Premature ejaculation treatment
Premature ejaculation treatment
Men, ages 18-64
This is right for you if
Your sex assigned at birth was male
If you’re interested in treatment with SSRIs, you’re at least 25 years old
You’re not experiencing symptoms of erectile dysfunction (ED) without ejaculatory symptoms
During most sexual penetration, you ejaculate (climax) earlier than you’d like

What's included

Personalized treatment for premature ejaculation may include prescription medication that can delay early climax. Your clinician may also recommend over-the-counter (OTC) treatments and behavioral or psychological therapies. They won’t prescribe dapoxetine (which isn’t FDA-approved for premature ejaculation treatment in the U.S.) or advise you on penis pumps or procedures. You can message your clinician with follow-up questions for 14 days after you get your treatment plan.

If you need treatment for an additional health condition, you’ll need to start a separate visit.
Commonly prescribed medications
  • Paroxetine (Paxil)
  • Sertraline (Zoloft)
  • Lidocaine-prilocaine (Lidopril)
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This chart is for informational purposes only. Your clinician will determine treatment plans, prescriptions, and number of refills (if any) based on your symptoms and health history. Refill estimates are based on a 30-day supply of medication.
Premature ejaculation treatment isn’t available at Alpha or SteadyMD at this time. HealthTap has licensed clinicians (like MDs, DOs, and NPs). At HealthTap, the typical number of refills per visit is 3. Business hours for HealthTap are 8 AM to 10 PM ET, 7 days a week. Responses outside these hours may be delayed.

What you’ll need

A photo ID, like a driver's license or passport, if we need additional identity verification
5 to 10 minutes to answer questions about your symptoms and health history

How it works

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Choose an online clinic
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Fill out an intake form
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Connect with a clinician
You can message your clinician with follow-up questions for 14 days after you get your treatment plan.
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You should know
Based on your health information, your clinician may recommend that you see a healthcare provider in person. If that happens, you’ll still be charged for your visit. Amazon Clinic doesn’t accept insurance at this time, and isn’t intended for beneficiaries of government payor programs, including Medicare and Medicaid.

Frequently asked questions

What premature ejaculation medications can I get through Amazon Clinic?
Your clinician may prescribe a selective serotonin re-uptake inhibitor (SSRI) like paroxetine (Paxil) or sertraline (Zoloft) to help prevent early climax. Though these medications are antidepressants, clinical studies show that they can help prevent premature ejaculation. Your clinician may also prescribe a topical anesthetic like lidocaine-prilocaine (Lidopril) to make the penis less sensitive.

Treatment with PDE5 inhibitors like sildenafil (Viagra) or tadalafil (Cialis) may be available to certain customers when medically appropriate.

Please note: This information is for general reference only. Your clinician will review your symptoms and health history to determine which (if any) treatments are medically appropriate.
What causes premature ejaculation?
There are two kinds of premature ejaculation: 1) lifelong, when you've experienced symptoms since your sexual debut, and 2) acquired, when something has caused a change in your sexual function.

Many factors can cause changes in sexual function, including the following:

• Aging

• Psychological or relationship issues

• Underlying health issues

Our intake form can help your clinician determine what's going on, and why.
What's the difference between erectile dysfunction (ED) and premature ejaculation?
Erectile dysfunction (ED) is characterized by issues with getting or maintaining an erection, while premature ejaculation is characterized by ejaculating too quickly during most or all sexual penetration. What's too quickly? It's often defined as less than a minute into a sexual experience, but it can be longer, depending on how much control you feel when you climax.

Premature ejaculation is also characterized by negative personal consequences. In some cultures, early ejaculation can be a sign of masculinity, so it's not considered a problem. But if you feel distressed, worried, or annoyed by the speed of your climax, or if your relationship is suffering because of it, a clinician might be able to help.
What should I do if I have ED and premature ejaculation?
Erectile dysfunction and premature ejaculation can occur at the same time. If you're experiencing both conditions, clinicians generally recommend that you seek treatment for ED first before adding premature ejaculation treatments. You can get treatment for ED through Amazon Clinic's erectile dysfunction treatment page.
How common is premature ejaculation?
Experts estimate that premature ejaculation affects up to 70% of men in the U.S. at some point in their lives.