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A well-proven treatment for premature ejaculation, Lidocaine/Prilocaine cream is easy to apply and will help you last longer during sexual intercourse from the first time you use it.
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Written by Dr Yasmin Aghajan, MD
Information last reviewed 07/22/19
Lidocaine/Prilocaine cream is a local anesthetic. This means that you apply it to the skin and it will numb the area. This makes it an effective treatment for premature ejaculation. The reduced sensation into the skin of the penis, should help to reduce sexual stimulation and therefore delay ejaculation.
Lidocaine/Prilocaine (EMLA) cream works by numbing the local area to which it is applied, by affecting the flow of sodium into the neurons. It works within 5-10 minutes of application and lasts 15-20 minutes.
Lidocaine/Prilocaine Cream can be used to treat premature ejaculation. It is also used to numb the skin before dermatologic procedures.
Lidocaine/Prilocaine Cream (EMLA) contains the following active ingredients:
Both lidocaine and prilocaine are anesthetics that help to numb the skin.
Lidocaine/Prilocaine Cream also contains the following inactive ingredients: polyoxyethylene fatty acid esters (as emulsifiers), carboxypolymethylene (as a thickening agent), sodium hydroxide to adjust to a pH approximating 9, and purified water to 1 gram.
Please note that the inactive ingredients may vary between manufacturers. The ingredients listed above are found in the EMLA brand of Lidocaine/Prilocaine Cream.
A small amount of EMLA cream may be applied to the penis 5 minutes before intercourse. For external use only. Do not apply to open wounds, near the eyes or ears. Squeeze a narrow strip from the tube. A small amount will be systemically absorbed, but in studies, this was not enough to be significant.
Use as directed by your doctor. For premature ejaculation, apply a small amount of cream to the head of the penis at least 5 minutes (but ideally less than 20 minutes) before intercourse. Wipe off any excess cream to avoid numbing or causing irritation to your partner. Lidocaine/Prilocaine cream can weaken latex condoms, increasing the risk of tearing; therefore you should use polyurethane condoms instead.
The most common side effects include:
Rare side effects include:
Rarely, people may have an allergic reaction ranging from itching, stinging, blistering and anaphylaxis. This has been rarely reported.
Lidocaine/Prilocaine cream should not be applied to open wounds, near the eyes, or in the ears. Allergic reactions may occur.
There is a low risk of drug interactions when a small amount of lidocaine is applied topically. However, caution should be used if you are taking anti-arrhythmic drugs (such as tocainide or mexiletine).
Allergy to local anesthetics (such as procaine, tetracaine, benzocaine, lidocaine) or any other ingredients in EMLA.
There are no adequate and well-controlled studies in pregnant women. Lidocaine/Prilocaine Cream should only be used during pregnancy if clearly needed and prescribed by a doctor.
Avoid using Lidocaine/Prilocaine Cream while breastfeeding, as a small amount may be present in breast-milk.
Lidocaine cream can be used with condoms. The cream is used to help numb and desensitize the penis to prevent premature ejaculation. The condom should be used in the practice of safe sex. There are no issues known to occur due to the interaction between Lidocaine cream and condoms.
Other uses of Lidocaine/Prilocaine cream include numbing for circumcision, tattoos and for injection. It can also be used to treat rectal discomfort due to hemorrhoids. Lidocaine is given as an injection during circumcision to induce the dorsal penile nerve block to aid in pain management. Lidocaine cream helps temporarily numb the skin to prevent pain and involuntary movements the body feels during the process of getting tattooed. This is the same for injections.
If too much Lidocaine is used and absorbed into the skin, it can cause serious side effects. These can include breathing difficulties, irregular heartbeat and even seizures. Make sure to use the amount indicated, no more.
Currently, there is no FDA-approved treatment for premature ejaculation available in the US. Therefore, Lidocaine/Prilocaine Cream would be prescribed off-label for PE. This means that it has not passed through the same approval process as other treatments; however, it has been found to be safe and effective as a topical anaesthetic (a numbing agent, applied to the skin). The prescribing doctor will weigh up the risks and benefits of a treatment to ensure that you get the most appropriate and safe treatment for you.
