Erectile dysfunction (ED) medications, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), are primarily used to treat ED by improving blood flow to the penis and helping men achieve and maintain an erection. However, limited anecdotal evidence may suggest that these medications can also help them last longer during sexual activity. ED medications work by inhibiting an enzyme called phosphodiesterase type 5 (PDE5), which can relax the smooth muscles in the penis and increase blood flow. This can lead to a firmer and longer-lasting erection, which may also help men last longer during intercourse. In addition, some studies such as (Chen, J., Mabjeesh, N. J., Matzkin, H., & Greenstein, A. (2004). Efficacy of sildenafil as adjuvant therapy to a selective serotonin reuptake inhibitor in alleviating Erectile dysfunction Urology, 63(5), 909-913. they have found that ED medications can also increase the time it takes for men to ejaculate, which may help with premature ejaculation. However, it's important to note that these medications are not specifically designed to treat premature ejaculation, and more research is needed to fully understand their effects on ejaculation time. Some men may claim to experience better and longest-lasting sex when using these medications. Here are some ED medications that may have this effect: Dapoxetine (Priligy) Dapoxetine is a medication specifically designed to treat premature ejaculation. It works by inhibiting the reuptake of serotonin, a neurotransmitter that plays a role in ejaculation. Tadalafil (Cialis) Tadalafil is a long-acting ED medication that can last up to 36 hours, which is significantly longer than other ED medications. This extended duration of action may help men last longer during sexual activity. Sildenafil (Viagra) and vardenafil (Levitra) While these medications are primarily used to treat ED, some studies have found that they may also help men last longer during sexual activity by delaying ejaculation. (Waldinger, M. D., & Schweitzer, D. H. (2006). Changing paradigms from a historical DSM-III and DSM-IV view toward an evidence-based definition of Erectile dysfunction) Other than medications there are also some practices one can adopt If they are looking for ways to last longer during sexual activity, such as: Practice mindfulness: Mindfulness techniques, such as deep breathing and meditation, can help you relax and focus on the present moment, which may help you last longer during sexual activity. Use a thicker condom Wearing a thicker condom may help reduce sensitivity and increase the time it takes for you to ejaculate. Try different positions Experimenting with different sexual positions may help you find ones that are more comfortable and less stimulating, which may help you last longer. Use a desensitizing spray or cream Topical numbing agents, such as lidocaine or benzocaine, can help reduce sensitivity and delay ejaculation. However, it's important to follow the instructions carefully and use these products sparingly to avoid numbness or irritation. Practice kegel exercises Kegel exercises, which involve contracting and relaxing the muscles that control urination, may help strengthen your pelvic floor muscles and improve your control over ejaculation It's important to note that these medications which are mentioned above should only be used as directed by a healthcare provider, and should not be taken without a prescription or in combination with other medications without medical supervision. Additionally, these medications may not be appropriate for everyone, and your healthcare provider can help determine if they are right for you based on your individual health and medical history.
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