Premature ejaculation (PE) is an issue many men face, with approximately 30–40% having it at some point during their life. It can lead to some stress, relationship problems, and a decline in sexual satisfaction. Fortunately, there are a few excellent medications available that can aid in the treatment of PE. In this blog, we’re going to explore what PE is all about, why it’s so important that we deal with it, the typical medication treatments that are available, how they compare in terms of efficacy and side effects, and a few pointers on how to select and use these treatments safely.
So, just what is premature ejaculation, and why should we be thinking about treating it?
Premature ejaculation occurs when a person climaxes earlier than they wish to during sex, usually within a minute of penetration. It might be something you have to cope with for the rest of your life, right from your very first sexual experience, or it might suddenly occur later on after you have been performing normally for some time. Even though PE typically isn’t a major health issue, it can really take a toll on your emotions, affect your self-esteem, and put a strain on your relationships. Addressing PE really matters since it can boost confidence, enhance intimacy, and improve the overall quality of life for both partners. Tackling PE can really help break that frustrating cycle of anxiety that often comes with it.
Let us consider some of the most popular drugs for premature ejaculation.
There are several types of drugs that are used to treat PE, whether they are specifically prescribed for the condition or utilized in another manner.
1. Selective Serotonin Reuptake Inhibitors, or SSRIs for short:
Dapoxetine is the sole SSRI that was specifically designed for PE, and it’s supposed to be taken “on demand” immediately prior to sex.
There are some other SSRIs available, such as paroxetine, sertraline, and fluoxetine. Physicians often use them for PE, and they’re usually taken daily.
2. Topical Anesthetics:
Lidocaine/Prilocaine creams or sprays are used by applying them right onto the penis. They work to lessen sensation, which can help in delaying ejaculation.
3. Phosphodiesterase Type 5 Inhibitors (PDE5 inhibitors):
Sildenafil (Viagra), Tadalafil (Cialis), and Vardenafil (Levitra) are mainly used for erectile dysfunction, but they can also be helpful for premature ejaculation, especially when both issues are happening at the same time.
4. Tramadol:
There is this opioid painkiller that can actually delay ejaculation. But it’s not so commonly used due to the risk of dependence and certain side effects associated with it.
Let’s compare popular drugs against each other based on how well they work and their side effects.
Dapoxetine is great for many men and can literally prolong the time to ejaculation by doubling or tripling the original duration. The best thing about it is that it is a quick action medication and you only take it when you need it, just before sex.
So, if you’re taking Paroxetine daily, it usually is one of the top SSRIs for handling PE. It has a definite ability to elongate the time to ejaculation, sometimes five to twenty times longer than you’d otherwise be doing. Other SSRIs, like sertraline and fluoxetine, can work as well, but typically not quite so much.
Applying topical anesthetics such as lidocaine-prilocaine sprays or creams will actually work by doubling or even quadrupling the time it takes to ejaculate. They work directly where you need them and don’t really affect the rest of your body much.
PDE5 inhibitors may not make a huge difference in PE, but they can actually be very useful if erectile dysfunction is also a problem.
Tramadol actually has the ability to delay ejaculation, but it isn’t usually prescribed due to the risk of addiction and other side effects.
Possible Side Effects:
- Some individuals may develop headaches, dizziness, or nausea after using dapoxetine.
- Some of the other SSRIs may cause side effects such as fatigue, sweating, decrease in libido, and sometimes sexual dysfunction.
- So, just a warning—topical anesthetics sometimes irritate the skin, cause burning, or numbness. And if you do not rinse them off before being intimate, they can numb your partner as well.
- PDE5 inhibitors may cause some side effects such as headaches, flushing, and nasal congestion, and may also interact with heart medications.
- So, tramadol might make you feel a bit nauseous or dizzy, and there’s also a chance of becoming dependent on it or experiencing withdrawal symptoms.
Choosing the Right Medication for You
The right medication for PE really depends on a few different things:
- So, if the root problem with PE is mental, then taking SSRIs or opting for behavior therapy might actually do the job. If hypersensitivity is the major problem, individuals tend to opt for topical anesthetics.
- When sexual intercourse is concerned, Dapoxetine is a perfect option for men who need something they can take whenever they want. Alternatively, daily SSRIs suit more active men in the bedroom.
- If you have ED, PDE5 inhibitors may be a perfect option for you.
- Some men may discover that some drugs have pesky side effects, so they may need to seek something else.
- Medical History: Certain drugs may not be suitable for men with certain medical conditions or who are taking specific medications.
You absolutely should speak with a healthcare provider. They can tailor the treatment specifically to you and monitor for side effects as well as interactions with other medications.
Treating premature ejaculation with drugs can be safely and effectively done with the proper strategy. Here’s the way to do it.
Hi! Just a quick reminder to just take your meds just like your doctor instructed, and don’t exceed the prescribed dose. It’s really important!
Timing: If you’re on on-demand medication like dapoxetine, just take them 1–3 hours prior to when you intend to be intimate. Take your daily SSRIs at the same time each day.
When applying anesthetic sprays or creams, ensure you apply them according to instructions. Don’t forget to properly wash them off before sex so that your partner is not numb.
Watch for Side Effects: Ongoing or severe side effects should be reported to your doctor. Be on the lookout for things like dizziness, allergic reactions, or mood changes.
Avoid taking combinations of medications because there are some medicines that do affect each other. Ensure you inform your physician about all the drugs and supplements you are taking.
It’s a good idea for your physician to follow up on how you’re doing after a few weeks of therapy. We may need to make some changes based on how you do and if you have some side effects.
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To summarize
Premature ejaculation is something many people have, and the good news is that it can be treated.
Some excellent choices are out there for most men, such as SSRIs, topical anesthetics, PDE5 inhibitors, and tramadol. What you want, what you prefer, and your health history really decide the best choice. With the proper course and a little bit of advice from a healthcare provider, most men are able to achieve more control, increased satisfaction, and improved confidence in their sex lives. Feel free to reach out for help—there are great solutions out there for you.
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