Because brand name Viagra, also known as sildenafil citrate, is thought of as a “cure-all” for intimate ailments (but mostly for ED), many men turn to it as a solution to the oldest problem: how to last long in bed.
But does Viagra make you last longer in bed? Viagra can definitely make you last longer in bed if you’re struggling to keep an erection. And research also suggests it might be beneficial for the management of PE even though it isn’t specifically FDA approved for that purpose.
Want to see what the science says? Below, we’ve explored the evidence for and against sildenafil citrate for boosting stamina, and shared other science-backed options for improving your stamina and performance.
Can Viagra Help You Last Longer?
Will Viagra make you last longer? Some reports actually suggest that Viagra for PE might actually be an effective treatment.
Viagra (sildenafil citrate) is a type of ED medication called a phosphodiesterase type 5 inhibitor. PDE5 inhibitors such as Viagra, Cialis (tadalafil) and Levitra (vardenafil) are designed to treat ED by increasing blood flow to the soft tissues and blood vessels of your privates.
The effects of these ED medications can help you climax or maintain a firmer one to improve the experience for you and your partner.
On average, Viagra lasts for up to four hours after you take your dose. So, if you tend to lose your arousal during intimacy, Viagra’s effects could help you have intimacy for longer without being affected by ED during that period of time.
Why Viagra Could Help with PE
Does sildenafil make you last longer? There are a few interesting studies about Viagra’s effects on dysfunction that are worth mentioning:
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In a small 2007 study published in the International Journal of Urology: Official Journal of the Japanese Urological Association, researchers found that sildenafil (the active ingredient in Viagra) was linked to an increase in climax time in men affected by PE.
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Another study from 2005 found that men who used sildenafil experienced a small increase in time before coming. The increase compared to placebo wasn’t statistically significant, but men did have increased perception of control and overall satisfaction.
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According to a clinical study published in the International Journal of Impotence Research, sildenafil can reduce refractory time by several minutes. In this study, the average reduction in time was about nine minutes.
So, how does Viagra possibly help with PE? There are a number of potential ways. These include its effects on the nervous system and the sensitivity of the privates, its effects on smooth muscles involved in coming, and the fact that it can increase confidence — especially in those who have both PE and ED.
Why Viagra Is Not an FDA-Approved Treatment for PE
The reason Viagra isn’t an FDA-approved treatment to help you last longer in bed gets into a complex issue of the time and cost of running clinical trials and applying for FDA approval. It’s possible that if these trials were done, sildenafil — the active ingredient in Viagra — could be shown to be safe and effective for PE. It’s also possible that wouldn’t be the case. We will probably never know. Viagra is already commercially available because of its approval for ED, and providers can already prescribe Viagra off-label to treat PE. So we’ll likely just need to rely on studies like those mentioned above to know how effective it can be for the condition.
Things Viagra can’t do, though, include boost your drive, prevent you from getting tired, reduce performance anxiety or make your privates larger than normal — that’s not what Viagra does.
The Risks of Using Viagra to Last Longer
And then there are the side effects of Viagra — headaches and blurred vision, and potentially dangerous interactions with other drugs.
You’ll need to tell a healthcare professional if you currently have any medical condition or are treating heart disease or hypertension, and you’ll want to avoid medications for high blood pressure like nitrates, alpha-blockers and others that could cause low blood pressure when combined with Viagra.
Does Viagra Increase Size?
Sorry, but it’s highly unlikely that Viagra will increase the size of your privates on its own. One possible side effect of Viagra is that your arousal will be firmer when you’re stimulated, giving it the appearance of being larger.
How to Treat PE and Last Longer in Bed
Does Viagra help with PE? Maybe! But it’s best you discuss all of your options with a healthcare provider to see what’s best for you.
There are other options available for PE that can help you delay ejaculation and last longer in bed, including:
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Premature ejaculation sprays, wipes and creams
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SSRI antidepressants
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Non-medicinal techniques for reducing stimulation
So, let’s dig a little deeper into these.
PE Sprays, Wipes and Creams
Studies show that lidocaine-containing sprays are extremely effective as treatments for PE by reducing sensitivity.
In a 2003 study published in the International Journal of Impotence Research, men with PE were able to increase their latency from one minute and 24 seconds to 11 minutes and 21 seconds after applying a lidocaine-prilocaine-based spray.
That kind of return on investment is what made Warren Buffett a billionaire.
Medicated wipes and creams that contain ingredients like lidocaine, prilocaine, and benzocaine are also available OTC and can be used to reduce the sensitivity of the privates.
Selective Serotonin Reuptake Inhibitors (SSRIs)
One of the main side effects of certain selective serotonin reuptake inhibitors (SSRIs) — such as paroxetine and sertraline — is something called “anorgasmia,” or the inability to achieve climax.
When treating PE, this “bug” is actually a feature. A feature which has prompted healthcare professionals all over the world to prescribe SSRIs off-label to treat this common dysfunction.
Sertraline (the active ingredient in Zoloft) is one of several SSRIs used to treat PE and improve performance. According to a study published in the journal, Medicine, sertraline is effective at prolonging ejaculation latency time and improving rates of satisfaction between patients and their partners.
Additionally, a 2007 study published in the journal Therapeutics and Clinical Risk Management found that men with PE who used paroxetine, fluoxetine or escitalopram experienced a useful effect on time.
Non-Pharmaceutical Treatments
Managing PE might not require any medications, of course. Instead, you might simply have to exert some self-control — or some self-love.
Beyond medications such as sildenafil, lidocaine and sertraline, there are several ways to increase your time before ejaculation and improve your performance without using drugs.
These include techniques like:
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The stop-start technique. It’s 100 percent a medical fact that if you stop before finishing, you can start again and still keep the clock running on your session.
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The squeeze technique. Before you finish, pull out and squeeze the tip of your privates to reduce your urge to come before returning to activity.
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Distracting thoughts. Thinking about something to momentarily take your head out of the game — baseball, cold showers, geometry, the weather, etc. — may actually help distract you long enough to overcome your urge to climax. We wouldn’t ordinarily suggest not keeping your eyes on the prize, but for PE, it could prove helpful.
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Kegels. These not-just-for-women exercises can increase your muscle control, which could lead to longer performance windows.
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Getting into therapy. Another simple solution? Talking. If you’re experiencing PE as a result of performance anxiety, talking about it with a professional might help. Not only will they be able to help you talk through some of your experiences, but they may also be able to make some helpful suggestions.
(Related: How Often Do Couples Make Love?)
Viagra and Medicine for Lasting Longer in Bed
Today, a variety of options are available for PE, ranging from SSRIs to lidocaine-based PE spray to techniques like the stop-start strategy, the squeeze technique before making love.
Then, there’s Viagra. Although the “little blue pill” is designed and marketed as a treatment for ED, a dose of Viagra can also be prescribed off label to help men last longer in bed.
Consider the following points about PE:
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Does Viagra make you last longer in bed? It might, but the question could use more research, and Viagra and other ED medications represent just some of several options to consider for PE.
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Does Viagra increase your libido? Unfortunately, no. It also won’t prevent performance anxiety or make your privates larger.
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If you’re having trouble lasting for an extended period of time, talk to a healthcare professional about premature ejaculation treatment options, including Viagra, SSRIs and delay spray.
This article originally appeared on Hims.com and was syndicated by MediaFeed.org.
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