Hosted by Dr. Amy Pearlman and Dr. Larry Lipschultz
On the "Fertility and Other F Words" webcast, urologists Dr. Amy Pearlman and Dr. Larry Lipschultz talk with Promescent CEO Jeff Abraham about premature ejaculation, the science behind delay spray, and why sexual wellness deserves an open, judgment-free conversation.
Sexual wellness is finally moving out of the back aisle and into open conversation - and that shift is exactly what the "Fertility and Other F Words" webcast set out to capture. Co-hosted by board-certified urologists Dr. Amy Pearlman and Dr. Larry Lipschultz, the show tackles fertility, sexual health, and everything in between. In this episode, they welcome Jeff Abraham, CEO of Promescent, a sexual wellness company built around science-backed solutions for the intimacy challenges couples actually face. Abraham's path to the role was anything but typical, and his perspective cuts through a lot of the stigma that keeps men silent.
Abraham did not set out to lead a sexual wellness brand. He spent decades running a semiconductor engineering business before his urologist, friend, and neighbor Ron pitched him on a new product. The misunderstanding that followed has become one of his favorite stories.
"He goes, I developed a solution for PE. I go, you developed a solution for physical education? Because when I was in school, PE was phys ed. He's like, no, dumbass. It's premature ejaculation."
What hooked Abraham was the scale of the problem. When he asked how the market for premature ejaculation (PE) compared to erectile dysfunction, he expected a fraction. Instead, Ron told him it was actually larger - and that some cases diagnosed as erectile dysfunction are really untreated PE that has spiraled into performance anxiety over time. For background on how clinicians define and treat the condition, the Urology Care Foundation offers a clear, accessible overview.
One of Abraham's core points is that PE is not only about a man finishing too fast. It is about the gap between partners - and the anxiety that builds inside it. He describes a moment most men recognize.
"There's that little guy on one shoulder going, oh, this is going to feel so good. Do you want to finish? And there's a little guy on the other shoulder going, not yet, you idiot. She's not done yet."
That framing reflects how the hosts approach treatment, too. The discussion centered on building a wider set of options rather than a single fix. As Dr. Lipschultz noted in reviewing the clinical literature, simple behavioral interventions can move intravaginal ejaculatory latency time from roughly two minutes to fifteen minutes - a change he called clinically significant. Resources like the Mayo Clinic reinforce that PE is common and treatable.
In the behavioral study the hosts reviewed, men increased their time to ejaculation from about two minutes to fifteen minutes - a result the urologists described as clinically significant, not just statistically significant.
Abraham is candid that the category was crowded with products that did not work. Back in 2012, his team counted around 170 products marketed for PE, many of them lidocaine sprays that simply numbed everyone in the room.
"It does numb you, so you're desensitized, but it also transfers to your partner, no matter what type of sex you're having. So everyone's numb. I tell people, you might as well go take a spin class."
The difference, he explains, is chemistry. Promescent uses a eutectic formula that changes the crystalline structure of lidocaine so it absorbs into the tissue rather than sitting on the surface. The result, according to Abraham, is that the man maintains a higher degree of surface sensitivity and the product does not transfer to a partner once it has absorbed - typically within five to seven minutes. That absorption approach is what separates Promescent Delay Spray from the older topical products that gave the category a bad reputation.
Abraham also stresses that dosing matters. The spray is metered so each application delivers a consistent amount, and he advises starting low and adjusting rather than guessing - a lesson he learned the hard way the first time he tried it himself.
Beyond delay products, the conversation turned to how stigma keeps couples from enjoying themselves. Abraham pushed back hard on the idea that a partner using a vibrator reflects poorly on the man.
"You should be focused on your partner having as many and as intense orgasms as possible. Check your ego at the door."
His reasoning is refreshingly practical: the more pleasure a partner receives, the more invested both people become in the relationship. Dr. Pearlman echoed this from the clinical side, describing how she began talking openly about sexual wellness products with patients and found that demand was everywhere, not just in big cities. The takeaway for couples is that these tools are not replacements - they are additions to a healthy intimate life. For more on managing PE specifically, Promescent's guide to premature ejaculation walks through the options.
The episode kept returning to the same idea: PE has many causes, so it deserves many tools. The hosts discussed on-demand options like delay spray and emerging nerve-stimulation devices alongside retraining techniques such as diaphragmatic breathing. Abraham's point is that a delay product is not a magic bullet, but for many men - including those whose partners simply take longer to climax - it is a reliable way to close the gap.
"This isn't for just people with PE, because there's a lot of people that can enhance their intimacy, even if they don't have PE, because their partner takes a lot longer than they do."
That broad, judgment-free framing is the throughline of the whole conversation. Whether PE is a clinical diagnosis or simply a mismatch in timing, the message is the same: it is common, it is treatable, and there is no reason to suffer in silence. To explore the full range of science-backed options, start at Promescent.
Watch the full episode on YouTube.
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