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Tramadol can't be used in combination with an SSRI. Tramadol might be prescribed when SSRIs haven't been effective. It also has side effects that delay ejaculation. Tramadol (Ultram, Conzip, Qdolo) is a medication used to treat pain. Side effects of antidepressants might include nausea, perspiration, drowsiness and decreased sex drive. If SSRIs don't improve the timing of your ejaculation, your health care provider might prescribe the tricyclic antidepressant clomipramine (Anafranil).

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But it might take 2 to 3 weeks of treatment to see the full effect. These medications usually take 5 to 10 days to begin working. Of the drugs approved for use in the United States, paroxetine seems to be the most effective. It's not currently available in the United States. The SSRI dapoxetine is often used as the first treatment for premature ejaculation in some countries. SSRIs include paroxetine (Paxil, Pexeva, Brisdelle), escitalopram (Lexapro), citalopram (Celexa), sertraline (Zoloft) or fluoxetine (Prozac). For this reason, selective serotonin reuptake inhibitors (SSRIs) are used to treat premature ejaculation. A side effect of certain antidepressants is delayed orgasm. Also, they may be prescribed alone or with other treatments.Īntidepressants. These medications might be prescribed for either on-demand or daily use. They include antidepressants, pain relievers and drugs for erectile dysfunction. These drugs aren't approved by the Food and Drug Administration to treat premature ejaculation, but some are used for this purpose. They may cause decreased feeling and sexual pleasure in both partners. However, a cream containing both lidocaine and prilocaine (EMLA) is available by prescription.Īlthough topical numbing agents are effective and well tolerated, they have potential side effects. They're available without a prescription. They're applied to the penis 10 to 15 minutes before sex to reduce sensation and help delay ejaculation. Medications Topical numbing agentsĬreams, gels and sprays that contain a numbing agent - such as benzocaine, lidocaine or prilocaine - are sometimes used to treat premature ejaculation. Examples include Trojan Extended Pleasure and Durex Prolong. They might also be made of thicker latex. These condoms contain numbing agents such as benzocaine or lidocaine to delay ejaculation. Specially designed 'climax control' condoms are available without a prescription. CondomsĬondoms might make the penis less sensitive, which can help delay ejaculation. Then waiting until the level of arousal has diminished and starting again. It involves stopping sexual stimulation just before ejaculation. If the pause-squeeze technique causes pain or discomfort, you can try the stop-start technique.

After some practice, delaying ejaculation might become a habit that no longer requires the pause-squeeze technique. Keep squeezing for several seconds until the urge to ejaculate passes.īy repeating as many times as needed, you can reach the point of entering your partner without ejaculating.

Then you or your partner can squeeze the end of your penis where the head joins the shaft.

Begin sexual activity, including stimulating the penis, until you feel almost ready to ejaculate.

Your health care provider might instruct you and your partner to use the pause-squeeze technique.

Aim to do at least three sets of 10 repetitions a day. Instead, breathe freely during the exercises. Be careful not to flex the muscles in your abdomen, thighs or buttocks. For best results, focus on tightening only your pelvic floor muscles. When your muscles get stronger, try doing Kegel exercises while sitting, standing or walking. Tighten your pelvic floor muscles, hold for three seconds and then relax for three seconds. However, you might find it easier to do them lying down at first. Once you've identified your pelvic floor muscles, you can exercise them in any position. Both actions use your pelvic floor muscles. Or tighten the muscles that keep you from passing gas. To find your pelvic floor muscles, stop urinating in midstream. Pelvic floor exercises (Kegel exercises) can help strengthen these muscles. Weak pelvic floor muscles might make it harder to delay ejaculation. Kegel exercises can help strengthen these muscles. The male pelvic floor muscles support the bladder and bowel and affect sexual function.

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