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Last longer with treatments for premature ejaculation
Treatments starting at $0.80/dose
Free online consultation
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US-licensed healthcare providers
About premature ejaculation (PE)
Fact: PE is common.
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.
30%
It's estimated that 30% of men, of all age groups, suffer from PE.
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.
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.
Clinically proven treatments
Requires prescription through online visit with a US-licensed healthcare practitioner
Roman Swipes
4% benzocaine wipes
Starting at $22
Convenient, over-the-counter wipes. Made by Roman Health in USA. Learn more about Swipes.
If you're allergic to benzocaine, you might experience typical skin symptoms like redness and swelling. Contact your primary care provider if you notice any reaction.
Prescription Treatment
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Starting at $0.80/dose
Your healthcare provider will decide which treatment option is most appropriate for you after reviewing the information you provide in your online visit.
Sertraline and other antidepressant medicines may cause serious side effects. Call your healthcare provider right away if you have any of the following symptoms, or call 911 if there is an emergency.
Genuine PE treatment, delivered to your door
88% of patients saw improvements*
"The process was easy, the product is discreet, and let me tell ya parties on both sides of the aisle were singing from the same song sheet."
Roman member
"Great service, I always get my prescription fast."
Roman member
"Just wanted to say how affordable and easy using Roman has been. Very happy with the outcome and the medication."
Roman member
These members were compensated for their testimonials
*88% of participants using benzocaine wipes were no longer considered to have PE at the end of two months (Shabsigh, 2019).
Do you ever have a problem ejaculating sooner than you or your partner would like?
The Roman way
How Roman works
Technology has enabled a massive shift in the way healthcare can be provided. With Roman, you can receive expert quality care from your phone or computer, without ever leaving the comfort of home.
Do everything from your mobile device
Free 2-day shipping (discreetly packaged)
No commitment—cancel whenever you want
Answer a few questions about your health.
Report your symptoms and medical history to a US-licensed healthcare professional.
A US-licensed healthcare professional will determine the treatment best suited for you and then follow up via secure messaging in your Roman portal.
Receive free, 2-day shipping for treatment.
If treatment is prescribed, you'll receive it within 2 days—packaged discreetly and shipped for free.
Get free follow-ups for ongoing care.
Schedule follow-ups with your physician or nurse practitioner. Note: you should continue to receive regular, in-person care in addition to using Roman.
Backed by experts
Our team of experts are committed to helping you reach your goals.
Dr. Mike Bohl, MD, MPH, ALM
Director, Medical Content & Education
"It's a new age for healthcare, and it's exciting being part of a team ensuring care is high quality and patient centric."
Dr. Melynda Barnes, MD
Chief Medical Officer, Ro
"We believe in delivering supportive and empowered care to improve health-related quality of life so people can have full, satisfying, and productive lives."
Dr. Tzvi Doron, DO
Chief Clinical Officer, Ro
"Everyone should have access to the best care appropriate for the situation, whether that be telehealth or care in a traditional brick and mortar setting."
FAQ
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. Once you have done all of this, a doctor or nurse practitioner will review everything, determine if you're a candidate for PE treatment through telemedicine, and craft a personalized treatment plan 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, 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.
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.
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.
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