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Climax Delay Spray on table

Premature ejaculation treatment for lasting satisfaction*


Prescription and over-the-counter treatment options


Personalized guidance from a licensed provider


100% online consultation and ongoing support

Premature ejaculation (PE), or early climax, happens when you ejaculate sooner than you'd like during a sexual encounter.

PE is common, impacting sexually active men of all age groups. Fortunately, there's a range of treatment options that can extend your staying power for longer, more enjoyable sex.*


of sexually active men experience PE


of men don't know where to start in treating PE

From survey of 1506 Keeps patients

Spray for staying power

Last longer with our discreet and easy-to-use spray.

Climax delay spray

Climax Delay Spray

Easy-to-use, fast-acting spray delays ejaculation for longer-lasting sex.

Proven premature ejaculation prescriptions

While there are no FDA-approved medications to treat premature ejaculation, your provider may recommend an “off-label” prescription to address your symptoms.

Erectile dysfunction medications (like sildenafil citrate, also known as generic Viagra®) and certain antidepressant medications have been shown to delay ejaculation in clinical studies. Some treatment options have been shown to help men last up to five times longer.*

Private, personalized care

Complete our private online consultation whenever it's convenient for you. It asks questions to gather key insights about your health and sex life. Once complete, a qualified provider will review your information to decide which treatment option is the best fit for your health and lifestyle. If appropriate, they'll prescribe treatment which will be delivered straight to your door.

Take the quiz
One hand over another person's hands

Extend the thrill

prescription bottle with red curtain in background

What can I expect from Keeps?


comprehensive intake consultation


unlimited provider messaging


regular provider checkins

Keeps prescription bottle and Climax Delay Spray on tile with blurred red background

How does keeps work?

1. Request treatment

Your private online consultation is reviewed by a licensed medical provider to see if treatment is medically appropriate.

2. Get it delivered

Treatment is shipped straight to your door in a discreet package.

3. Reach out, anytime

Access on-demand support from your provider and the Keeps care team.

Meet our Clinical Lead

Dr. Parth Shah

Dr. Parth Shah

Keeps Sexual Health Clinical Lead

Board-certified family physician | Virtua Health | CVS Minute Clinic Medical Director

“Instead of addressing ED with a one-size-fits-all approach, our individualized care model considers your unique health history and goals to craft a treatment plan that truly fits into your life and routine.”

Frequently asked questions

What is premature ejaculation?


Premature ejaculation (PE), or early climax, happens when ejaculation occurs sooner than preferred during a sexual encounter.§

What causes premature ejaculation?


The exact cause of PE is unknown. However, a number of factors can contribute to PE, including mental health conditions (like depression, anxiety, and stress), biological factors (like hormonal imbalances or genetics), and even erectile dysfunction (ED).§

What does off-label mean?†


An off-label medication is one prescribed by a provider for a different purpose than what the FDA has approved it for. It is legal and common for providers to do this when they believe a medication could benefit their patient. Off-label medications are common in situations where: There is no FDA-approved drug to treat a condition and there is evidence that a medication works well for off-label use

What is sildenafil citrate?


Sildenafil citrate† is a generic form of Viagra®, an oral medication FDA-approved for treating erectile dysfunction. While it is not FDA-approved to treat premature ejaculation, clinical studies indicate that it can help delay climax.

* Individual results may vary.

† Sildenafil citrate tablets (25mg, 50mg, & 100mg), Rx only, has not been approved by the FDA as safe and effective to treat premature ejaculation, however emerging evidence suggests that sildenafil citrate is a safe and effective treatment option for premature ejaculation. Sildenafil citrate may also cause side effects including headache, flushing, and indigestion. By providing this content, Thirty Madison, Inc. in no way supports or endorses the use of this product for such condition(s). Such determination must be made by a licensed clinician who may prescribe sildenafil citrate because in their clinical judgment, use of the product is medically appropriate.

§ The information provided here is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the content provided here for specific medical advice. If you have any questions or concerns, please talk to your provider.


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