Restore Control and Confidence with Proven,
Non-Invasive Treatment
For many men, premature ejaculation is more than a brief inconvenience; it’s an ongoing concern that can impact intimacy, self-esteem and overall quality of life. When climax occurs sooner than desired, often within seconds or minutes, it can feel difficult to control and frustrating to manage. Common solutions like sprays or behavioural techniques may offer short-term support, but often fail to address the root of the issue, leaving many men unsure where to turn.
At MansMatters, we take a different approach. Our medically-led programme focuses on non-invasive premature ejaculation treatment using advanced pelvic technologies and practical neuromuscular retraining. We don’t just treat symptoms, we target the underlying physical and neurological patterns that contribute to early climax, helping restore lasting control and confidence.
Our Treatment Pathway for Premature Ejaculation
Many men living with premature ejaculation have tried topical products, numbing agents or behavioural advice, often with little long-term success. At MansMatters, we offer a completely different approach.
Our programme is medically directed and non-invasive, combining pelvic muscle rehabilitation with neuromodulation techniques designed to help re-train the ejaculatory reflex and improve control.
We focus on lasting physical change through advanced technologies, with no pills, no surgery and no one-size-fits-all plans.
Key components of our treatment:
- TESLA Chair: Magnetic stimulation that delivers thousands of pelvic contractions per session
TENS Therapy: Electrical stimulation to calm hypersensitive nerves - Pelvic Floor Rehabilitation: Strengthening the PC muscle and improving neuromuscular control
- Stop-Start Training: Awareness-based method for delaying climax
- One-to-One Clinical Support: Custom tracking and modification of your programme
- No Needles. No Medication. No Surgery.
What Is Premature Ejaculation?
Premature ejaculation (PE) is typically defined as ejaculation that occurs sooner than desired during sexual activity, often within one to three minutes of penetration, or sometimes even in a few seconds. While occasional PE is common, persistent or recurring episodes can significantly impact sexual wellbeing and relationship satisfaction.
PE is not simply psychological. In many cases, it’s linked to reflexive muscular patterns, pelvic floor dysfunction, or nerve hypersensitivity that develop over time. These involuntary processes are difficult to override without professional support, which is why a more structured, medically-directed treatment plan is often the most effective approach.
Types of Premature Ejaculation
Premature ejaculation can occur at different stages of sexual activity. For some men, it happens before penetration, which can leave both partners feeling unsatisfied. In others, ejaculation may occur shortly after penetration, often limiting the experience for both individuals.
In both primary and secondary PE, men often present with a weakened pubococcygeus muscle, which plays a significant role in controlling the ejaculatory reflex and the sensations leading up to orgasm. Strengthening this muscle through pelvic floor rehabilitation has shown promising results in helping men achieve greater control and confidence.
Primary Premature Ejaculation
This type of PE is typically lifelong and often shaped by psychological influences such as early sexual conditioning, upbringing, or past traumatic experiences. These factors can lead to the development of automatic ejaculatory responses and difficulty maintaining control during sexual activity. Primary PE is most commonly seen in men aged between 18 and 45.
Secondary Premature Ejaculation
Secondary PE tends to develop later in life and is often linked to underlying medical or lifestyle factors. These may include conditions such as diabetes, hypertension, or hyperthyroidism, as well as behaviours like alcoholism or recreational drug use.
These physical or chemical disruptions can interfere with the body’s normal ejaculatory function and contribute to the sudden or gradual onset of symptoms. Unlike primary PE, secondary PE is often responsive to targeted, non-invasive treatment once the contributing factors have been identified.
What Causes Premature Ejaculation?
There is no single cause of premature ejaculation. In most cases, it results from a combination of physical, neurological and behavioural factors. At MansMatters, we take time to understand your unique history, symptoms and contributing triggers. Common causes include:
- Reflexive overactivity in the ejaculatory muscles
- Weakness or poor coordination of the pelvic floor
- Nerve sensitivity or neuromuscular imbalance
- Psychological stress, anxiety or performance pressure
- Hormonal shifts or medical conditions
- Early sexual experiences that created fixed patterns
Our Multi-Modal Approach to PE Treatment
At MansMatters, we specialise in non-invasive treatment for premature ejaculation using a combination of pelvic muscle retraining and neuromodulation. Our protocols are evidence-led and designed to help men develop lasting control, not temporary suppression.
TESLA Chair (Functional Magnetic Stimulation)
A non-contact device that uses magnetic pulses to deliver up to 28,500 pelvic floor contractions per session. It specifically targets the pubococcygeus (PC) muscle, retraining it to better control the ejaculatory reflex.
TENS Therapy
Transcutaneous Electrical Nerve Stimulation (TENS) is used to help regulate the nerve pathways involved in ejaculation. It’s particularly helpful in managing hypersensitivity and restoring balance between muscle activation and nerve signals.
Pelvic Floor Training
Strengthening and coordinating pelvic muscles is central to ejaculatory control. Our protocols include both clinic-based technologies and home-based strategies to reinforce muscular awareness and improve voluntary control.
