Using Topical Anesthetics for Premature Ejaculation: Timing Matters - Urology

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Topical anesthetics, such as lidocaine or prilocaine, are commonly used to help manage premature ejaculation (PE) by reducing sensitivity in the penis. These anesthetic creams or sprays can be effective in prolonging the duration of intercourse by desensitizing the glans (the head of the penis). However, the timing of application is crucial for achieving the desired effect while minimizing potential side effects.


Timing of Application
1. Before Intercourse: The general recommendation is to apply the topical anesthetic approximately 15 to 30 minutes before sexual activity. This allows sufficient time for the medication to penetrate the skin and take effect. Applying it too close to the time of intercourse may not provide adequate desensitization, while applying it too early may lead to reduced sensitivity during the act.

2. During Erection: Applying the anesthetic after achieving an erection is not advisable. The primary purpose of these medications is to reduce sensitivity before stimulation begins. If applied after an erection, the anesthetic may not have enough time to take effect, and there is a risk of transferring the anesthetic to your partner, which could lead to unwanted numbness or discomfort for them.


Application Technique
- Clean the Area: Before applying the anesthetic, ensure that the area is clean and dry. This helps in better absorption of the medication.


- Apply Sparingly: Use a small amount of the anesthetic cream or spray, focusing on the glans and the sensitive areas of the shaft. Avoid excessive application, as this can lead to significant numbness, which may affect both partners' sexual experience.

- Wash Hands: After application, wash your hands thoroughly to avoid accidentally transferring the anesthetic to other areas or to your partner.


Considerations and Side Effects
- Numbness: While the goal is to reduce sensitivity, excessive numbness can lead to difficulties in achieving orgasm or may affect sexual pleasure. It’s important to find the right balance.

- Partner Sensitivity: Be mindful that the anesthetic can transfer to your partner, potentially causing numbness in their genital area. Discuss this with your partner and consider using a condom to minimize transfer.

- Trial and Error: It may take some experimentation to find the right timing and amount of anesthetic that works best for you. Keep track of your experiences to determine what provides the best results.

- Consult a Healthcare Provider: If you have ongoing issues with premature ejaculation, it’s advisable to consult a healthcare provider. They can provide guidance on the appropriate use of topical anesthetics and discuss other treatment options, such as behavioral techniques, counseling, or prescription medications.


Conclusion
In summary, topical anesthetics can be an effective tool for managing premature ejaculation when used correctly. The best practice is to apply the anesthetic 15 to 30 minutes before sexual activity, ensuring that it has enough time to take effect while minimizing the risk of transferring the medication to your partner. Always communicate openly with your partner about the use of these products and consider seeking professional advice for a comprehensive approach to managing premature ejaculation.