Premature Ejaculation (PE) is one of the most commonly experienced sexual health disorders by males or Assigned Males at Birth (AMABs), causing stress, low confidence, and relationship problems.
While there are multiple treatments available, many men are turning to Viagra for Premature Ejaculation treatment. Viagra is the little blue pill, which is best recognized for treating Erectile Dysfunction (ED).
But the question that arises is, does Viagra really help with Premature Ejaculation? Though not officially certified as a PE treatment, some men report longer-lasting performance and better control when using it, particularly if they also have Erectile Dysfunction.
This article explores how it works, whether it may actually delay ejaculation, and whether other options may be more helpful for controlling PE.
How does Viagra work?
Viagra, a brand name for Sildenafil Citrate, is a prescription medicine approved by the United States Food and Drug Administration (FDA) to treat Erectile Dysfunction (ED). It is a condition where a man has trouble obtaining or maintaining a firm enough erection for satisfying sexual activity. It belongs to a class of medications known as Phosphodiesterase Type 5 (PDE5) inhibitors.
The medication works by inhibiting the PDE5 enzyme, which typically breaks down a substance called cyclic Guanosine Monophosphate (cGMP). cGMP is required for the relaxation of smooth muscles, including those of the penis. When a man becomes sexually aroused, his body produces Nitric Oxide (NO), which raises cGMP levels in the smooth muscles of the penis.
Higher cGMP levels relax the blood vessels, allowing sufficient blood to flow into the penile tissues. This increased blood flow allows men to attain and maintain a firm erection. Viagra accelerates this natural process, but it only works if sexual stimulus is present; it does not cause arousal on its own.
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Effectiveness of Viagra for Premature Ejaculation
The efficacy of Viagra for Premature Ejaculation treatment is questioned, as the medicine is not specifically formulated or licensed for this purpose. It does not directly affect the neurological or hormonal mechanisms that regulate ejaculation; therefore, it cannot effectively postpone climax on its own.
However, Viagra can indirectly benefit men who experience both ED and PE. In such cases, doctors may prescribe the medication off-label at a starting dose of 50 mg that can be adjusted depending on individual situations.
One of the primary causes of PE is Performance Anxiety. Men who are concerned about keeping an erection may rush sexual activity, resulting in early ejaculation. Viagra can reduce anxiety by increasing erectile strength, allowing men to feel more confident and relaxed during intercourse.
Furthermore, stronger erections may provide men with a greater sense of control over sexual stimulation, potentially prolonging the time to ejaculation. In rare situations, doctors may give Viagra along with other PE medications, such as Selective Serotonin Reuptake Inhibitors (SSRIs) or behavioral approaches, as part of a combination therapy strategy.
This can improve overall sexual performance, increase satisfaction for both partners, and assist men in progressively gaining control over ejaculation.
Hence, while Viagra tablets for Premature Ejaculation are not a standalone solution, they may play a supportive role for men dealing with both ED and PE, especially when psychological factors like Performance Anxiety are involved.
Approved PE treatments
Viagra is not the first-line treatment for PE. The doctor may prescribe it off-label to ease the symptoms. However, various approved and effective treatments are available, which you can consider after consulting your healthcare provider. These alternatives address both the physical and psychological factors involved in PE, significantly increasing sexual performance and satisfaction.
Commonly prescribed PE treatments include medications, behavioral techniques, and counselling. Let’s have a quick glance at these approaches.
Medications
Medications like SSRIs and topical anesthetics can help delay ejaculation.
- Selective Serotonin Reuptake Inhibitors: Medications such as Dapoxetine (a short-acting SSRI particularly designed for PE), Paroxetine, or Sertraline are frequently recommended. They work by increasing Serotonin activity in the brain, thereby delaying ejaculation.
- Topical anesthetics: These include creams or sprays containing Lidocaine and Prilocaine that are administered to the penis before intercourse. These reduce penile sensitivity, resulting in slower stimulation and longer intercourse.
Behavioral techniques
The start-stop and squeeze methods are two of the most commonly utilized behavioral techniques for addressing PE.
- The start-stop technique: The start-stop technique involves stimulating the penis until just before the climax, then stopping sexual activity until the desire to ejaculate fades. Once the sensation disappears, the stimulation is restarted, and the process is repeated multiple times. With consistent practice, this approach assists men in recognizing and managing their arousal levels, progressively developing ejaculatory control and extending sexual activity.
- Squeeze technique: When close to orgasm, apply gentle pressure to the base or tip of the penis to reduce the sensation and delay ejaculation. With practice, this can considerably increase the duration of intercourse.
Counseling and therapy
Anxiety, stress, Depression, and relationship troubles often play a major role in PE. In such circumstances, sex therapy or Cognitive Behavioral Therapy (CBT) can be beneficial. These therapies assist in addressing negative thinking patterns, increasing partner communication, and lowering Performance Anxiety, all of which lead to greater sexual control.
Conclusion
While being highly recognized for treating Erectile Dysfunction (ED), the role of Viagra for Premature Ejaculation (PE) is limited and indirect. It has no direct effect on the neurological or physiological systems that regulate ejaculation. Yet it may benefit men with both ED and PE by enhancing erection quality, lowering Performance Anxiety, and increasing sexual confidence.
Viagra can occasionally be used along with other treatments for men with PE caused by psychological or mental issues. However, for the majority of PE cases, first-line treatments such as SSRIs, topical anesthetics, behavioral methods, and counseling remain the most effective and dependable options.
Consulting a healthcare expert is essential in determining the safest and most appropriate treatment option.
Frequently Asked Questions
What is the normal discharge time for a man?
The normal discharge or ejaculation time for a man during vaginal intercourse typically ranges from 5 to 7 minutes after penetration. However, there is considerable variation, and factors like age, stress, and sexual experience can influence timing.
Can I stay hard after ejaculation with Viagra?
No, Viagra can help maintain erections after ejaculation for some men, but it does not guarantee immediate or prolonged hardness post-climax. Its primary role is improving erection quality during sexual arousal, not altering the natural refractory period.
Is Viagra safe for all men?
Yes, Viagra is generally safe for most healthy men, but it should be avoided by those with heart problems, Low Blood Pressure, or those taking Nitrates. This is because it can cause a severe drop in blood pressure. Always consult a doctor before use.
Are there side effects of Viagra?
Yes, Viagra can lead to some mild side effects, such as headaches, dizziness, and fatigue. These side effects are usually temporary and disappear as your body adapts to the medication. If any adverse effects persist or worsen, contact your doctor immediately.
Can I cut Viagra in half?
No, it is generally not recommended to split Viagra or any other ED pills, as it may affect their effectiveness. It is always advisable to swallow the whole will with water without chewing, crushing, or breaking it.
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