I've struggled with PE in the past and visited a urologist but wasn't happy with any of the oral meds he prescribed. Started off with low dose Prozac but it killed my sex drive and then moved onto Tramadol but made me drowsy. I got a second opinion from another doc a few months ago and he said to try Promescent. Took me a few times to get the dosage right but once I found my sweet spot it worked great. The Wife likes it too because it didn't affect her at all like past topicals I tried