Concerns About Using Kamistad Gel for Premature Ejaculation - Urology

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Suspected premature ejaculation?


Hello doctor, I seem to have suspected premature ejaculation, so I went to the pharmacy to consult a physician.
The doctor suggested that I could apply Kamistad Gel N on the glans, as it has a numbing effect.
However, since it is specifically designed for oral injuries, I am concerned about any potential side effects.
Could you please provide me with your advice? Thank you!

Yu, 20~29 year old female. Ask Date: 2018/07/09

Dr. Fu Shizhang reply Urology


Topical anesthesia is considered an older treatment method, and it is recommended to seek formal treatment from a urologist.
Online consultations cannot replace an in-person examination and physical assessment by a physician.
If there is a medical condition, it is still advisable to visit a healthcare facility for treatment.

Reply Date: 2018/07/09

More Info


When considering the use of Kamistad Gel (which contains lidocaine, a local anesthetic) for the management of premature ejaculation, it is essential to understand both the intended use of the product and the potential risks associated with off-label use. Kamistad Gel is primarily formulated for oral mucosal applications, such as treating mouth sores or ulcers, and is not specifically designed for application on the genital area.
Lidocaine works by blocking nerve signals in the body, which can lead to a temporary numbing effect. This property is why some individuals consider using it to delay ejaculation by applying it to the glans (the head of the penis). However, there are several important factors to consider before proceeding with this approach.

1. Safety and Side Effects: While lidocaine is generally safe when used as directed, applying it to sensitive areas such as the genital region can lead to adverse effects. These may include irritation, allergic reactions, or even systemic absorption leading to toxicity, especially if used in excessive amounts. Symptoms of lidocaine toxicity can include dizziness, seizures, and cardiovascular issues. Therefore, it is crucial to use the gel sparingly and to monitor for any adverse reactions.

2. Effectiveness: The effectiveness of lidocaine in managing premature ejaculation varies among individuals. While some may find it helpful in delaying ejaculation, others may not experience significant benefits. Additionally, the numbing effect may reduce sexual pleasure for both partners, which could impact overall sexual satisfaction.

3. Consultation with a Healthcare Provider: Before using Kamistad Gel or any other off-label treatment for premature ejaculation, it is advisable to consult with a healthcare provider. They can provide guidance on safe usage, potential alternatives, and whether this approach is suitable for your specific situation. There are other treatments specifically designed for premature ejaculation, including topical anesthetics formulated for this purpose, which may be more appropriate.

4. Alternative Treatments: There are various treatment options available for premature ejaculation, including behavioral techniques (such as the stop-start method or squeeze technique), counseling, and medications (such as selective serotonin reuptake inhibitors). These alternatives may offer more effective and safer solutions tailored to your needs.

5. Long-term Management: If premature ejaculation is a persistent issue, it may be beneficial to explore long-term management strategies rather than relying solely on topical anesthetics. A healthcare provider can help develop a comprehensive treatment plan that addresses both the physical and psychological aspects of premature ejaculation.

In conclusion, while Kamistad Gel may provide temporary relief for some individuals experiencing premature ejaculation, it is essential to approach its use with caution due to potential side effects and the lack of specific formulation for this purpose. Consulting with a healthcare professional will ensure that you receive appropriate advice and treatment tailored to your condition, ultimately leading to better outcomes and improved sexual health.

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