PE can be embarrassing and distressing, but thankfully, there are many treatments available, including lidocaine spray.
Lidocaine is a topical anesthetic that reduces sensitivity, and helping you last longer in bed.
Below, we’ll dive into everything you need to know about lidocaine spray for PE, including how it works, how to use it and the possible side effects (beyond becoming an absolute stud in the bedroom).
Why Does PE Happen?
Why, oh, why does PE happen?! Before we get into how lidocaine can help, let’s cover some background knowledge on PE.
There are a few different definitions for PE. The International Society for Sexual Medicine defines it as any that occurs within minute (lifelong PE) or within 3 minutes (acquired PE) and before you’d like it to happen.
By the way, it takes men an average of five to seven minutes to reach arousal. So don’t believe all the bragging you hear about three-hour-long sessions.
PE is also defined as early release that happens 75 to 100 percent of the time you are aroused — and early release that’s been going on for at least six months and that causes distress.
You might not talk about it with your guy friends, but PE is pretty common. It’s thought to affect anywhere from 30 percent to a whopping 75 percent of men (although reports are subjective and estimates vary widely) and it’s considered the most widespread male sexual disorder.
What Causes PE?
So, why does it happen exactly? PE can be related to both physical and psychological factors.
Physical risk factor of PE include:
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Hyperthyroidism
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Abnormal levels of serotonin
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Diabetes
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Inflammation or infection of the prostate or urethra (pee tube)
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Recreational drug use
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Alcoholism
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Sleep deprivation (another reason to get your seven or more hours of shut-eye)
Psychological risk factor of PE include:
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Stress
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Anxiety
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Depression
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Relationship problems
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Performance anxiety
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Poor body image
(Related: How Does ED Medication Work?)
Lidocaine Spray for PE
Lidocaine is a topical treatment for PE. As a local anesthetic, it reduces sensitivity, helping to increase the time before releasing.
If you’ve ever had a root canal or your wisdom teeth removed, there’s a chance you’ve experienced the numbing effects of lidocaine. Although, don’t worry — with topical lidocaine for PE, you won’t go completely numb, only slightly less sensitive than usual.
Lidocaine is available in spray, cream and gel formulations, which you can buy over the counter and online.
Simply apply it before arousal and boom, you should last longer in bed.
Clinical Trials and Research on Lidocaine for PE
Want proof?
A 2022 study looked at how a lidocaine-based spray affected 150 men with self-reported PE.
The results showed that the lidocaine spray increased average latency time (the time it takes to come) from less than one minute to more than two minutes.
Beyond that, 80 percent of men said they were more satisfied, and 70 percent said they were happy with their control when using the product.
A 2017 study looked at a lidocaine-prilocaine spray. (Prilocaine is another desensitizing agent.) The study found that the product was fast-acting, working within five minutes of men spraying it onto their glans.
The spray reduced sensitivity and delayed the time to come without adversely affecting sensation or pleasure.
A 2020 study found that applying a 5% lidocaine spray 10 to 20 minutes before arousal helped guys with PE last longer in bed and have more sex overall compared to those who used a placebo.
There are a few pros to using lidocaine spray for PE:
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It’s available over the counter — no prescription needed.
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You can use it whenever the need arises.
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There are limited systemic side effects like those you can get from other PE treatments, such as selective serotonin reuptake inhibitors (SSRIs).
There are a few cons as well, including:
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You may have to wait a little while for lidocaine to kick in before arousal, reducing spontaneity.
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It can cause numbness in your and in your partner’s private areas.
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It can be messy (although sprays may be less messy than creams).
How to Use Lidocaine Spray for PE
It’s easy to use lidocaine spray for PE.
Here’s what to do:
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Spray the product onto the most sensitive areas 10 to 15 minutes before you plan on getting aroused.
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Wait.
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Wash your hands and wipe off any excess product, or take a quick shower before the activity.
And voila — you should last longer in bed.
Use just one spray of lidocaine at first. If you don’t notice any improvement, try increasing the dose in line with the instructions provided by your lidocaine spray.
If some of the numbing effects rub off on your partner, consider using a condom next time.
(Related: What are the Risks of Taking Over-the-Counter ED Drugs?)
Frequently Asked Questions About Lidocaine Spray
You’ve got questions. We’ve got answers.
Here’s everything else you need to know about using lidocaine for PE.
Is Lidocaine Spray Safe?
Yes, lidocaine spray is safe. Local anesthetics like lidocaine have been used for decades to help men last longer in bed.
Lidocaine is used in dentistry and surgery. There are plenty of studies on lidocaine spray for PE, and the side effects appear to be mild and rare.
There’s just one caveat: If you’re allergic to lidocaine, don’t use lidocaine spray.
Does Lidocaine Spray Have Side Effects?
Yes, lidocaine spray has side effects.
Lidocaine spray side effects include:
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Numbness in your privates, which could cause ED
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Irritation in your privates
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Numbness in your partner’s privates
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Irritation in your partner’s privates
If your partner experiences numbness, try wiping off the spray or wearing a condom to avoid transferring lidocaine to their privates.
Topical PE treatments have also been linked to loss of pleasure. But these side effects are rare, and since you can easily stop using lidocaine spray, it may still be worth a try.
Can You Use Lidocaine Spray If Your Partner Is Pregnant?
Yes, you can use lidocaine spray if your partner is pregnant.
