Premature ejaculation treatments

Build confidence and endurance

Request a personalized treatment plan from a US-licensed physician.

+ Free 2-day shipping on all orders

Premature ejaculation treatments

Build confidence and endurance

Request a personalized treatment plan from a US-licensed physician.

+ Free 2-day shipping on all orders

Premature ejaculation is the most common form of sexual dysfunction among men.

(International Journal of Urology (2017) 24, 40–50)

Premature ejaculation (PE) may be treated with prescription meds, over-the-counter topical anesthetics, or behavior modification techniques.

Prescription medications help men last longer without using a topical anesthetic before sex, but can have side effects. OTC treatments like Roman Swipes have few side effects, but must be applied just before sex. Behavior modification techniques help many men, but they take time and effort.

If your Roman-affiliated doctor believes medication is safe and appropriate for you, you’ll receive an initial treatment plan designed by Dr. Tzvi Doron and Dr. Seth Cohen, Head of Men’s Health, NYU Division of Sexual Medicine and Reconstruction.

Treatment options for premature ejaculation

+ Free shipping on all orders

Pe Rx

Prescription treatment

Complete your online visit to receive personalized, doctor-prescribed treatments for PE.

Pe Otc

Over-the-counter treatment (OTC)

An over-the-counter, clinically-proven way to effectively treat PE

Get $10 off your first order!

Roman Swipes as low as $3.50/dose
4% Benzocaine wipe

How the Roman Platform works

Roman works with a network of US-licensed physicians who are available to answer your questions and, if appropriate, prescribe the right treatment for you.


Start your online visit

No more waiting rooms

Tell a licensed Roman-affiliated doctor about your medical history and symptoms


Receive personalized care

Just for you

Get a treatment plan from a licensed physician within 24 hours, if approved


Free 2-day shipping

Delivered to your door

Convenient auto-refills shipped discreetly to your door

Meet our advisors

Roman is proud to work with some of the world’s leading medical and behavioral health experts


Dr. Seth Cohen

Associate Professor, Urology, NYU


Dr. Joycelyn Elders, MD

U.S. Surgeon General (1993–1994)


Dr. Steven Lamm, MD

Director of NYU Men’s Health Center


Dr. James Kashanian

Assistant Professor of Urology Weill Cornell Medicine


Dr. Eli Coleman, PhD

Chair in Sexual Health University of Minnesota

“…an over-the-counter product that not only delays ejaculation, but also is easy enough to
carry around in your wallet.”

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Our Members 2

“Thanks for handling everything so smoothly and efficiently. Everything about Roman has been great. I am grateful for Roman’s help and have nothing but good things to say about you guys.”

– Member from Ohio, September 2018

Our Members 2

“I received my shipment and I just want to say thank you. It was delivered very discreetly and in a timely manner. The box and the packaging was top notch! I look forward to my next shipment.”

– Member from Florida, October 2018

Our Members 2

“For the first time in my life, I had control of my own orgasm, and it took away any insecurity or anxiety during sex. You saved my sexual life!”

– Member from Kansas, January 2019

Frequently Asked Questions

How does P.E. treatment work with Roman?

We use telemedicine technology and U.S. licensed doctors to provide premature ejaculation treatments discreetly, conveniently, and inexpensively.

It starts with your online doctor visit. Your doctor needs to know about your health (e.g., your medications, lifestyle issues, prior surgeries) and how P.E. affects you. They also need to see a personal ID to confirm your identity and know who they will be helping. They review everything, determine if you’re a candidate for telemedicine and, if so (most people are), they will craft a personalized treatment plan.

Their treatment plan will include a great deal of information about P.E. It is important you take the time to read it all. You will be better prepared to manage your condition as a partner—and not just a patient.

If you qualify, our doctors will provide a diagnosis, behavioral therapy tips and prescribe the right course of treatment to help you last longer during sex.

What is P.E.?

One of the problems with the diagnosis and treatment of PE is that until recently there has not been agreement on what constitutes premature ejaculation. Many men believe they orgasm more quickly than they should only to discover that their time to orgasm is well within the average range. Other men might orgasm in 2 minutes but find it is neither a cause for concern for them nor for their partner.

  1. According to the International Society of Sexual Medicine (ISSM) premature ejaculation is a male sexual dysfunction characterized by the following: Ejaculation that always or nearly always occurs prior to or within about 1 minute of vaginal penetration from the first sexual experience—Lifelong Premature Ejaculation (LPE), OR a clinically significant reduction in latency time (time it takes to reach orgasm after engaging in sex), often to about 3 minutes or less–Acquired Premature Ejaculation (APE);
  2. The inability to delay ejaculation on all or nearly all vaginal penetrations; and
  3. Negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy.

All three elements must be included for PE to be diagnosed. Men with PE generally fall into two groups: those who have it from their first sexual experience and those who develop it later. The good thing is that many of the interventions work for both groups.

Another definition of PE that has been suggested by the World Health Organization (WHO) is “persistent or recurrent ejaculation with minimal stimulation before, on, or shortly after penetration and before the person wishes it, over which the sufferer has little or no voluntary control which causes the sufferer and/or his partner bother or distress.” This second definition is more flexible. It is also inclusive of gay men and their partners, which is a welcome addition to the definition.