EMLA Cream is a branded version of Lidocaine/Prilocaine Cream. EMLA Cream is a local numbing medication, used to treat premature ejaculation.
EMLA is made by APP Pharmaceuticals. It is also available as a generic cream as Lidocaine/Prilocaine.
Disclaimer: This is not medical advice. You and your physician will determine if and how you should take any medication prescribed to you following a medical consultation.
Viagra and its generic form, sildenafil, are prescribed to millions of men every year to treat erectile dysfunction (ED). The drug was first approved as an ED treatment in 1998 — after initially having been developed in the 1980s as a hypertension medication — and marketed by Pfizer. Since about half of all men will have to cope with erectile problems at some point (mostly in their older years), Viagra quickly became a popular ED medication.
As is the case with many sexual health issues, people who suffer are often reluctant to talk about it. It is reported that sexual dysfunction of some sort is experienced by 31% of men at some point in their lives, but some men are afraid to speak about their ejaculation problems. Fortunately, ejaculation related problems are often treatable.
An erogenous zone is a place or area of your body that is highly sensitive to touch and can trigger a sexual response, such as getting you aroused, giving a goosebumps feeling or other pleasant sensations. The stimulation occurs because of a high density of nerves in these places. The more nerves extend into that part of your skin, the stronger the sensual response will be.
Lidocaine-prilocaine is a widely used anesthetic commonly used in root canals or dental surgical procedures. The cream is regularly used to numb your gums before the dental procedure. It works by reducing the sensitivity after application to the skin.
If you have difficulties with holding your orgasm or involuntary ejaculate within one minute of vaginal intercourse, this, from a scientific point of view, qualifies as premature ejaculation (PE). Some 30% of men have to deal with this issue at least for a certain period of their life, while for others it can be a life-long problem. Now, we say “problem”, but in fact, in medical terms, there’s nothing unhealthy about coming too early. Neither does it keep you from producing healthy offspring. It’s really only a problem in psychological terms. You and/or your partner would like to enjoy sexual intercourse for a little. Many men with PE are disappointed in their sexual performance, which may prevent them from dating or cause anxiety. Today’s easy access to porn and generally inflated expectations of male virility worsen the problem.
Premature ejaculation is when ejaculation occurs earlier than desired during sexual intercourse. I can cause stress and anxiety and even put a strain on the relationship. However, there is no need to worry. Lidocaine and prilocaine cream has been designed to desensitise the penis and help you last long during sex. This FDA approved cream can be prescribed by the doctors to help make your sexual experience more enjoyable.
Benzocaine and Lidocaine are essentially the same and have the same mechanism of action but they differ slightly. Premature ejaculation is when ejaculation occurs sooner than desired during sex. Premature ejaculation should not be a cause for worry, however, can be frustrating and make sex less enjoyable.
Sertraline is an SSRI class (selective serotonin reuptake inhibitor) antidepressant that’s approved by the U.S. FDA and available on prescription to treat a range of mental disorders. It’s been used for treating clinical depression and other conditions since 1991 and at first was marketed by Pfizer as Zoloft.
Sertraline and fluoxetine both are prescription antidepressants of the SSRI class (selective serotonin reuptake inhibitor). Both medications are available as generic versions, but the most popular trade names are Zoloft (Pfizer) for sertraline and Prozac (Eli Lilly & Co) for fluoxetine.
More commonly known as Zoloft, which is the trade name Pfizer uses, sertraline is an antidepressant that is widely used as a treatment for depression, anxiety disorder, post-traumatic stress, and obsessive compulsive disorder. Over 35 million prescriptions for sertraline are issued in the United States annually.
Sertraline is a selective serotonin reuptake inhibitor (SSRI), which is a class of drugs that also includes Prozac and Paxil. SSRI increases the amount of serotonin in the brain. Serotonin is a neurotransmitter responsible for sending signals between brain cells, in particular, signals associated with positive emotions.
