Englishpremature ejaculation long lasting pills
Here is the English translation:
Premature ejaculation (PE) is a common male sexual dysfunction. Treatment should be carried out under the guidance of a doctor, and medication selection should be based on the specific underlying cause. Common treatments include oral dapoxetine (taken on demand) and topical local anesthetics. However, effectiveness varies from person to person. Do not purchase or use medications without professional guidance. A combination of medication, behavioral therapy, and psychological adjustment often provides better results.
Common Causes of Premature Ejaculation and Medication Principles
Premature ejaculation may be caused by psychological factors (such as anxiety and stress), physical factors (such as increased glans sensitivity or prostate problems), or a combination of both. Before starting medication, the underlying cause should be identified.
For men with high glans sensitivity, topical anesthetic sprays or creams may help reduce sensitivity. For cases related to neurotransmitter imbalance, oral selective serotonin reuptake inhibitors (SSRIs), such as dapoxetine, may help prolong ejaculation latency time. However, all medications should be evaluated and prescribed by a healthcare professional, and should not be used improperly.
Oral Medication: OnDemand Dapoxetine
Dapoxetine is currently the only oral medication specifically approved for the treatment of premature ejaculation in many regions. It is usually taken 1–3 hours before sexual activity.
It works by increasing serotonin levels in the brain, helping improve control over ejaculation. Common side effects include mild dizziness, nausea, and fatigue. These effects are usually temporary and well tolerated.
Important precautions: Dapoxetine should not be combined with certain antidepressants or alcohol. It should not be taken more than once within a 24hour period.
Topical Medication: Advantages and Disadvantages of Local Anesthetics
Topical anesthetics, such as lidocaine or prilocaine sprays and creams, work by directly reducing glans sensitivity and temporarily delaying ejaculation.
Advantages:
They work quickly, often within 5–10 minutes after application.
Disadvantages:
They may cause numbness in the partner’s vagina or make it more difficult for the man to maintain an erection. The recommended dosage should be followed strictly. Using a condom is advised to reduce transfer of the medication to the partner. Longterm dependence may reduce sexual pleasure.
Medical Evaluation: Avoid SelfMedication
Premature ejaculation may sometimes be related to other health conditions, such as prostatitis, hyperthyroidism, or diabetes. If symptoms such as painful ejaculation, abnormal urination, or erectile dysfunction are present, the underlying condition should be treated first.
A doctor may determine the cause through medical history, physical examination, or laboratory tests, and then develop an individualized treatment plan. Selfmedicating may hide the actual problem and delay proper treatment.
NonMedication Support: Behavioral and Psychological Adjustment
Medication is not the only treatment option. Behavioral therapies, such as the “stopstart” technique and the squeeze technique, can help improve ejaculation control.
Psychological counseling may reduce performance anxiety, while communication and cooperation between partners are also important. Regular exercise, especially pelvic floor muscle training, and a healthy lifestyle can improve overall sexual function.
Combining medication with behavioral therapy often produces better outcomes than using medication alone.
Premature ejaculation is not something to be ashamed of. Scientific treatment can help restore confidence and improve sexual health. If you or your partner are experiencing this problem, it is recommended to consult a qualified urologist or men’s health specialist rather than trying medications on your own.
Have you tried any methods to improve this condition? Feel free to share your experience.
1. Topical Local Anesthetic Medications
These medications are applied directly to the glans penis. They work quickly and are suitable for men with excessive sensitivity, especially those with primary premature ejaculation.
Common ingredients:
Lidocaine
Prilocaine
Available forms include sprays and creams.
How to use:
Apply to the most sensitive area of the glans 5–15 minutes before sexual activity. After achieving an erection, the area should be washed, or a condom should be used. Otherwise, the medication may numb the partner’s vagina and reduce their sexual pleasure.
Possible side effects:
Improper dosage may cause excessive numbness, which can reduce sexual sensation and potentially affect erection firmness.
2. Dapoxetine: A Common Oral Medication for Premature Ejaculation
Dapoxetine is one of the commonly used oral medications for treating premature ejaculation. It can help prolong ejaculation time and improve control over ejaculation.
It works by regulating neurotransmitters in the brain, helping men delay ejaculation. However, it is not suitable for everyone and should only be used under medical supervision.
Mechanism of Action
Dapoxetine is a shortacting selective serotonin reuptake inhibitor (SSRI). It increases serotonin levels in the brain, thereby improving ejaculation control and extending ejaculation latency time.
Suitable Patients
It is mainly used for men aged 18–64 who:
Have an intravaginal ejaculation latency time (IELT) of less than 2 minutes;
Have persistent difficulty controlling ejaculation;
Experience primary or acquired premature ejaculation.
Common Side Effects
Some users may experience:
Dizziness
Nausea
Headache
Drowsiness
These effects are usually mild and may decrease with continued use. However, caution is advised when driving or operating machinery.
Proper Usage
Take it 1–3 hours before sexual activity.
Do not take more than once per day.
Swallow the tablet whole; do not split or chew it.
The recommended starting dose is usually 30 mg. If the effect is insufficient, the dose may be increased to 60 mg under medical advice.
