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About premature ejaculation (PE)
What is premature ejaculation?
Premature ejaculation is when ejaculation occurs earlier than desired, often within 1 minute of penetrative 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.
There are many possible causes of PE, ranging from physical causes to psychological causes. One of the problems with diagnosing and treating PE is that, until recently, there has not been agreement on its definition, and there’s no set “time to ejaculation” that defines PE.
If you feel you ejaculate too quickly during sex, treatment may be appropriate for you.
Can premature ejaculation be treated?
Yes. Although no single treatment works for everyone, many men can be treated successfully through over-the-counter topicals, prescription medication, behavior modification, or a combination of these treatments.
Some people see immediate results, but for many it takes time. Some men may need to try a few different methods before finding the right solution.
When should I seek in-person treatment?
Treatments for premature ejaculation (PE)
We offer prescription medications and an OTC medication that is clinically proven to help you last longer.
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How does prescription PE treatment work with One Health?
Is PE medication effective?
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, numerous 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.
There are also other important differences between the medications. For example, sildenafil citrate is less effective when taken with food and it can cause temporary blue vision (as if you’re looking through blue-tinted glasses) in some users. Tadalafil can be taken with food and is much less likely to cause temporary blue vision in users. Tadalafil can also be taken daily at lower doses.
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 ED medication automatically give me an erection?
There are three prescription-strength medications for PE available on the Roman platform: sildenafil citrate (the active ingredient in Viagra), tadalafil (the active ingredient in Cialis), and sertraline (a type of medication known as a selective serotonin reuptake inhibitor, or SSRI). Your doctor or nurse practitioner will decide which treatment option is most appropriate for you after reviewing the information you provide in your online visit. While one medication may be better for one person, a different medication may be better for another person. It all depends on your specific medical history, symptoms, and preferences. Of note, there is no medication that is specifically FDA-approved for the treatment of PE. However, sildenafil citrate, tadalafil, and sertraline can be prescribed off-label for this purpose, if appropriate.
In addition to these three prescription medications, Roman Swipes is an over-the-counter treatment for PE that you can purchase directly from the website without going through an online visit.
What is off-label usage of a medication?
How is sertraline used to treat PE?
Can I use Roman Swipes along with prescription treatment?
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Whether you’re looking for ED medication that you only take as and when needed or that you take daily, all of our ED drugs are approved by the Food and Drug Administration.