It’s common, and something a doctor can help with. A 1–3 minute questionnaire online, then a video consult with a doctor licensed in Japan.
From ¥430 a tablet · taken before sex
Private care (jiyū shinryō): not covered by public health insurance.
There’s no stopwatch for this. Measure it by how you feel, not by the clock. If it bothers you, that’s reason enough to talk to a doctor.
A self-check, not a diagnosis. Only a doctor can tell you what’s going on.
Many sources use under 4 minutes as a rough guide, but the clock doesn’t decide. If it’s getting to your confidence or your relationship, that’s reason enough.
Dapoxetine on its own, or a combination tablet that treats ED and PE together. None of the three is approved in Japan, so your doctor explains what that means before prescribing.
A tablet you take 1 to 3 hours before sex, when you need it, to help delay climax.
More options
ED + PESildenafil + dapoxetineSildenafil 100mg + dapoxetine 60mg · not approved in JapanOne combination tablet for ED and PE together. Take it about an hour before sex.From ¥870 a tablet
ED + PETadalafil + dapoxetineTadalafil 20mg + dapoxetine 60mg · not approved in JapanOne combination tablet for ED and PE together. Take it 1 to 3 hours before sex.From ¥1,020 a tablet
Prescription only: a free video consult with a doctor licensed in Japan comes first, and the doctor may decide not to prescribe. Private care (jiyū shinryō): not covered by public health insurance. Prices include tax. For illustration: your medicine may look different. “From” prices are per tablet on the lowest-priced plan (usually the 12-month plan). Dapoxetine and both combination tablets: Not approved in Japan. Your doctor imports it, under their own judgement. No medicine with the same active ingredient is approved in Japan. Japan’s Relief System for Sufferers from Adverse Drug Reactions doesn’t cover it.
A few questions about your health, online. Only your doctor sees them.
A doctor licensed in Japan diagnoses PE from your history and symptoms. Your first consult is by video; after that, video or chat.
Free anywhere in Japan, in a plain box. As soon as the next day in most regions.
A prescription is day one. We’re in it for every day after.

How did the first few go? Give it a couple more tries, then tell me how the timing feels.
A 1–3 minute questionnaire now. A video consult with a doctor licensed in Japan when it suits you.