Topical Anesthetics for Delaying Ejaculation
With this technique, the idea is to focus your attention on ordinary nonsexual things during sexual activity. Naming sequences are a good way to focus your attention. For example, visualize naming all the businesses you pass on your drive to the gym or naming all the players on your favorite sports team. If the cause of your premature ejaculation is psychological, emotional or due to relationship issues — like performance anxiety, depression, stress, guilt or a troubled relationship — seek the help of a psychologist, psychiatrist or sex therapist. Your urologist can help direct you to these health professionals. Your provider may recommend certain medications to help with PE. Antidepressants are one of the first-line therapies for PE as they can help delay ejaculation. This is an “off-label” use (not approved by the Food and Drug Administration). Be sure to discuss the side effects of this medication with your urologist to be sure it’s appropriate for you.
- Dapoxetine is effective when taken 1-3 hours before intercourse.
- Topical anesthetics can reduce sensation but risk partner numbness.
- SSRIs may take several weeks to reach full efficacy for PE.
- Tramadol's use for PE is off-label; consult a doctor before use.
- Combining medication with therapy can optimize outcomes.
- Avoiding excessive alcohol and stress can improve sexual performance.
- Pelvic exercises increase muscle strength and ejaculatory control.
- Psychological support can address anxiety-related PE.
- Devices like constriction rings may be used as mechanical aids.
- Open communication with partner improves treatment success.
- Regular follow-up with healthcare provider is recommended.
- Natural remedies lack solid clinical proof but are popular.
Antidepressants your provider might prescribe include the tricyclic antidepressant clomipramine (Anafranil®) or selective serotonin reuptake inhibitors (SSRIs), for example: Anesthetic (numbing) creams and sprays you apply to the head and shaft of your penis is another potential first-line medication option to delay ejaculation.
- Dapoxetine is contraindicated with certain medications and health conditions.
- Topical creams should be used sparingly to prevent partner numbness.
- SSRI treatment may cause emotional blunting or decreased libido.
- Tramadol's risk of dependency requires careful medical supervision.
- Mechanical devices can provide temporary ejaculation delay.
- Behavioral training involves specific sex exercises for control.
- Mindfulness and relaxation techniques benefit PE management.
- Proper diagnosis is essential to rule out underlying disorders.
- Incorporate partner feedback to improve treatment results.
- Avoid abrupt discontinuation of prescribed medication.
- Lifestyle modifications can include weight management.
- Ongoing research aims to develop more effective PE treatments.
Your penis absorbs the anesthetic cream or spray in about 10 to 30 minutes. It causes you to experience less sensitivity in your penis.
Phosphodiesterase Type 5 Inhibitors
The only symptom of premature ejaculation is ejaculating too soon. Premature ejaculation can have a significant effect on your relationship with your partner, making the complications psychological rather than physically harmful. You may feel embarrassed or that you can’t satisfy your partner. This can lead to issues with intimacy and impact your relationship as a whole. It’s common for people with PE to experience depression and frustration.
Tadalafil (Cialis®) for PE
For this reason, it’s important to seek help for PE. It’s a common condition that frustrates many people. Your healthcare provider can help determine the best treatment for you depending on the cause of your premature ejaculation. If you have frequent premature ejaculations or if premature ejaculation is causing you anxiety or depression and affecting your relationship, make an appointment to see a urologist. Your urologist will begin an exam by asking about your sexual experiences.
Basic questions to ask your doctor
How long have you had this problem? Does premature ejaculation happen at every sexual encounter? Does premature ejaculation occur when you masturbate? Do you have trouble maintaining an erection? While the questions are personal, it’s important that you answer your urologist honestly so they can best diagnose the source of your problem. It’s important to wash your penis before sex to prevent numbness to your partner’s genitals.
- Dapoxetine is taken as needed, usually 1-3 hours before sex for rapid action.
- Topical anesthetics should be used sparingly to avoid numbness of partner.
- SSRIs may cause side effects like nausea, dizziness, or decreased libido.
- Tramadol carries potential for abuse and should only be used under medical supervision.
- Daily use of certain medications may be recommended for persistent PE.
- Psychological counseling helps address performance anxiety contributing to PE.
- Pelvic floor exercises improve control and delay ejaculation naturally.
- Partner involvement in therapy can improve treatment adherence.
- Discontinuing medication abruptly may cause withdrawal symptoms or rebound.
- For some men, combining therapy with lifestyle changes yields better results.
