Medications
Numerous antidepressant drugs have been shown to delay ejaculation in men treated for various psychiatry disorders. The SSRIs class are considered the most effective treatment for premature ejaculation. The drugs include paroxetine, fluoxetine and sertraline. The prolonged use of these drugs is only limited by their side effects. Recently a new SSRI (dapoxetine) that can be taken only when needed is undergoing going clinical trials.
Other medical agents known to delay ejaculation are opioids, cocaine, and marijuana. However, this may not be appropriate as the drugs are addictive and have legal implications.
The majority of these medications do not have to be taken on a daily basis to prevent premature ejaculation. One takes the medication an hour before planning to have sexual intercourse. For those who initially do not respond to these drugs, the dose may be adjusted or another medication can be tried.
Topical creams
Various topical anesthetic creams are available that may help improve premature ejaculation. The local anesthetic work by decreasing the sensation in the penis. One usually applies the local anesthetic 30-45 minutes before sex. The local anesthetic causes the penis to loose sensation. One has to wipe the anesthetic off before intercourse. Using the anesthetic cream as a lubricant will also cause numbness of the female vagina and cervix. This is a poor man’s version of drug treatment. The effect of the local anesthetic is very short lived and it often fails to work. Most women hate these creams because it numbs their genitalia and takes away the pleasurable sensations. Best to leave these topical anesthetic creams to numb the painful hemorrhoids.
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