Premature ejaculation (PE) is one of the most common male sexual concerns. It means ejaculating sooner than you or your partner would like, most of the time, with distress or loss of confidence. It is treatable, and most men improve with the right combination of techniques and medical care. Charisma offers discreet assessment and personalised treatment.
Why Choose Charisma for PE Treatment
- Private consultations — with experienced doctors.
- Cause-based plans — physical, psychological or both.
- Full range of options — behavioural therapy, medication, topical treatments, shockwave and PRP.
- Linked men’s health care — testosterone and erectile function assessed together.
Lifelong vs Acquired PE
- Lifelong PE — present since first sexual experiences; often linked to how the nervous system and serotonin regulate ejaculation.
- Acquired PE — develops later; often linked to erectile difficulties, anxiety, prostate inflammation, thyroid problems or relationship stress.
Common Causes
- Performance anxiety and stress.
- Serotonin regulation.
- Erectile dysfunction — rushing to ejaculate before losing the erection.
- Prostatitis or urethral inflammation.
- Thyroid imbalance.
Assessment
- Medical and sexual history.
- Physical examination.
- Blood tests — hormones and thyroid when indicated.
- Screening for anxiety or relationship factors.
Behavioural Techniques
- Stop-start technique — pausing stimulation before the point of no return.
- Squeeze technique — reducing arousal by gentle pressure.
- Pelvic floor training — strengthening muscles that help control ejaculation.
Medication Options
- Dapoxetine — a short-acting SSRI taken before intercourse, prescribed after review.
- Daily SSRIs — in selected cases, off-label.
- Topical anaesthetic sprays or creams — reduce sensitivity.
- PDE5 inhibitors — when erectile dysfunction is also present.
Shockwave and PRP (P-Shot)
Low-intensity shockwave therapy improves blood flow and is mainly used for erectile function. PRP injections use growth factors from your blood to support tissue health. These are used as part of a wider plan, particularly when PE is linked to erectile difficulties.
When PE Is Linked to Erectile Dysfunction
Many men with acquired PE also have difficulty maintaining erections. Treating the erectile problem often improves control as well, so both are assessed together.
Who Needs Treatment?
- Consistently ejaculating sooner than desired.
- Frustration or anxiety around intimacy.
- Avoiding sex because of worry about performance.
- Relationship strain.
PE Treatment in Dubai & Abu Dhabi
Charisma offers PE assessment and treatment at its Dubai and Abu Dhabi clinics, with complete confidentiality.
PE Treatment Cost in Dubai
Cost depends on tests and the treatment plan, from medication to shockwave or PRP courses. Your doctor explains costs after assessment.
FAQs
How quickly will I see results?
Medicines can help from the first use; combined programmes often show the best results over 1 to 3 months.
Are there side effects?
Dapoxetine can cause nausea or dizziness; topical products may reduce sensation. Your doctor explains each option.
Can PE be cured permanently?
Acquired PE often resolves when the cause is treated. Lifelong PE is usually well controlled with ongoing management.
Are medications enough?
They help many men, but combining them with behavioural techniques gives longer-lasting control.
Is the consultation confidential?
Yes, completely.