonymous.
Related treatments
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