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Premature ejaculation occurs when ejaculation happens sooner than desired, often within one minute of beginning intercourse. This can be distressing and frustrating for both the individual and their partner. PE is common, affecting one in three men. While occasional PE might not be concerning, persistent issues may prompt seeking treatment.
The encouraging news is that premature ejaculation is treatable. Through a fully online process, options for managing and prolonging ejaculation are accessible. This includes prescription medications that can extend duration up to five times longer than usual and over-the-counter wipes that can help sustain performance four times longer. Immediate improvement is possible for some, while others might need to explore different treatments to find what works best.
PE treatment options
While there are currently no FDA-approved prescription medications specifically for premature ejaculation (PE), certain medications can still be prescribed “off-label” by a licensed medical provider. This means that a healthcare professional can prescribe medications that are FDA-approved for other conditions if they believe it may be effective for treating PE in a particular patient. This practice allows providers to utilize a wider range of treatment options based on their clinical judgment and the specific needs of their patients.
Benzocaine Wipes
4% benzocaine wipes
If prescription medication doesn’t seem like the right fit for you, consider our easy-to-use benzocaine wipes. These swipes are designed for simplicity and effectiveness, potentially extending endurance up to 4 times longer after two months of consistent use.
Users allergic to benzocaine may experience typical skin reactions such as redness and swelling. It’s important to contact your primary care provider if any adverse reactions occur.
In a study involving men with premature ejaculation, those who used topical benzocaine wipes reported a 340% increase in endurance after two months of continuous use.
Sertraline
Generic Zoloft
Sertraline, commonly known for treating depression and anxiety, can also be prescribed off-label for premature ejaculation (PE). When taken daily, sertraline has been shown to significantly increase the time to climax, with some men experiencing up to a 5x increase.
Warning: Suicidal Thoughts and Behaviors
Suicide is a risk associated with depression and other psychiatric disorders. Short-term studies have shown that antidepressants can increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults under the age of 24. Conversely, these studies suggest a decrease in risk for patients aged 65 and older. All ages taking antidepressants should be closely monitored for clinical worsening and unusual behavior changes, particularly at the beginning of treatment or when doses are changed. Caregivers and families should be vigilant and communicate any concerns to healthcare providers.
FDA-Approved Use
Sertraline is a selective serotonin reuptake inhibitor (SSRI) approved by the FDA to treat Major Depressive Disorder (MDD). It may be recommended off-label for treating PE.
Who Should Not Use Sertraline
Avoid sertraline if:
- You are taking monoamine oxidase inhibitors (MAOIs) or certain drugs like pimozide, which can increase the risk of serotonin syndrome or prolonged QT interval.
- You have a known allergy to sertraline.
Administration
Sertraline can be taken with or without food. It’s crucial to follow the prescribed regimen and not alter dosages or discontinue use without consulting a healthcare provider. A gradual dose reduction is advisable when discontinuing.
Precautions
Inform your provider about all medications, supplements, and medical history, especially:
- Past suicidal behavior or thoughts
- Bipolar Disorder
- Liver issues
- Heart conditions
- Seizures or glaucoma
Serious Side Effects to Monitor
- Serotonin Syndrome: Symptoms include high body temperature, agitation, increased reflexes, tremor, sweating, dilated pupils, and diarrhea.
- Bleeding: Sertraline may increase bleeding risks, particularly if taken with NSAIDs, aspirin, or blood thinners.
- Mania/Hypomania Activation: Watch for sudden mood changes or unusual behavior.
- Eye Effects: Symptoms like eye pain or vision changes could indicate acute angle-closure glaucoma.
- QT Prolongation: Be alert for heart rate irregularities or fainting.
- Hyponatremia: Symptoms include headache, confusion, and unsteadiness, especially in older adults.
Common Side Effects
- Nausea, diarrhea, indigestion
- Increased sweating
- Tremor or agitation
- Sleep disturbances
- Sexual dysfunction
- Fatigue or anxiety
In a clinical study involving 480 patients, sertraline 100 mg daily significantly increased the average ejaculation latency time from 1.15 minutes to over 5 minutes within 4-8 weeks.
Sildenafil
Generic Viagra
Sildenafil, commonly known under the brand name Viagra®, is primarily prescribed for treating erectile dysfunction (ED). It can also be used off-label to manage symptoms of premature ejaculation (PE) if both conditions coexist.
Disclaimer: The following details are not substitutes for professional medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider with any questions or concerns you may have regarding your health.
What is Viagra?
