Online Premature Ejaculation Treatment
Premature ejaculation can be difficult to talk about, but you can get care privately from home. A board-certified doctor can review your symptoms, medical history, and current medications, then recommend treatment and send a prescription to your chosen pharmacy when medically appropriate.
Available 24/7 with no appointment needed, whether you are seeking help for the first time or need a refill.
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Hi Dr. Nicole, I am experiencing early ejaculation during sex. Can you suggest medication for that?
Get online prescription
Our online doctors can help you with your medical issues and give you prescriptions.
Prescription
- Paroxetine 10mg
- Take one tablet daily. The effect builds over 2 to 3 weeks.
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What are the treatment options for premature ejaculation?
Premature ejaculation can be treated in several ways, and the best option depends on whether it has been present from the beginning or started later. Treatment may include:
- Behavioral techniques: Stop-start and squeeze techniques can help you learn to delay ejaculation.
- Prescription medication: Some antidepressants can delay ejaculation when taken regularly or before sex.
- Numbing treatments: Creams, gels, or sprays can reduce sensation when applied before sex.
- Thicker condoms: These can reduce sensitivity without using medication.
- Treating an underlying cause: Erectile dysfunction, thyroid problems, or prostate inflammation can contribute to premature ejaculation.
- Counseling: Therapy can help when anxiety, stress, relationship problems, or low mood play a role.
- Pelvic floor exercises: May improve ejaculation control for some men.
When premature ejaculation has been present since your first sexual experiences, medication is often one of the main treatment options. If it started later, finding the cause is usually an important first step.
What premature ejaculation medications can we prescribe online?
There is no prescription medication FDA-approved specifically for premature ejaculation. Some antidepressants are prescribed off-label because they can delay ejaculation. They are taken daily, although some doctors may recommend taking them before sex. Start an online prescription consultation to find out which medication is appropriate for your symptoms.
What is premature ejaculation, and what causes it?
Premature ejaculation means reaching orgasm sooner than you want during sex, often enough that it causes frustration or affects your relationship. It may have been present from your first sexual experiences or developed later after you previously had better control. Common signs include:
- Reaching orgasm within about a minute of penetration in most sexual encounters
- Finding it difficult to delay orgasm
- Feeling frustrated, embarrassed, or avoiding sex because of it
There is no single cause. Stress, performance anxiety, erectile dysfunction, hormone or prostate problems, and some health conditions can all play a role. Relationship difficulties and past sexual experiences may also contribute.
Occasional early orgasm is common. It is worth talking to a doctor when it happens regularly and causes distress for you or your partner.
What is the difference between premature ejaculation and ED?
Premature ejaculation is about reaching orgasm sooner than you want, while ED means having trouble getting or keeping an erection firm enough for sex.
The two can occur together, and ED can sometimes contribute to premature ejaculation. Treating the erection problem may improve control for some men.
ED medications do not directly treat premature ejaculation, but they may help when both problems are present. A doctor can assess your symptoms and determine which treatment is appropriate. Our doctors also provide online ED treatment and can prescribe Sildenafil, Tadalafil, Vardenafil, or Avanafil when that is the right treatment.
Does online premature ejaculation treatment work?
Yes, premature ejaculation is diagnosed through a detailed conversation about your sexual history, so an online consultation can be enough to assess the problem and discuss treatment. A doctor may ask how long it has been happening, how quickly you reach orgasm, whether it has always been this way, and what medicines you take. During the consultation, you can discuss:
- Your symptoms and possible causes
- Treatment options, including approaches that do not involve medication
- A prescription when appropriate
- Whether you need an in-person examination or further testing
Online care cannot replace a physical examination when your symptoms suggest an underlying medical problem. Premature ejaculation can also improve and then return, so treatment may involve follow-up rather than a single visit.
FAQs about premature ejaculation treatment
How long after starting a course of tablets will I start to see results?
Some men notice a difference within the first week, although the complete effect of an SSRI usually takes 2 to 3 weeks. The dose is generally started low and increased slowly if needed, so it is worth giving it that long before deciding it has not worked.
How can I stop premature ejaculation immediately?
No medication works immediately. An over-the-counter numbing spray or gel can reduce sensation when applied shortly before sex, and the stop-start and squeeze techniques can be used the same night, although they take practice. Dapoxetine is often suggested online for this, but it is not approved or sold in the United States.
Do premature ejaculation pills work?
Yes, for many men, when taken as directed. SSRIs delay ejaculation by increasing serotonin, and the delay is usually measured in minutes rather than seconds. They are prescribed off-label, so side effects such as reduced sex drive are possible and should be discussed with your doctor. Premature ejaculation may return if treatment is stopped, so it is often managed with follow-up.
Will PE medication automatically give me an erection?
No. Premature ejaculation medication does not cause or improve erections, it only delays ejaculation. If getting or keeping an erection is the problem, that is erectile dysfunction and it is treated differently, so tell your doctor about both.
What pills are FDA-approved for premature ejaculation?
None. No prescription pill is FDA-approved for premature ejaculation, which is why the medicines that help are prescribed off-label. The only products whose FDA labels mention premature ejaculation are over-the-counter numbing sprays, gels, and wipes containing lidocaine or benzocaine.
Can PE treatment increase my sexual performance?
Yes, premature ejaculation (PE) treatment can improve sexual performance by improving ejaculatory control and prolonging sexual activity.
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