Premature Ejaculation Pills: How They Work & Alternatives

Types of Premature Ejaculation (PE) Pills

Premature ejaculation (PE) pills typically fall into two categories: selective serotonin reuptake inhibitors (SSRIs) and topical anesthetics. SSRIs, like dapoxetine, are originally designed to treat depression but are also used off-label for PE.¹

They work by increasing serotonin levels in the brain to delay ejaculation. Topical anesthetics, such as lidocaine or prilocaine creams, are applied directly to the penis to reduce sensitivity and extend sexual performance.¹ Off-label use means these medications are prescribed for a different purpose than initially approved by the FDA, which, in this case, is treating PE.

Erectile Dysfunction (ED) Pills

While erectile dysfunction (ED) pills are primarily designed as medications to treat ED, some of these medications can also be used off-label to treat premature ejaculation (PE).

Common ED medications that may be used for this purpose include:²

• Sildenafil (Viagra)
• Tadalafil (Cialis)
• Vardenafil (Levitra)
• Avanafil (Stendra)

It’s important to note that the effectiveness of these medications in treating PE may vary from person to person, and they should only be used for this purpose under the guidance of a healthcare provider.

Here are some side effects of erectile dysfunction medication:^{3, 4, 5}

• Headache
• Flushing (redness and warmth in the face)
• Dizziness
• Nasal congestion
• Upset stomach
• Back pain
• Muscle aches
• Vision changes, such as blurred vision or increased sensitivity to light
• Priapism (a prolonged, painful erection lasting more than four hours)
• Hearing changes, such as ringing in the ears (tinnitus)

*All medications, including premature ejaculation pills, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.

Antidepressants

Certain antidepressant medications, such as citalopram, fluoxetine, paroxetine, and sertraline may be used to treat premature ejaculation (PE), even though they are not officially approved for this purpose. For some, they may help delay ejaculation, allowing for longer-lasting sexual activity.

Some antidepressants used to treat PE include:¹

• Citalopram (Celexa)
• Fluoxetine (Prozac)
• Paroxetine (Paxil)
• Sertraline (Zoloft)
• Dapoxetine

Here are some side effects of antidepressants:¹

• Nausea
• Diarrhea
• Headaches
• Dizziness
• Dry mouth
• Sleep problems
• Decreased sexual desire
• Rarely, erection problems

*All medications, including premature ejaculation pills, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.

Topical Creams

Topical creams have emerged as a primary treatment option for premature ejaculation (PE) due to their local anesthetic properties. These creams are applied directly to the penis, typically before sexual activity, with the aim of reducing penile sensitivity and delaying ejaculation.⁶

While these topical treatments can be effective, it’s important to note that they may have drawbacks, such as reducing penile sensitivity, which can affect sexual pleasure. Additionally, individual responses may vary, and not all men with PE may benefit from these creams. Consulting with a healthcare provider is advisable to determine the most suitable treatment approach for addressing premature ejaculation.

How do Premature Ejaculation Pills Work?

Premature ejaculation (PE) pills, like selective serotonin reuptake inhibitors (SSRIs), work by changing how the brain’s chemicals, called neurotransmitters, function. These medications, which include sertraline, paroxetine, and dapoxetine, are typically used off-label to treat PE. SSRIs mainly focus on serotonin, a neurotransmitter that plays a role in mood, emotions, and ejaculation.¹

It’s important to remember that these medications can have side effects, and their effectiveness varies from person to person. So, it’s crucial to talk to a healthcare provider to figure out the best way to address premature ejaculation.

Are Premature Ejaculation Pills Effective?

Research has found that medications like SSRIs (selective serotonin reuptake inhibitors) can help delay ejaculation in men with premature ejaculation (PE). These medications can extend the time before ejaculation happens by up to five minutes when compared to non-active pills (placebo).¹

Some SSRIs have shown the most significant effects, delaying ejaculation by 3 to 5 minutes. Dapoxetine, another medication for PE, had a milder effect, adding 1 to 1.5 minutes of delay, depending on the dose. While these findings suggest that medication can work for PE and improve control over ejaculation, individual experiences may vary, so it’s crucial to discuss treatment options with a healthcare provider.

