Sildenafil for Premature Ejaculation: Effectiveness, Reviews and What to Know

Sildenafil, commonly known as Viagra, is a widely used medication for erectile dysfunction (ED). Since premature ejaculation (PE) often occurs alongside ED, some individuals also use sildenafil to address both conditions. While sildenafil is proven to improve erections by increasing blood flow, its effectiveness in treating premature ejaculation is less clear.

In this guide, we will explore the use of sildenafil for premature ejaculation, does sildenafil help with premature ejaculation and does sildenafil delay ejaculation.

What Is Premature Ejaculation?

Premature ejaculation (PE) means ejaculating sooner than desired, usually with minimal stimulation. It is a common problem in men and can lead to frustration and distress in a relationship. There are two types of premature ejaculation:

1. Primary (lifelong) premature ejaculation: Primary PE is the type that occurs after the first sexual experience and then continues throughout life.
2. Secondary (acquired) premature ejaculation: In secondary PE, individuals initially have good control of ejaculation. They develop premature ejaculation at some point later in their life.

Traditionally, premature ejaculation was considered a psychological issue associated with stress, performance anxiety and relationship problems. However, advancement in medical research has revealed some biological factors that are associated with premature ejaculation. These factors include penile hypersensitivity and imbalances in serotonin levels or receptor function.

How Is Premature Ejaculation Treated?

Current treatments for premature ejaculation include behavioral techniques, numbing agents and serotonin reuptake inhibitors.

1. Behavioural techniques: the “squeeze method.” In the stop-and-start technique, sexual activity is paused just before ejaculation to allow arousal to subside before resuming. The process is repeated as needed. The squeeze method involves gently squeezing the tip of the penis when ejaculation feels imminent, reducing arousal without causing discomfort, and then continuing after a short pause. Both techniques can help improve control over ejaculation.
2. Numbing agents: Topical numbing agents like lidocaine and prilocaine can also be used for premature ejaculation. These can be used in the form of cream or numbing spray. They temporarily desensitize the penis and help in delaying the ejaculation. Although numbing agents help delay ejaculation, users have reported decreased sexual pleasure with their use.
3. Selective serotonin reuptake inhibitors: Selective serotonin reuptake inhibitors (SSRIs) are a group of drugs that act on serotonin (a neurotransmitter) transporters in the body. SSRIs increase the levels of serotonin in the body. Serotonin has an inhibitory effect on ejaculation. So high levels of serotonin delay ejaculation. Examples of SSRIs used for premature ejaculation include paroxetine, fluoxetine, citalopram and sertraline. Dapoxetine is an SSRI that is specifically developed for premature ejaculation. It is available in Europe but it has not been approved in the United States yet.

How Does Sildenafil Delay Ejaculation?

Although sildenafil is not approved to be used for premature ejaculation and it is used off-label for this purpose, here are some theories that explain how does sildenafil delays ejaculation:

1. Increased serotonin availability: Since serotonin has an inhibitory effect on ejaculation, its high levels can delay ejaculation. Studies suggest that sildenafil may increase the availability of serotonin, which helps delay ejaculation.
2. Reduction in hypersensitivity: Penile hypersensitivity is regarded as an important factor in premature ejaculation. Sildenafil may lower penile hypersensitivity and delay ejaculation.
3. Improvement in erection: Stress and performance anxiety are the major causes of premature ejaculation. Sildenafil provides better erection and increases confidence. This helps in overcoming stress and anxiety, and in turn delaying ejaculation.

Does Sildenafil Help with Premature Ejaculation?

Does sildenafil delay ejaculation? Clinical evidence of the effectiveness of sildenafil in premature ejaculation helps answer this question.

1. Combined use for PE and ED: In 2010, a study was conducted to observe does sildenafil delay ejaculation and improve erection at the same time. The results showed that sildenafil significantly improved the time before ejaculation and provided a better erection.
2. Sildenafil compared to other treatments: SSRIs are also used for treating premature ejaculation. A study was conducted to compare the effectiveness of sildenafil, SSRIs, and squeeze method in treating premature ejaculation. The results showed that sildenafil was equal to or more effective in treating premature ejaculation.
3. Sildenafil in primary PE: Primary PE usually have neurological causes rather than psychological causes. A study was done in patients with primary PE. The results showed sildenafil to be highly effective for primary premature ejaculation.
4. Sildenafil in combination with SSRIs: In 2019, a study was conducted to establish the effectiveness of sildenafil and Dapoxetine (SSRI) combination in premature ejaculation and erectile dysfunction. This study showed that a combination of Dapoxetine 30 mg and sildenafil 25 mg is effective and safe to treat both premature ejaculation and erectile dysfunction.

