Premature Ejaculation Therapy in Tyler, TX

What is Premature Ejaculation?

Premature ejaculation (PE) is the release of semen during orgasm in men before he desires to do so. It is extremely common and can be quite stressful on the man and his partner. It has been reported to occur in 1 out of 3 men aged 18-59. Unfortunately, this can lead to embarrassment, depression, frustration, and overall dissatisfaction with sexual relations. Surprisingly, this is the most common type of sexual dysfunction in men, not erectile dysfunction. According to the American Urology Association guidelines 2020 (AUA), a new and simpler definition was established, stating that PE was a poor ejaculatory control and ejaculation within approximately 2 minutes after the start of penetrative sex. However, the majority of men appear to have ejaculation within 30-60 seconds. This can be categorized as “recently acquired” when previously was normal. Or it could be a “life-long” issue due to a hydroxytryptamine peripheral nerve hypersensitivity. But the exact cause is unknown.

Dr. R. Clay Williams has over 10 years of experience and specializes in treating premature ejaculation. Schedule an appointment at our urology clinic in Tyler, TX today by calling (903) 262-3900.


Potential Causes of Premature Ejaculation

      • Low serotonin or dopamine

      • Depression, anxiety, stress

      • Unrealistic expectations about sex

      • Lack of confidence

      • Relationship problems

      • Age
    man stressed premature ejaculation

    What are the Treatment Options?

    Psychological Therapy

    Seeking the guidance of a mental health provider allows for discussions on relationships and experiences, aiding in the reduction of performance anxiety and effective stress coping. 

    Combining counseling with drug therapy is often the most beneficial approach. For those facing premature ejaculation, it can strain the emotional closeness with a partner, leading to feelings of anger, shame, and withdrawal. 

    Open communication and seeking help through relationship counseling or sex therapy can be crucial in addressing and resolving these challenges.


    Behavioral Therapy

    The Start-Stop Method

    You and your partner stimulate your penis close to the point of orgasm then stop stimulation for about 30 seconds until you regain control of your response. Repeat this “start and stop” approach 3-4x before allowing yourself to orgasm. Continue to practice this method until you gain control.

    The Squeeze Method

    You and your partner stimulate your penis to the point of orgasm then gently squeeze the head of your penis for 20-30 seconds so that your erection begins to fade. Repeat this a few times before having an orgasm; continue to practice this until you gain control in delaying your orgasm.


    This is the practice of purposeful stimulation to the point of Ejaculation before stopping and starting again. Usually this is performed with the aim to extend and intensify sexual enjoyment; however, this can help with premature ejaculation as well.

    Distracted Thinking

    Thick Condoms

    Medical Therapy

    Dapoxetine (30-60mg, 1-3 hours prior to sex)

    • Sertraline, Fluoxetine, etc. (serotonin reuptake inhibitors)
    • Clomipramine (tricyclic antidepressant)

    Topical Numbing Creams and Sprays


    Restorative & Enhancement Therapy

    Novel technique injecting hyaluronic acid (HA) dermal filler, a naturally occurring substance in our bodies, appears to have long-lasting results; and studies have shown delayed ejaculations from 30-50 seconds to 4-5 minutes or more.

    Schedule a Premature Ejaculation Treatment Appointment in Tyler, TX

    Dr. William’s goal is to help you obtain and maintain the level of sexual satisfaction you desire. Our desire is to provide stronger, more durable erections, and hopefully provide a longer lasting, satisfying sexual experience! Additionally, options such as  Penile Botox injections, the P-shot/Priapus Enhancement Exosome Therapy, and even UroFill treatments can be given at the same time. Schedule a consultation at our urology clinic in Tyler, TX today by calling (903) 262-3900.