One of the most followed urologists in the world, with 7 million followers British Board Certified in Urology and Andrology First Arab physician to receive the FGPS Fellowship from SUPS Recipient of the Century Award from Coloplast Over 3,000 penile implant surgeries performed One of the most followed urologists in the world, with 7 million followers British Board Certified in Urology and Andrology First Arab physician to receive the FGPS Fellowship from SUPS Recipient of the Century Award from Coloplast Over 3,000 penile implant surgeries performed
Saturday to Wednesday, 8 AM – 6 PM | Al Abdali Hospital, Amman
Al Abdali Hospital, Amman · Sexual Medicine & Andrology Unit

ZIMAM: Premature Ejaculation Treatment in One Session — Because You Should Hold the Reins, Not Be Held by Them

Three minutes before intercourse spent timing the pill. A numbing spray that reaches your partner too. A marital moment turned into a medical routine.

Zimam ends this cycle at its root: a non-surgical procedure using precise local cooling that resets the sensitivity of the nerve responsible for premature ejaculation — one session, thirty minutes, no surgical incision, no hospital stay — and control comes back to you, automatically, with no preparation needed each time.

With Dr. Yaman Al Tall — the first consultant in Jordan to hold the European Fellowship in Sexual Medicine (FECSM) — it doesn’t start with the device, but with a diagnosis that determines whether you’re actually a suitable candidate. Because the real success rate is made in patient selection, not in the session itself.

FECSM — Sexual Medicine (UEMS) FRCS (Urol) — United Kingdom FGPS 2026 — SUPS Assistant Professor — The Hashemite University
Why Who Performs Your Zimam Matters

The Device Can Be Bought. The Decision of Who Benefits From It Can’t.

Premature ejaculation is a diagnosis in sexual medicine before it’s a procedure. The FECSM fellowship is the recognized European credential in this exact subspecialty.

We decline to perform Zimam on patients who don’t meet the selection criteria. That’s not marketing — it’s the actual reason behind the results.

30 minutes
Total in-office session time
One session
Sufficient for most cases
Zero
Surgical incisions · zero hospital stay
[88%]
Noticeable improvement in suitable candidates
First: Understand Your Case Before Buying a Solution

Not All Premature Ejaculation Is the Same — So No Single Treatment Fits Everyone

Per the International Society for Sexual Medicine (ISSM) definition, premature ejaculation is diagnosed by three elements together: ejaculation that always or nearly always happens within about one minute of penetration in the lifelong type, or within about three minutes in the acquired type; an inability to delay it; and a clear psychological or relationship impact such as distress or avoidance of intercourse.

This classification isn’t academic luxury — it’s what determines the treatment. The lifelong type is often neurological in origin, and that’s where Zimam makes sense. The newly acquired type may be masking erectile dysfunction pushing the man to rush involuntarily, prostatitis, or a thyroid disorder.

Anyone who sells you the procedure without classifying your case first is selling you a chance, not a treatment.

What We Look For During Evaluation

  • Excess sensitivity of the dorsal sensory nerve — the most common origin in the lifelong type
  • Accompanying erectile dysfunction hiding behind a premature ejaculation complaint
  • Prostatitis or urethritis
  • Hyperthyroidism
  • Performance anxiety or relationship tension

We measure ejaculation time (IELT) and use the PEDT questionnaire before and after the procedure. What isn’t measured can’t be compared — and no one can promise you a result without measuring the starting point.

Second: The Technique

What Is the ZIMAM Technique and Exactly How Does It Work?

Zimam is a calibrated local cooling technique that targets the sensory fibers responsible for excess sensitivity. Instead of numbing the surface of the penis with a chemical before every act of intercourse, we address the source of the nerve signal itself using controlled, precise temperatures, raising the ejaculatory threshold and restoring voluntary control.

Three things do not happen with Zimam, and we say this plainly because patients ask every week: no permanent nerve cutting. No excision. No irreversible anatomical change. The effect is modulatory and gradually reversible — and that’s exactly what makes it safe. You’re not trading premature ejaculation for loss of sensation; you’re resetting the threshold to a normal level, not to zero.

The name was chosen carefully: in Arabic, “Zimam” is what you hold to steer, not what steers you. That is, literally, the treatment goal.

