International Journal of Impotence Research, 1-8.
- Not all delayed ejaculation pills are FDA-approved; verify their legitimacy.
- Overuse of pills can diminish natural sexual response over time.
- Some medications might affect blood pressure or heart rate.
- Discuss any concerns about pregnancy or partners when using medications.
- Electrotherapy and physical exercises can sometimes complement pills for better control.
Shindel AW, Althof SE, Carrier S, Chou R, McMahon CG, Mulhall JP, Paduch DA, Pastuszak AW, Rowland D, Tapscott AH, Sharlip ID.
| User | Pill Used | Effectiveness Rating | Duration of Delay | Noted Side Effects |
|---|---|---|---|---|
| John D. | Dapoxetine | 4/5 | 1 hour | Mild nausea |
| Mike P. | Tadalafil | 3/5 | 2 hours | Headache |
| Alex K. | Herbal Blend | 2/5 | Varies | No side effects |
| Steve M. | Paroxetine | 3.5/5 | 4 hours | Fatigue |
Disorders of Ejaculation: An AUA/SMSNA Guideline.
What are Premature Ejaculation Pills?
Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. The management of retrograde ejaculation: A systematic review and update. Retrograde ejaculation-a commonly unspoken aspect of prostatectomy for benign prostatic hypertrophy. Indian journal of urology : IJU : journal of the Urological Society of India. Male delayed orgasm and anorgasmia: A practical guide for sexual medicine providers. Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current.
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We rely on peer-reviewed studies, academic research institutions, and medical associations.
- Selective Serotonin Reuptake Inhibitors (SSRIs) are commonly used for delaying ejaculation.
- Some pills are designed to extend the time before ejaculation, improving confidence.
- Pills might interact with other medications, so inform your healthcare provider.
- Results may take several weeks to become noticeable with some medications.
- Regular monitoring by a doctor is recommended when using sexual performance pills.
We strive to use primary sources and refrain from using tertiary references.
WHAT TREATMENTS ARE OUT THERE FOR SEXUAL DYSFUNCTION?
Navigating the management of an ejaculatory problem could leave you feeling a little alone. Here’s the good news: you’re definitely not. Premature ejaculation and other ejaculatory issues are more common than you think, though determining the underlying cause and best treatment options for your own needs can be hard to do without a professional. Seek out professional help, but in the meantime, keep the following in mind: Ejaculatory disorders and problems can be caused by a number of physiological and mental health conditions affecting your health and happiness. Ejaculatory disorders and problems can be caused by a number of physiological and mental health conditions affecting your health and happiness.
What causes sexual dysfunction?
There may not be one definitive cause for any ejaculatory issue (premature, delayed, retrograde or otherwise). Luckily, that also means that a mixture of psychological, behavioral and pharmaceutical options can help treat symptoms and underlying conditions. To make sure you get the treatment best-suited to you, consult a qualified healthcare provider to get started managing your condition. Our guides offer more information on a range of topics, including how to increase ejaculation, how to manage erectile dysfunction and which erectile dysfunction medications can best help you have the fulfilling sex life you deserve. Translational andrology and urology, 5(4), 475–481.
