I have premature ejaculation, and previous medicines have not worked. Using Xylocaine spray or Lox 2% causes a loss of full erection and only slightly increases my timing; what alternative medicines can I take to treat premature ejaculation without causing erectile dysfunction?

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I have premature ejaculation, and previous medicines have not worked. Using Xylocaine spray or Lox 2% causes a loss of full erection and only slightly increases my timing; what alternative medicines can I take to treat premature ejaculation without causing erectile dysfunction?

Asked by Male, 32 · 6 days ago

Dr. S Aneela

M. Pharm (Pharmacology)., PhD

6 days ago

What you are experiencing is common: topical anesthetic sprays or creams like Lignocaine (Xylocaine/Lox 2%) can reduce sensitivity and delay ejaculation, but they may also reduce pleasure and sometimes affect erection quality. If these are not suitable for you, a commonly used alternative is Dapoxetine, taken 1?3 hours before intercourse, which helps delay ejaculation in many men without significantly affecting erection. In some cases, doctors may also consider daily low-dose antidepressants or recommend behavioral techniques such as the stop?start method, pelvic floor exercises, and counseling. Since you are also noticing erection reduction with sprays, it is important to evaluate for underlying causes like erectile dysfunction, anxiety, diabetes, or hormonal imbalance, so consulting a urologist or sexologist is advised before changing or combining treatments.

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🩺 Definition of Premature Ejaculation

It is characterized by ejaculating more quickly than a man or his partner wishes, usually with minimal sexual stimulation.

💊 Alternative Medicines

Oral medications like Durahim 60 Tablet, which contains Dapoxetine, can help increase ejaculation time without typically causing erectile dysfunction. Dapoxetine works by increasing serotonin levels to improve control. It is prescription-only and should be used under a doctor’s supervision.

🏥 Non-Medication Approaches

Behavioral techniques such as the "stop-start" method, pelvic floor exercises, or counseling with a sexual health specialist may also improve control over ejaculation without the side effects linked to topical treatments.

⚠️ Precautions and When to See a Doctor

Always consult a urologist or sexual health specialist before starting new treatments, especially if you have other medical conditions or take medications that might interact. Stop using any treatment causing erection problems and report side effects like dizziness or persistent symptoms promptly.

If you want, I can explain more about behavioral techniques or how to discuss this with your specialist.

Answered 6 days ago