Table 1 — Zimam vs. Traditional Premature Ejaculation Treatments
CriterionNumbing Creams & SpraysDelay PillsZIMAM Technique
When to use itBefore every act of intercourseDaily or before every act of intercourseOne session for most cases
Spontaneity of intimacyLost — needs preparationLost — needs timingFully preserved
Effect on partnerNumbing agent may transferNot applicableNot applicable
MechanismSurface numbing of sensationSystemic drug effectPrecise local modulation of nerve sensitivity
Daily commitmentOngoingOngoingNot required
ReversibilityEnds when intercourse endsEnds when the dose wears offGradually fades without permanent nerve change
Position in the evidence baseEstablished first-line treatmentEstablished first-line treatmentA modern option for carefully selected cases
If the cause is erectile dysfunctionDoesn’t treat the causeDoesn’t treat the causeDeferred until erectile dysfunction treatment first

Scroll the table sideways to see all columns on mobile.

Notice the last two rows. We don’t dismiss medication — we place every option in its correct spot, and defer Zimam if the real cause is something else. That’s the difference between a physician’s page and an advertisement.

Third: Are You a Candidate for Zimam?

Selection Criteria — With Full Honesty, Including Who We Tell “Not Right Now”

The biggest mistake in treating premature ejaculation isn’t choosing the wrong technique — it’s applying the right technique to the wrong patient. Here’s the criteria as we actually use it in clinic:

Likely a Suitable Candidate If You

  • Have had lifelong premature ejaculation since the start of your sexual life, of sensory origin
  • Have tried pills or sprays without a satisfactory result — or don’t want to rely on them permanently
  • Have healthy erectile function, or it’s controlled with treatment
  • Want a single solution that doesn’t require planning before every act of intercourse
  • Are looking for a long-term effect without a daily medication commitment

We Request Further Evaluation First If You Have

  • Accompanying erectile dysfunction — treated first, and many cases no longer need Zimam afterward
  • Newly acquired premature ejaculation — we first look for a hormonal or inflammatory cause
  • A predominant psychological factor — a behavioral or medication pathway may fit better
  • Active local inflammation or a skin condition needing treatment first
  • An uncontrolled hormonal disorder
In our clinic we decline to perform Zimam on patients who don’t meet the selection criteria, and we explain why and what the alternative is. Declining is part of the treatment, not a lost patient. — Dr. Yaman Al Tall — FRCS (Urol), FECSM
Fourth: Your Journey Step by Step

Exactly What Will Happen — No Surprises

1

Evaluation

Medical history, classifying the type of premature ejaculation, an erectile function exam, and tests when needed. The starting point (IELT / PEDT) is recorded.

2

The Session

Local anesthesia, then calibrated cooling of the target nerve. About 30 minutes, no incisions, no stitches.

3

Same Day

You return home and to work. No hospital stay, and no notable recovery period in suitable cases.

4

Follow-Up

A follow-up visit within 3 weeks to measure improvement against the starting point, then remote follow-up for patients from the Gulf.

Fifth: What to Expect

Results in Numbers — From Our Own Records, Not From an Ad

  • When improvement starts: Most patients notice it from the first act of intercourse after the session.
  • When the result is complete: It becomes clear gradually over the first three weeks as the nerve adapts.
  • Degree of improvement: [X-fold — from ~1 minute to ~Y minutes] in suitable candidates, from data on [number] documented cases.
  • Duration of effect: [Duration], fading gradually rather than suddenly, with the possibility of re-evaluation and repeating the procedure.
  • Sensation and erectile function: Unaffected when candidacy is correctly determined — the goal is normalizing sensitivity, not eliminating it.

We update these figures from our actual case records, and they are not a promise for every patient; individual variation exists. Any figure we cannot document, we do not publish.

What Does Zimam Treatment for Premature Ejaculation Cost?

Table 2 — Indicative Cost of a Zimam Session in Jordan
ItemWhat’s IncludedPrice
Zimam sessionEvaluation + procedure + 3-week follow-upStarts from [Price] JOD
Approximate equivalentBased on the exchange rate on the day of payment[$] · [SAR] · [KWD]
If erectile dysfunction is foundA separate treatment plan is discussed first — see erectile dysfunction treatment optionsDetermined after evaluation

Prices are indicative and confirmed after consultation. No hidden fees.

