Can any other procedures be done for male genitalia at the same time?

Yes, our expert provider also performs botox on the scrotum to smooth the rugae or ridges for patients who prefer smoother skin. Some patients also choose Steeyl© male girth enhancement, but this is done two weeks after the bull-tox™ appointment to maximize results. To schedule a consultation with our Rochester provider and find the best treatments for you, please call our office at (248) 413-5835.

Premature Ejaculation Treatment | Medspa in Rochester, MI

Restore Confidence, Reclaim Intimacy

Premature ejaculation can create stress, frustration, and uncertainty. If intimacy has begun to feel discouraging or unpredictable, you deserve a private, compassionate place to explore real solutions for men’s intimate health. At Front Door MedSpa®, a top medical spa in Michigan, modern intimate wellness care merges with an inviting environment that feels safe, discreet, and centered around your comfort.

Our approach for patients in Chesterfield,Waterford, and Shelby Townshipuses a combination of advanced regenerative PRP therapy (the P-Shot) and targeted neurotoxin injections to promote better control, improved satisfaction, and renewed confidence. If you’ve been looking for straightforward guidance and supportive care, you’re in the right place.

Discover Local, Connected Care at Front Door MedSpaA Unique Look at the Front Door MedSpa® Experience: Local, Connected, Community-Rooted

Instead of a generic medical setting, Front Door MedSpa®has built a reputation in Rochester for offering an environment of a high-quality wellness destination with the warmth of true local care. Our brand identity revolves around being the medspa that genuinely belongs to the community.

Two Convenient Front Door MedSpa® Locations

Front Door MedSpa® makes care accessible with two convenient locationsserving the greater Rochester, MI area. Patients can visit us at our Rochester, MI office at 211 Walnut Blvdor our auxiliary office at 4986 Adams Rd, Suite A-1. Each space delivers the same inviting atmosphere, discreet environment, and modern medical aesthetics experience our brand is known for.

What Premature Ejaculation Really Feels Like for Men

Premature ejaculationcan affect physical confidence, emotional well-being, and relationship harmony. It may trigger feelings of frustration, embarrassment, avoidance, or worry that intimacy will lead to disappointment. Many men even say they’re afraid to initiate, fearing a lack of control. Early ejaculation is a common concern and may require a comprehensive evaluation.

Types of Ejaculatory Disorders

There are two main types of ejaculatory disorder related to PE: lifelong premature ejaculation, which starts with a man’s first sexual experiences and persists throughout life, and acquired premature ejaculation, which develops after a period of normal sexual function.

Lifelong PE is often more severe and may require specialized treatment, while acquired PE can be linked to medical or psychological changes. Both are considered forms of ejaculatory disorder but have different underlying causes and may respond to different treatment approaches.

Diagnosing and Treating Premature Ejaculation

PE is extremely common, affecting thirty to forty percent of men, and extremely treatable — particularly when addressed with modern regenerative medicine and neuromodulator approaches. At Front Door MedSpa®, men receive private wellness visitsand science-forward care in a supportive setting designed for comfort from start to finish.

A detailed sexual history is important for understanding the underlying causes and tailoring treatment for premature ejaculation. Both pelvic floor muscle exercises and electrical stimulation therapies potentially enhance the control over ejaculatory reflexes, offering additional avenues for managing this condition.

What Causes Premature Ejaculation?

Premature ejaculation (PE) can result from a combination of physical, psychological, and lifestyle factors. Understanding the underlying causes helps men address the condition more effectively.

Nervous System Sensitivity:Some men have heightened penile nerve sensitivity, which can trigger rapid arousal and ejaculation before they intend. Treatments like neurotoxin injections often target this overactive response.
Hormonal Imbalances:Fluctuations in testosterone or other hormones can influence performance, arousal speed, and ejaculatory control.
Psychological Factors:Stress, anxiety, depression, or performance-related pressure can contribute to PE. Emotional tension often accelerates the ejaculation reflex.
Medical Conditions:Conditions such as prostatitis, thyroid issues, or diabetes may increase the risk of premature ejaculation. Addressing underlying health concerns can improve outcomes.
Relationship and Behavioral Factors:New relationships, irregular intimate activity, or lack of communication with a partner may increase performance anxiety and trigger PE.

Behavioral Techniques for Premature Ejaculation

Behavioral strategies can be an important part of managing premature ejaculation, complementing treatments like sex therapy, P-Shot, and neurotoxin therapy. These techniques focus on improving control, reducing anxiety, and enhancing intimacy.

