What is the best drug for premature ejaculation?
Premature ejaculation occurs in men when semen leaves the body (ejaculate) sooner than wanted during sex.
Lisa Marker
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Premature ejaculation (PE) is a common sexual dysfunction in men, and various treatments are available. The best drug for treating PE can vary depending on individual needs and responses, but some of the most commonly recommended medications include:
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Selective Serotonin Reuptake Inhibitors (SSRIs):
- Dapoxetine: Specifically approved for the treatment of PE, dapoxetine is a short-acting SSRI that can be taken on-demand before sexual activity. It has been shown to effectively delay ejaculation.
- Other SSRIs: Off-label use of SSRIs like sertraline, paroxetine, and fluoxetine can also be effective. These are typically used for depression but can help delay ejaculation when taken daily.
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Topical Anesthetics:
- Lidocaine-Prilocaine Cream: A combination of local anesthetics that can be applied to the penis to reduce sensitivity and delay ejaculation. It is usually applied 10–15 minutes before sexual activity.
- Other Topical Anesthetics: Lidocaine sprays or creams are also used for a similar effect.
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Phosphodiesterase-5 (PDE5) inhibitors:
- Fildena 100 and Super p force While primarily used to treat erectile dysfunction, these medications can also help some men with PE by increasing confidence and reducing performance anxiety.
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Tramadol:
- An opioid pain medication that has been found to delay ejaculation. It is not typically the first line of treatment due to the risk of dependency and other side effects.
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Behavioral and Psychological Approaches:
- While not a drug, combining medication with behavioral techniques such as the "stop-start" method or the "squeeze" technique can be highly effective. Counseling or sex therapy can also address underlying psychological issues contributing to PE.
It's important to consult with a healthcare provider to determine the most appropriate treatment based on individual health conditions, potential side effects, and specific needs. They can provide personalized recommendations and monitor the treatment's effectiveness.
