Oral Medications Used for Premature Ejaculation
It can also help when premature ejaculation is causing additional stress for a man, his partner, and their relationship. Therapy sessions can help address the underlying cause of premature ejaculation in some cases.
| 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 |
And it can help couples to recognize its impact on their relationship. Adding therapy to medication has been shown to be more effective than medication alone. Another technique you can try is wearing a thicker condom to reduce sensitivity.
- Topical anesthetic creams temporarily desensitize the penis to delay ejaculation.
- SSRI medications like paroxetine are prescribed off-label for premature ejaculation.
- Dapoxetine is a short-acting SSRI specifically approved for PE treatment.
- Tramadol, an opioid, can help delay ejaculation but carries dependency risks.
- Topical sprays offer quick, localized numbing effects to control ejaculation timing.
- PDE5 inhibitors like sildenafil may improve performance in men with PE and ED.
- Behavioral therapies include the stop-start and squeeze techniques to extend duration.
- Kegel exercises strengthen pelvic muscles, potentially delaying ejaculation.
- Counseling and sex therapy can address psychological causes of PE.
- Combining medication with behavioral techniques enhances treatment effectiveness.
- Herbal supplements lack robust clinical evidence but are used by some for PE.
- Consultation with a healthcare provider is essential to tailor appropriate therapy.
They can also help increase total erection time and average hardness of the erection. They may also improve the overall quality of sexual intercourse.
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Physical causes of premature ejaculation could include: Urologic conditions: These include conditions such as chronic prostatitis and varicocele, which can affect how the penis functions. Urologic conditions: These include conditions such as chronic prostatitis and varicocele, which can affect how the penis functions. Hypersensitive penis: Research shows that an increased sensitivity of the penis can cause some people to ejaculate faster. Medical conditions: Certain conditions, such as thyroid conditions and diabetes, can lead to hormonal changes that affect sexual function. Low serotonin levels: People with lifelong premature ejaculation may have genetic differences in a serotonin receptor that can lead to premature ejaculation.
Physical causes
Nerve damage: Neurologic conditions, such as spinal cord injuries or multiple sclerosis, can also lead to premature ejaculation. Psychological causes of premature ejaculation could include: Mental health conditions: Anxiety and depression can affect sexual experiences and cause premature ejaculation. Mental health conditions: Anxiety and depression can affect sexual experiences and cause premature ejaculation. Past sexual abuse: Men who are the victims of childhood sexual abuse are twice as likely to experience premature ejaculation. Relationship problems: Issues in a relationship or feeling nervous or uncomfortable with your partner can cause premature ejaculation. There are several types of condoms available that work to decrease sensation.
- 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.
These condoms may help to stop premature ejaculation. You could consider pelvic floor exercises as a treatment for premature ejaculation. Pelvic floor exercises, also known as Kegel exercises, involve contracting and relaxing pelvic muscles. These work to strengthen your pelvic muscles and their nerve connections. This may help you gain better control over ejaculation during sexual intercourse.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 150mg | 180 + 10 Pills | 236.46€ 225.20€ | |
| Kamagra Soft Tabs | 100 mg | 20 Pills | 79.79€ 75.99€ | |
| Cialis Super Active | 20mg | 30 + 6 Pills | 128.09€ 121.99€ | |
| Cialis Generic | 5mg | 60 + 4 Pills | 86.02€ 81.92€ | |
| Kamagra | 100mg | 84 + 6 Pills | 264.44€ 251.85€ | |
| Levitra Professional | 20mg | 360 + 6 Pills | 914.63€ 871.08€ | |
| Kamagra Soft Tabs | 100mg | 32 Pills | 120.11€ 114.39€ | |
| Viagra Original | 100mg | 76 + 4 Pills | 306.59€ 291.99€ | |
| Cialis Professional | 20mg | 90 + 2 Pills | 241.49€ 229.99€ | |
| Cialis Generic | 10mg | 20 Pills | 48.23€ 45.93€ | |
| Kamagra Polo | 100mg | 60 + 4 Pills | 189.39€ 180.37€ | |
| Viagra Original | 100mg | 22 + 2 Pills | 120.71€ 114.96€ | |
| Viagra Generic | 150mg | 90 + 6 Pills | 147.18€ 140.17€ | |
| Kamagra 100 mg | 100 mg | 180 + 6 Pills | 436.79€ 415.99€ | |
| Viagra Generic | 100mg | 20 Pills | 45.58€ 43.41€ | |
| Levitra Generic | 60mg | 60 + 4 Pills | 198.85€ 189.38€ | |
| Kamagra Gold | 100 mg | 12 Pills | 55.64€ 52.99€ |
Kegel exercises for men are useful for many conditions. They can help bowel and bladder incontinence, erectile dysfunction, and premature ejaculation. There’s no way to predict or prevent the first episode of premature ejaculation. It’s likely to happen to most men at least once in their lifetime.