Premature Ejaculation Pills to Avoid

When considering premature ejaculation (PE) pills, it’s important to steer clear of products that promise quick fixes but may contain hidden and potentially harmful ingredients. The FDA has issued warnings about various sexual enhancement and energy products that have been found to include undisclosed active drug ingredients, some of which are similar to those in prescription medications. These products can pose significant health risks, leading to potentially serious side effects and interactions with other medications or dietary supplements.⁷

To protect your health and safety, it’s advisable to consult a healthcare provider before trying any PE pills. These experts can recommend evidence-based treatments and ensure your chosen approach is both effective and free from hidden risks.

Other Premature Ejaculation Treatments

Beyond medication-based treatments, several other approaches can effectively treat premature ejaculation (PE). Behavioral therapies, such as the stop-start and squeeze techniques, aim to improve ejaculatory control by enhancing awareness and management of arousal.

Alternative treatments for premature ejaculation include:

• Pelvic floor exercises: Pelvic floor exercises, also known as Kegel exercises, involve strengthening the muscles responsible for controlling ejaculation. Regular practice can enhance ejaculatory control and potentially extend the time to ejaculation.
• Sprays and creams: Topical anesthetics or desensitizing sprays and creams can be applied to the penis to reduce sensitivity and delay ejaculation. While they may provide short-term benefits, these products should be used cautiously, as they can diminish sexual pleasure for both partners.
• Surgical treatments: In rare cases, surgical interventions like dorsal neurectomy may be considered when other treatments have been ineffective. This procedure involves surgically removing or disabling specific nerves in the penis to delay ejaculation.
• Psychotherapy: Psychotherapy, such as cognitive-behavioral therapy (CBT), can be beneficial for addressing underlying mental health issues that contribute to premature ejaculation. Therapists work with individuals to manage anxiety, performance-related concerns, and relationship issues that may affect sexual functioning.
• Sex Therapy: Sex therapy involves working with a qualified therapist to explore the psychological and emotional aspects of sexual difficulties, including premature ejaculation. Sex therapists provide guidance on improving communication, sexual techniques, and intimacy, ultimately helping individuals and couples achieve more satisfying sexual experiences.
• Behavioral techniques: Techniques like the start-stop method and the squeeze technique involve temporarily interrupting sexual activity to delay ejaculation. These methods can help individuals gain more control over their arousal and extend the time before climax.
• Acupuncture: Some people explore acupuncture as an alternative therapy for premature ejaculation. Although its effectiveness is debated, acupuncture may help balance the body’s energy flow and address stress or anxiety contributing to sexual difficulties.
• Herbal supplements: Certain herbal supplements, such as Panax ginseng, ginkgo biloba, and Tribulus terrestris, are marketed as natural remedies for sexual dysfunction. However, the efficacy and safety of these supplements are not well-established, and caution should be exercised when considering their use.
• Lifestyle modifications: Adopting a healthy lifestyle that includes regular exercise, a balanced diet, and adequate sleep can contribute to better sexual health. Reducing alcohol and tobacco consumption can also have a positive impact on sexual function.
• Pelvic floor physical therapy: Pelvic floor physical therapy involves working with a specialized therapist to address pelvic floor muscle dysfunction, which can affect ejaculation. This therapy includes exercises and techniques to improve muscle tone and control.

How to Get a Prescription for Premature Ejaculation Pills?

Getting a prescription for premature ejaculation (PE) pills typically involves a healthcare provider, such as a primary care physician or a urologist. To begin the process, you should schedule an appointment with one of these professionals. During the appointment, your healthcare provider will likely conduct a thorough evaluation, which may include discussing your medical history, sexual history, and any other relevant factors.