The Stop-Start Method: This technique involves stimulating the penis until you feel close to climax, then pausing until the urge diminishes. Repeating this cycle helps train your body to recognize and regulate sensations.
The Squeeze Technique: By gently squeezing the head or base of the penis just before ejaculation, men can temporarily reduce arousal, extending the duration of intercourse.
Mindfulness and Relaxation: Practicing deep breathing, meditation, or focused attention during sexual activity can reduce performance anxiety and help maintain control. Pelvic floor muscle training can also help with premature ejaculation during sexual intercourse.
Communication With Your Partner: Openly discussing sexual preferences, pacing, and comfort levels creates a supportive environment, reducing stress and improving satisfaction for both partners.

When combined with medical treatments offered at Front Door MedSpa® in Rochester, MI, these behavioral techniques can reinforce physical improvements, giving men practical tools to regain confidence and intimacy. Call 248-237-8772 today to learn more.

Modern Treatment of Premature Ejaculation: Combining the P-Shot With Neurotoxin Therapy

The P-Shot: Regenerative PRP for Better Blood Flow and Sensitivity Support

The P-Shot (Priapus Shot)uses platelet-rich plasma (PRP), derived from a small sample of your own blood, to deliver concentrated growth factors into specific areas of the penis. PRP has been widely used in aesthetic medicine and intimate wellness due to its ability to support circulation, nerve health, and tissue quality. Many patients choose the P-Shot for PE due to its potential effects on:

Improved blood flow, supporting stronger function
Reduction of hypersensitivity, a core contributor to PE.
Support for tissue healing, especially for men with long-standing performance concerns
Enhanced orgasm control, due to improved nerve balance

Neurotoxin Injections (“Botox”) for PE: A Strategic Approach to Ejaculatory Control

Neurotoxin injections using botulinum toxin (Botox)work differently from PRP. Rather than targeting regeneration, they influence muscular activity in the pelvic region. Specific muscles involved in the ejaculatory response may contract too quickly or too forcefully during arousal.

Benefits of this treatment include:

Calmer muscular activity during stimulation
More controlled arousal response
Reduced involuntary contractions
Improved duration before ejaculation

Neurotoxin therapy is aimed at delaying ejaculation and helping men achieve satisfactory ejaculation control.

Why This Combined Treatment Is Resonating With Men in Rochester, MI

Many treatments for premature ejaculation focus on numbing creams, medications, or behavioral strategies that may or may not feel satisfying. The combination used at Front Door MedSpa® blends physical rejuvenation with neuromuscular control, giving many patients a more comprehensive pathway toward desired intimacy.

This PE treatment option appeals strongly to men who want:

A natural approach supported by their body’s own growth factors
A discreet setting with a familiar medical aesthetic environment
A non-surgical route
A science-based plan that aims for improvements beyond temporary numbing

Intimate Health Products

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Frequently Asked Questions

The effects of the two components differ. The regenerative benefits of the P-Shot can last many months or longer, supporting tissue health. The effects of the neurotoxin (Botox) are temporary, typically providing an increase in control for approximately three to six months. Patients often choose to repeat the neurotoxin injection periodically to maintain the desired level of control.

We prioritize patient comfort. The procedure involves a potent local anesthetic applied to the area before the injections are administered. This significantly numbs the area, ensuring the treatment is quick and comfortable, minimizing pain during injection.

The neurotoxin is injected specifically into the musclesinvolved in the ejaculatory reflex, not the nerves responsible for sensation or the vascular tissue responsible for erection. The goal is only to modulate muscle contraction to improve control. Patients typically experience no negative impact on sensation or erectile function.

We recommend avoiding strenuous activity and intercourse for a short period, typically 24 to 48 hours, to allow the injection sites to heal and to maximize the effect of the neurotoxin. Your provider will give you specific post-treatment instructions based on your individual recovery profile.

Comfortable, Private Visits to Our Welcoming Medspa Near You

Taking the step to seek treatment is a courageous act of self-care and a commitment to your relationship. At Front Door MedSpa®, we are here to provide the most advanced, confidential options available. If you live in Rochester, or the surrounding communities of Troy,Auburn Hills, or Shelby Township, and are ready to discover how our combined PE treatment can help you reclaim spontaneity and confidence, we invite you to reach out.

Your journey toward greater intimate health begins today. Call our Rochester medspaat 248-237-8772to schedule your private consultation.

Men’s Quizzes

The Sexual Health Inventory for Men, or SHIM, is a nationally recognized evaluation of erectile dysfunction and the Intimacy Confidence Quiz is a Front Door Medspa® evaluation tool used to aid in diagnosis and treatment for men seeking intimate health procedures.

These evaluations are required for all male patients getting intimate health treatments and help us dose medication, evaluate any other modalities which may be required as well as help us assess the likelihood of successful outcomes.