Premature Ejaculation Treatment

Premature ejaculation (PE) is a form of sexual dysfunction involving rapid ejaculation, premature climax, or early ejaculation that interferes with sexual activity. 1 in 3 men between the ages of 18 to 59 have problems with premature ejaculation. It occurs when ejaculation happens sooner than desired—generally within one to two minutes of penetration—and can interfere with overall sexual functioning.

Although PE can feel frustrating or even embarrassing, it is highly treatable. With online premature ejaculation treatment, men can access prescription options and supportive care from a healthcare professional—all from home.  

Our licensed providers can evaluate your symptoms, identify early ejaculation causes, and recommend medication or behavioral therapy designed to help you improve control and enjoy a healthier sexual relationship. (Online treatment through 24hrdoc is available to patients ages 40-70.)

Premature ejaculation can happen for many reasons, and accurately identifying the cause helps your provider select the right treatment for premature ejaculation. The condition may involve psychological factors, biological influences, lifestyle habits, or underlying medical conditions that affect overall sexual health.

Psychological Causes

Psychological factors often play a major role in rapid ejaculation and early climax. These may include:

• Anxiety related to sexual performance
• Mental health issues such as depression 
• Relationship tension or emotional distance 
• Sexual repression or feelings of guilt 
• Worry about erectile dysfunction (ED), which can cause men to rush sexual intercourse

Biological Causes

Several biological issues can increase the likelihood of premature ejaculation symptoms:

• Hormonal imbalances
• Hypersensitive penile nerves
• Prostate inflammation
• Thyroid conditions affecting energy and mood
• Neurological conditions that alter sexual response (such as epilepsy or certain spinal cord disorders)
• High blood pressure or other medical conditions that influence sexual functioning

Lifestyle & Behavioral Causes

Daily habits and behavioral patterns can also influence premature ejaculation:

• Fatigue or chronic stress
• Alcohol use or recreational substances
• Medication side effects
• Limited sexual experience or inadequate sexual behavior learned early in life

Premature ejaculation symptoms can vary from person to person, but common patterns include:

• Ejaculation occurring within one or two minutes of penetration
• Inability to delay ejaculation during most encounters 
• Emotional distress or performance anxiety
• Reduced sexual satisfaction or confidence
• Strain or tension that impacts relationships or intimacy

If early ejaculation happens frequently and disrupts sexual performance or your sexual relationship, online consultation with a healthcare professional can help you determine the best next steps.

PE is typically diagnosed based on a detailed medical and sexual history, which makes it well-suited for an initial online consultation. During your visit, a licensed provider asks about:

• Ejaculation timing and control
• Frequency of premature climax or rapid ejaculation
• Any changes in sexual activity or sexual functioning
• Relationship factors and emotional patterns
• Medication use and other medical conditions
• Symptoms of erectile dysfunction or low mood

This information helps determine contributing risk factors and the most appropriate medical treatment plan. If necessary, your online doctor may recommend in-person testing, but many cases can be evaluated entirely through telehealth treatment.

It’s time to seek help from a licensed provider if:

• Premature ejaculation happens regularly and is hard to control
• It causes anxiety, embarrassment, or emotional distress 
• It damages confidence or disrupts your sexual relationship
• You notice new signs of erectile dysfunction 
• Symptoms develop suddenly alongside other medical concerns

Early evaluation often leads to fewer recurring issues and improved sexual activity. Online premature ejaculation treatment provides a confidential, affordable way to get help without delays, appointments, or waiting rooms.

Premature ejaculation can affect adult men of any age, but online treatment through 24hrdoc is generally offered to patients between 40 and 70. If you fall outside this range, a licensed provider will guide you toward the safest next steps.

Effective premature ejaculation treatment depends on factors such as symptom pattern and your personal goals. Your online doctor will design a treatment plan that may include behavioral strategies, prescription treatment, or both.

Behavioral Techniques

Some men benefit from structured exercises such as:

• Stop-start method or pause-squeeze technique
• Mindfulness strategies for performance anxiety
• Changes in sexual behavior or stimulation patterns

These approaches can be especially effective when psychological factors contribute to early ejaculation.

Medications

When appropriate, your licensed provider may prescribe premature ejaculation medication, which can include options that help regulate serotonin levels or address coexisting sexual concerns.

Common prescription approaches include:

• Selective serotonin reuptake inhibitors (SSRIs): An SSRI prescription can delay ejaculation and improve control by adjusting serotonin levels. SSRIs typically take a couple of weeks or longer to reach their full effect. They include fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft), used off-label for PE.
• Topical desensitizing medications: Reduce penile sensitivity to help prevent early ejaculation.
• Sildenafil (Viagra) or tadalafil (Cialis): Oral PDE5 inhibitor medications primarily used for erectile dysfunction. They may help with PE when both conditions occur together by improving erection quality and reducing performance anxiety.

Your provider will determine whether prescription treatment is safe based on your medical history, current medications, and overall sexual health. Through 24hrdoc, prescriptions can be sent to your pharmacy quickly, with fast shipping or discreet delivery available through participating pharmacies.

Effective premature ejaculation treatment depends on factors such as symptom pattern and your personal goals. Your online doctor will design a treatment plan that may include behavioral strategies, prescription treatment, or both.

NOTE: No drugs are FDA-approved specifically for treating premature ejaculation in the United States. Licensed providers instead prescribe medications off-label, which means using medications approved for other purposes (like depression or erectile dysfunction) to treat PE based on strong clinical evidence.

Why Online Treatment Works

Online premature ejaculation treatment is ideal for men seeking privacy and fast relief. With 24hrdoc:

• No appointments are needed
• Visits cost far less than urgent care
• You receive a fast online prescription
• Medications ship quickly or are ready at your local pharmacy

Telehealth treatment allows men to receive confidential care for sexual dysfunction without long waits or uncomfortable in-person visits.