They may also perform a physical examination to rule out any underlying conditions contributing to PE. Based on this assessment, your provider can determine whether prescription medication is an appropriate and helpful treatment option for your specific situation. If prescribed, they will provide you with the necessary prescription and instructions for obtaining the medication from a pharmacy

FAQs for Premature Ejaculation Pills

Here are some frequently asked questions (FAQs) about premature ejaculation (PE) pills and their use as a treatment option:

Can Premature Ejaculation Be Permanently Fixed?

Premature ejaculation can often be effectively managed and improved with various treatments, including medications, therapy, and lifestyle changes. However, whether it can be permanently fixed may vary from person to person. Some individuals may experience long-term improvement or even resolution of their premature ejaculation symptoms, while others may require ongoing treatment to maintain control. It’s essential to consult with a healthcare provider to determine the most suitable approach for your specific situation and address any underlying causes that may contribute to the condition.

Can Premature Ejaculation Go Away on its Own?

Premature ejaculation can sometimes improve or resolve on its own, particularly in cases where it may be related to situational stress, anxiety, or temporary factors. However, for many individuals, premature ejaculation is a persistent issue that may not go away without intervention.

Seeking treatment options such as therapy, medication, or lifestyle changes can significantly help manage and improve premature ejaculation, even if it doesn’t resolve entirely on its own. It’s advisable to consult with a healthcare provider for guidance on the most suitable approach to address this condition effectively.

Is It Safe to Take Premature Ejaculation Pills Every Day?

Taking premature ejaculation pills every day should only be done under the guidance and prescription of a qualified healthcare provider. Many medications used to treat premature ejaculation, such as selective serotonin reuptake inhibitors (SSRIs), are typically taken on a daily basis to be effective.

However, their use requires careful monitoring due to potential side effects and interactions with other medications. Self-medicating or taking such pills without medical supervision can be unsafe and may lead to adverse effects.

How Do I Stop Premature Ejaculation Without Pills?

Stopping premature ejaculation without pills involves various strategies and techniques. These may include practicing pelvic floor exercises, such as Kegels, to improve ejaculatory control; utilizing topical numbing creams or sprays to reduce sensitivity; employing behavioral techniques, like the start-stop or squeeze technique, during sexual activity; engaging in psychotherapy or sex therapy to address underlying psychological factors; and making lifestyle adjustments like managing stress, improving overall physical health, and maintaining a healthy sexual relationship.

How Common Is Premature Ejaculation?

Premature ejaculation is a prevalent issue, with estimates suggesting that 1 in 3 men may experience it at some point in their lives.

What Is the Difference Between Premature Ejaculation & Erectile Dysfunction (ED)?

Premature ejaculation involves ejaculating too quickly, usually before or shortly after penetration, while erectile dysfunction (ED) is the inability to achieve or maintain an erection for satisfactory sexual intercourse.

How To Choose the Premature Ejaculation Pills for You

When choosing premature ejaculation (PE) medication, it’s essential to consult a healthcare provider to determine if it’s the right treatment for your specific case. Consider factors like your overall health, the severity of your condition, potential side effects, and mode of administration (oral, topical).

Cost, availability, and insurance coverage are also important considerations. Ultimately, the best PE medication for you will be determined through discussion with your healthcare provider based on your unique needs and circumstances.

In My Experience

In my experience, discussing premature ejaculation (PE) with a healthcare provider is crucial. While researching and writing about this topic, I’ve come to understand that every individual’s experience with PE is unique. Some may find success with premature ejaculation pills, while others might face challenges, like side effects or the need for alternative treatments. It’s essential to consult a doctor to assess your specific situation, determine the underlying causes, and explore the most suitable treatment options.

I’ve encountered both success stories and individuals who have found PE treatment challenging. Success often depends on open communication with a healthcare provider, adherence to their guidance, and patience in finding the right solution. Seeking support for PE is nothing to be ashamed of, as it can significantly impact one’s quality of life and relationships.