Effective Premature Ejaculation Pills to Last Longer in Bed
Best Pills to Last Longer in Bed
When it comes to managing premature ejaculation, various medications can help you last longer in bed. Here’s a look at some of the most effective options:
SSRIs (Selective Serotonin Reuptake Inhibitors)
SSRIs are a class of drugs primarily used to treat depression, but they also have off-label uses in treating premature ejaculation by increasing serotonin levels in the brain.
- Paroxetine: Known by its brand name Paxil, Paroxetine is effective in delaying ejaculation. It works by increasing serotonin levels in the brain, which can help control the timing of ejaculation. Research has shown that Paroxetine is more effective than placebos and other SSRIs like fluoxetine and escitalopram.
- Escitalopram: Also known as Lexapro, Escitalopram has been shown to significantly improve ejaculatory control in men with premature ejaculation. Studies have demonstrated that men taking Escitalopram experienced a notable increase in the time it took to ejaculate, with minimal side effects.
- Citalopram: Marketed as Celexa, Citalopram is another SSRI that can delay ejaculation. It has been found to effectively increase the time before ejaculation without affecting sexual desire or erectile function. This makes it a good option for those who want to improve ejaculatory control without compromising their overall sexual experience.
- Sertraline: Known by the brand name Zoloft, Sertraline is another SSRI that can help with premature ejaculation. Clinical trials have shown that it can significantly increase the time to ejaculation. Men typically start with a low dose, which can be increased to achieve better results, though higher doses may lead to side effects such as anxiety and dizziness.
- Fluoxetine: Also known as Prozac, Fluoxetine has been found to improve ejaculatory control and reduce distress related to premature ejaculation. Studies have shown that men using Fluoxetine report better control over ejaculation and decreased personal and partner distress.
- Clomipramine: While primarily used to treat OCD, Clomipramine (Anafranil) has been shown to increase ejaculation latency in men with primary premature ejaculation. However, it may not be suitable for those with both premature ejaculation and erectile dysfunction.
- Dapoxetine: Specifically developed for premature ejaculation, Dapoxetine (Priligy) is an SSRI that is taken 1-3 hours before sexual activity. It has been shown to be effective in increasing ejaculation time and is well-tolerated with few side effects.
Pain Relievers
Certain pain relievers, particularly opioid analgesics, can also help delay ejaculation.
- Tramadol: Tramadol is a pain reliever that has been found to delay ejaculation. Studies have shown that men taking Tramadol experience a significant increase in the time it takes to ejaculate. It is considered effective, safe, and tolerable for treating premature ejaculation when taken as needed.
ED Pills (Erectile Dysfunction Pills)
Pills typically used for erectile dysfunction can also help manage premature ejaculation.
- Sildenafil: Known by the brand name Viagra, Sildenafil is effective in delaying ejaculation. Clinical studies have shown that it works better than some SSRIs and behavioral techniques. Combining Sildenafil with Paroxetine has also been found to improve ejaculatory control and satisfaction during intercourse. Additionally, Viagra can help maintain an erection even after ejaculation, which can be beneficial for extended sexual activity. For more details, read Can viagra maintain a hard-on after ejaculation?.
- Effect of sildenafil on ejaculation time: Sildenafil has been studied for its impact on the duration of ejaculation. Research shows that it can significantly extend the time before ejaculation occurs.
- Does sildenafil increase the duration of sexual activity?: Studies have shown that Sildenafil can increase the duration of sexual activity by delaying ejaculation. More details can be found in the article Does sildenafil increase the duration of sexual activity?.
- Can dapoxetine be taken with sildenafil for daily use?: Dapoxetine, when combined with Sildenafil, has shown effectiveness in treating premature ejaculation. Read more about it in Can dapoxetine be taken with sildenafil for daily use?.
- Can sildenafil treat primary premature ejaculation? A prospective clinical study: This study explores the effectiveness of Sildenafil in treating primary premature ejaculation. For detailed findings, refer to Can sildenafil treat primary premature ejaculation? A prospective clinical study.
- Does viagra/sildenafil make you last longer in bed?: One of the key benefits of Sildenafil is its ability to make men last longer in bed by delaying ejaculation. Learn more in Does viagra/sildenafil make you last longer in bed?.