Stop-Start Method
A clinically recognised technique that helps men delay climax by identifying arousal thresholds and improving response through conscious control. Used in combination with physical therapies, it can be a powerful tool for long-term results.
Our treatment plans are built around each client’s presentation and response. We monitor your progress and adjust your programme as needed, ensuring the right technologies are matched to your goals.
Expected Results
Many men come to MansMatters after trying multiple approaches without success. Unlike one-size-fits-all methods, our technology-led, clinic-based treatment pathway is designed to retrain the body’s control systems and support sustainable outcomes.
Our clients often report:
- Improved ability to delay climax
- Greater control over physical sensations
- Reduced sensitivity and muscular tension
- More enjoyable and satisfying intimacy
- Renewed confidence in relationships and sexual activity
Even when symptoms have persisted for years, positive results are possible with the right approach.
Other PE Treatments
While our focus at MansMatters is on non-surgical, technology-led PE treatment, we understand that patients often explore multiple options before finding what works. Below is an overview of other common treatments for premature ejaculation available elsewhere.
Important: MansMatters does not provide surgical procedures or medications. This overview is for informational and educational purposes only.
Behavioural and Psychological Therapies
- Cognitive Behavioural Therapy (CBT): Targets performance anxiety or early conditioning.
- Mindfulness-based therapy: Helps with arousal regulation and present-moment awareness.
- Sex therapy: Often useful for couples navigating intimacy challenges linked to PE.
Topical Desensitising Products
- Creams, sprays, or gels containing numbing agents are applied to the penis before intercourse.
- Aim to reduce sensitivity and delay climax.
- Common side effects include loss of pleasure or transfer of numbing agent to partner.
- Not suitable for all and does not address the root cause.
Pharmacological Options
- Oral medication (SSRIs): Prescribed off-label to delay ejaculation.
- On-demand tablets: Taken before sexual activity to reduce the ejaculatory reflex.
- Side effects: Fatigue, loss of libido, headaches and nausea.
Surgical Procedures
These are rarely recommended as first-line treatment, but may include:
- Dorsal nerve surgery: Intended to reduce penile sensitivity. Carries a risk of permanent numbness or loss of function.
- Penile implants: Used in combination with cases of erectile dysfunction, not typically for PE alone.
- Glandular surgery: Alters sensitivity thresholds but is controversial and irreversible.
Alternative Devices and Wearables
- Condoms with numbing agents
- Vibratory stimulation tools for desensitisation
- Devices that restrict blood flow or pressure
Why Choose MansMatters for PE Treatment?
Premature ejaculation is often treated with generic advice or quick fixes, but at MansMatters, we take a more structured, physiological approach. Our team focuses on the muscle function, nerve pathways and reflex patterns involved in ejaculation, combining pelvic floor retraining with targeted neuromodulation.
The result is a personalised treatment plan that supports lasting control, built on clinical insight, not guesswork. If you’ve tried other methods without success, this is a space where PE is treated seriously, professionally and with the right tools for change.
FAQs
Frequently Asked Questions
About Premature Ejaculation
Premature Ejaculation (PE) is when a man ejaculates sooner than he or his partner would like, usually within a couple of minutes. It can lead to frustration or reduced sexual satisfaction. PE is extremely common, affecting around one in three men at some point. For some, it’s a short-term issue; for others, it can become a persistent problem that needs more targeted treatment.
Yes. At MansMatters, we focus on non-invasive treatments that retrain the physical and neurological pathways involved in ejaculation. Our approach does not rely on pills, sprays or numbing agents; instead, we use pelvic floor therapy and neuromodulation to support lasting control.
The most effective treatment depends on the underlying cause. For many men, a combination of pelvic floor muscle strengthening, nerve regulation and behavioural techniques offers the best long-term outcome. This multi-modal strategy forms the basis of our treatment pathway at MansMatters.
Treatment duration varies depending on the severity and cause of your symptoms. Most clients begin noticing improvement within a few sessions, with full treatment plans typically lasting several weeks. We tailor the timeline to your needs and monitor your progress throughout.
Your initial phone consultation is confidential and focused on understanding your symptoms, history and goals. We’ll explain how the treatment works, what to expect and whether our programme is right for you. There’s no obligation to proceed, just a chance to explore your options.
Certain pills may delay ejaculation, and these can be discussed during your free consultation. However, side effects like dizziness, nausea, diarrhoea, erectile issues and even hair loss are common. Some medications aren’t safe for men with heart conditions or over a certain age. While pills can help in the short term, they don’t address the root cause and may not be a sustainable option.
Delay sprays and wipes are fast-acting and affordable, but they can reduce sensation for both partners. Some men find that this impacts overall enjoyment. They also require some planning, which can interrupt intimacy or lead to uncomfortable conversations during foreplay. As a result, they’re not always ideal for spontaneous situations or long-term use.
Sex therapy may help if anxiety, stress, or relationship issues are contributing to PE. However, research on how effective it is remains limited, and success rates vary. PE is the most commonly discussed sexual issue in US therapy settings, but outcomes can be hard to measure. It may be useful when combined with other physical treatments or behavioural techniques.
