Understanding Premature Ejaculation Medications
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.
- 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.
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.
| Product Name | Active Ingredient | Application Method | Onset of Action | Duration | Potential Side Effects | Regulation | Effectiveness Rate | Price Range (USD) |
|---|---|---|---|---|---|---|---|---|
| EMLA Cream | Lidocaine, Prilocaine | Apply to glans penis | 10-15 minutes | 30-60 min | Numbness, irritation | OTC | 70-80% | 10-20 |
| Promescent | Lidocaine-based spray | Sprayed before sex | Immediate | 15-30 min | Reduced sensation | OTC | 75-85% | 20-30 |
| Plexus Neo | Lidocaine patch | Applied to penis | 10-20 min | Up to 1 hour | Local irritation | Prescription | 60-75% | 15-25 |
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.
Selective Serotonin Reuptake Inhibitors
They’ll also ask you about any alcohol and drug use. Lab tests are 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. 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.
Sildenafil (Viagra®) for PE
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. Repeat this “start and stop” approach three or four times before allowing yourself to orgasm. Your urologist can help direct you to these health professionals. Your provider may recommend certain medications to help with PE.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Soft Tabs | 100mg | 90 + 6 Pills | 205.31€ 195.53€ | |
| Cialis Generic | 2.5mg | 360 + 10 Pills | 260.03€ 247.65€ | |
| Kamagra 100 mg | 100 mg | 360 + 6 Pills | 839.95€ 799.95€ | |
| Kamagra Soft Tabs | 100mg | 12 Pills | 57.55€ 54.81€ | |
| Kamagra Oral Jelly | 100mg | 21 Sachets | 95.92€ 91.35€ | |
| Viagra Generic | 50mg | 90 + 6 Pills | 107.37€ 102.26€ | |
| Cialis Super Active | 20mg | 270 + 30 Pills | 661.49€ 629.99€ | |
| Viagra Generic | 200mg | 360 + 10 Pills | 481.98€ 459.03€ | |
| Viagra Original | 100mg | 4 Pills | 40.94€ 38.99€ | |
| Viagra Oral Jelly | 100mg | 10 Sachets | 46.36€ 44.15€ | |
| Kamagra Effervescent Tablets | 100 mg | 42 + 7 Pills | 122.97€ 117.11€ |
Antidepressants are one of the first-line therapies for PE as they can help delay ejaculation.
Phosphodiesterase Type 5 Inhibitors
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. 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.
Male pelvic floor muscles
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. This could range from history of sexual abuse to hostile feelings about your partner. 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. 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. Your penis absorbs the anesthetic cream or spray in about 10 to 30 minutes.
Additional info
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 best sex pills for women to see a urologist. Your urologist will begin an exam by asking about your sexual experiences. How long have you had this problem?
Authors and Affiliations
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. 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. It causes you to experience less sensitivity in your penis. It’s important to wash your penis before sex to prevent numbness to your partner’s genitals.
| Strategy | Description | Expected Outcome | Time Frame | Additional Notes |
|---|---|---|---|---|
| Mindfulness Meditation | Practice focusing on the present moment to reduce anxiety | Reduced performance anxiety | Weeks to months | Complements other treatments |
| Sensate Focus Exercises | Partner-based touching exercises to build comfort | Increased control and intimacy | Several weeks | Requires partner cooperation |
| Cognitive Behavioral Therapy | Therapy addressing thoughts and anxiety related to sex | Better sexual confidence | Several sessions | Often part of a comprehensive plan |
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. 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.
Alternative medicine
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. The only symptom of premature ejaculation is ejaculating too soon.
When should I see a doctor about my premature ejaculation symptoms?
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. For this reason, it’s important to seek help for PE. Most people find relief using one or more of the treatments above.
- 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.
Behavioral therapy and using different methods to delay ejaculation tend to be the most helpful. No, it actually worsens the problem because it makes you more sensitive to sexual stimulation.
Treatment Options for Premature or Rapid Ejaculation at UCLA
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. Premature ejaculation can be a frustrating experience for both you and your sexual partner and make your sex lives less enjoyable.
Medication Options to Reduce Sensitivity and Improve Control
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. Most healthcare organizations consider ejaculation “premature” if it: Occurs sooner than you or your partner desires. 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. It’s best to discuss your feelings with your healthcare provider so they can help you determine a cause and recommend the appropriate treatment.
Does Viagra help premature ejaculation?
Pelvic floor muscle training improves erectile dysfunction and premature ejaculation: A systematic review. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5-TR. National Institute of Diabetes and Digestive and Kidney Diseases. Khera M. Treatment of male sexual dysfunction.
Stop-start technique
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. Cleveland Clinic is a non-profit academic medical center. There are many treatment methods you can use to avoid PE.
| Side Effect | Medication Type | Incidence Rate | Severity Level | Management Strategies | Notes |
|---|---|---|---|---|---|
| Nausea | SSRIs, topical anesthetics | 10-15% | Mild to Moderate | Dose adjustment, timing | Usually transient |
| Dizziness | SSRIs, topical anesthetics | 8-12% | Mild | Standing slowly, hydration | Common with beginning treatment |
| Headache | SSRIs, topical anesthetics | 5-10% | Mild | Analgesics, time to adjust | Typically diminishes over time |
| Reduced Sensation | Topical anesthetics | 10-20% | Mild | Reduced dose, application timing | Can affect partner satisfaction |
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.
Data availability
How much are you bothered by premature ejaculation? How much is your partner bothered by premature ejaculation? How satisfied are you with your current relationship? Are you also having trouble getting and keeping an erection (erectile dysfunction)? If so, what medications have you recently started or stopped taking?
More Information
Deciding to talk with your health care provider is an important step. In the meantime, consider exploring other ways in which you and your partner can connect. Although premature ejaculation can cause strain and anxiety in a relationship, it is a treatable condition. Premature ejaculation — Current concepts in the management: A narrative review. Disorders of ejaculation: An AUA/SMSNA guide.