Is P.E. medication effective?

Although no single treatment works for everyone, most men can be treated successfully. Just be sure to stay in touch with your physician. There are multiple medications that can be tried, different topical therapies, and varied techniques that can be used alone or in unique combinations. Some people see immediate results. Others will 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.

What type of PE medication do Roman-affiliated physicians prescribe?

In addition to behavioral tips, there are several medication options that your doctor may recommend, depending on your unique health situation.These include the most effective treatments recommended by the American Urological Association.

The simplest effective treatment is usually the best choice, so your provider will try to prescribe the medication that is most likely to work well for you. Based on your feedback, however, your management may change over time by switching to another medication choice or using a combination of agents. Some men use an oral medication and apply a topical anesthetic that they then cover with a condom. They get the sensations they want, experience the prolonged pleasure of an extended sexual experience, and orgasm at a time both they and a partner find satisfying. For other men, such a combination is overkill. That is why your personal experience is so important.

Learn more about P.E. treatment

What is off-label prescribing?

The FDA requires that drugs go through a clinical testing process to establish that they’re safe and effective to treat a particular condition. Healthcare providers generally may prescribe the drug for an unapproved use when they judge that it is medically appropriate for their patient. This type of prescribing is called “off-label” prescribing. Off-label prescribing practices are sometimes validated by clinical experience and research and may be a widely recognized clinical practice. Roman-affiliated providers have the discretion to prescribe certain drugs off-label based a patient’s unique medical history, symptoms, and preferences.

Why can P.E. and Erectile Dysfunction (E.D.) be treated with the same medication?

What is most interesting is that ED often is an underlying cause of PE. Sometimes, the same stress that causes either one can cause both. However, ED itself can begin a cascade of changes that results in PE. This is because men with ED often attempt to keep themselves erect by vigorously stimulating themselves, and this intense stimulation can inadvertently result in PE. When the erection is supported by sildenafil or tadalafil, vigorous stimulation is often not needed to maintain an erection. With less vigorous stimulation, men gain more control over the timing of their ejaculation.

Are there side effects of P.E. medication?

The medications available for treating P.E. work for the vast majority of patients and they usually do so without causing side effects. However, just as no drug works on everyone, no drug is 100% safe, and these treatments are no exception. Becoming familiar with the possible side effects will help you identify if you are one of the men who experience them. 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.

What are the non-prescription options for treating P.E.?

Your physician may recommend a combination of medication and behavioral therapy tips to deal with P.E. No two people are alike, and it may take some time and experimentation to find the methods that work best for you. Some men experience significant improvement with learned techniques so medication isn’t for everyone.

Some recommended 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 and they are effective to some degree in almost everyone to decreasing sensation and prolonging the time before ejaculation.

Condoms: Condoms can help with PE by decreasing penile sensitivity and have the added benefit of reducing the likelihood of transmission of sexually transmitted infection or unwanted pregnancy. Using a spray, cream, or lotion with a condom is surprisingly effective for some men. It delays orgasm, gives some men just the right amount of pleasurable sensation, and when used with a topical anesthetic prevents the spread of the anesthetic to a partner.

Behavioral modification: The squeeze and start-stop techniques are 2 different strategies that can be practiced during masturbation or sexual activity and, over time, 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. The reality is that men who have had lifelong issues have often suffered silently with a burden that weighs on them every time they consider developing a physical and emotional attachment to another person. They face disappointing the very person they hope to please the most. For many men, it terminates relationships before they begin and can lead to isolation and a loss of companionship. Men with PE face increased risks of divorce and relationship stress, often more as a result of the emotional consequences of having PE than from the PE itself. Uncovering the reasons the PE developed are as important as breaking the cycle with medical interventions.

Also, psychotherapy can be enormously helpful in restoring a man’s sense of value and worth beyond the ability to delay an orgasm, which often restores their capacity to experience sex as they had before PE developed.

Combination Therapy: Any of the above treatments can be combined with any one or more of the other treatments. Although it’s often best to keep things simple, the good news is that combination therapy can help treat men who don’t respond satisfactorily to single mode therapies.

How much does a doctor’s visit cost?

Your online visit costs $15. This doesn’t include the cost of your medication (if prescribed). If a physician determines you’re not a good candidate for telemedicine, you’ll get a full refund for your online visit.

Is Roman covered by insurance?

Our services are not covered by insurance, but the $15 online visit is less than most co-pays.

How much does the medication cost?

If prescribed, the cost of treatment depends on the type of medication and the number of doses you receive. Check out the current Roman Pharmacy Network prices. Prices at your local pharmacy may vary and are often twice the cost of the Roman Pharmacy Network.

When am I charged for this medication?

You’re only charged for the medication after a physician has approved a personalized treatment plan. If you’re unsuitable for telemedicine, you’ll be refunded for your online visit ($15).

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More about PE

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What is premature ejaculation?

Everything you need to know about premature ejaculation

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Behavior techniques to last longer

Pair techniques with meds, or use them on their own, to help treat premature ejaculation

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