question from a user
What do you recommend for PE. I can't stand it. I am using desensitization but still not much help. Also takes aot of preplanning to be effective. Then if I use enough,I can't feel my penis anymore, which then cause ED.
AlphaMD's Answer
For premature ejaculation, medically speaking you have a couple options. But it is important to know, the FDA has not approved any medications for PE, so all of them are considered off-label use.
The first and easiest is the use of a topical anesthetic (topical lidocaine cream). The risk to that, as you say, is you can actually numb the penis and cause ED. This does require "pre-planning" as you mentioned, though they typically kick in within 15-20 minutes.
The second medical option is essentially to use medications for their side-effects. By that I mean, there are certain medications that have delayed ejaculation as a side-effect. Specifically, we use selective serotonin reuptake inhibitors (SSRIs). Thankfully, these do not cause desensitization, so sensation remains intact. Other medications that affect serotonin, such as tramadol, may have similar effects.
There are some studies to suggest PDE5 inhibitors (viagra, cialis) may help with PE, though primarily if used in conjunction with SSRIs.
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