Sixth: Why Dr. Yaman Al Tall

Verifiable Credentials, Not Titles

Ask any physician offering you a procedure: where can I verify this? If the answer has no independent link, it isn’t an answer. Here are our credentials and their sources:

Table 3 — Dr. Yaman Al Tall’s Credentials and Independent Verification Sources
CredentialWhy It Matters Specifically for Premature EjaculationIndependent Verification
FECSM — European Fellowship in Sexual Medicine (UEMS) Premature ejaculation is a sexual-medicine diagnosis before it’s a procedure — and he’s the only physician in Jordan with this credential. Official profile — Emirates Hospitals
FRCS (Urol) — Royal College of Surgeons, United Kingdom A full British surgical background enabling precise diagnosis and exclusion of accompanying erectile dysfunction. Official profile — Al Abdali Hospital
FGPS 2026 — SUPS, first Arab physician The highest certification in male genitourinary prosthetic surgery — meaning the definitive solution is available if the cause is erectile dysfunction. Official Fellows list · Jordan News Agency (Petra)
Coloplast Center of Excellence + Century Award An internationally certified clinical structure for men’s health, not a single-procedure clinic. Al Dustour newspaper (Arabic)
Assistant Professor — The Hashemite University A practice taught to physicians, not just marketed to patients. Academic Qualifications & Credentials
7 million followers — the largest Arabic platform for men’s health education Thousands of questions about premature ejaculation monthly: we know what concerns Arab patients before they even walk into the clinic. Instagram · YouTube

Every credential above can be verified directly from its original source — click the link.

Questions Patients Ask Before Booking

Frequently Asked Questions About Zimam and Premature Ejaculation

A non-surgical, in-office procedure using calibrated local cooling of the sensory nerve responsible for excess sensitivity, aiming to raise the ejaculatory threshold without cutting the nerve or losing sensation. It’s performed under local anesthesia in a single session lasting about 30 minutes.

No. Zimam is suitable for premature ejaculation of sensory-neurological origin. Cases linked to erectile dysfunction, a hormonal disorder, or a predominant psychological factor need a different path — which is why everything starts with evaluation, not the device.

It’s performed under light local anesthesia in the clinic, with no surgical incisions and no stitches, and most patients describe the sensation as far less than they expected. You leave the same day.

The goal is normalizing excess sensitivity to a normal level, not eliminating it. The procedure doesn’t cut the nerve or touch the erection mechanism, and its effect is gradually reversible.

No. The effect fades gradually and slowly, not on a specific cut-off day. At that point we re-evaluate, and the procedure can be repeated if needed since it doesn’t cause a permanent change in the nerve.

It starts from [Price] Jordanian Dinars, including the evaluation, the procedure, and follow-up, and is confirmed after consultation. The table above shows the approximate equivalent in USD, SAR, and KWD.

Usually two days: one day for the evaluation and session, and one day for the follow-up visit before traveling back. Later follow-up is coordinated via WhatsApp or a video call after you return home.

Sprays temporarily numb the surface before every act of intercourse and can transfer to the partner, and pills work systemically and require commitment and timing. Zimam modifies the sensitivity of the nerve itself in a single session, preserving the spontaneity of intimacy. That said, medication remains an established first-line treatment for those it suits.

No — the two are completely different problems. Zimam treats the nerve sensitivity causing premature ejaculation. Erectile dysfunction has its own independent treatment path that starts with medication and can extend to a penile implant in advanced cases. If both problems exist together, we set priorities during the consultation.

Start With an Evaluation, Not a Decision

Send your case in complete confidence. Dr. Yaman Al Tall’s team replies within hours, and tells you honestly: is Zimam the right option, or is there another cause that should be treated first? The consultation doesn’t commit you to anything.

Al Abdali Hospital, Al Istethmar Street, Amman · Saturday–Wednesday 8 AM – 6 PM · Complete confidentiality

Medically reviewed by: Dr. Yaman Al Tall — Consultant Urologist and Andrologist, FRCS (Urol), FECSM, FGPS. Last updated [Date]. The information on this page is educational and does not replace a direct medical consultation.