Did you know that premature ejaculation (PE) is the most common male sexual dysfunction, affecting around 1 in 3 men at some point in their lives? Studies show that PE typically occurs within the first one to three minutes of penetration, and it can be caused by a mix of psychological, biological, and relational factors. Despite its prevalence, many men feel embarrassed or uncertain about seeking help, often resulting in untreated symptoms.
A promising solution for managing PE is EMLA cream, a topical anesthetic that contains lidocaine and prilocaine. When applied to the penis, EMLA works by temporarily numbing the area, helping delay ejaculation and improve sexual control. While it’s not a permanent solution, it provides an effective, short-term option that doesn’t interfere with hormones or long-term sexual function.
In this article, we will guide you through how to apply EMLA cream for premature ejaculation, share essential safety tips, and offer practical advice to help you use it confidently and effectively.
Key Takeaways
- EMLA Cream is a topical anesthetic used to temporarily reduce sensitivity and help delay ejaculation in men with premature ejaculation (PE).
- The active ingredients, lidocaine and prilocaine, block nerve signals, providing short-term relief and enhancing sexual control.
- For best results, apply 0.5–1 gram of EMLA to the glans and upper shaft of the penis, and wait 15–30 minutes for optimal numbing before intercourse.
- Full relief can last 15–60 minutes, with deeper effects lasting up to 1–2 hours.
- Safety precautions are important: perform a patch test for allergies, avoid using it on broken or irritated skin, and ensure no cream remains before intimacy to avoid numbing your partner.
- EMLA is a short-term solution, ideal for those looking for immediate relief, but combining it with behavioral techniques or other therapies can provide longer-lasting results.
- Always consult a healthcare provider before using EMLA regularly to ensure proper use and to rule out any underlying conditions.
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How EMLA Reduces Sensitivity to Delay Ejaculation
EMLA cream provides effective relief for premature ejaculation (PE) by temporarily numbing the skin with lidocaine and prilocaine, two local anesthetics that block nerve signals. When applied to the penis, particularly the glans (head) and upper shaft, it reduces sensitivity, allowing men to control ejaculation more effectively during intercourse.
Regarding how long EMLA cream lasts, it can numb the targeted area for around 15 to 60 minutes. However, relief can extend up to 1 to 2 hours, particularly for deeper dermal effects. By dulling nerve endings, EMLA slows the sensation buildup that leads to climax, offering a short-term solution without affecting hormones or long-term sexual function.
It’s important to apply the correct amount and follow timing instructions to avoid excessive numbness or complications with maintaining an erection.
Step-by-Step Guide to Applying EMLA for PE
For optimal results, applying EMLA cream correctly is essential in managing premature ejaculation. Follow these steps to ensure effective treatment while minimizing risks:
- Wash and Dry the Area: Clean the penis with mild soap and water, and dry it thoroughly to ensure the cream absorbs effectively.
- Measure the Right Amount: Use a pea-sized amount (approximately 0.5–1 gram) of cream, ensuring proper coverage for 10 cm² of skin (including the glans and upper shaft).
- Apply to the Glans and Shaft: Gently rub the cream onto the head and upper shaft of the penis, avoiding the urethral opening.
- Wait 15–30 Minutes: Allow time for the anesthetic to take effect. The onset typically occurs within 5–30 minutes, with the relief lasting 15–60 minutes, and potentially up to 1–2 hours for deeper effects.
- Wipe Off Completely: Before intercourse, ensure all visible cream is wiped off to prevent numbing your partner.
- Use a Condom if Unsure: If any cream remains, wear a condom to prevent transfer during intercourse.
- Wash Hands Thoroughly: After application, wash your hands carefully to avoid accidental contact with your eyes or mouth.
- Avoid Repeated Use: Limit use to once per 24 hours on the same area to avoid irritation or systemic absorption.
Proper application and adherence to safety guidelines help maximize effectiveness and minimize side effects.
Safety Tips for EMLA Use in Intimate Areas
While EMLA is generally safe when used correctly, following safety precautions is crucial to avoid potential risks:
- Do a Patch Test First: Before applying EMLA cream to sensitive areas, perform a patch test on your forearm to check for allergic reactions.
- Never Apply to Broken or Inflamed Skin: Applying EMLA to damaged skin increases the risk of irritation and excessive absorption.
- Avoid Overuse: Frequent use can lead to desensitization, irritation, or even skin damage. Follow recommended usage to prevent complications.
- Communicate With Your Partner: Inform your partner about EMLA use, and ensure you’ve wiped off all cream before intercourse to avoid numbing them.
- Don’t Use With Latex: Some EMLA formulations may weaken latex condoms. Use polyurethane condoms if necessary.
- Keep Away From Eyes and Mouth: Be cautious not to transfer any cream to these areas, as it may cause discomfort.
- Store Properly: Keep EMLA cream at room temperature, away from moisture, and out of children’s reach.
How EMLA Compares to Other Premature Ejaculation Treatments
When evaluating treatments for premature ejaculation, EMLA is a quick, non-systemic solution. However, there are other options available that address PE in different ways. Here’s how EMLA compares:
| Treatment Type | Description | Pros | Cons |
| EMLA Cream | Topical anesthetic that numbs the skin surface | Fast-acting, non-systemic | Short-term, may reduce pleasure |
| Lidocaine Spray/Wipes | Over-the-counter desensitizing sprays or wipes | Convenient, discreet | May spread to partner if not removed |
| SSRIs (e.g., Paroxetine) | Prescription antidepressants that delay ejaculation through serotonin control | Long-term effect, treats root cause | Side effects like fatigue or nausea |
| Behavioral Therapy | Techniques like the “start-stop” method | No medications, long-term solution | Requires time and consistency |
| Pelvic Floor Exercises | Strengthens ejaculation control | No cost, improves sexual stamina | Takes several weeks to see results |
EMLA is ideal for those seeking immediate relief from premature ejaculation without the need for long-term medications or therapies. However, many men combine it with behavioral techniques or other medical treatments for long-lasting results.
Conclusion
EMLA cream provides short-term relief for premature ejaculation by reducing sensitivity in the penis. By applying a small amount, waiting the appropriate time, and wiping off any residual cream, you can enhance sexual control during intercourse. While it is not a long-term solution, it can significantly improve comfort and confidence in the moment.
For lasting results, consider combining EMLA with behavioral techniques or medical therapies to address the underlying causes of PE. Always consult with a healthcare provider before regular use to ensure safe application and effective outcomes.
FAQs
1. Can I buy EMLA cream without a prescription?
In many countries, EMLA is available over-the-counter, but some locations may require a prescription.
2. How long does EMLA take to work?
It usually starts working within 15 to 30 minutes after application.
3. Will EMLA reduce pleasure during sex?
Yes, it can reduce sensation for both partners if not entirely removed before intercourse.
4. Is it safe to use EMLA every day?
Daily use is not recommended unless advised by a doctor due to potential irritation and desensitization.
5. Can I use EMLA with a condom?
Yes, but make sure the formulation doesn’t affect the condom material, especially if using latex.
6. Are there side effects of EMLA cream?
Common side effects include mild burning, itching, or numbness. Serious reactions are rare but possible.
7. Does EMLA cure premature ejaculation?
No, it only helps manage the symptoms by reducing sensitivity. It doesn’t address the root cause.
References
Premature ejaculation – Symptoms and causes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/premature-ejaculation/symptoms-causes/syc-20354900
Mascherek A, Reidick MC, Gallinat J, Kühn S. Is ejaculation frequency in men related to general and mental health? Looking back and looking forward. Frontiers in Psychology. 2021;12. doi:10.3389/fpsyg.2021.693121
