Proven therapies. Real results.
Custom tailored. Medically supervised.
What Is Premature Ejaculation?
Premature ejaculation (PE) occurs when a man ejaculates too soon during sexual activity, ruining sexual experiences for both partners.
PE is relatively common. Approximately 30% of men experience it at some point in their lives. PE may be caused by psychological factors (such as stress or anxiety) or physical factors (including prostate conditions or hormonal imbalances). In some cases, it may occur as a side effect of certain medications.
Occasional episodes of premature ejaculation should not be a cause for concern. However, if PE occurs regularly and interferes with sexual satisfaction, treatment may be appropriate.
Treatments for PE
Treatments for premature ejaculation include behavioral techniques, condoms, topical anesthetics, and oral medications.
Many men benefit from combining two or more of these approaches for the best overall results. At Careborne Sensible Medical, we prescribe medications to treat premature ejaculation.
Topical numbing agents
Lidocaine-prilocaine (Lidopril, EMLA Cream) 2.5%/2.5%
Available as cream or gel, these topicals contain two anesthetics - lidocaine and prilocaine. The medication is applied 10-15 minutes before sexual activity to reduce penile sensitivity and help delay ejaculation.
Oral medications
Many medications - including certain antidepressants, pain relievers, and phosphodiesterase-5 (PDE-5) inhibitors - may be prescribed off-label to help delay ejaculation.
Antidepressants
Selective serotonin reuptake inhibitors (SSRIs) include paroxetine (Paxil®, Pexeva®, Brisdelle®), escitalopram (Lexapro®), citalopram (Celexa®), sertraline (Zoloft®), and fluoxetine (Prozac®). These medications may be taken daily or on an as-needed basis before sexual activity.
If SSRIs are not effective or not well tolerated, a second-line option may be the tricyclic antidepressant clomipramine (Anafranil®). During the consultation, we will determine which option is appropriate for you.
Pain Relievers
Tramadol (Ultram®) has some SSRI activity and may help delay ejaculation. However, because it is a controlled medication, its use for premature ejaculation is limited.
Phosphodiesterase-5 (PDE-5) Inhibitors
Medications used to treat erectile dysfunction may also help with premature ejaculation. These include sildenafil (Viagra®), tadalafil (Cialis®), avanafil (Stendra®), and vardenafil. PDE-5 Inhibitors can generally be used in combination with other treatments.
Careborne Sensible Medical
Personalized discreet medical care
Onsite, online, and on demand
Conditions
Medications
Start Treatment in 3-Easy Steps
3
Pick up the medicine at the pharmacy of your choice
Other Men's Health Meds
Injectable Testosterone
Testosterone Cypionate (Depo-Testosterone)
Testosterone Propionate/Testosterone Cypionate/Nandrolone
Testosterone Enanthate (Delatestryl)
Topical Testosterone
Testosterone 5 to 10% Topical Lipoderm®
Testosterone 10% Topical Gel-Cream
Testosterone/Anastrozole Topical Lipoderm®
Testosterone/Chrysin Topical Cream
Chorionic Gonadotropin
Chorionic Gonadotropin Injection Solution
Gonadotropics
Clomiphene Citrate Topical Lipoderm® ActiveMax™
​
Urethral Gels
Aminophylline/Arginine/Sildenafil Scream Cream
Alprostadil/Papaverine/Pentoxifylline Cream
Alprostadil/Papaverine/Phentolamine TriMix Cream
​
Oral GLP-1
​Semaglutide tablets, lozenges, and sublingual drops
Tizepatide sublingual tablets
How safe are these medications?
How do I get started?
It’s easy. Click the red “Get Started” button and follow the prompts. If you get stuck, give us a call.
You need to know your average blood pressure and have recent labs handy. Many local pharmacies have machines that can measure your blood pressure for free. Labs can be ordered through www.ultalabtests.com or any other online platform.
Medications used to treat premature ejaculation are generally well tolerated and typically cause only mild side effects. However, if you take nitrates or certain heart medications, some of these treatments may lower blood pressure. Therefore, it is important to provide a complete medication history during your consultation.
How much will it cost?
Our consultation fee is $72, which covers your 90-day prescription.
Why use Careborne?
Careborne is a leader in online healthcare in Florida. While the company is relatively young, our providers have been caring for patients across the United States for more than three decades.
What else can you do for me?
In addition to treating low testosterone, Men’s Clinic @ Careborne offers weight loss medication therapy as well as help with anxiety, insomnia, erectile dysfunction, and other common health conditions.
Can you replace my primary care doctor?
No and we shouldn’t. We believe that everyone is to have a family doc, who knows you well and can guide you on your health journey.
Can I order these medications online?
​No, you can’t simply “order” them. You must have a consultation with a licensed health care provider to determine if the medication is appropriate (and safe) for you. It’s important to reiterate that Careborne doctors do not prescribe medications that fall outside of their respective expertise, “on request,” or for performance enhancement.
Where can I find more information?
Want to learn more about your treatment options? Call 941-525-9000.
