Last longer with treatments for premature ejaculation 

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.

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.

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.

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.

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.