What is the best medication for treating premature ejaculation?
Disease description:
Recently, I have developed premature ejaculation, and the duration of sexual intercourse has been getting shorter. I would like to purchase some medication to take. What is the best medicine for treating premature ejaculation?
Doctor's answer (1)
Dr. Cao Zhiqiang
Premature ejaculation is a common type of male sexual dysfunction, mainly characterized by ejaculation occurring shortly after the start of sexual intercourse, or ejaculation before reaching a satisfactory sexual climax, thereby affecting sexual life. Commonly used medications for treating premature ejaculation include:
1. Local anesthetics: Such as lidocaine gel, tetracaine hydrochloride gel, etc. These medications prolong ejaculation time by reducing the sensitivity of the glans penis. They are suitable for patients whose premature ejaculation is caused by glans hypersensitivity, and are convenient to use, but attention should be paid to dosage and application timing.
2. SSRIs (Selective Serotonin Reuptake Inhibitors): These medications primarily increase the latency of ejaculation by regulating the balance of neurotransmitters in the brain. Commonly used SSRIs include fluoxetine, paroxetine, and dapoxetine.
3. PDE5 inhibitors: Such as sildenafil citrate tablets (Viagra), tadalafil, etc., primarily used for treating erectile dysfunction. These medications should be used under the guidance of a physician to avoid interactions with medications for cardiovascular diseases.
4. Traditional Chinese patent medicines: Such as Suoyang Guying Pills, Wuzi Yanzong Pills, etc. These have relatively fewer side effects, but their therapeutic effects may be slower, making them suitable for patients with milder symptoms.
Medication should be taken under the guidance of a qualified physician. If discomfort occurs, prompt medical consultation is recommended.