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A randomized study examining the effect of 3 SSRI on premature ejaculation using a validated questionnaire. Optimum usage of prilocaine-lidocaine cream in premature ejaculation. Premature ejaculation: An update on definition and pathophysiology. Progresses in pharmaceutical and surgical management of premature ejaculation. Chinese medical journal, 132(19), 2362–2372. Bachelor of Arts, Egyptian and Ancient Western Asian Archaeology - Brown University College, 2011 Bachelor of Arts, Egyptian and Ancient Western Asian Archaeology - Brown University College, 2011 Doctor of Medicine - Brown University Warren Alpert Medical School, 2017 Doctor of Medicine - Brown University Warren Alpert Medical School, 2017 Master of Public Health - Columbia University Mailman School of Public Health, 2018 Master of Public Health - Columbia University Mailman School of Public Health, 2018 Master of Liberal Arts, Journalism - Harvard University Harvard Extension School, 2022 Master of Liberal Arts, Journalism - Harvard University Harvard Extension School, 2022 Master of Science, Healthcare Leadership - Cornell University Weill Cornell Graduate School of Medical Sciences, 2024 Master of Science, Healthcare Leadership - Cornell University Weill Cornell Graduate School of Medical Sciences, 2024 Master of Business Administration - Cornell University Samuel Curtis Johnson Graduate School of Management, 2024 Master of Business Administration - Cornell University Samuel Curtis Johnson Graduate School of Management, 2024 Internship - NYU Grossman School of Medicine Internal Medicine Residency—Community Health Track, 2019 Internship - NYU Grossman School of Medicine Internal Medicine Residency—Community Health Track, 2019 Certified in Public Health - National Board of Public Health Examiners, 2018 Certified in Public Health - National Board of Public Health Examiners, 2018 Medical Writer Certified - American Medical Writers Association, 2020 Medical Writer Certified - American Medical Writers Association, 2020 Editor in the Life Sciences - Board of Editors in the Life Sciences, 2020 Editor in the Life Sciences - Board of Editors in the Life Sciences, 2020 Certified Personal Trainer - National Academy of Sports Medicine, 2022 Certified Personal Trainer - National Academy of Sports Medicine, 2022 Certified Nutrition Coach - National Academy of Sports Medicine, 2023 Certified Nutrition Coach - National Academy of Sports Medicine,
- Delayed ejaculation pills may help men with premature issues regain confidence.
- Not all pills are suitable for men with certain health conditions like cardiovascular issues.
- Combining medication with behavioral techniques can improve results.
- Some pills work better if taken with food or on an empty stomach.
- Long-term use of some medications requires medical supervision to prevent dependency.
2023 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2023 Board Certified Medical Affairs Specialist - Accreditation Council for Medical Affairs, 2023 Certificate of Advanced Education in Obesity Medicine - Obesity Medicine Association, 2025 Certificate of Advanced Education in Obesity Medicine - Obesity Medicine Association, 2025 Regulatory Affairs Certification - Regulatory Affairs Professionals Society, 2025 Regulatory Affairs Certification - Regulatory Affairs Professionals Society, 2025 Medical Expert Board Member - Eat This, Not That!, 2021– Medical Expert Board Member - Eat This, Not That!, 2021– Title: Individuals' Perceptions of the Efficacy, Quality, and Safety of Care Accessed via a Telemedicine Platform: A Retrospective Analysis of Survey Data Published in: Telemedicine Journal and E-Health Date: 2026 URL: Title: Individuals' Perceptions of the Efficacy, Quality, and Safety of Care Accessed via a Telemedicine Platform: A Retrospective Analysis of Survey Data Published in: Telemedicine Journal and E-Health Published in: Telemedicine
3. Blood pressure medications
Talking to a sex therapist could address any negative thoughts or emotions that may cause a strain in a relationship and sex life and dampen your sexual desire. Likewise, behavioral therapy may help to manage PE, as it can help in training the mind to delay ejaculation when it’s imminent. Our guide on how to stop premature ejaculation offers more details on medications (like premature ejaculation pills) and other strategies to help you combat PE, such as the squeeze technique. Psychological interventions like cognitive behavioral therapy, masturbatory training, couples' sex therapy or counseling targeted at reducing sexual anxiety all may be useful in treating delayed ejaculation. Though there is no FDA-approved medication to treat DE, off-label remedies can be prescribed to manage delayed ejaculation.
Acquired (secondary)
Treatment options that fall into this category include drugs like testosterone, cabergoline, bupropion, oxytocin and bethanechol. Because RE is not a harmful condition, treatment may not be necessary — especially for men who do not wish to have any more children. That said, because retrograde ejaculation can sometimes cause infections and other complications, men may want to consider their options among retrograde ejaculation treatments. Certain drugs can help men dealing with retrograde ejaculation, including sympathomimetics like synephrine and pseudoephedrine hydrochloride, among others. These medications assist in closing the urethra sphincter to permit the regular flow of semen.
Is premature ejaculation serious?
