The most prevalent male sexual dysfunction remains – premature ejaculation (PE) and erectile dysfunction (ED). Though many men finish sex sooner than they desire or their partner desires, for some inability to last longer in bed for a long time leads to serious consequences like – frustration, relationship issues, low self-esteem or even depression.
In matters related to PE, people often resort to self-diagnosis and self-prescription instead of taking doctor’s advice. On the other hand, doctors have a very limited understanding and treatment of male sexual issues like premature ejaculation, erectile dysfunction, and male reproductive issues.
Below are techniques on how to last longer in bed which includes
- Common behavioral techniques
- Alternative treatments
Pills for Lasting longer in Bed
Research in the last 2 decades has made some advances into the biological and functional process of male ejaculation. However, many discoveries of pills to last longer were accidental. Some drugs showed sexual side effects like delayed ejaculation and were picked up for further research to cure PE. Those drugs did not cure PE, but helped significantly in delaying ejaculation.
Here is the list of all those pills type which can help you last longer
- Tricyclic antidepressants
- Selective serotonin reuptake inhibitors (SSRIs)
- Phosphodiesterase-5 (PDE5) inhibitors
- Painkillers like Tramadol (Zydol SR®, Grünenthal)
Tricyclic Antidepressants – Few clinical studies proved clomipramine increasing intravaginal ejaculatory latency time (IELT). Even inhaled clomipramine 4 mg appeared to help people with lasting longer.
SSRIs – Many of the SSRIs showed significant promise in the treatment of PE. According to clinical studies, when taken daily for a period of 4-12 weeks below drugs were found to help people with PE.
- Citalopram (Cipramil®, Lundbeck)
- Escitalopram (Cipralex®, Lundbeck)
However, dapoxetine, due to its short life in the body is an approved pill for premature ejaculation. It is supposed to be taken on demand prior to intercourse.
Side effects of these drugs included
- Dry mouth
- Drowsiness, Dizziness
- Decreased libido
Phosphodiesterase-5 (PDE5) inhibitors – In one of the controlled studies, Vardenafil (Levitra®, Bayer) and Tadalafil increased IELT, thus helping people to last longer. But Sildenafil did not show much success in delaying ejaculation in one of the clinical studies. Sildenafil plus sertraline or behavioral therapy was better than sildenafil alone.
Tramadol – People using Tramadol often complained of sexual side effects of delayed ejaculation. So when researches carried out independent studies for PE, they found people administered with Tramadol lasted longer than who were not.
But people also reported side effects like – erectile dysfunction, constipation, nausea, headache, somnolence, dry mouth, dizziness, pruritus, and vomiting.
Common Behavioral Techniques to Last Longer
Due to non-reporting nature of men regarding PE, the official statistics and research have taken a hit. But smart people and few sex therapists have found out tricks to last longer in bed naturally on their own. Read below some of the famous techniques
This is the most commonly tried technique to think of stupid things other than sex to delay your ejaculation. The stupidest, the better. It certainly works for many people, however, you lose the charm of sex.
2. Do better Second time
Some smart people know they last the second time longer. So they prefer to masturbate a few hours before the sexual encounter. Though it may sound counter-intuitive, few people prefer this way.
3. Relax & Switch
The most intuitive technique people try is take a pause when you are peaking and switch to other foreplay acts or other poses. Some people are just fine for a little pause before switching to another pose, some need complete withdrawal to climb down from the peak of the urge.
4. Deep Breathing Technique
People often ask – is there a breathing technique to last longer? The answer is Yes with a twist, it needs some awareness and practice. Some people manage to distract their urge for ejaculation by deep breathing and last longer. Some even prescribe meditation techniques to delay ejaculation, however they are not an instant solution.
If you are aware of your breath, it can be manipulated to drive your ejaculation time. Some deep breathing brings down the peak of the orgasm thereby delaying ejaculation. You can keep doing the same technique every time you reach the tipping point of ejaculation to stop it.
You must practice it many times prior to your sexual activity.
Step 1 – Just calm down and take deep breaths dropping every part of your body.
Step 2 – Be aware of your breath flowing and being absorbed by every part of your body.
Step 3 – While breathing out, visualize the breath leaving every part of your body.
Alternative Treatments to Last Longer
Due to the complex nature of male ejaculation, many neurobiological and brute force approaches came up to help men last longer. Below are some tricks commonly used –
Brute force Squeeze –
Few decades back, some sexologists made this technique famous. They suggested squeezing the shaft of the penis firmly between the thumb and forefinger. Though there are no formal clinical studies on this technique, many men claim to have success with this technique.
