Choosing the Right Topical Anesthetic Cream for Premature Ejaculation - Urology

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Regarding anesthetic creams for premature ejaculation?


Hello Doctor, in your previous email, you mentioned that I could use over-the-counter topical anesthetic creams.
Could you recommend a brand that is safe to use on the glans? There are so many brands available at the pharmacy, and I'm unsure how to choose or avoid harmful ingredients, so I would appreciate your recommendations or guidance on how to select one.
Additionally, I would like to ask if prolonged use of anesthetic creams can lead to any side effects.
Will it cause increased sensitivity or decreased sensitivity? Thank you very much for your assistance!

Niming, 20~29 year old female. Ask Date: 2010/06/07

Dr. Xu Weikai reply Urology


Anonymous: Hello, I apologize for this.
According to the regulations of the Taiwan Ministry of Health and Welfare, we cannot provide names of medications or physicians.
We can only offer general medical advice.
Online consultations cannot replace medical care.
Different anesthetics have different side effects.
Some individuals may experience allergies, while others may find that the effects diminish over time.
It depends on the composition of the medication and the individual's constitution.
However, when choosing, it is advisable to select medications that have been approved by the Ministry of Health and Welfare for better assurance.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department, Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2010/06/07

More Info


When it comes to choosing the right topical anesthetic cream for premature ejaculation, it is essential to consider both the effectiveness of the product and its safety profile. There are several over-the-counter options available, but not all are created equal.
One of the most commonly recommended topical anesthetics for this purpose is lidocaine, which is often found in various formulations. Brands like Lidocaine 5% Cream or Lidocaine 4% Ointment are popular choices. These products are designed to temporarily numb the area where they are applied, which can help delay ejaculation. Another option is benzocaine, which is also effective but may cause irritation in some individuals.
When selecting a topical anesthetic, look for products that specifically mention their suitability for sensitive areas, such as the genital region. It's crucial to avoid products that contain harmful additives or irritants, such as alcohol or fragrances, as these can exacerbate sensitivity or cause allergic reactions. Always read the ingredient list carefully and opt for products that are hypoallergenic and dermatologically tested.

Regarding the concern about long-term use of topical anesthetics, there are a few points to consider. Prolonged use of these creams can lead to a condition known as desensitization, where the nerve endings become less responsive over time. This might result in a decreased ability to feel sensations, which could affect sexual pleasure. Conversely, some individuals may find that they become more sensitive after discontinuing use, as their bodies readjust to normal sensation levels.
It is also essential to use these creams as directed. Over-application can lead to systemic absorption, which may cause side effects such as dizziness, headaches, or even more severe reactions. Therefore, it is advisable to follow the instructions provided with the product or consult with a healthcare professional for personalized guidance.

If you have specific brands in mind or if you are unsure about which product to choose, it may be beneficial to consult with a healthcare provider or a pharmacist. They can provide recommendations based on your medical history and any other medications you may be taking.
In summary, when selecting a topical anesthetic for premature ejaculation, prioritize products with lidocaine or benzocaine, ensure they are suitable for sensitive areas, and avoid those with harmful additives. Be mindful of the potential for desensitization with prolonged use, and consult a healthcare professional if you have any concerns or questions about the products you are considering.

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