Antimuscarinics, another class of medications used to treat bladder incontinence, may also be recommended to treat retrograde ejaculation. Anejaculation is a difficult ejaculatory issue to deal with, because in some cases there may not be effective treatments. This is particularly true when the cause is severe neurological damage or other types of physical trauma. Proven treatments for anejaculation include sex therapy and vibrator stimulation, as well as some of the delayed ejaculation treatments listed above. If you’ve been unable to ejaculate or reach orgasm for some time, it’s a good idea to reach out bayer vardenafil to a professional and explore your options. Journal and E-Health Title: Biomechanical evaluation of a novel suturing scheme for grafting load-bearing collagen scaffolds for rotator cuff repair Published in: Clinical Biomechanics Date: 2015 URL: Title: Biomechanical evaluation of a novel suturing scheme for grafting load-bearing collagen scaffolds for rotator cuff repair Title: Pelvic incidence and acetabular version in slipped capital femoral epiphysis Published in: Journal of Pediatric Orthopaedics Date: 2015 Title: Pelvic incidence and acetabular version in slipped capital femoral epiphysis Title: Relationship between pelvic incidence and osteoarthritis of the hip Published in: Bone & Joint Research Date: 2016 URL: Title: Relationship between pelvic incidence and osteoarthritis of the hip Title: Effects of PDGF-BB delivery from heparinized collagen sutures on the healing of lacerated chicken flexor tendon in vivo Published in: Acta Biomaterialia Date: 2017 URL: Title: Effects of PDGF-BB delivery from heparinized collagen sutures on the healing of lacerated chicken flexor tendon in vivo Dr.
Risk factors
Sometimes, a combination of these factors can be to blame. Psychological causes of delayed ejaculation may include: Strong religious convictions that may cause sexual guilt Strong religious convictions that may cause sexual guilt Additionally, medications like antidepressants, SSRIs, antipsychotics, diuretics and alpha-blockers are other common causes of increasingly delayed ejaculation. Retrograde ejaculation may be caused by a number of factors. If you experience a tiny discharge or no discharge at all following orgasm, it may be linked to: Medications, such as alpha-blockers or psychotropic drugs Medications, such as alpha-blockers or psychotropic drugs Medical conditions like spinal cord injuries, diabetes and multiple sclerosis Medical conditions like spinal cord injuries, diabetes and multiple sclerosis A side effect of prostatectomy to treat benign prostatic hyperplasia (BPH) A side effect of prostatectomy to treat benign prostatic hyperplasia (BPH) A result of colorectal and aortic aneurysm surgeries A result of colorectal and aortic aneurysm surgeries Anejaculation’s potential causes largely overlap with those of delayed ejaculation. But typically, the reason for an inability to ejaculate falls into one of the following two categories: As a result of psychological causes, ranging from a lack of connection with your own body to performance anxiety or relationship problems As a result of psychological causes, ranging from a lack of connection with your own body to performance anxiety or relationship problems Due to physical causes, such as a lack of adequate sexual arousal, a spinal cord injury, diabetes or multiple sclerosis Due to physical causes, such as a lack of adequate sexual arousal, a spinal cord injury, diabetes or multiple sclerosis However, these causes are all theorized, as no single direct cause of the disorder has been pinpointed.
Sex therapy
As you may have already guessed from the above, seeking treatment for ejaculatory problems requires you to first understand the underlying cause (or causes) of your ejaculation issues. After all, it makes little sense to treat someone with psychotherapy who experiences DE due to a spinal cord injury. However — and this is an important point — don’t rule out the possibility that multiple factors could be contributing to the sexual problems you’re dealing with. The treatments for premature ejaculation typically incorporate pharmacological, psychological and behavioral therapy to manage symptoms. A healthcare provider may prescribe a medication from the class of drugs known as selective serotonin reuptake inhibitors (SSRIs).
PHYSICAL ISSUES LEADING TO SEXUAL DYSFUNCTION
SSRIs like sertraline, paroxetine and fluoxetine have been shown to have positive effects in lengthening ejaculation time, according to a study published in the journal Therapeutics and Clinical Risk Management. Occasionally, erectile dysfunction medications like sildenafil also can help some men increase their stamina. Topical creams and gels may also be recommended to reduce the sensitivity of the shaft during sex, according to an article published in the journal Andrologia. Our clockstopper benzocaine wipes and delay spray are great places to start if you’d like to explore these options. You may also consider different types of therapy.