How well do pills work against ejaculation too fast?
Body image concerns: A negative body image may impact sexual function and lead to premature ejaculation in some people. Alcohol misuse: Alcohol misuse is the one of the most common causes of sexual dysfunction and accounts for a significant amount of premature ejaculation. Anyone can experience premature ejaculation, but certain factors can make it more likely. Some of these overlap with the causes discussed above. Understanding your personal risk factors can help guide your conversation with a healthcare professional.Risk factors for premature ejaculation include: Age: Premature ejaculation can happen at any age, but it tends to be more common in younger men.
On average, how long does a man last?
As men get older and gain more sexual experience, ejaculatory control often improves. Age: Premature ejaculation can happen at any age, but it tends to be more common in younger men. Anxiety and depression: Mental health conditions, particularly anxiety, are strongly linked to premature ejaculation. Performance anxiety (worrying about how you'll do during sex) can create a cycle that's hard to break. Erectile dysfunction (ED): Men who have trouble getting or keeping an erection may rush through sex out of fear of losing it, which can contribute to premature ejaculation. But, if premature ejaculation continues to happen on a regular basis, there are a few tips you can try: Masturbation: Masturbating 1 to 2 hours before sex may help prevent you from ejaculating too quickly the next time.
| 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 |
Masturbation: Masturbating 1 to 2 hours before sex may help prevent you from ejaculating too quickly the next time. Distracting yourself: It may be helpful to think about other things during sex to try and prevent premature ejaculation.
Data availability
Relationship stress: Tension or conflict with a partner, or feeling emotionally disconnected, can make premature ejaculation more likely. If you recognize any of these risk factors in yourself, it's worth bringing them up with a healthcare professional. There are both medication and non-medication treatments for premature ejaculation. But, if another medical condition is causing your premature ejaculation, it’s important to treat that first. Not only can this improve your overall health, but it may also improve your ejaculation time.
How common is premature ejaculation?
Here are some techniques and medications to help treat premature ejaculation. With this technique, you’ll stimulate the penis until right before orgasm, then stop stimulation until the urge to ejaculate is gone. This technique may help you better recognize your body’s signals, which can help stop premature ejaculation during sex. This method also involves stimulating the penis to the point just before orgasm. At that moment, you’ll put a little bit of pressure on the head of your penis and wait about 30 seconds. Taking a break: If you feel yourself about to have an orgasm, stop and take a short break until the sensation goes away. It may also help to extend foreplay to delay sex and the opportunity to climax. Planning ahead: If you’re using medications, numbing creams, or condoms, make sure they’re on hand and available to use.
The bottom line
This helps decrease arousal for a short period of time and helps to prevent you from ejaculating too quickly. There are no medications that are FDA-approved to treat premature ejaculation. But there are pills and topical medications that’ve been used off-label with some success. Here are a few that have shown some promise: Selective serotonin reuptake inhibitors (SSRIs): These increase serotonin levels, which can improve premature ejaculation, especially pills to get her in the mood instantly in those with lifelong symptoms. Examples of SSRIs include sertraline (Zoloft) and paroxetine (Paxil).
