What is filler injection for treating premature ejaculation? How is it better than topical medications for premature ejaculation?

Premature Ejaculation (PE) is a concern for many men, and a common question is, "Can premature ejaculation be treated?" Many may first think of "topical treatments for premature ejaculation" because they are easy to find and seem simple to use. However, there is currently another option that is gaining attention in specialized clinics for treating premature ejaculation: "filler injections for premature ejaculation."

This article, as a men's health clinic that addresses issues of erectile dysfunction and premature ejaculation holistically, will compare both methods in detail, how they work, their advantages and disadvantages, and which approach may be suitable for you.

What causes premature ejaculation (PE)? (Physical or psychological?)

Before looking for the best treatment for premature ejaculation, we need to understand the "causes" first. Premature ejaculation can be divided into two main groups of causes, which require different approaches to management:

1. Organic PE (Physical Condition)

It is a problem caused by physical abnormalities. The most common causes are:

• Penile Hypersensitivity: This is the main target group for "fillers" and "topical medications," where the tip of the penis is more sensitive to touch than normal.
• Weak Pelvic Floor: The muscles used for "holding" do not function adequately.
• Other conditions: such as abnormal thyroid hormones or inflammation of the prostate gland.

2. Psychogenic PE

This is a very common cause, especially in men who are in good health.

• Premature ejaculation due to stress orAnxiety(Performance Anxiety): The pressure of "having to perform well" or "fear of failure" causes the brain to signal to finish the game quickly.
• Learned Behavior: For example, frequently rushing during masturbation since adolescence, the brain thus "remembers" that it needs to finish quickly.
• Relationship issues: conflicts with a partner or misunderstandings.

Effective treatment for premature ejaculation must begin with diagnosing which group you belong to.

Option 1: How do "topical treatments for premature ejaculation" work?

When you search for the best brand of topical treatment for premature ejaculation, you often find products that primarily contain "local anesthetics" such as Lidocaine or Benzocaine.

Mechanism of action: It is to "numb" the area. The topical medication reduces sensation at the tip of the penis, allowing for increased endurance against friction before reaching climax.

Benefits of topical medication:

• Affordable pricing: Treatment for premature ejaculation is cheaper per session than other methods.
• Easy to use: Can purchase (certain types) and apply before sexual intercourse by oneself.

The main drawbacks (Pain Points) of topical medications:

1. Transfer of Numbness to the Partner: This is the biggest complaint from women. The female partner may feel "numb" in the vaginal area, leading to a loss of sensation and emotional involvement.
2. Over-numbness: Many users complain that it is "too numb" to the point where they feel nothing at all, which reduces the pleasure of sexual intercourse.
3. Inconvenience: Requires advance planning, must be applied about 10-15 minutes beforehand, and must be washed off before insertion to prevent issue 1.
4. Temporary results: This is a solution that addresses the symptoms only and must be applied every time before sexual intercourse.
5. Risks from non-standard medications: Over-the-counter medications may contain non-standard ingredients or concentrations, which can lead to severe allergic reactions or irritation.

Option 2: What is filler injection for treating premature ejaculation?

This is a non-drug procedure for treating premature ejaculation that is gaining popularity in specialized clinics for premature ejaculation.

Mechanism of action: It is to "reduce sensitivity" rather than "numb." The doctor will use a filler type of Hyaluronic Acid (HA) (which is the same substance used for facial injections that is safe and naturally dissolvable) injected into the subcutaneous area of the penile glans.

This HA substance will act as a natural "buffer" or "insulator," increasing the thickness of the skin layer and slowing down the stimulation of hypersensitive nerves.

The benefits of filler injections for treating premature ejaculation:

1. Do not transfer sensations to your partner: This is the greatest strength. The filler is under your skin, so it does not transfer numbness to your partner like topical medications do.
2. Natural feeling: You still feel touch and pleasure, but can last longer (not "numbed out").
3. Long-lasting results: Just one treatment can last from 6 months to 1 year (depending on the individual and the breakdown of the filler). No need for repeated applications.
4. Minimal side effects (when performed by a physician): It is a procedure that uses local anesthesia.
5. (Secondary effects): May help slightly increase the circumference of the tip.

Disadvantages and considerations:

1. Price: The cost for treating premature ejaculation during the first session is higher than the topical medication.
2. Must be performed by a specialist: This is a medical procedure that must be conducted by a Urologist with expertise in anatomy only.
3. The results are not permanent 100%: the filler will naturally dissolve and will need to be reapplied when the effects begin to diminish (but it lasts longer than topical medications that last for 30 minutes).

Clear comparison: Filler VS Topical Cream

Review and Results: Treatment of Premature Ejaculation with Fillers - Review from Research Studies

Although the use of fillers to treat PE is still considered a relatively new technique (Off-label use), there are clinical studies that show interesting results. It has been found that men with premature ejaculation (PE) caused by hypersensitivity experience a significant increase in intravaginal ejaculatory latency time (IELT) after receiving HA filler injections, and both patient and partner satisfaction levels have increased.

Reference: You can find more information in medical journals such asInternational Journal of Impotence ResearchorSexual Medicine Society of North America (SMSNA)There are studies regarding this approach.

Where is the best place to treat premature ejaculation? Why should it be a specialized clinic for premature ejaculation treatment?

Can premature ejaculation be treated? The answer is "yes," but it needs to be addressed "at the right point."

At a general clinic for treating premature ejaculation, they may offer you filler injections immediately, but atMENdical ClinicWe look deeper than that:

• If you ejaculate quickly due to stress?
  • Fillers may not help because the issue lies in the mind. You may need Sex Therapy to reduce Performance Anxiety.
• If you ejaculate quickly due to weak pelvic floor muscles?
  • Fillers may not help; you might need an innovation.EmsellaTo restore muscle tissue.
• If you ejaculate quickly due to being "too fast" (Hypersensitive)?
  • This is exactly what filler injections are; they are the most targeted option.

The best specialized treatment for premature ejaculation is when a Urologist and Sexologist jointly assess which type of care is suitable for you or if a "combination" approach is necessary.

Summary: Non-Pharmacological Options for Treating Premature Ejaculation

Filler injections are considered a non-drug option for treating premature ejaculation.ProcedureHighly effective for those with hypersensitivity issues and has a clear advantage compared to "topical treatments for premature ejaculation," especially in terms of "not transferring numbness to the partner."
However, premature ejaculation is a complex condition that involves both the body and the mind. Consulting a specialist for a proper diagnosis to identify the underlying cause is the most important first step.