What medication can be used for premature ejaculation?
Nov 22, 2021
Source: Cainiu Health
Dr. Ma Fujun
Introduction
Commonly used medications include topical and oral agents. Topical medications are applied to the glans penis prior to sexual intercourse to reduce neural sensitivity of the glans and raise the threshold for neural excitation; commonly used agents include lidocaine cream, tetracaine gel, and spray formulations. Oral medications enhance central nervous system control over ejaculation, such as the commonly prescribed dapoxetine hydrochloride.
Premature ejaculation—characterized by intercourse duration that is too short to achieve mutual satisfaction—is the most common cause of unsatisfactory sexual performance. It typically results from excessive penile sensitivity and heightened excitability of the penile nerves, leading to shortened intercourse duration. Premature ejaculation significantly impairs male sexual quality of life. Pharmacological interventions can effectively prolong intercourse duration and thereby alleviate symptoms. So, what medications are available for treating short intercourse duration? Below, we address this question.
What Medications Are Used for Short Intercourse Duration?
Commonly used medications fall into two categories: topical (external) agents and oral drugs. Topical agents—such as lidocaine cream, tetracaine gel, and spray formulations—are applied to the glans penis prior to intercourse. They reduce glans sensitivity and raise the neural excitation threshold, thereby prolonging intercourse duration and delaying orgasm. Oral medications enhance central nervous system control over ejaculation, thus improving premature ejaculation and extending intercourse time; a commonly prescribed example is dapoxetine hydrochloride. Sexual intimacy serves not only reproductive purposes but also constitutes an essential component of a couple’s emotional and romantic life.
Knowledge Expansion: What Causes Premature Ejaculation?
1. Excessive Masturbation
During masturbation, most men fear being discovered and therefore rush to completion. This habit may contribute to the development of premature ejaculation. Moreover, excessive masturbation depletes hormonal reserves and inflicts significant damage on the developing nervous system. The ejaculatory ducts of the prostate may also undergo pathological wear, collectively contributing to premature ejaculation.
2. Prostatitis
The prostatic mucosa is relatively thin; thus, inflammation disrupts normal prostatic secretions. In such cases, levels of prostaglandin E-1 decrease markedly while those of prostaglandin E-2 rise significantly—both changes predispose to premature ejaculation. Consequently, patients with prostatitis often present with both erectile dysfunction and premature ejaculation.
The above outlines the pharmacological options for managing short intercourse duration. We hope this information proves helpful.