- Can cialis affect ejaculation?: Tadalafil (Cialis) has also been shown to have effects on ejaculation timing. For more information, see Can cialis affect ejaculation?.
- Can viagra/sildenafil treat premature ejaculation?: This article discusses the potential of Viagra/Sildenafil in treating premature ejaculation. More details are available at Can viagra/sildenafil treat premature ejaculation?.
- Treatment for premature ejaculation and erectile dysfunction: Various treatments, including ED pills, are discussed for managing both premature ejaculation and erectile dysfunction. Read more in Treatment for premature ejaculation and erectile dysfunction.
Modafinil
Commonly used to treat conditions that cause daytime sleepiness, Modafinil has also been found to help delay ejaculation in men with lifelong premature ejaculation. It improves control over ejaculation and increases satisfaction during sexual intercourse.
Alpha-Blockers
Alpha-blockers are medications typically used to treat high blood pressure and urinary issues but can also be effective for premature ejaculation.
- Silodosin, Tamsulosin, Alfuzosin, and Terazosin: These alpha-blockers have been shown to help delay ejaculation. Among them, Silodosin has been found to be particularly effective in improving the quality of life for men with premature ejaculation.
Chinese Herbal Medicine
- Yimusake: In a study involving 300 patients, Yimusake tablets significantly increased the time to ejaculation after just a few weeks of treatment. This herbal remedy can be an effective natural alternative for managing premature ejaculation.
Other PE Treatments
Besides pills to last longer in bed, there are several other treatments that can help manage premature ejaculation. These treatments include topical numbing agents, behavioral techniques, and more.
Topical Numbing Agents
Topical numbing agents work by reducing the sensitivity of the penis, which can help delay ejaculation.
- Lidocaine spray: Over-the-counter lidocaine-based sprays, such as Promescent, can significantly increase the time to ejaculation. Applying the spray to the underside and glans of the penis reduces sensation and delays orgasm. In studies, men using Promescent saw their average intravaginal ejaculatory latency time (IELT) increase from 6.81 minutes to 11.16 minutes.
- Benzocaine wipes: Benzocaine wipes are another effective option. In a study, men who used benzocaine wipes prior to sexual intercourse experienced a significant prolongation of time to ejaculation. By the second month of treatment, their mean IELT was 329.70 seconds, and 88% of the men were no longer considered to have premature ejaculation.
- Lidocaine cream: Lidocaine cream works by reducing nerve activity in the penis. Applied 20 minutes before sexual contact, it can increase the pre-ejaculation period to 6.71 minutes. However, applying the cream for longer periods (30-45 minutes) can cause numbness and erection loss.
Behavioral Techniques
Behavioral techniques can help men gain better control over their ejaculation and prolong their sexual experience.
- Stop-start method: This technique involves stimulating the penis until just before ejaculation, then stopping the stimulation until the urge to orgasm has passed. Studies have shown that the stop-start method helps increase the time spent in the vagina.
- The squeeze method: In this method, an individual or their partner squeezes the penis until the urge to ejaculate subsides. While effective in the short term, the squeeze method has a lower success rate for long-term management of premature ejaculation.
- Pelvic floor exercises: Strengthening the pelvic floor muscles can help men control their ejaculatory reflex. In a study, 82.5% of participants were able to regain control of their ejaculatory reflex after performing pelvic floor exercises, with their IELT increasing from 39.8 seconds to 112.6 seconds.
Combined Behavioral and Drug Therapy
For some men, combining behavioral techniques with medication can provide better results than either treatment alone. A systematic review of behavioral therapies for managing premature ejaculation concluded that combined treatments offer improved outcomes.
Thickened Condoms
Thickened condoms can help delay ejaculation by reducing penile sensitivity. Research has shown that thickened condoms preserve and extend the time of penile erection, helping patients resist premature ejaculation. Total erection time was higher in the thickened condom group compared to the ordinary condom group.
Botulinum-A Toxin
Botulinum-A toxin, also known as Botox, may potentially help delay ejaculation. More research is needed, but one study suggested that injecting Botulinum-A toxin could inhibit the rhythmic contractions of muscles involved in ejaculation, thereby prolonging ejaculatory latency.