However, you must perfect this technique learning to apply proper pressure at the proper location at a proper time. You can even engage your partner to do this making it more playful. This definitely requires some hit and trial before you can use this technique consistently.
Kegel or Other Pelvic Floor Exercises
research has proven moderate exercise daily improved the ejaculation time in men. However, certain specific exercises have proven to be promising in PE according to one study.
One controlled study involved 40 men with lifelong PE who lasted less than 1 minute. Those people were made through certain pelvic floor exercises for 12 weeks. At the end of the treatment, 33 out of 40 reported higher ejaculation time of more than 2 minutes. At the end of 6 months, a followup checkup revealed 13 out fo those 33 still retained good ejaculatory control. This confirms the efficacy of pelvic floor exercises.
Pelvic floor muscles are also known as your pubococcygeal (PC) muscles. These muscles support pelvic organs, including your urethra, bladder, and bowel.
When you stop your urination in midstream by squeezing certain area between your anus and scrotum, that is your PC muscle. When you tighten your certain muscles while passing stool, that is your PC muscle.
One of the pelvic floor muscle training exercises (PFMT) is kegel exercise as is popularly called. This strengthens your pelvic muscles which help in ejaculatory control among other benefits.
How to do Kegel exercise to last longer?
Kegel exercises are simple and can be done at home or in the office.
Step 1. Sit comfortably in any pose while keeping your head, neck, and spine in straight line.
Step 2. Squeeze your PC muscles and then relax. Repeat this process for 30-40 times. If you are unable to do this squeezing, do the exact muscle action which you do to stop urine in midstream, or you do to pass hard stool. Once you get a hang of it, it is very easy.
Step 3. After weeks of practice, now add little more complexity to it. Squeeze and hold for 2-3 seconds and then release. Repeat this 30-40 times.
Step 4. After a little more practice, increase the holding time to 10-12 seconds.
After months of practice, you will find strengthening your pelvic muscles and thereby resulting in more ejaculatory control improving PE condition. The trick is NOT to expect miraculous result too early. Even in the research control group, people performed better after 3-4 months and went from under 1 minute to more than 2 minutes. So keep doing with realistic expectations.
Last longer Sprays and EMLA Creams
Some companies have prepared anesthetic sprays and creams with numbing agents like lidocaine, prilocaine or benzocaine to be topically applied on the penis. Such last longer sprays and creams are to be applied sometime before the sexual act and washed off before intercourse. The typical duration for such sprays are 10-15 minutes and caution must be exercised for the amount to be applied on the penis to enjoy your sexual intimacy.
Though such sprays and creams were available in the market, Promescent became the first FDA approved last longer spray in the market which uses lidocaine, a local anesthetic. Other brands like KY duration also work on similar concepts of local anesthetics. EMLA cream contains lidocaine and prilocaine, to be used topically.
The potential risk remains to numb the partner and hence need to be carefully used. These are not approved by FDA or other drug authorities, hence the safety of topical anesthetics is not clinically confirmed. However, one controlled study proved the efficacy of last longer sprays and creams.
Since these are not controlled by FDA or similar drug authorities, such cream and sprays are available over the counter or online order.
Long Lasting Condoms
There are extra time long lasting condoms available in the market which use similar numbing agents like that of cream and sprays – lidocaine or benzocaine. The local anesthetic effect of these agents inside the condom helps slightly numb the penis temporarily. Some people prefer this instant solution.
These chemical agents are often marketed as climax control lubricants, but they are just these anesthetic gels inside the condom. They are effective but the trade-off for the numbing is sometimes a significant reduction in physical pleasure.
Some of the brands available in the market is
- Trojan Extended Pleasure – with 4% benzocaine
- Durex Performax Intense- with 5% benzocaine
- Pasante Infinity – with 1% lidocaine
How much you would last longer depends on the individual’s sensitivity. But the numbing effect kicks in just a few minutes.
One of the side effects of the long-lasting condoms is the inability to perform oral sex afterward since it is best to avoid benzocaine/lidocaine in the mouth. Always avoid the risk of getting your partner numb through any sort of mishandling.
If you are overly sensitive to the amount of gel inside the condom, you may run the risk of not feeling your penis and eventually lose the erection in the middle of sex. If you experience such issues, you are better off with sprays where you can control the amount of desensitizing spray to be applied.
Frequently Asked Question