Creams, gels and sprays that contain a numbing agent — such as benzocaine, lidocaine or prilocaine — are sometimes used to treat premature ejaculation. They're applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation. However, a cream containing both lidocaine and prilocaine (EMLA) is available by prescription. Although topical numbing agents are effective and well tolerated, they have potential side effects. They may cause decreased feeling and sexual pleasure in both partners.
By repeating as many times as needed, you can reach the point of entering your partner without ejaculating. After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. If the pause-squeeze technique causes pain or discomfort, you can try the stop-start technique. It involves stopping sexual stimulation just 200mg sildenafil citrate before ejaculation. Then waiting until the level of arousal has diminished and starting again. These drugs aren't approved by the Food and Drug Administration to treat premature ejaculation, but some are used for this purpose. They include antidepressants, pain relievers and drugs for erectile dysfunction.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Generic | 150mg | 20 Pills | 55.02€ 52.40€ | |
| Viagra Generic | 100mg | 90 + 6 Pills | 129.02€ 122.88€ | |
| Kamagra Oral Jelly | 100mg | 110 + 9 Sachets | 334.87€ 318.92€ | |
| Kamagra | 100mg | 120 + 6 Pills | 330.74€ 314.99€ | |
| Viagra Generic | 200mg | 180 + 10 Pills | 277.56€ 264.34€ | |
| Kamagra | 100mg | 84 + 6 Pills | 264.44€ 251.85€ | |
| Viagra Generic | 25mg | 60 + 4 Pills | 71.99€ 68.56€ | |
| Kamagra Soft Tabs | 100mg | 120 + 6 Pills | 311.78€ 296.93€ | |
| Viagra Generic | 50mg | 30 + 4 Pills | 54.26€ 51.68€ | |
| Kamagra Oral Jelly | 100mg | 63 + 7 Sachets | 224.18€ 213.50€ | |
| Kamagra | 100mg | 360 + 6 Pills | 839.95€ 799.95€ | |
| Viagra Generic | 50mg | 180 + 8 Pills | 158.82€ 151.26€ | |
| Kamagra Oral Jelly | 100mg | 10 Sachets | 54.55€ 51.95€ |
These medications might be prescribed for either on-demand or daily use. Also, they may be prescribed alone or with other treatments. A side effect of certain antidepressants is delayed orgasm. For this reason, selective serotonin reuptake inhibitors (SSRIs) are used to treat premature ejaculation. The SSRI dapoxetine is often used as the first treatment for premature ejaculation in some countries. It's not currently available in the United States.
Tighten your pelvic floor muscles, hold for three seconds and then relax for three seconds. Try it a few times in a row. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks.
Aim to do at least three sets of 10 repetitions a day. Your health care provider might instruct you and your partner to use the pause-squeeze technique. Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate. Then you or your partner can squeeze the end of your penis where the head joins the shaft. Keep squeezing for several seconds until the urge to ejaculate passes. Of the drugs approved for use in the United States, paroxetine seems to be the most effective. These medications usually take 5 to 10 days to begin working. But it might take 2 to 3 weeks of treatment to see the full effect. If SSRIs don't improve the timing of your ejaculation, your health care provider might prescribe the tricyclic antidepressant clomipramine (Anafranil). Side effects of antidepressants might include nausea, perspiration, drowsiness and decreased sex drive. Tramadol (Ultram, Conzip, Qdolo) is a medication used to treat pain. It also has side effects that delay ejaculation. Tramadol might be prescribed when SSRIs haven't been effective. Tramadol can't be used in combination with an SSRI. Side effects might include nausea, headache, sleepiness and dizziness. Tramadol can become habit-forming when taken long-term. Some medications used to treat erectile dysfunction also might help premature ejaculation.
Understanding Cluster Headache ( Last reviewed 4/18/2019. Kandel SA, Mandiga P. Cluster Headache ( [Updated 2023 Jul 4]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Cluster headache ( Last reviewed 11/9/2021.
Cluster Headache: Epidemiology, Pathophysiology, Clinical Features, and Diagnosis ( Ann Indian Acad Neurol. Cleveland Clinic’s primary care providers offer lifelong medical care. From sinus infections and high blood pressure to preventive screening, we’re here for you. Your health care provider asks about your sex life and your health history. Your provider might also do a physical exam.
