Premature ejaculation (PE) is a common male sexual health concern, affecting roughly one in three men at some point in their lives. This condition occurs when a man ejaculates sooner than he or his partner would like during sexual activity, often within one minute of penetration. While PE can cause distress and affect relationships, topical anesthetics like lidocaine offer a way to manage these symptoms.
How Lidocaine Addresses Premature Ejaculation
Lidocaine functions as a local anesthetic, a substance that temporarily reduces sensation in a specific area of the body. When applied to the penis, lidocaine works by interfering with the nerve signals that transmit sensations, specifically targeting the nerve endings in the glans (head) of the penis. This desensitization lowers the overall sensitivity of the penis, which in turn helps to delay the ejaculatory reflex.
By reducing the overstimulation of nerve endings, lidocaine helps to prolong the duration of intercourse without completely eliminating pleasurable sensations. This allows for increased control over ejaculation. The goal is to achieve a balance where sensitivity is reduced enough to delay ejaculation, but not so much that it diminishes sexual satisfaction.
Forms and Proper Application
Lidocaine for premature ejaculation is available in various topical forms, including sprays, creams, and wipes. Each form has specific application instructions designed to maximize effectiveness and safety. Following these guidelines is important for optimal results.
For lidocaine sprays, it is recommended to apply the product to the most sensitive areas of the penis, such as the glans and frenulum, approximately 10 to 20 minutes before sexual activity. Users apply between three to ten sprays, rubbing the product into the skin. It is important to wash hands thoroughly after application to prevent unintentional transfer.
Lidocaine creams and gels are applied in a small amount, often a pea-sized portion, to the glans penis and frenulum. The application should occur about 20 to 30 minutes before sexual activity to allow for adequate absorption and numbing. Any excess cream should be wiped off before intercourse to reduce the risk of transfer to a partner.
Lidocaine wipes are also applied to the sensitive areas of the penis. These wipes are used about 5 to 15 minutes before sexual activity, allowing the numbing agent to take effect and dry, which helps minimize transfer. After applying, it is advisable to wash hands to prevent accidental numbness in other areas.
Expected Outcomes and Side Effects
Using lidocaine for premature ejaculation can lead to an increase in intravaginal ejaculatory latency time (IELT), which is the duration of intercourse before ejaculation. Studies have shown that lidocaine can increase this time, with some reporting improvements from less than one minute to several minutes. Many users also report increased sexual satisfaction and improved ejaculatory control.
While well-tolerated, lidocaine products can cause some side effects. Common, mild reactions include temporary numbness or reduced sensation in the penis. There is also a possibility of reduced sensation for the partner if the product is not completely wiped off before intercourse. Mild irritation or redness at the application site can also occur.
Less common side effects can include allergic reactions, which may manifest as swelling, itching, or skin rash. Excessive use or improper application, especially on broken skin, can lead to more serious systemic effects. Individual responses to lidocaine can vary, so it is helpful to start with a small amount and adjust as needed.
Safe Use and Medical Guidance
To ensure safe use of topical lidocaine, it is important to follow product instructions carefully. Avoid applying lidocaine to irritated, broken, or damaged skin, as this can increase the absorption of the medication and the risk of side effects. Always wash your hands thoroughly after applying the product to prevent accidental transfer to other sensitive areas, such as the eyes or mouth. If a partner experiences numbness, wiping off any excess product or using a condom can help.
Lidocaine is safe to use with lubricants. While interactions with other medications are less likely with topical application compared to injected forms, it is advisable to discuss all current medications, including herbal remedies and supplements, with a healthcare provider. This helps to avoid any potential adverse interactions.
Lidocaine offers a temporary solution for managing premature ejaculation symptoms, but it does not address underlying causes. If premature ejaculation persists, causes distress, impacts relationships, or if you experience concerning side effects, seeking medical guidance is recommended. A healthcare professional can help determine the root cause of PE and recommend a comprehensive treatment plan, which may include other therapies or lifestyle adjustments.