Does Sildenafil Keep You Hard After Ejaculation?

Does sildenafil keep you hard after ejaculation and what else to know for the safe use of sildenafil? Usually, sildenafil 25 mg and sildenafil 50 mg is used for premature ejaculation and erectile dysfunction. At this dosage, sildenafil is often safe and does not keep you hard after ejaculation. Higher doses of sildenafil like 100 mg or 150 mg increase the risk of priapism (a side effect of sildenafil leading to prolonged, painful erection). At higher doses, sildenafil may cause retention of blood in the penis even after ejaculation leading to priapism. If the penis maintains rigid erection hours after ejaculation, you should immediately seek medical care.

Sildenafil For Premature Ejaculation Reviews

When users were asked for sildenafil for premature ejaculation reviews, their responses were mostly positive. Most of the users stated that sildenafil use has provided them with self-confidence and a better sexual experience.

Frequently Asked Questions (FAQs) about Sildenafil for Premature Ejaculation

How effective is sildenafil for premature ejaculation?

Sildenafil is not approved and is used off-label for premature ejaculation. However, studies show that sildenafil can significantly improve premature ejaculation either alone or when used in combination with SSRIs.

What do reviews say about using sildenafil for premature ejaculation?

When users were asked about the results of using sildenafil for premature ejaculation, they stated that it helped with both premature ejaculation and erectile dysfunction, and also provided better sexual satisfaction.

Does sildenafil help delay ejaculation?

Results from several clinical studies indicate that sildenafil can help delay ejaculation either alone or in combination with other treatment methods like SSRIs and numbing agents.

Can sildenafil keep you erect after ejaculation?

At recommended dosages of 25 mg and 50 mg, sildenafil does not keep you erect after ejaculation for long. But at higher dosages of 100 mg and 150 mg, sildenafil can keep you hard for hours after erection. This can be dangerous and you should seek medical care if that happens.

References:

1. Crowdis M, Leslie SW, Nazir S. Premature Ejaculation. [Updated 2023 May 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546701/
2. Wang, W. F., Wang, Y., Minhas, S., & Ralph, D. J. (2007). Can sildenafil treat primary premature ejaculation? A prospective clinical study. International journal of urology : official journal of the Japanese Urological Association, 14(4), 331–335. https://doi.org/10.1111/j.1442-2042.2007.01606.x
3. Tuken, M., Culha, M.G. & Serefoglu, E.C. Efficacy and safety of dapoxetine/sildenafil combination tablets in the treatment of men with premature ejaculation and concomitant erectile dysfunction—DAP-SPEED Study. Int J Impot Res 31, 92–96 (2019). https://doi.org/10.1038/s41443-019-0122-2
4. Abdel Fattah, A., Elmohamady, B., El Hamshary, S., Abu El-Nasr, H. (2023). Efficacy of Sildenafil Citrate in Treatment of Primary Premature Ejaculation in Men. The Egyptian Journal of Hospital Medicine, 90(2), 3620-3624. https://dx.doi.org/10.21608/ejhm.2023.292762
5. McMahon, C. G., Stuckey, B. G., Andersen, M., Purvis, K., Koppiker, N., Haughie, S., & Boolell, M. (2005). Efficacy of sildenafil citrate (Viagra) in men with premature ejaculation. The journal of sexual medicine, 2(3), 368-375. Efficacy of Sildenafil Citrate (Viagra) in Men with Premature Ejaculation – ScienceDirect

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 Dr.Marcella Jiovanni

Health and Beauty Expert

“Marcella Jiovanni actively promotes the importance of maintaining healthy skin, she envisions the future of dermatology as moving away from pure medical, pharmacological dermatology and flowing more toward a holistic approach to wellness and skincare.”