
Board-Certified · Internal Medicine · Medical Director
All 50 states + DC·Video visit
In-network: Aetna, BCBS, UnitedHealthcare +18 more plans
Request an online visit for Premature ejaculation. A licensed provider reviews your case and prescribes treatment when appropriate.

Board-Certified · Internal Medicine · Medical Director
All 50 states + DC·Video visit
In-network: Aetna, BCBS, UnitedHealthcare +18 more plans
Premature ejaculation (PE) is ejaculation that consistently occurs sooner than desired, causing personal distress or interpersonal difficulty. It is the most common male sexual complaint and may be lifelong or acquired. Contributing factors include anxiety, relationship dynamics, prostatitis, thyroid disease, and ED. Behavioral techniques such as start-stop and squeeze methods, pelvic floor therapy, and sex therapy are first-line. Pharmacologic options include topical lidocaine/prilocaine and off-label daily or on-demand SSRIs (dapoxetine where available, paroxetine, sertraline).