Treatment
Premature Ejaculation
Filler placed in the head of the penis reduces sensitivity, which for some men delays ejaculation. Reversible, and dose-dependent.
The mechanism
Why filler can help.
The glans is the most sensitive part of the penis. Placing hyaluronic acid filler beneath the skin of the head increases the distance between the surface and the nerve endings, which reduces sensation. In larger doses that reduction is enough to delay ejaculation for many patients.
Dose-dependent
Typically 6 ml or more, usually placed across two or three sessions rather than all at once.
Reversible
If sensitivity drops further than you want, the filler can be dissolved.
Not permanent
The effect fades as the filler resorbs, over roughly one to two years.
Not for everyone
Premature ejaculation has psychological and neurological causes too. Filler addresses sensitivity only.
This is an off-label use of dermal filler. Discuss it honestly with your physician, including the alternatives — topical anesthetics, behavioral techniques and prescription options may suit you better.
The most common ejaculation problem
How long is normal?
There is no fixed definition of how long ejaculation should take. Some couples are perfectly satisfied with a shorter encounter; for others it becomes a real source of tension.
One widely cited study measured the average time to ejaculation during intercourse at 5.5 minutes (Waldinger et al.). If you regularly last considerably less than that, or your partner has said they would like you to last longer, treatment is worth discussing.
What causes it
Psychological: depression, relationship anxiety, general anxiety, or a habit of ejaculating quickly — often formed during masturbation — that carries into the bedroom.
Physical: an unusually sensitive glans, prostate or thyroid problems, or recreational drug use.
Two routes
Effective treatments.
Filler to the glans
Hyaluronic acid filler — the same class of product used in facial aesthetics — is injected into the head of the penis to reduce sensitivity for the life of the filler, typically 12 to 18 months in this area. A side benefit is a larger glans from the added volume.
The volume needed varies between patients, but is usually more than 6 ml. No surgery is involved: numbing cream is applied to the end of the penis, then the physician injects the filler while you lie back.
Patients describe the result as feeling more natural than numbing cream. It is also adjustable in both directions — more filler can be added to reduce sensitivity further, or the filler dissolved with hyaluronidase if the reduction goes too far. See glans enlargement for the same treatment used for size rather than sensitivity.
Two things to understand before choosing this.
Patients seeking glans augmentation for size alone should know that hyaluronic acid injections can reduce sensitivity as a side effect. In most cases that is reversible by dissolving the filler.
If you are uncircumcised, adding volume to the glans may make the foreskin harder to retract, with a risk of phimosis — difficulty retracting the foreskin when cleaning, which can lead to infection.
Topical numbing cream
A lidocaine-based anaesthetic cream applied to the glans reduces sensation so you last longer. It is the same preparation used to numb the skin before filler treatment, and is available over the counter in the United States without a prescription.
It works, and it is inexpensive. The trade-off is that the sensation is often described as blunted rather than natural, and it must be applied before every encounter.
Individual results vary from person to person.
Book your consultation.
Discreet, physician-led care at ten clinics across the United States.
About this page
Last reviewed on 30 July 2026.
Medically reviewed by Dr Gary Horn — founder of Androfill, consultant plastic and reconstructive surgeon and uro-andrologist, GMC 4267803.
General information only, not a substitute for a consultation. Individual results vary from person to person.