If you have both early ejaculation and trouble getting or keeping an erection, your provider might order blood tests. The tests may check your hormone levels. In some cases, your care provider might suggest that you go to a urologist or a mental health provider who specializes in sexual problems. Common treatment options for premature ejaculation include behavioral techniques, medications and counseling. It might take time to find the treatment or combination of treatments that work for you. Side effects might include headache, facial flushing and indigestion. These medications might be more effective when used in combination with an SSRI. Research suggests that several drugs might be helpful in treating premature ejaculation.
You don’t have to be in the midst of a cluster to see a specialist or get a diagnosis. Contact a healthcare provider if you have headaches that: Occur with a stiff neck or fever. Occur with speech, vision or movement problems. Let your healthcare provider know if you become pregnant or are thinking about becoming pregnant and you’re taking medications for headaches. If you have cluster headaches and take medications for them and you notice side effects or don’t feel like it’s effective anymore, let your provider know.
Do I need to keep a journal to identify triggers? What type of treatment do you recommend? When and how often should I take medication to treat an attack? Are there any herbal supplements or over-the-counter medications I can take to help alleviate my symptoms? Everyone gets headaches from time to time for various reasons.
But cluster headaches are no ordinary headaches. If you experience severe headaches in a pattern, talk to your healthcare provider. Treatment is available to reduce the severity and how often these headaches occur. If you notice worsening changes to how you feel while you’re taking medications, especially if you notice side effects, contact your provider. Cluster Headache ( Last published 6/15/2013. This is a treatment for the sleeping disorder narcolepsy. Researchers are studying whether injecting Botox into the muscles that help cause ejaculation can treat premature ejaculation. This approach involves talking with a mental health provider about your relationships and experiences. Sessions can help you reduce performance anxiety and find better ways of coping with stress. Counseling is most likely to help when it's used in combination with drug therapy. With premature ejaculation, you might feel that you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and turn away from your partner. Your partner also might be upset with the change in sexual intimacy.
Premature ejaculation can cause partners to feel less connected or hurt. Talking about the problem is an important step. Relationship counseling or sex therapy also might be helpful. There is a problem with information submitted for this request. Review/update the information highlighted below and resubmit the form.
Condoms might make the penis less sensitive, which can help delay ejaculation. Specially designed "climax control" condoms are available without a prescription. These condoms contain numbing agents such as benzocaine or lidocaine to delay ejaculation. They might also be made of thicker latex. Examples include Trojan Extended Pleasure and Durex Prolong. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. We use the data you provide to deliver you the content you requested. To provide you with the most relevant and helpful information, we may combine your email and website data with other information we have about you.
| Country | OTC Availability | Regulations Summary | Date of Legal Change | Notes |
|---|---|---|---|---|
| USA | No | Prescription required, OTC status not approved | N/A | FDA approved for prescription use |
| UK | Yes | Sold as a supplement in some stores, regulated as medication in pharmacies | 2020 | Limited to specific brands |
| Australia | No | Prescription only | N/A | Strict regulation |
| Germany | Yes | Over-the-counter sale available in pharmacies | 2018 | Age restrictions apply |
If you are a Mayo Clinic patient, we will only use your protected health information as outlined in our Notice of Privacy Practices. You may opt out of email communications at any time by clicking on the unsubscribe link in the email. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Please, try again in a couple of minutes Several alternative medicine treatments have been studied, including yoga, meditation and acupuncture. However, more research is needed to determine their effectiveness.
Behavioral treatment plus drug therapy might be the most effective. In some cases, therapy for premature ejaculation involves simple steps. They may include masturbating an hour or two before intercourse. This may allow you to delay ejaculation when you have sex with your partner. Your care provider might recommend avoiding intercourse for a period of time.
Focusing on other types of sexual play may remove the pressure you might feel during sexual intercourse. The male pelvic floor muscles support the bladder and bowel and affect sexual function. Kegel exercises can help strengthen these muscles. Weak pelvic floor muscles might make it harder to delay ejaculation. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles.
To find your pelvic floor muscles, stop urinating in midstream. Or tighten the muscles that keep you from passing gas. Both actions use your pelvic floor muscles. Once you've identified your pelvic floor muscles, you can exercise them in any position. However, you might find it easier to do them lying down at first. It's typical to feel embarrassed when talking about sexual problems. But you can trust that your health care provider has had similar conversations with many others. Premature ejaculation is a very common condition. And it's one that can be treated. Being ready to talk about premature ejaculation will help you get the treatment you need to put your sex life back on track. The information below should help you prepare to make the most of your appointment. When you make your appointment, ask if there are any restrictions you need to follow in the time leading up to your visit. How often do you ejaculate before you or your partner would wish?
How long after you begin having intercourse do you typically ejaculate?