About premature ejaculation (PE) and ways to treat it
Premature ejaculation is when climax occurs earlier than you or your partner would like, often within 1 minute of starting to have sex. It's characterized by an inability to delay orgasm to the extent that it causes bother or frustration to the patient and/or their partner.
PE is very common: 1 in 3 men have the condition. While occasional PE might not be a bother for some men, if it persists, it can be a reason to seek treatment.
There are a few reasons a person may be dealing with PE, ranging from physical factors (like extreme sensitivity in the head of the penis) to psychological factors (like anxiety).
One of the problems with diagnosing and treating PE is that, until recently, there has not been agreement on its definition. Plus, there's no set "time to ejaculation" that defines PE.
If you feel you ejaculate too quickly during sex, or even foreplay, treatment may be appropriate for you.
The good news is that premature ejaculation can be treated. Through Ro’s 100% online process, we can help you find prescription or over-the-counter treatments that help you regain control of your sex life and last longer in bed. We offer prescription medication that’s been shown to help men last up to 5x longer in bed, as well as over-the-counter wipes that help you keep going for up to 4x longer!
Some men see immediate results, but for many it takes time. Some may need to try a few different methods before finding the right solution.
PE treatment options
When it comes to prescription treatment for premature ejaculation, there are no FDA-approved medications. The Rx medications below can be prescribed “off-label” by a licensed medical provider if they believe it’s appropriate for a particular patient.
Roman Swipes
4% benzocaine wipes
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Don’t think prescription treatment is right for you? We also offer fast-acting, simple-to-use swipes that can make you last up to 4x longer after 2 months. Learn more about Swipes.
Sertraline
Generic Zoloft
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Sertraline can be prescribed off-label to be taken as a daily oral pill. It can increase the time it takes for men to climax by 5x. Learn more about sertraline.
Sertraline carries a Black Box Warning, requires a prescription, and is prescribed off-label for PE.
Sildenafil
Generic of Viagra
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Sildenafil is commonly prescribed for erectile dysfunction (ED), and your provider may recommend its use if you have both ED and PE. Learn more about sildenafil.
Genuine PE treatment, delivered to your door
88% of patients saw improvements*
"The process was easy, the product is discreet, and let me tell ya parties on both sides of the aisle were singing from the same song sheet."
Roman member
"Great service, I always get my prescription fast."
Roman member
"Just wanted to say how affordable and easy using Roman has been. Very happy with the outcome and the medication."
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These members were compensated for their testimonials
*With continued use, 88% of participants using benzocaine wipes were no longer considered to have PE (defined as >2 min time to ejaculation) at the end of two months (Shabsigh, 2019).
Frequently asked questions about premature ejaculation
How does prescription PE treatment work with Roman?
Roman is a telemedicine company that provides a discreet, convenient, and affordable way for you to receive PE treatment from a doctor or nurse practitioner—all without leaving the couch. Roman Swipes are available for purchase directly from the website as an over-the-counter (OTC) product that does not require a prescription. If you are interested in prescription treatment, it starts with an online visit. The online visit will ask you about your symptoms, your medical history, and other basic information. You'll also be asked to upload a photo of your ID to verify your identity. Then, a doctor or nurse practitioner will determine if PE treatment through Roman is right for you.
Is PE medication effective?
Although no single treatment works for everyone, most men can be treated successfully. There are multiple oral medications, topical therapies, and other techniques that can be used alone or in combination with one another. Some people see immediate results, but for many men it takes some time before results are apparent. Some may find they need to try a few different methods before finding the right solution. If things don't go as planned or if you experience an adverse side effect, don't give up. You have options and we are here to help you find the best solution.
Why is ED medication sometimes prescribed for PE?
There are many possible causes of PE, ranging from physical causes to psychological causes. Although it may seem odd to get prescribed ED medication for PE, some studies have shown that it can be effective. There are a few reasons ED medication might help:
ED medication can help relax the smooth muscles of organs involved in ejaculation
ED medication can affect the nervous system in ways that may delay ejaculation
ED medication may decrease the sensitivity of the penis
ED medication can prolong the duration of an erection, increasing confidence, the perception of ejaculatory control, and overall sexual satisfaction
ED medication can make it easier to get a second erection after ejaculation
Some patients may also have coexisting ED and PE. For these patients, it is recommended ED get treated first, to see if it has beneficial effects on PE.
What are the non-prescription options for treating PE?
Your doctor or nurse practitioner may recommend a combination of medication and behavioral therapy tips to deal with PE. No two people are alike, and it may take time and experimentation to find the methods that work best for you. Some recommended non-prescription techniques include:
Topical anesthetics: Topical anesthetics can be applied to the penis just before sexual activity. They come as creams, lotions, or sprays and are available over-the-counter. The advantage of topical applications is that the side effect rate is low.
Condoms: Condoms can help with PE by decreasing penile sensitivity. They also have the added benefit of reducing the risk of sexually transmitted infections and unwanted pregnancy.
Behavioral modification: The squeeze and stop-start techniques are two different strategies that can be practiced during masturbation or sexual activity, and—over time—they can improve control over the timing of ejaculation.
Psychotherapy: Counseling, whether in person, by telephone, or by text messaging, may increase the likelihood of success for some patients.
Will PE medication automatically give me an erection?
No, PE medication won't automatically give you an erection.
If you're prescribed a PDE-5 inhibitor like Viagra (sildenafil) to treat premature ejaculation, you still need to be aroused to get an erection. Once you are sexually aroused, Viagra and other PDE-5 inhibitors can help strengthen or maintain your erection.
Sertraline is not known to cause spontaneous erections.
From the experts at Ro
Learn more about premature ejaculation
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Online visit
Share your symptoms and medical history in the free online visit. A US-licensed healthcare provider will review your information and will typically get back to you within 24 hours.
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Send your provider a message at any time to discuss updating your treatment, address side effects, or answer other treatment-related questions or concerns.
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