- Over-the-counter remedies should be approached cautiously and discussed with a doctor.
- Research continues into new pharmacological and non-pharmacological treatments.
Erectile dysfunction medications, which include sildenafil (Viagra®), tadalafil (Cialis®), vardenafil (Levitra®) and avanafil (Stendra®), may help treat premature ejaculation, particularly in people with underlying erectile dysfunction.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Levitra Soft Tabs | 20mg | 180 + 10 Pills | 398.14€ 379.18€ | |
| Cialis Black | 80mg | 360 + 20 Pills | 639.78€ 609.31€ | |
| Viagra Generic | 25mg | 120 + 6 Pills | 125.56€ 119.58€ | |
| Kamagra Polo | 100mg | 12 Pills | 60.21€ 57.34€ | |
| Viagra Super Active | 100mg | 360 + 30 Pills | 470.93€ 448.50€ | |
| Viagra Generic | 150mg | 20 Pills | 55.02€ 52.40€ | |
| Viagra Original | 100mg | 92 + 4 Pills | 362.88€ 345.60€ | |
| Cialis Generic | 2.5mg | 60 + 4 Pills | 83.43€ 79.46€ | |
| Kamagra Oral Jelly | 100 mg | 220 + 18 Sachets | 662.24€ 630.70€ | |
| Cialis Super Active | 20mg | 20 + 4 Pills | 92.35€ 87.95€ | |
| Priligy Generic Dapoxetine | 60mg | 180 + 10 Pills | 494.76€ 471.20€ |
In certain cases, your provider may prescribe tramadol, an opiate medication. While alternative therapies also exist for PE treatment, there isn’t enough evidence to prove they’re effective. Most people find relief using one or more of the treatments above. Behavioral therapy and using different methods to delay ejaculation tend to be the most helpful.
Frequently asked questions
Treatment of male sexual dysfunction. Premature ejaculation occurs when you ejaculate (cum) earlier than you or your partner would like during sex. It’s a common problem, affecting 30% to 40% of people with a penis. Causes include physical problems, chemical imbalances and emotional/psychological factors. Treatments include learning techniques to delay ejaculation, counseling and medications.
Definition of Premature Ejaculation
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Premature ejaculation (PE) is a type of sexual dysfunction that occurs when a person has an orgasm and ejaculates sooner than they or their partner would like. It often happens before or shortly after penetration during intercourse.
SSRIs for Premature Ejaculation
Premature ejaculation can be a frustrating experience for both you and your sexual partner and make your sex lives less enjoyable. PE can be lifelong, meaning you’ve had it since your first sexual experience. It can also be acquired, which means you’ve had sex previously where PE wasn’t an issue. Many healthcare providers would define premature ejaculation as ejaculating within one minute of beginning intercourse. The exact timing for premature ejaculation varies and only your healthcare provider can make a diagnosis. No, it actually worsens the problem because it makes you more sensitive to sexual stimulation. By involving your partner and seeing the appropriate healthcare professionals, you may be able to control your ejaculations and enjoy your sex life again. Yes, you can prevent PE depending on what’s causing it.
| Medication Name | Type | Typical Dosage | Onset Time | Duration of Effect | Common Side Effects | Approval Status | Available By Prescription | Estimated Cost (USD) |
|---|---|---|---|---|---|---|---|---|
| Dapoxetine | SSRI | 30 mg | 1-3 hours | 12-24 hours | Nausea, dizziness, headache | Approved | Yes | 2-5 |
| Paroxetine | SSRI | 20 mg/day | 1-2 hours | 24 hours | Fatigue, dry mouth | Approved | Yes | 1-4 |
| Sertraline | SSRI | 50 mg/day | 2-4 hours | 24 hours | Diarrhea, insomnia | Approved | Yes | 2-4 |
| Topical Anesthetics | Local anesthetic | Varies | Immediate | 30-60 minutes | Loss of sensation in area | Approved | Yes | 3-7 |
It’s best to discuss your feelings with your healthcare provider so they can help you determine a cause and recommend the appropriate treatment.
Risk factors
Your urologist will also ask about any other medical conditions you may have and any medications, including over-the-counter medications, supplements and herbal products you’re taking. They’ll also ask you about any alcohol and drug use. Lab tests are tadalista tablets usually not needed unless your healthcare provider suspects that an underlying health condition is contributing to the problem. There are many different treatment options for premature ejaculation depending on the cause. These include behavioral therapy, counseling and medications.