Viagra® is famously referred to as “the little blue pill” and is used to treat erectile dysfunction. It is available in doses of 25 mg, 50 mg, and 100 mg, with 50 mg being the most commonly prescribed. As a phosphodiesterase-5 inhibitor (PDE5i), Viagra® shares a mechanism of action with similar drugs like Cialis (tadalafil), Levitra (vardenafil), and Stendra (avanafil), although there are minor differences that may influence a doctor’s recommendation based on individual treatment goals.
What is Generic Viagra?
After Pfizer’s patent on Viagra® expired, generic versions were approved by the FDA. These generics must be bioequivalent to the brand-name drug, meaning they should behave the same way in the body and are expected to produce the same effects. Generic drugs are typically much more affordable than their brand-name counterparts.
What is Sildenafil Citrate?
Sildenafil citrate is the chemical name for the active ingredient in both branded Viagra® and its generic forms. It is available in the same dosages as the branded version.
Does Roman Offer Genuine Viagra?
Roman provides both genuine, branded Viagra® and its generic versions in various dosages. The active ingredient, sildenafil citrate, is identical in both forms, ensuring the same efficacy in treating ED.
How Does Viagra Work?
Viagra® functions by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation. PDE5 inhibitors like Viagra® prevent the enzyme PDE5 from breaking down cGMP, a molecule that controls blood flow in the penis.
Before Taking Viagra
Contraindications:
- Do not take if you use nitrates for chest pain or poppers.
- Avoid if you take guanylate cyclase stimulators like riociguat (Adempas).
- Do not use if allergic to sildenafil or any of the ingredients in Viagra®.
Health Considerations:
Inform your healthcare provider if you have heart problems, stroke history, unusual blood pressure levels, penile deformities, prolonged erections, blood cell issues, eye diseases, severe vision loss, bleeding problems, or major organ issues. Disclosure of all medications and supplements you are taking is crucial to avoid potential drug interactions.
Drug Interactions:
- Nitrates
- Alpha-blockers
- HIV protease inhibitors
- Some antifungal and antibiotic medications
- Other medications for ED or PAH
Side Effects of Viagra
- Common: Headache, flushing, upset stomach, visual changes, nasal congestion, back pain, muscle pain, nausea, dizziness, rash.
- Serious: Priapism, sudden vision or hearing loss.
Usage and Overdose Risks
- Always take as prescribed. Overdosing can lead to severe side effects like low blood pressure or prolonged erections (priapism).
While not FDA-approved for premature ejaculation, sildenafil may be prescribed off-label for this purpose if deemed appropriate by a healthcare provider.
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FAQs about Premature Ejaculation Treatment
Direct Preventive Care simplifies access to PE treatment via telemedicine. You can obtain over-the-counter products like benzocaine Swipes directly from the website without a prescription. For prescription treatments, an online visit involves discussing your symptoms, medical history, and verifying your identity with a photo ID. A licensed doctor or nurse practitioner will then assess if our’s treatment options suit your needs.
While results vary, many men find successful outcomes with PE medication. Options include oral medications, topical therapies, or a combination of both. Some see immediate improvements, whereas others might need to experiment with different methods. If you face any issues or side effects, Roman offers continued support to adjust your treatment plan.
ED medications might be prescribed for PE due to their benefits in muscle relaxation and sensitivity reduction, impacting the ejaculation process. These medications can also enhance erection duration and sexual confidence, which may indirectly help manage PE. In cases of concurrent ED and PE, treating ED first is often advised.
Non-prescription methods include:
- Topical Anaesthetics: Applied before intercourse to reduce sensitivity.
- Condoms: Decrease sensitivity and increase the time to ejaculation while also providing protection against STIs and pregnancy.
- Behavioural Techniques: Methods like the squeeze and stop-start techniques can improve ejaculatory control over time.
- Psychotherapy: Counselling may enhance treatment outcomes by addressing underlying psychological factors.
No, PE medications, including PDE-5 inhibitors like Viagra, require sexual arousal to be effective. They do not induce spontaneous erections.
Off-label usage refers to the prescription of drugs for conditions that are not specifically approved by the FDA. Healthcare providers may prescribe treatments off-label if they deem them suitable for a patient’s specific condition.
Sertraline can be administered daily or as needed before sexual activity. Continuous daily use is generally more effective but may have a higher risk of side effects. Your healthcare provider will help determine the most appropriate regimen based on your specific situation and treatment response.
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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.
02
Free and discreet deliveries
If prescribed, your treatment will arrive at your door in discreet packaging.
03
Ongoing care
Send your provider a message at any time to discuss updating your treatment, address side effects, or answer other treatment-related questions or concerns.