Premature ejaculation guide

Premature ejaculation help online in Virginia and West Virginia

This guide is for adult men who finish sooner than they want and want behavioral-technique counseling and over-the-counter numbing guidance. It is not for erectile dysfunction (treated first), sudden painful or bloody ejaculation, or a relationship crisis.

Start online

Start a $59 online review for Premature ejaculation.

Premature ejaculation is common and often responds to simple behavioral techniques and an over-the-counter numbing (topical anesthetic) product. Through this visit a physician confirms the pattern fits, screens out situations that need in-person care, and gives structured guidance. No prescription is issued at launch, and if you also have trouble getting or keeping an erection, that (erectile dysfunction) is treated first through the ED medication visit.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Finishing within about a minute since your earliest sexual experiences (lifelong)
A bothersome new drop in how long you last (acquired)
Little control over timing on nearly every occasion
Frustration, distress, or avoiding sex because of it

May fit online care

Adults 18 and older
Adult man with classic premature ejaculation
Erections are fine: no trouble getting or keeping one
No sudden painful or bloody ejaculation, urinary, thyroid, or neurologic symptoms
Wants behavioral-technique guidance and over-the-counter numbing options

Look for another care setting

Trouble getting or keeping an erection: start the ED medication visit first
A sudden change with painful or bloody ejaculation, or urinary or pelvic pain
Thyroid symptoms (weight loss, palpitations, heat intolerance, tremor) or neurologic symptoms
A relationship or couples crisis, or any thoughts of self-harm

What to have ready

How quickly ejaculation happens and whether it has been lifelong or is newer
Whether you can delay it and how much it bothers you
Whether you also have any trouble with erections
Current medications (especially antidepressants) and any allergies

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

What treatments are offered here?

Behavioral techniques (stop-start and squeeze methods and pelvic-floor exercises) and guidance on an over-the-counter numbing spray or wipe (lidocaine or benzocaine). These are first-line and low risk. No prescription, including SSRIs, is issued in this visit at launch.

Why isn't an SSRI or prescription offered?

SSRIs can help premature ejaculation, but starting one online is a psychiatric medication decision with its own safety screening, so it is intentionally kept out of this visit. The over-the-counter numbing option works about as well as a prescription numbing cream for most men and needs no prescription.

How do I use a numbing product safely?

Apply a small amount about 10-15 minutes before sex and wipe it off, or use a condom, so it does not numb your partner. Stop if you get burning or a rash. Combining it with the behavioral techniques usually works best.

What if I also have erectile dysfunction?

Erectile dysfunction is treated first: men who rush to finish before losing an erection often improve once the erection problem is addressed. Start with the ED medication visit, and if finishing too quickly still bothers you afterward, come back to this visit.

When should this be seen in person instead?

A sudden change from your normal pattern with painful or bloody ejaculation, urinary or pelvic pain, thyroid symptoms, or neurologic symptoms needs an in-person exam and lab tests. A relationship or couples crisis is best helped by a sexual-health counselor, and any thoughts of self-harm should prompt a call or text to 988.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Balanitis care Enlarged prostate (BPH) symptoms ED medication