How does Premature Ejaculation Occur?
Most causes of premature ejaculation are usually treated first with behavioral therapy and/or counseling to help with emotional concerns, performance anxiety or stressors that may be contributing. You can try more than one treatment approach at the same time, and in fact, combinational therapy may be more effective than any one treatment alone. Behavioral therapy involves trying different practical methods to delay your orgasm. The goal is to teach you how to control your body and your feelings. With this technique, you or your partner stimulates your penis close to the point of orgasm, then stops the stimulation for about 30 seconds until you regain control of your response. There are many treatment methods you can use to avoid PE.
How Do You Diagnose Premature Ejaculation?
Repeat this “start and stop” approach three or four times before allowing yourself to orgasm. Continue practicing this method until you have gained good control. With this technique, you or your partner stimulates your penis close to the point of orgasm then gently squeezes the head of your penis for about 30 seconds so that you begin to lose your erection. Repeat this technique a few times before allowing yourself to orgasm. Continue practicing this technique until you’ve gained control in delaying your orgasm. Premature ejaculation itself isn’t harmful but other health problems may contribute to the development of premature ejaculation. Erectile dysfunction (you can’t maintain a firm erection for intercourse) Chronic pelvic pain syndrome (long-term pain and cramping in your pelvic area plus long-term urinary tract symptoms and sexual dysfunction) Talk to your healthcare provider if you believe you have premature ejaculation or if ejaculating too soon is affecting your sex life. It’s normal to feel embarrassed about discussing sex with your healthcare provider, but know that PE is a common condition and that your provider isn’t there to judge you.
- Dapoxetine used before sex provides quick relief from PE.
- Topical anesthetic applications should be tailored to individual needs.
- SSRIs may cause delayed orgasm or decreased sexual desire.
- Tramadol is an alternative but carries substantial risks.
- Training with behavioral techniques can lead to lasting improvements.
- Fatigue and stress reduction support sexual performance.
- Pelvic floor strengthening is a natural method to control ejaculation.
- Psychological support addresses underlying emotional issues.
- Mechanical aids are an option for some men.
- Combining medications with psychotherapy enhances efficacy.
- Avoid self-medicating without professional advice.
- Consistent follow-up optimizes long-term management.
Wearing a condom can decrease sensitivity to your penis and help delay ejaculation. If you have erectile dysfunction, you can’t get or maintain an erection. If you have premature ejaculation, you have an erection, but you reach orgasm and ejaculate earlier than you or your partner would like. Erectile dysfunction can lead to premature ejaculation. This happens because you know you can’t maintain an erection, leading to quick ejaculation so you don’t lose your erection.
What are Premature Ejaculation Pills?
Most healthcare organizations consider ejaculation “premature” if it: Occurs sooner than you or your partner desires. Causes distress to one or both partners. Happens during all or almost all sexual activity. Has been occurring for longer than six months to one year. Between 30% and 40% of people experience premature ejaculation at some point in their lives.
Italian Society of Andrology and Sexual Medicine
It’s the most common type of sexual dysfunction in people with a penis, with about 1 in 5 people between the ages of 18 and 59 reporting premature ejaculation. Anxiety/psychological factors are most often the cause of premature ejaculation. Extra sensitive penile skin is also a common cause. It could come from the nervousness of being with a new partner, the anxiousness of having sex again after a long period of abstinence, being overly excited or other reasons. Stress could be coming from work, other relationships, life changes or other events in your life.
Premature ejaculation (PE), or now, as it is often referred, rapid ejaculation (RE), is a common medical condition that is tough to define and affects up to 30 percent of men.
This could range from history of sexual abuse to hostile feelings about your partner. These could include feeling guilty or overwhelmed. This includes body image issues or lack of confidence. A hormonal problem involving oxytocin levels, which has a role in sexual function — other hormone levels that play a role in sexual function include luteinizing hormone (LH), prolactin and thyroid stimulating hormone (TSH) Low serotonin or dopamine levels, which are chemicals in your brain that are involved in sexual desire and excitement A penis that’s extra sensitive to stimulation It’s worth noting that premature ejaculation isn’t typically due to an underlying penile disorder, disease, infection or problem with your reproductive organs. Most of the time, everything is working as it should and the problem comes from stress, nervousness and anxiety. Because of this connection between these two conditions, your urologist will want to figure out if you have erectile dysfunction and, if so, treat that first.