Yes, the Stop-Start Method is a common technique used to delay ejaculation by pausing stimulation before climax and restarting once the urge subsides. Another option is the Squeeze Technique, which involves applying gentle pressure to the penis to reduce arousal. Both methods require consistent practice and work best alongside physical therapies or pelvic floor training.
These methods have shown positive outcomes for some men, especially when practised regularly. In our clinic, we’ve seen improvements when clients commit to the routine. However, there’s little high-quality research confirming how effective each method is overall. They’re best seen as part of a broader treatment plan, rather than a guaranteed standalone solution.
A TENS machine delivers electrical stimulation directly to the penis and may help when combined with Functional Magnetic Stimulation and pelvic floor training. However, it’s not suitable for everyone, especially those on certain medications or with medical conditions. It’s important to consult a doctor first to check if TENS therapy is appropriate and safe for you.
Selective Dorsal Neurectomy (SDN) is a surgical option aimed at men with lifelong PE who haven’t responded to other treatments. It involves cutting specific nerve branches in the penis to reduce sensitivity. While some surgeons may offer it, it’s invasive, carries risks and should only be considered when all other non-surgical treatments have failed.
Cryoablation and radiofrequency therapy both target the nerves involved in ejaculatory control. Cryoablation freezes the dorsal penile nerve, while radiofrequency uses heat to reduce sensitivity. Both are performed under local anaesthetic and may be considered for chronic PE cases. However, these are invasive options and are typically only offered when non-surgical methods haven’t worked.
Some clinics offer Hyaluronic Acid (HA) gel injections into the penis to reduce sensitivity and delay ejaculation, with results said to last up to five years. However, side effects may include swelling, bruising and visible bumps where the injections were placed. We recommend exploring less invasive, lower-risk options before considering this type of treatment.
The Inner Condom Technique uses a surgically placed implant to reduce penile sensitivity and prolong intercourse. While it’s an innovative idea, the procedure is still relatively new, and complications are still being reported, such as breakage or irreversible outcomes. Once the implant is in place, it cannot be removed, so we typically advise patients to explore safer, non-invasive therapies first.
The Tesla Chair uses Functional Magnetic Stimulation (FMS) to deliver electromagnetic pulses to the pelvic area. These pulses target the nerves and muscles involved in ejaculation control, helping to strengthen the pelvic floor and improve ejaculatory timing. Though still relatively new, this treatment has helped many men overcome both Erectile Dysfunction and PE after failing with other approaches.
Kegel exercises, developed in the 1940s to address urinary incontinence, are now widely used to improve sexual function. By strengthening the pelvic floor muscles, Kegels can enhance control over ejaculation and reduce PE symptoms. When combined with advanced tools like the Tesla Chair or FMS, results can be faster and more noticeable than through exercises alone.
Functional Magnetic Stimulation (FMS) generates targeted magnetic pulses that cause pelvic muscles to contract and strengthen without physical contact. These pulses penetrate skin, clothing and soft tissue, activating deep muscle fibres involved in ejaculation control. FMS offers a comfortable and effective option for men seeking a non-invasive way to manage premature ejaculation and improve pelvic floor function.
Premature Ejaculation can be either temporary or chronic. Many men experience it during periods of stress, illness, or emotional difficulty, while for others, it’s a longer-term issue. The good news is that PE is highly treatable. With the right combination of medical support, therapy and physical training, most men can achieve lasting improvement or resolution of symptoms.
Yes, anxiety is one of the most common psychological contributors to Premature Ejaculation. Stress, performance pressure and overthinking during intimacy can all interfere with your ability to control ejaculation. In many cases, managing anxiety (either through therapy, stress-reduction techniques, or medical support) can significantly improve ejaculatory control and overall sexual satisfaction.
You should consider seeking professional help if Premature Ejaculation is causing distress, impacting your relationship, or reducing sexual satisfaction. Early intervention can help you avoid unnecessary frustration and explore a range of effective treatment options, many of which are non-invasive and easy to integrate into your daily routine.
Pelvic floor exercises target the muscles involved in controlling ejaculation. By strengthening these muscles, you can gain better voluntary control over your ejaculatory reflex. Practising Kegels consistently can help delay ejaculation, especially when combined with other therapies like Functional Magnetic Stimulation or the Tesla Chair for enhanced results.
Results can vary between individuals, but many men notice improvements in ejaculation control within a few weeks of consistent training. However, full benefits may take longer depending on your baseline muscle strength. Using a structured programme such as the one offered at MansMatters (capable of delivering over 28,000 targeted contractions in a 30-minute session) can accelerate your progress significantly.
Yes, pelvic floor exercises offer a range of sexual health benefits beyond improving Premature Ejaculation. They can enhance erection quality, boost stamina, improve orgasm control and even increase pleasure for both partners. As part of a broader sexual wellness routine, they’re a simple but powerful tool for long-term improvement.
Suffering from
Premature Ejaculation?
If PE is affecting your confidence or your ability to enjoy sex, you’re not alone, and you’re not out of options. Our personalised, medically-directed treatments are designed to help men regain control and restore their sense of sexual wellbeing.
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