The weekend pill

The Weekend Pill for Climax Control

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As-needed pill that can be taken for climax control

Helps improve overall bedroom performance

No doctor’s office visit required

Free, discreet delivery, if prescribed

Tadalafil is clinically approved to treat erectile dysfunction. Treatment for premature ejaculation is an “off-label” use of Tadalafil. A medical provider can prescribe it if they determine it is safe and appropriate for your condition. Prescription products available only if prescribed by a healthcare provider after an online consultation. Important safety information.

 This page was medically reviewed by Peter J. Stahl, MD

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Dr Peter Stahl Men’s Sexual Health and Urology, Hims

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What is premature ejaculation?

Premature ejaculation (or “PE,” for short) occurs when you ejaculate too early during intercourse or sexual activity. There’s no specific amount of time that defines ejaculation as “premature”—most sources use figures ranging from 30 seconds to four minutes into sexual activity.

Tadalafil is clinically proven to combat erectile dysfunction and can be prescribed as an “off-label” treatment for premature ejaculation. Tadalafil is the generic equivalent to the brand name drug Cialis. Like Cialis or Viagra^®, Tadalafil is a PDE5 inhibitor that relaxes blood vessels and improves blood flow to specific parts of the body, including the penis. Tadalafil can be taken as an "as-needed" tablet before sex (usually 10mg or 20mg), or as a once daily tablet for more spontaneous sex (usually 2.5 mg or 5mg).

Order Tadalafil online

Hims offers access to genuine Tadalafil online. Through our platform, you can get evaluated for PE treatment discreetly, skipping in-person conversations and physical trips to the pharmacy. First, you'll be securely connected online to a UK clinician to evaluate you and answer any questions. If determined to be appropriate by the clinician, you can be prescribed Tadalafil or other prescription PE drugs, which will be delivered right to your door at a pace that suits you. Ongoing adjustments are made simple by contacting a clinician through our platform.

How Tadalafil works

Tadalafil (generic for Cialis^®) works by promoting a balance of enzymes necessary to produce and maintain an erection. When aroused, the penis produces nitric oxide plus an enzyme that normally gets your penis hard. Like all PDE5 inhibitors, Tadalafil protects the enzyme from breaking down, which results in more blood flow in and less blood flow out. Tadalafil can last for 24-36 hours, so it can support erections longer than other ED pills.

Tadalafil side effects

Side effects most commonly associated with Tadalafil include headaches, flushing, upset stomach, abnormal vision, runny or stuffy nose, back and muscle pain, nausea, dizziness, and rash. If you have any side effects that bother you or do not go away, talk to your clinician. If you have a prolonged erection that lasts longer than 4 hours, you may have a medical condition called priapism, which requires prompt medical treatment. If this happens, seek emergency care immediately.

Tadalafil vs Sildenafil

Both Tadalafil (generic for Cialis^®) and Sildenafil (generic for Viagra^®) work to help you get it up and keep it up, but there are differences.

For starters, you always have to "time" your sex after taking Sildenafil — not so with Tadalafil. Tadalafil works for longer (up to 36 hours) compared with Sildenafil (2 to 4 hours).

Tadalafil can be taken as an "as-needed" tablet before sex (usually 10mg or 20mg), or as a once daily tablet for more spontaneous sex (usually 2.5mg or 5mg). Tadalafil can be taken on a full stomach unlike Sildenafil, which is not as effective on a full stomach (e.g. delayed by 60 minutes with a high-fat meal).

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Meet the medical professionals helping us find easier, faster and safer treatments for men like you.

Dr Patrick Carroll

Chief Medical Officer

Dr Peter J. Stahl

Men's Reproductive & Sexual Health

Dr Mia Jing Gao

Medical Advisor

Professor Geoffrey Hackett

Medical Advisor

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Got PE questions? We’ve got answers.

Technically, PE occurs when you ejaculate less than a few minutes after you start penetrative sex. More generally, PE is when you ejaculate much sooner than you or your partner wishes. In severe cases, it may even happen before sexual intercourse. PE can negatively affect one’s sex life and may be referred to as early ejaculation, rapid ejaculation, or premature climax. PE is one of the most common sexual dysfunctions you may encounter.

Premature ejaculation has a number of different causes, including psychological factors like concern over your sexual performance (aka sexual performance anxiety), relationship problems, stress, or depression, as well as some physical factors, like a hormonal imbalance or an infection in your urethra or prostate. In many cases, the cause cannot be determined. All of these factors can cause problems ejaculating, including premature or early ejaculation, which can impact your sexual relationships and encounters.

There are several prescription, over-the-counter and home remedies that all can be effective in treating PE. The best option for you depends on your specific situation, but these are a few of the most popular options:

SSRIs: Also known as selective serotonin reuptake inhibitors, prescription medications like dapoxetine (Priligy®) and sertraline have been shown to be effective in treating premature ejaculation.

PDE5 inhibitors: ED medications, such as sildenafil (generic for Viagra®) or tadalafil (generic for Cialis®), can be used to treat both premature ejaculation and erectile dysfunction. If you ejaculate too quickly, this may be the option for you, especially if you also struggle with getting erections, maintaining them, or achieving another one after your refractory period.

Anesthetic creams or sprays: Topical anesthetics are a popular choice for management of premature ejaculation because they are over-the-counter and since they aren’t ingested, they don’t have systemic effects on your body, which reduces the risk of experiencing systemic side effects.

Stop-start or edging: This is a method of training your body to recognize when you are about to ejaculate during sexual stimulation, so that you can stop stimulation for a time to delay ejaculation for longer during sexual intercourse.

Sex therapy: Starting behavioral therapy with a licensed mental health provider, such as a psychiatrist or sex therapist, can help you to work through any psychological reasons that you might be experience premature ejaculation.

Squeeze technique: The squeeze method is simply putting pressure on your penis when you are close to ejaculating to decrease arousal.

Kegel exercises: Strengthening the pelvic floor muscles can help you to control the muscles around your urethra, which studies show can help with premature ejaculation.

Masturbation: Masturbating before sexual intercourse can help you to last longer during sexual activity

There are non-prescription treatment options for PE, but to get a prescription treatment, you must first see a healthcare provider, who can determine if a prescription is appropriate for you. Discussing premature ejaculation with a healthcare provider can also help improve outcomes (especially if there are underlying medical conditions causing PE). Some medications available through our platform for the treatment of premature ejaculation, such as PDE5 inhibitors like sildenafil and selective serotonin reuptake inhibitors (SSRIs) like dapoxetine, are only available with a prescription by a licensed healthcare provider.

Lifelong PE is an innate, lifelong low threshold for orgasm that often results in a consistent very short time to ejaculation and a sense that you can’t control climax. This is on the serious end of the PE spectrum and typically will not subside without professional help. The signs include coming during early foreplay, with minimal sexual stimulation, or within the first 1-3 minutes of sexual intercourse. There are a range of interventions proven to help in management of premature ejaculation so it does not affect your sex life.

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