Premature ejaculation (PE) is one of the most common sexual concerns among men, affecting approximately 30% to 50% of the male population. This condition can lead to emotional distress and impact relationships, making effective solutions a priority for many individuals.
Emla Cream, containing lidocaine and prilocaine, is a topical anesthetic traditionally used to numb the skin before minor procedures. Recently, its off-label use has been explored as a potential treatment for PE, aiming to reduce penile sensitivity and prolong ejaculation time.
In this article, we will examine the efficacy of Emla Cream in managing premature ejaculation, discuss its application methods, and consider potential side effects to provide a comprehensive understanding of its role in PE treatment.
Key Takeaways
- Emla Cream, which combines lidocaine and prilocaine, is FDA-approved for numbing intact skin and genital mucous membranes, making it a popular choice for medical procedures and cosmetic applications.
- The cream may help delay ejaculation by numbing the skin, potentially providing longer-lasting sexual intercourse for individuals dealing with premature ejaculation.
- Proper application and dosage are crucial; for adult males, applying a thick layer of Emla Cream for 15 minutes before local anesthetic infiltration is recommended to ensure effectiveness.
- Clinical studies indicate that topical anesthetics, including Emla Cream, can significantly improve intravaginal ejaculatory latency time compared to placebos.
- Users must be aware of risks like systemic absorption and its potential effects on partners, emphasizing the importance of adhering to recommended guidelines for safe use.
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How Emla Cream Works for Premature Ejaculation
Medical practitioners and professionals often turn to Emla Cream as a reliable topical anesthetic for various procedures. The US Food and Drug Administration (FDA) has approved it for numbing the following treatment areas:
- Normal, intact skin for local analgesia
- Genital mucous membranes for minor surgery and as pretreatment for infiltration anesthesia
Beyond its medical applications, it is also commonly used off-label for other purposes, such as managing discomfort by using Emla Cream for tattoos and addressing sensitivity-related concerns.
Many individuals may wonder: Does Emla Cream for premature ejaculation work? Its numbing properties can help reduce penile sensitivity, potentially delaying ejaculation and allowing for longer-lasting sexual intercourse.
The cream contains two active ingredients, lidocaine and prilocaine, which work together to block nerve signals in the applied area. By numbing the skin, Emla Cream may provide an effective solution for men looking to manage premature ejaculation.
Application Method and Recommended Dosage
The FDA-approved label provides specific dosage and application guidelines for Emla Cream based on the treatment area and procedure type. Correct application helps maximize its numbing effects while reducing the risk of complications post-treatment.
- For Intact Skin (Adult Patients): Apply a thick layer of Emla Cream and cover it with an occlusive dressing to enhance absorption.
- For Minor Dermal Procedures (e.g., venipuncture, IV cannulation): Apply 2.5 grams (half of a 5g tube) over 20–25 cm² of skin for at least one hour.
- For Major Dermal Procedures (e.g., skin grafting): Apply 2 grams per 10 cm² and leave it on for at least two hours for deeper numbing.
- For Male Genital Skin (Before Local Anesthesia): Apply 1 gram per 10 cm² and leave it on for 15 minutes before performing local anesthetic infiltration.
After absorption, wash off the cream to prevent unintended transfer to a partner. Following these guidelines ensures effective pain relief, improving the comfort and success of the procedure.
Effectiveness Based on Clinical Studies and Patient Outcomes
Recent studies have highlighted the effectiveness of topical anesthetic agents in managing primary premature ejaculation (PE). A systematic review demonstrated that these agents significantly improve intravaginal ejaculatory latency time (IELT). While there is a higher incidence of adverse events, they are generally transient and not severe. The review also emphasized the need for high-quality randomized controlled trials to confirm the efficacy and safety of these treatments.
Another systematic review and meta-analysis confirmed that topical anesthetics offer real benefits beyond placebo effects. These agents effectively and safely increase IELT in patients with PE, outperforming placebo treatments.
Specifically, a clinical trial investigated the optimal use of Emla Cream, a 5% lidocaine-prilocaine formulation, for individuals dealing with PE. The study found that applying the cream 20 minutes before sexual contact yielded optimal results, significantly prolonging ejaculation time without severe adverse effects.
Safety Considerations: Risks of Systemic Absorption and Numbing of Partner
Before trying Emla Cream or any other therapeutic product, patients should consult a trusted medical professional to ensure its suitability and safety for their specific needs. A proper consultation helps identify potential risks and ensures that the product is used correctly and effectively.
Systemic Absorption Risks
When lidocaine and prilocaine enter the bloodstream, systemic absorption can occur, leading to side effects such as dizziness, headaches, or mild discomfort. In rare cases, excessive absorption may cause methemoglobinemia, a condition that reduces the blood’s ability to carry oxygen.
To minimize this risk, patients and medical professionals should strictly follow the recommended dosage and application guidelines and avoid excessive use of the cream.
Numbing Effect on a Partner
Another concern is the risk of transferring Emla Cream to a partner during intimate activities. If the cream is not thoroughly washed off before sexual contact, it may cause temporary numbness, leading to reduced sensitivity and discomfort for the partner.
To prevent this, patients should apply the cream well in advance, allow it to fully absorb, and wash it off completely before engaging in intimate activities.
By taking these precautions, individuals can safely use Emla Cream while reducing risks for both themselves and their partners.
Conclusion
Emla Cream offers a practical solution for men seeking to manage premature ejaculation, utilizing its numbing properties to help prolong ejaculation time and enhance sexual performance. Its versatility as both a medical and cosmetic anesthetic highlights its effectiveness and reliability across various applications.
However, proper application and dosage are essential to minimize risks, including systemic absorption and potential numbing effects on a partner. To ensure safe and effective use, individuals should consult a healthcare professional, allowing them to maximize benefits while reducing unwanted side effects.
Following proper guidelines, users can confidently incorporate Emla Cream into their routine, improving intimate experiences while prioritizing safety and well-being.
FAQs
1. How does Emla Cream help with premature ejaculation?
Emla Cream numbs the skin using lidocaine and prilocaine, which can reduce sensitivity and help delay ejaculation during sexual activity.
2. What is the recommended application method for Emla Cream?
For adult males, it’s advised to apply a thick layer of Emla Cream to the genital area for about 15 minutes before sexual contact to ensure effective numbing.
3. Are there any risks associated with using Emla Cream?
Yes, potential risks include systemic absorption, which can lead to side effects like dizziness, headaches, and, on rare occasions, methemoglobinemia. To minimize these risks, it is important to follow the recommended dosage and application guidelines.
References
- Sutton E, Hanke CW. Topical anesthetic use in cosmetic dermatology. Journal of Drugs in Dermatology. 2023;22(3):256-259. doi:10.36849/jdd.6978
- Mohamed AH, Mohamud HA, Yasar A. The prevalence of premature ejaculation and its relationship with polygamous men: a cross-sectional observational study at a tertiary hospital in Somalia. BMC Urology. 2021;21(1). doi:10.1186/s12894-021-00942-0
- Atikeler MK, Gecit I, Senol FA. Optimum usage of prilocaine-lidocaine cream in premature ejaculation. Andrologia. 2002;34(6):356-359. doi:10.1046/j.1439-0272.2002.00511.x
