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Premature ejaculation pills, also called delay pills or “last longer in bed pills,” are a common treatment for premature ejaculation (PE). Here, we look at the best options available online and over the counter (OTC).
PE is when a person ejaculates sooner than they or their partner would like, usually in under 2 or 3 minutes.
PE is the
Although treatment for PE can include a range of therapies and medications, it is often PE pills that people consider first.
In this article, we look at the best PE pills available to buy OTC and online.
Below, we look at the best places to get PE treatment online.
PE is
Anxiety, depression, and stress about a person’s sexual performance may also worsen PE.
There are primary and secondary triggers for this condition:
Primary premature ejaculation
The following may trigger PE for some people:
- a person’s upbringing
- conditioning by family and society
- traumatic sexual experiences
Secondary premature ejaculation
Several health conditions that may trigger or worsen PE include:
- diabetes
- hypertension (high blood pressure)
- hyperthyroidism (overactive thyroid)
- alcohol use disorder
- substance use disorder
Numerous PE pills on the market do not work or contain untested amounts of prescription medication.
For example, the
It is best to avoid pills that companies market as PE treatments with unsubstantiated health claims or those that do not have any research to support their benefits. People may wish to avoid PE treatments that do not clearly list the ingredients on the packaging.
It is always best to consult a doctor to find the safest and most effective treatment for PE.
Individuals with concerns about PE may wish to try OTC products and exercises before considering medication or surgical treatments. Alternative treatments for this condition include:
Pelvic floor exercises
A person can perform pelvic floor exercises, sometimes called Kegels, to strengthen the pelvic muscles. This can lead to greater ejaculation control.
A
Condoms and wipes
Certain condoms and wipes may help reduce stimulation and delay ejaculation. However, no studies have looked at the long-term treatment of PE when individuals have relied solely on condoms or wipes.
Sprays and creams
Some sprays and creams that contain desensitizing ingredients may decrease stimulation.
A
Surgical treatments
There are various investigational surgical treatments people with moderate to severe PE can consider,
- Glans augmentation: A surgeon injects hyaluronic acid and a bulking agent into the glans of the penis to reduce nerve sensitivity. A
2021 systematic review reports a decrease in PE among participants who underwent glans augmentation. - Varicocelectomy: This surgery removes swollen veins from inside the scrotum. A 2020 study with 60 participants suggests that participants found an overall improvement in both testosterone levels and PE after a varicocelectomy.
- Pulsed radiofrequency neuromodulation: According to the
2021 systematic review , this procedure uses radiofrequency to treat the penile nerves. Recipients showed significant improvements in PE and had no side effects after the procedure.
Therapy
A person may consider talk therapy to work on any anxiety related to sex or relationships. This may help them identify and address underlying emotional issues relating to PE.
A
Online sources
A 2019 study looked into the reliability of YouTube videos for treating PE. Researchers concluded that the video platform was helpful, and most videos had reliable information.
However, it is important to exercise caution when getting advice from the internet, as not all content creators offer reliable or safe information.
Before acting on advice found online, it is always best to speak with a doctor.
Home remedies
Some home treatment methods for PE
- trying techniques for delaying an orgasm
- using thicker condoms to decrease sensation
- masturbating 1 to 2 hours before sex
- exercising regularly
- resting well
- eating plenty of fruits of vegetables
People can also try extending foreplay and using alternate sex positions.
There are
The squeeze technique
Once a person reaches their point of no return, they hold their thumb over the frenulum and two fingers on the opposite side of the glans. They then squeeze for a few seconds until the desire to ejaculate passes.
People may instead wish to contract their pelvic floor muscles, which may provide the same results.
The stop-start technique
Some people may use this method during penetrative sex. It requires a person or their partner to stimulate the penis until the person almost reaches the point of orgasm. Then, they cease all stimulation until the desire to ejaculate passes.
The table below compares some of the treatment types for PE.
| Type | Availability | Price |
|---|---|---|
| PDE5 inhibitors, including: • sildenafil (Viagra) • tadalafil (Cialis) • vardenafil (Levitra) • avanafil (Stendra) | prescription only | around $2 to $20 per dose for generic options, plus consultation fees where applicable |
| antidepressants, including SSRIs and TCAs | prescription only | varies by drug |
| OTC options, including: • condoms • wipes • sprays • creams | over the counter from drug stores and online companies | around $19 to $90 |
| surgical options | inpatient or day-case treatment only | varies by surgical option |
| therapy | online or in person | online or in person |
People can contact a doctor if they believe they are ejaculating too soon while engaging in sexual activity.
Healthcare professionals will take a thorough history, including sexual history, erectile function, and libido. Doctors may also ask questions
- how often and for how long the person has been experiencing PE
- whether this happens with one partner or has happened with several
- whether the person experiences PE with every sexual activity, including masturbation
- whether there is anything, such as drugs or alcohol, that makes PE more or less likely
After taking a history and diagnosing PE, a doctor may prescribe medication.
This varies depending on a person’s needs. Some people may find SSRIs most effective as they take them daily. Others may prefer to use PDE5 inhibitors, which they take when needed. A doctor can recommend the most appropriate medication.
Yes, some pills can help premature ejaculation. Antidepressants and PDE5 inhibitors, such as Viagra, may stop people from climaxing early.
There are several physical and psychological causes for premature ejaculation, such as:
- diabetes
- nontypical hormone levels
- sleep deprivation
- depression
- anxiety
- stress
People who do not last as long in bed as they want may wish to speak with a doctor to see if there are any underlying health conditions. Healthcare professionals can help find and treat any conditions affecting performance in bed.
Several pills may help people last in bed, including:
- PDE5 inhibitors, such as sildenafil, tadalafil, and vardenafil
- antidepressants
- tramadol
- codeine
According to research, the average time it takes to orgasm and ejaculate is 5 to 7 minutes. However, it is worth noting that everyone ejaculates at different times. Anywhere between 1 minute and over 30 minutes is not typically a cause for concern.
Numerous OTC and prescription pills may help treat PE. Many of these options involve off-label use. This means their primary use is for treating other health issues but may treat PE incidentally.
Not all individuals with PE can take some of these pills because of their side effects and drug interactions. Before considering prescription medication or surgery, people may first want to try OTC and exercise treatments for PE.
It is best to consult a doctor to find the most effective and safest pill options for PE.