Which Medication is Best for Premature Ejaculation: Mesyrel, Serenal, Bladderon, or Erispan? - Urology

More Info

---

When it comes to the treatment of premature ejaculation (PE), the medications you mentioned—Mesyrel, Serenal, Bladderon, and Erispan—are not typically recognized as first-line treatments for this condition. In fact, these medications are not commonly prescribed for PE, and their effectiveness for this specific issue may be limited.

Understanding Premature Ejaculation:
Premature ejaculation is a common sexual dysfunction characterized by ejaculation that occurs sooner than desired, either before or shortly after penetration, leading to distress for one or both partners. The causes of PE can be psychological, biological, or a combination of both. Treatment options vary and can include behavioral techniques, counseling, topical anesthetics, and certain medications.

Medications and Their Uses:
1. Mesyrel (Trazodone): This medication is primarily an antidepressant that can also be used for anxiety and insomnia. While it may have some off-label use in sexual dysfunction, it is not specifically indicated for premature ejaculation.

2. Serenal (Sertraline): This is a selective serotonin reuptake inhibitor (SSRI) that is often prescribed for depression and anxiety disorders. SSRIs, including sertraline, have been shown to delay ejaculation as a side effect, and they are sometimes used off-label for treating PE. However, the effectiveness can vary from person to person.

3. Bladderon: This medication is not widely recognized in the context of PE treatment. It may be used for other conditions, but its role in managing premature ejaculation is unclear.

4. Erispan (Clonazepam): This is a benzodiazepine used primarily for anxiety and seizure disorders. While it may help with anxiety-related issues, it is not a standard treatment for PE and could potentially lead to dependency if used long-term.

Alternative Treatments:
For those experiencing premature ejaculation, several other treatment options may be more effective:
- Behavioral Techniques: Techniques such as the "stop-start" method or the "squeeze" technique can help men gain better control over ejaculation.

- Topical Anesthetics: Creams or sprays containing lidocaine or prilocaine can be applied to the penis to reduce sensitivity and delay ejaculation.

- SSRIs: As mentioned, medications like sertraline or paroxetine are often prescribed off-label for PE due to their side effect of delayed ejaculation.

- Counseling or Therapy: If anxiety or psychological factors contribute to PE, therapy can be beneficial.

- Pelvic Floor Exercises: Strengthening pelvic floor muscles through exercises can help improve control over ejaculation.

Consultation with a Healthcare Provider:
It is crucial to discuss your concerns and treatment options with a healthcare provider who specializes in sexual health or urology. They can provide personalized recommendations based on your medical history and specific situation. If the medications you have been prescribed are not effective, your doctor may suggest alternative treatments or therapies that could be more beneficial.

In conclusion, while Mesyrel, Serenal, Bladderon, and Erispan may not be the most effective options for treating premature ejaculation, there are various other strategies and medications available that can help manage this condition. Open communication with your healthcare provider is key to finding the most suitable treatment for you.