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88% of patients saw improvements*

*With continued use, 88% of participants using benzocaine wipes were no longer considered to have PE (defined as <2 min time to ejaculation) at the end of two months (Shaharish, 2019)

Sertraline

Sertraline carries a Black Box Warning for increased risk of suicidal thoughts and behaviors in children, adolescents, and young adults. It requires a prescription and is prescribed off-label for premature ejaculation.

Sildenafil

Sildenafil is a prescription medication used to treat erectile dysfunction. It should not be taken with nitrates or certain other medications. Consult your provider for a full list of interactions.

Roman Swipes

Roman Swipes contain 4% benzocaine and are for external use only. Do not use on broken or irritated skin. If irritation occurs, discontinue use and consult a provider.

Over 2,000,000+ saluviaMx members

These saluviaMx members received their treatment at no cost in exchange for their testimonials.

I was skeptical at first, but Swipes genuinely changed my confidence. I feel like a different person in the bedroom.
M

Member 1

saluviaMx member

The process was so simple. Answered a few questions online, got my prescription, and it showed up at my door two days later.
M

Member 2

saluviaMx member

Over 2,000,000 members trust Ro — I'm glad I finally gave it a try. My partner and I are both happier.
M

Member 3

saluviaMx member

How saluviaMx works

1

Online visit

Complete a confidential online visit. Share your health history and symptoms so a licensed provider can create a personalized plan.

2

Free and discreet shipping

If prescribed, your treatment ships free in unmarked, discreet packaging straight to your door.

3

Ongoing care

Message your provider anytime. Get refills, adjustments, and support — all included at no extra cost.

Frequently asked questions about premature ejaculation

PE treatment works by reducing sensitivity or addressing underlying causes. Roman Swipes use a topical desensitizer (benzocaine) to reduce sensation and delay ejaculation. Sertraline works by increasing serotonin levels, which can delay the ejaculation reflex. Sildenafil helps if both erectile dysfunction and premature ejaculation are present.

Yes. Clinical studies show significant improvement. With Roman Swipes, 88% of participants were no longer considered to have PE after two months of continued use. Sertraline has been shown to increase time to ejaculation by up to 5× in clinical studies.

Erectile dysfunction medications like sildenafil can help with PE in some cases. By improving erection quality and reducing performance anxiety, men may feel more confident and last longer during sex. Sildenafil is commonly prescribed when both ED and PE are present.

Non-prescription options include behavioral techniques (such as the start-stop method and the squeeze technique), desensitizing condoms, and topical agents. Roman Swipes offer a prescription-strength topical solution that can be obtained through an easy online visit.

No. PE medications like Swipes and sertraline focus on delaying ejaculation and do not directly cause erections. If erectile dysfunction is also a concern, your provider may prescribe sildenafil separately to address both conditions.

Health Guide

  • What causes premature ejaculation?5 min read
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  • Premature ejaculation vs erectile dysfunction: what's the difference?6 min read

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