Seeking Solutions for Premature Ejaculation: Safe Topical Anesthetics

Hello, doctor. Regarding premature ejaculation?

Hello Doctor, premature ejaculation has been a persistent concern for me.
I underwent circumcision last November, primarily hoping to last longer, but since the procedure, I feel even more sensitive.
When I masturbate, I don't finish as quickly, but in actual intercourse, I still ejaculate very quickly, which is quite distressing.
I've noticed some keratinization on the glans, but it doesn't seem to help with the duration.
I have tried using two condoms, but it didn't make much of a difference.
Could you recommend any over-the-counter topical anesthetics that are safe to use on the glans with low side effects? Thank you, Doctor.

Niming, 20~29 year old female. Ask Date: 2010/06/04

Dr. Xu Weikai reply Urology

Hello, after circumcision, it is common to experience increased sensitivity, which can lead to premature ejaculation.
Some individuals may see improvement after a period of adaptation.
You can purchase topical anesthetic creams, which are generally available at pharmacies.
However, after using such anesthetic creams, it is advisable to wear a condom; otherwise, the medication may be transferred to the vagina, leading to absorption of the drug.
This can make it more difficult for the female partner to reach orgasm and may cause headaches in individuals with certain sensitivities.
If you have any further questions or need more details, feel free to ask for further discussion.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/06/04

More Info

Premature ejaculation (PE) is a common concern for many men and can significantly affect sexual satisfaction and relationships. It’s understandable that you are seeking solutions, especially after undergoing circumcision, which you hoped would help prolong your sexual experience. The increased sensitivity you are experiencing post-surgery is not uncommon, as the glans (head of the penis) may become more sensitive after being exposed, leading to quicker ejaculation during sexual activity.

When it comes to managing premature ejaculation, topical anesthetics can be a viable option. These products typically contain numbing agents such as lidocaine or benzocaine, which can help reduce sensitivity and prolong the duration of intercourse. Here are some commonly available topical anesthetics that you might consider:
1. Lidocaine-based creams or sprays: These are widely used and can be applied to the glans before sexual activity. They work by temporarily numbing the area, which can help delay ejaculation. Brands like "Promescent" offer lidocaine sprays specifically designed for this purpose.

2. Benzocaine creams: Similar to lidocaine, benzocaine is another numbing agent that can be found in various over-the-counter products. However, it’s essential to use these products as directed to avoid excessive numbness, which can affect sexual pleasure for both partners.

3. Combination products: Some products combine a topical anesthetic with a sexual enhancement formula, which may help improve overall sexual experience while addressing PE.

When using topical anesthetics, it’s crucial to follow the instructions carefully. Here are some tips to ensure safe and effective use:
- Test for Sensitivity: Before applying a new product, test it on a small area of skin to check for any allergic reactions or sensitivity.

- Timing: Apply the product about 10-15 minutes before intercourse to allow it to take effect. Be cautious not to apply too much, as this can lead to excessive numbness, which may diminish pleasure for both you and your partner.

- Wash Off Excess: If you feel that the numbing effect is too strong, you can wash off the excess product before engaging in sexual activity to restore some sensitivity.

In addition to topical anesthetics, consider other strategies for managing premature ejaculation:
- Behavioral Techniques: Techniques such as the "stop-start" method or the "squeeze" technique can help you gain better control over ejaculation. These methods involve pausing or applying pressure to the penis before ejaculation to help delay it.

- Pelvic Floor Exercises: Strengthening the pelvic floor muscles through Kegel exercises can improve control over ejaculation. These exercises involve repeatedly contracting and relaxing the muscles used to stop urination.

- Consult a Healthcare Provider: If over-the-counter solutions do not provide the desired results, it may be beneficial to consult a healthcare provider. They can offer prescription options, such as selective serotonin reuptake inhibitors (SSRIs), which have been shown to help delay ejaculation.

Lastly, it’s essential to communicate openly with your partner about your concerns and experiences. This can help alleviate anxiety and create a supportive environment for exploring solutions together.

In conclusion, while topical anesthetics can be an effective tool for managing premature ejaculation, it’s essential to use them responsibly and in conjunction with other techniques. If your concerns persist, seeking professional advice can provide additional options tailored to your specific needs.

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