Sertraline — also known under Pfizer’s trade name Zoloft — is a prescription antidepressant that is used to treat depression, anxiety disorder (such as panic and social anxiety), post-traumatic stress, and obsessive-compulsive disorder. The usual daily dosage can vary from 50mg to 200mg, depending on treatment use and duration.
Premature ejaculation is a common problem in the male population, with nearly 30 percent of men reporting problems with controlling and holding back ejaculation for as long as they’ want to. Doctors typically regard an ejaculation as premature if it happens against the man’s will and in under one minute of vaginal intercourse.
Premature ejaculation is the clinical term for an involuntary, early male orgasm that happens within the first 1-2 minutes of sexual intercourse. For reference: the average time of sexual intercourse for most couples is about five minutes and only very few make it past ten minutes.
Doctors define premature ejaculation as a male orgasm that involuntarily occurs within the first minute of sexual intercourse. In plain terms this means that if you frequently can’t help coming right after you’d just started sex you are suffering from premature ejaculation.
Sexual intercourse on average lasts about 5 ½ minutes, with the high side of the range being around 10 minutes. There are many causes why for some couples sex may be considerably shorter than 5 minutes, depending on location, mood and time of the day.
The clinical definition of premature ejaculation, as most experts would define it, is an involuntary male orgasm that happens within 60 seconds of vaginal intercourse. The premature ejaculation topic is less researched for anal sex, but it’s safe to assume that the same time definition applies.
Premature ejaculation in clinical terms refers to men getting an orgasm — the discharge of semen — during sexual intercourse earlier than they would like. There is no definition for how early that is, since some men may choose to come thirty or sixty seconds into the intercourse.
Ejaculations are called premature if they last less than 1.5 minutes. On average, ejaculations are delayed 7 minutes during intercourse. An estimated one in five men experiences an issue with early ejaculation during his life. But it’s rare that physical conditions such as inflammation are the underlying cause. In most cases, premature ejaculation is linked to underlying performance anxiety or another mental issue.
It sounds simple: you grab a ruler, align it against your penis and read the number. But not so fast, there’s a correct way to measure your penis. If the angle of the ruler is off or your starting and endpoints are a bit too liberal, you may be doing it wrong. Here’s what you need to know to avoid cheating yourself.
Unfortunately, the answer to that question is: yes. In the medical world, it’s not described as ‘breaking’, because there are no bones in the penis. But the ‘penile fracture’ can indeed happen during sex. It’s most likely when the penis is bent severely and the tunica albuginea (the penis membrane) ruptures. As a consequence, blood that flows through the corpora covernosa during an erection begins to leak into the surrounding tissues.
Size matters; or does it? According to a survey by the American Psychological Association, 85% of women are actually satisfied with their partner’s penis size. Only 55% of men felt the same way. Similarly, one study asked women to read arousing stories where male characters either had small, medium or large penis sizes. The researchers found that there were no differences in sexual arousal based on penis size.
Almost half of men (45%) believe their penis is too small, yet a study of 15,000 men found that the average size of the flaccid penis was 9.16 cm and that of an erect penis was 13.12 cm. These are averages though. In reality, penis size varies by around 3 cm either end of the estimates.
It’s important to stay well informed when it comes to all things sexual health. There is a lot of misinformation circulating about average penis size, sexual performance, and erectile dysfunction. Some men, for example, believe that women are only attracted to man large packages. Yet, 85% of women in partnerships said they were satisfied with their partner’s penis size. Keep up communication with your sexual partner to find out more about their preferences.
There are many reasons why men lose some of the sensation in their penis over time. Loss of sensitivity is natural with advancing age due to underlying blood vessel changes. In a survey, at least half of men over the age of 57 years reported sexual dissatisfaction. But before you content with a numb penis, you should rule out a series of physical conditions.
Premature ejaculation can be a difficult topic to talk about. Men often shy away from a conversation about their issues because of fear of being stigmatized or made fun of. But it’s actually the most common sexual dysfunction in men. According to estimates, up to 39% of men worldwide experience premature ejaculation at some point in their lives.
Wanting to know how you can eliminate any anxieties in the bedroom? Looking to boost comfort and fun for you and your partner? Here are 10 top tips for changing your home to have a better sex life.
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