Premature Ejaculation Medications

Premature ejaculation (PE) is a common sexual dysfunction that can cause distress for men and their partners. It is defined as ejaculating within a minute of penetration during sexual activity or before either the man or his partner desires. While there are several treatment options for PE, including behavioral techniques and natural remedies, medication can also be an effective option for managing the condition.

If you’re considering taking medication for PE, it’s important to speak with a healthcare provider to determine the best option for you. In this article, we’ll take a closer look at the various types of medication that are available for treating PE and how they work.

Types of medication for premature ejaculation

There are several types of medication that can be used to treat PE, including:

Selective serotonin reuptake inhibitors (SSRIs)

SSRIs are a type of antidepressant that work by increasing the levels of serotonin in the brain. Serotonin is a chemical messenger that is involved in mood and sexual function. SSRIs are commonly used to treat PE because they can help to delay ejaculation by inhibiting the release of serotonin. Some common SSRIs that are used to treat PE include paroxetine, sertraline, and fluoxetine.

Tricyclic antidepressants

Tricyclic antidepressants are another type of antidepressant that work by inhibiting the reuptake of certain neurotransmitters, including serotonin and norepinephrine. They can be effective for treating PE because they can also delay ejaculation. Some common tricyclic antidepressants that are used to treat PE include clomipramine and imipramine.

Phosphodiesterase inhibitors

Phosphodiesterase inhibitors are a type of medication that work by increasing blood flow to the penis. They are commonly used to treat erectile dysfunction, but they can also be effective for treating PE. Some common phosphodiesterase inhibitors that are used to treat PE include tadalafil, sildenafil, and vardenafil.

Topical creams and sprays

Topical creams and sprays, also known as premature ejaculation sprays can be applied directly to the penis to reduce sensitivity and improve sexual endurance. These products may contain numbing agents such as lidocaine or benzocaine, or they may contain herbal ingredients such as ginkgo biloba or L-arginine.

These premature ejaculation sprays can go by the following names:

  • Delay sprays
  • Desensitizing sprays
  • Ejaculation control sprays
  • Prolongation sprays
  • Endurance sprays
  • Last longer sprays
  • Penis numbing sprays

How do these Premature Ejaculation Medications work?

These medications all work in different ways

Selective serotonin reuptake inhibitors (SSRIs)

SSRIs work by inhibiting the reuptake of serotonin, which means they help to increase the levels of serotonin in the brain. Serotonin is a chemical messenger that is involved in mood and sexual function. When serotonin levels are increased, it can help to delay ejaculation and improve control over the ejaculatory response.

More: SSRIs For Premature Ejaculation: Do Anti-Depressants Make You Last Longer In Bed?

Tricyclic antidepressants

Tricyclic antidepressants work by inhibiting the reuptake of certain neurotransmitters, including serotonin and norepinephrine. By inhibiting the reuptake of these neurotransmitters, tricyclic antidepressants can help to delay ejaculation and improve control over the ejaculatory response.

Phosphodiesterase inhibitors

Phosphodiesterase inhibitors work by increasing blood flow to the penis, which can help to improve erections and increase sexual endurance. By increasing blood flow, these medications can help men to maintain an erection for longer periods of time, which can help to delay ejaculation.

Topical creams and sprays for Premature Ejaculation

Topical creams and sprays work by reducing sensitivity in the penis, which can help to improve sexual endurance. These products may contain numbing agents such as lidocaine or benzocaine, which work by blocking the transmission of sensory signals in the penis. Other topical products may contain herbal ingredients such as ginkgo biloba or L-arginine, which are thought to improve blood flow and increase sexual function.

Risks and side effects of medication for premature ejaculation

While medication can be an effective treatment option for PE, it is important to be aware of the potential risks and side effects. Some common side effects of medication for PE include:

  • Headache
  • Dizziness
  • Nausea
  • Dry mouth
  • Constipation
  • Drowsiness
  • Insomnia
  • Decreased libido

It is also important to note that medication may not work for everyone, and in some cases, the side effects may outweigh the benefits. It is always important to speak with a healthcare provider about the potential risks and benefits of any medication before starting treatment.

Premature ejaculation can be a frustrating and distressing condition, but there are several treatment options available, including medication. If you’re considering taking medication for PE, it’s important to speak with a healthcare provider to determine the best option for you. While medication can be effective for some men, it is important to be aware of the potential risks and side effects.

What Can I Try Before Using A Medication For Premature Ejaculation?

There are several options that men can try before considering medication to treat premature ejaculation (PE). These include:

  1. Behavioral techniques: There are several behavioral techniques that men can try to improve control over the ejaculatory response and increase sexual endurance. These include the squeeze technique, the start-stop technique, or a full training program such as our Stamina Coach system.
  2. Pelvic floor exercises: Pelvic floor exercises, also known as kegel exercises, can help to strengthen the muscles of the pelvic floor and improve control over the ejaculatory response.
  3. Herbal remedies: Some herbs, such as ashwagandha, ginseng, maca, and Yohimbe, have been traditionally used to improve sexual function and reduce PE. It is important to speak with a healthcare provider or a qualified herbalist before taking any herbal remedies, as they may interact with certain medications or have side effects.
  4. Masturbation techniques: Masturbation can be a helpful tool for men who are struggling with PE, as it can help to improve control over the ejaculatory response and increase sexual stamina. Techniques such as edging and slow stroking can be helpful.
  5. Diet and lifestyle changes: Making changes to your diet and lifestyle, such as eating a healthy diet, staying hydrated, getting regular exercise, and managing stress, can also help to improve sexual function and reduce the likelihood of PE.