Not being able to perform in the bedroom can be embarrassing for men. Having trouble with getting and maintaining an erection, or with reaching orgasm and ejaculating too soon, can both be sources of worry. But drug treatments are available to help you achieve satisfying sex.
Drug Treatments for Erectile Dysfunction
The most common class of drug used for erectile dysfunction is PDE5 inhibitors, the most well-known of which is sildenafil or Viagra. Similar drugs include tadalafil (Cialis), vardenafil (Levitra) and avanafil (Stendra).
Levitra, Cialis, and Viagra are FDA approved drugs. Cialis lasts longer than Viagra, up to 36 hours rather than just a few hours. Levitra lasts slightly longer than Viagra, up to 8 hours. Whereas Levitra and Viagra only stay in the bloodstream for a few hours, Cialis can stay there for over 18 hours.
Side effects also vary between these three drugs. Levitra and Viagra can cause visual changes (blue haze) and flushing, whereas Cialis does not. Cialis can, however, cause back pain and muscle ache which is not seen with the other two drugs.
All PDE5 inhibitors can cause blocked sinuses, headache, stomach upset and priapism (an erection that won’t go down).
Viagra has been shown to be the most effective of these three, although only be quite a small margin. Cialis may be better for men who enjoy sexual spontaneity since it has a longer lasting effect. These three drugs are not too different. Cialis is possibly the most effective, but its longer action also means prolonged side effects.
For men with a heart condition, these drugs are not recommended, especially Cialis.
Drug Treatments for Premature Ejaculation
Antidepressants often have a side effect of prolonging the time before ejaculation. Common antidepressants used for this condition include selective serotonin reuptake inhibitors (SSRIs), fluoxetine (AKA Prozac) and paroxetine (AKA Paxil).
These drugs may take several weeks to start working. Antidepressants can have a range of side effects, the most common being dry mouth. They can also cause nausea, digestive problems, fatigue, weight gain, minor visual problems, and may even cause erectile dysfunction.
PDE5 inhibitors may also be useful for premature ejaculation treatment, although the evidence is mixed.
Anaesthetic creams and sprays reduce the sensitivity of the skin on the penis, meaning that more stimulation is required to reach ejaculation. Lidocaine-prilocainecream can be obtained on prescription. One disadvantage of these creams is that the reduced sensitivity can lead to less sexual pleasure for both partners. However, these creams and sprays are well tolerated.
Analgesics used to treat pain may also prove useful for premature ejaculation by inducing numbness and so reducing the effect of stimulation in a similar way to creams and sprays. Side effects of analgesics include nausea, fatigue, and headache and so they are less well tolerated than creams and sprays.
Satisfaction Can Be Achieved
Drugs are one way of overcoming problems in the bedroom, but other kinds of treatment are also available. Make sure to talk to your doctor if you have concerns about performance in the bedroom. Solutions are always available to give you the sex you need for a happy relationship.