Premature Ejaculation Treatment​

Premature ejaculation (PE) is one of the most common forms of sexual dysfunction, affecting as many as 1 in 4 adult men, according to a survey conducted by Canadian Male Sexual Health Council.

Many experts believe that PE is probably under-diagnosed as many men find it difficult to openly discuss it with their care providers.

Premature ejaculation (PE) treatment is a component of the services of Precision Sexual Health Clinic for Men. We offer multiple treatments for PE and provide solutions including penile frenulectomy as well as topical and oral medication.

Once men realize that PE is a common and treatable condition they are pleased to have rapid access to innovative treatments, and results.

What is Premature Ejaculation?

Premature Ejaculation (PE), also referred to as early or rapid ejaculation, is defined by the International Society for Sexual Medicine (ISSM) as “a male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration, and the inability to delay ejaculation on all or nearly all vaginal penetrations.”

It often causes significant anxiety and frustration for the couple and can lead to avoidance of sexual intimacy.

Premature ejaculation is traditionally categorized into either Lifelong PE or Acquired PE. Patients with lifelong PE could never achieve a normal ejaculatory experience, often ejaculating in less than 1 minute. In the case of acquired PE, there is usually a contributory factor such as performance anxiety that causes rapid ejaculation in otherwise healthy individuals. Patients with acquired PE may experience an ejaculatory time of less than 3 minutes. While premature ejaculation is more common in younger men, it can happen at any age.

Diagnosis of Premature Ejaculation​

Having an orgasm too soon is not always cause for concern. However, clinical diagnosis is made when a man exhibits the following symptoms:

  • Ejaculation occurs too quickly, often in the first few minutes of intercourse, or in other sexual situations, even during masturbation.
  • Inability to delay ejaculation most of the time.
  • Feelings of anxiety, or avoidance of sexual intimacy as a result.

Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed talking about it, premature ejaculation is a common and treatable condition.
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Causes & Consequences of Premature Ejaculation

The exact cause of premature ejaculation is still uncertain however, many believe that Lifelong PE is believed to be a result of penile hypersensitivity, while acquired PE is often caused by a complex neurochemical and psychological disturbance. In addition, there are some speculations that PE may also be affected by genetic, ethnic, and cultural factors for which further scientific evidence is required.

Premature ejaculation involves a complex interaction of psychological and biological factors.

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PE Treatment Options at Precision Sexual Health Clinic for Men

An individualized treatment plan will be determined for each patient after a thorough medical examination and consultation and with consideration of the patient’s goals, values and preferences.

At Precision clinics, we offer a wide variety of treatment options. Our aim is to provide a treatment plan for premature ejaculation including a variety of topical and oral medications, as well as the surgical option of penile frenulectomy when indicated. Psychosexual and behavioural therapy with a sex therapist may also be recommended.

There are a variety of pharmacological and non-pharmacological treatment options for premature ejaculation.

Topical Anesthetics

Traditionally, topical anesthetics such as Lidocaine/prilocaine combination applied to penis can be used to treat PE by reducing penile sensitivity; however, the side effects such as genital numbness and irritation for the patient and his partner can be quite a bothersome if the topical medication is not applied and administered properly.

Oral Medications

Oral medications such as Selective Serotonin Reuptake Inhibitors (SSRIs) which are used to treat depression and anxiety have been shown effective in prolonging the ejaculatory time. Some experts also suggest a trial of Phosphodiesterase-5 inhibitors (such as Viagra, Cialis or Levitra) to help with PE especially in men who also suffer from erectile dysfunction. Other medications such as Tramadol (opioid medication) and older generation antidepressants (such as Clomipramine) have also been suggested but may in some people be associated with a more significant side effect profile.

Penile Frenulectomy for Premature Ejaculation

Premature ejaculation is one of the most common male sexual dysfunctions and studies report that a short penile frenulum is found in up to 43% of individuals affected by premature ejaculation. When the frenulum is tight or short this is called a frenulum breve. It is thought that the frenulum plays an important role in penile erection and when frenulum tension exceeds a certain limit, orgasm and ejaculation may be accelerated. When the frenulum is lengthened, penile tension and sensitivity may be decreased. Penile frenulectomy and frenuloplasty are procedures that can alleviate the pain and issues associated with frenulum breve. The procedure involves the removal of the restricting tissue for increased range of motion in the penile skin and enhanced sexual enjoyment. At Precision clinics, the procedure is performed in under 20 minutes using a long-acting local anesthetic, and has a brief recovery period. Penile frenulectomy has been shown to be effective in some but not in all cases of premature ejaculation.

Other Therapies

Behavioural and psychosexual therapies have also been proven effective in delaying ejaculation especially in men with acquired PE. Other proposed alternative treatments such as acupuncture, herbal medicine, yoga, etc. will certainly require further investigation for their efficacy.

What does a physician receive with the Precision program?

Our goal is to help doctors provide world class care and great outcomes for patients, and to make it as easy as possible to create a very successful men’s sexual health practice.


The core or our program is the world-class training on the treatments and procedures. Our unique and innovative treatment protocols will be taught to you one-on-one by an experienced physician.

Marketing Expertise

Even before you start training, your marketing program will be underway – starting with market research to determine an optimal web marketing and pricing strategy for your clinic.

Web Marketing

You will experience an exceptional service level with our approved web marketing vendor. Your online investment will generate a positive ROI very quickly and is a key driver to a fast ramp-up of your business.