Fluoxetine (Prozac)
Selective serotonin reuptake inhibitors (SSRIs): These increase serotonin levels, which can improve premature ejaculation, especially in those with lifelong symptoms. Topical numbing medications: Topical anesthetics may help reduce penile sensitivity and delay ejaculation. This includes medications like lidocaine (EMLA cream). Phosphodiesterase 5 inhibitors (PDE5Is): These medications (like Cialis or Viagra) are often prescribed off-label for premature ejaculation. Therapy can help reduce anxiety and stress that may be causing premature ejaculation. Viagra (sildenafil citrate) may offer some benefits as a treatment for premature ejaculation, but the evidence isn’t strong. In one study, researchers found no significant improvement in ejaculation time. But participants in the study reported feeling more confident and had greater sexual satisfaction.
What causes premature ejaculation?
If it doesn’t bother you or your partner, it may not be considered a medical problem. Premature ejaculation can be broken down into two main types: Primary (lifelong): If you've had symptoms since you started having sex, you probably have primary premature ejaculation. Primary (lifelong): If you've had symptoms since you started having sex, you probably have primary premature ejaculation. Acquired: If your symptoms developed later in life, you may have acquired premature ejaculation. In these cases, there's often an underlying medical or mental health reason behind it.
What to expect from your doctor
Knowing the different types of premature ejaculation is helpful for finding a possible cause and the right treatment. The American Urological Association has identified certain symptoms as criteria to diagnose premature ejaculation. Ejaculation that occurs in 2 minutes or less Ejaculation that occurs in 2 minutes or less A shorter time to ejaculation than in the past A shorter time to ejaculation than in the past Inability to delay ejaculation (always or almost always) Inability to delay ejaculation (always or almost always) Emotional distress and/or other negative consequences from premature ejaculation Emotional distress and/or other negative consequences from premature ejaculation If one or more of these criteria apply to you, you may have premature ejaculation. Although there are ideas about what may cause premature ejaculation, none of them have been confirmed. There are several physical and psychological causes that have been proposed by researchers. And they were able to achieve a second erection more quickly after ejaculating.
- 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.
Other studies showed that medications, like Viagra, could be a more promising treatment for premature ejaculation — but only in cases where erectile dysfunction was also present. It doesn’t seem to work as well in those with premature ejaculation alone. Keep in mind, if you do have erectile dysfunction, with GoodRx Care Direct, you can get sildenafil citrate (the generic version of Viagra) delivered directly to your home. When treating premature ejaculation, Viagra seems to work better in combination with certain medications than when it’s taken alone.
- 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.
Specifically, when paired with an SSRI or tramadol, sildenafil citrate (Viagra) increased the time before ejaculation and led to more sexual satisfaction. If you and your partner are happy with how long it takes you to ejaculate, there’s probably no need to see a healthcare professional about it. But, if premature ejaculation is causing you or your partner distress, a medical professional can help. Some other reasons you should seek care include: You have other medical symptoms, like trouble urinating, changes in your weight, or loss of sensation.
| Therapy Type | Description | Typical Duration | Success Rate | Noted Benefits | Noted Drawbacks |
|---|---|---|---|---|---|
| SSRI Medications | Selective serotonin reuptake inhibitors, delay ejaculation | 4-12 weeks | 70% | Long-term control | Possible side effects |
| Behavioral Therapy | Techniques like start-stop and squeeze method | Several sessions | 60-80% | No medication needed | Requires patient commitment |
| Topical Anesthetics | Numbing creams or sprays applied to glans penis | As needed | 65-75% | Fast onset | Reduced sensation, partner sensitivity |
| Pelvic Floor Exercises | Exercises to strengthen pubococcygeus muscles | 6-12 weeks | 50-65% | Improves control | Time-consuming |