The FDA (U.S. Food and Drug Administration) classifies lidocaine as a category B medication, meaning it’s typically safe for use during pregnancy in healthy people.
That said, double-check with your healthcare provider before using lidocaine spray for PE with a pregnant partner.
Is It Safe to Use Lidocaine Spray With Viagra and Other ED Drugs?
Lidocaine spray is safe to use with Viagra (and generic sildenafil) and other ED drugs.
Lidocaine is used to treat PE, which can occur alongside of ED. You might be taking Viagra to help with ED. Viagra can also help PE in some cases.
Using both Viagra and lidocaine spray may not be more effective, though. One small study showed that using both Viagra and a cream containing lidocaine is equally effective at treating PE as using lidocaine cream alone.
Be sure to speak to a healthcare provider about any medication you’re taking before introducing something new into the mix.
How Long Do the Effects of Lidocaine Spray Last?
The effects of lidocaine spray can last one to three hours. Most of the time, you’ll feel the numbing effects of lidocaine spray and reduced sensitivity during the activity for about an hour after applying it.
Should You Apply Lidocaine Spray While Before or After You’re Aroused?
You can apply lidocaine spray before or after you’re aroused. Just be sure to spray the product on about 10 to 15 minutes before the activity to give it some time to work its magic.
Is Lidocaine Spray Safe for Oral Activities?
Yes, lidocaine spray is safe for oral activities — as long as your partner doesn’t have a lidocaine allergy.
Wait 10 to 15 minutes after applying it and wipe off any product residue or hop in the shower beforehand.
If your partner accidentally ingests lidocaine orally, you should contact the poison control center in your area immediately.
Can You Use Lidocaine Spray With a Lubricant?
Lidocaine spray is completely safe to use with a lubricant. Wait 10 to 15 minutes before engaging with your partner to ensure the lidocaine spray is completely dry and effective. And wash off any remaining spray before getting started.
Can Lidocaine Spray Reduce Sensitivity for Your Partner?
Yes, unfortunately, lidocaine spray can reduce sensitivity for your partner.
Make sure you’re waiting 10 to 15 minutes after spraying lidocaine on your privates before starting.
If your partner is still experiencing numbness, try:
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Washing your hands after using lidocaine
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Wiping off any excess product or taking a shower before sex
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Wearing a condom (groan, we know, don’t @ us)
Does Lidocaine Spray Protect from Pregnancy or STIs?
No, lidocaine spray doesn’t protect you from pregnancy or STIs.
Lidocaine spray is designed to delay coming — but that’s about it. It’s not a form of contraception.
Use condoms or other forms of protection and birth control to protect yourself from STIs and pregnancy. Stay safe out there.
Alternatives to Lidocaine Spray for PE
Lidocaine spray is an evidence-based treatment for PE, but it’s not your only option.
If topical lidocaine isn’t producing the effects you’d like or it causes side effects, try a different treatment. Even if it works, using multiple modalities could be more effective approach when it comes to treating PE.
Treatments for PE include:
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Other topical products. Besides numbing spray, you can buy other topical PE products (like wipes) that reduce sensitivity. These include benzocaine or prilocaine. Some products contain a mixture of desensitizing agents, and you can even get special condoms for PE.
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Behavioral techniques. Try the stop-start technique (when you hit pause on your session just before you’re going to climax and wait until the urge passes before starting again). You could also do the squeeze technique (essentially the same method but with the addition of gently squeezing the tip to reduce arousal).
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Pelvic floor exercises. Regularly doing pelvic floor exercises can strengthen those muscles. Research shows that pelvic floor muscle rehabilitation can increase the time to come from less than one minute to over two minutes on average.
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Distract yourself. Think about something else during the activity to get your mind off the task at hand. This can help to buy you some more time in bed.
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Use a condom. If you don’t already, try wearing condoms to desensitize yourself further.
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Masturbate beforehand. Know you’re going to get it on? Have some “me-time” beforehand. Masturbating beforehand can help you last longer the second time around due to the refractory period — a window after coming when you’re less able to reach climax and come again.
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Therapy. PE has many psychological causes. Therapy can help get to the root of the problem if factors like performance anxiety, depression or relationship problems are contributing to PE. We offer therapy online as part of our range of mental health services, so you can connect with a healthcare professional from home.
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PE medication. PE pills include off-label antidepressants and ED medication. Some of the most common are SSRIs like sertraline (the active ingredient in Zoloft), paroxetine (Paxil) and fluoxetine (Prozac) and PDE5 inhibitors like sildenafil (Viagra). Check out our guide to sertraline for PE to learn more about this treatment option.
The Bottom Line on Lidocaine Spray for PE
The bottom line? Lidocaine numbing spray can help you last longer in bed, increasing everything from performance to satisfaction for all parties involved. Woo!
Here’s the summary:
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Give it 10 to 15 minutes before engaging with your partner. Spray lidocaine onto the tip and wait 10 to 15 minutes beforehand. It’s that easy.
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Lidocaine numbing spray comes with potential side effects. These include irritation and numbness in you and your partners’ privates.
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Try multiple PE treatments. Lidocaine is effective, but you might find using multiple methods helps in the treatment of PE. Consider the squeeze technique, therapy and PE meds like SSRIs, if needed.
This article originally appeared on Hims.com and was syndicated by MediaFeed.org
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