The Top 5 Last Longer in Bed Pills Reviewed by Experts

Let's face it, sexual performance is a concern for many men. Premature ejaculation (PE) is a common issue that can lead to frustration and diminished confidence. While there are many approaches to tackling this problem, from behavioral techniques to therapy, some men turn to pills to help them last longer in bed. This article will delve into the top 5 last longer in bed pills, offering expert-reviewed insights to help you make an informed decision.

Disclaimer: Before considering any medication, it's crucial to consult with a healthcare professional. Self-treating can be risky, and a doctor can provide personalized advice based on your specific needs and medical history.

What Are "Last Longer in Bed" Pills?

"Last longer in bed" pills generally fall into a few categories:

• SSRIs (Selective Serotonin Reuptake Inhibitors): These are antidepressants that have a side effect of delaying ejaculation. They often require a prescription.
• Topical Anesthetics: Creams or sprays applied to the penis to reduce sensitivity.
• Dietary Supplements: Often contain herbs and nutrients marketed to improve sexual performance.
• Off-Label Medications: Medications prescribed for other conditions but used "off-label" to treat PE.

It's vital to distinguish between prescription medications, over-the-counter treatments, and unproven supplements. Each carries different levels of evidence and potential risks. We'll primarily focus on options that have at least some clinical data supporting their use.

Expert Review Criteria

For our review, we've considered the following criteria:

• Efficacy: Does the pill actually help delay ejaculation?
• Safety: What are the potential side effects and risks?
• Ingredients: Are the ingredients well-researched and safe?
• Reviews: What are real users saying about their experiences?
• Availability: How easy is it to obtain the product?
• Cost: How does it compare to other options on the market?

The Top 5 "Last Longer in Bed" Pills

Here are the top 5 pills for premature ejaculation, based on expert reviews and the criteria outlined above.

1. Prescription SSRIs (e.g., Paroxetine, Sertraline, Fluoxetine, Dapoxetine): These are commonly prescribed off-label for PE.
2. Priligy (Dapoxetine): Specifically designed to treat premature ejaculation.
3. Emla Cream (Lidocaine and Prilocaine): While technically a topical cream, it's a commonly used method for extending performance time.
4. Fortacin Spray: Contains Lidocaine and Prilocaine as a topical spray.
5. Selective Serotonin Reuptake Inhibitors (SSRIs) such as Paroxetine

Let's examine each option in more detail:

1. Prescription SSRIs (e.g., Paroxetine, Sertraline, Fluoxetine, Dapoxetine)

• Description: SSRIs are a class of antidepressants that increase serotonin levels in the brain. A side effect of SSRIs can delay ejaculation. These medications are not specifically approved for premature ejaculation in many countries (except for Dapoxetine - see below) but are prescribed "off-label" due to their observed effects. These drugs must be prescribed by a doctor.

• Efficacy: Studies have shown that SSRIs can significantly increase ejaculatory latency (the time it takes to ejaculate).

• Safety: SSRIs can cause side effects such as nausea, fatigue, decreased libido, and erectile dysfunction. It's essential to discuss potential side effects with your doctor.
• Ingredients: Paroxetine, Sertraline, Fluoxetine, or Dapoxetine
• Reviews: Reviews vary depending on individual responses. Some men experience significant improvement, while others find the side effects outweigh the benefits.
• Availability: Prescription required.
• Cost: Varies depending on insurance coverage and generic availability.
• Expert opinion: "SSRIs can be effective for treating PE, but it’s crucial to understand the potential side effects. Regular monitoring by a healthcare professional is essential."

2. Priligy (Dapoxetine)

• Description: Priligy is a short-acting SSRI specifically developed to treat premature ejaculation. It is designed to be taken a few hours before anticipated sexual activity.

• Efficacy: Clinical trials have demonstrated Priligy's effectiveness in increasing intravaginal ejaculatory latency time (IELT).

• Safety: Common side effects include nausea, dizziness, headache, and diarrhea.
• Ingredients: Dapoxetine.
• Reviews: Generally positive, with many men reporting increased control over ejaculation.
• Availability: Prescription required. Not available in all countries (e.g. USA).
• Cost: Typically more expensive than generic SSRIs.
• Expert opinion: "Priligy is a more targeted treatment for PE than general SSRIs, as it is designed for on-demand use. However, it still carries the risk of side effects."

3. Emla Cream (Lidocaine and Prilocaine)

• Description: Emla cream is a topical anesthetic containing lidocaine and prilocaine. It is applied to the penis to reduce sensitivity and delay ejaculation.

• Efficacy: Can effectively reduce sensation and delay ejaculation when applied correctly.

• Safety: Potential side effects include temporary numbness, burning, and, rarely, allergic reactions. It’s important to use the correct amount to avoid loss of sensation.
• Ingredients: Lidocaine and Prilocaine.
• Reviews: Many users report success in delaying ejaculation, but some find it cumbersome to apply and dislike the reduced sensation.
• Availability: Available over-the-counter in some countries, prescription may be needed in others.
• Cost: Relatively inexpensive.
• Expert opinion: "Topical anesthetics like Emla cream can be a good option for men who want a quick and easy solution. However, proper application and awareness of potential side effects are crucial."

4. Fortacin Spray (Lidocaine and Prilocaine)

• Description: Fortacin is a topical spray containing lidocaine and prilocaine. It is used on the penis head to reduce sensitivity. The metered does helps control how much medication is applied.

• Efficacy: Shown to extend ejaculatory latency in clinical trials.

• Safety: Side effects are similar to Emla cream (reduced sensation, burning, allergic reaction).
• Ingredients: Lidocaine and Prilocaine.
• Reviews: Easy to apply and administer dosage with reduced risk of overapplication.
• Availability: Prescription usually required.
• Cost: Typically more expensive than generic topical anesthetics.
• Expert opinion: "Sprays such as Fortacin can be easier to apply and more effective compared to other creams due to the precise dosing."

5. Selective Serotonin Reuptake Inhibitors (SSRIs) such as Paroxetine

• Description: SSRIs are a class of antidepressants that can increase serotonin levels in the brain. Often not formally indicated for premature ejaculation they have the side effects of delaying ejaculation. Doctors prescribe this medication.

• Efficacy: Proven to assist in the enhancement of intravaginal ejaculatory latency.

• Safety: Possible for side effects include tiredness, sickness, less interested in sex, and sickness.
• Ingredients: Main ingredient is paroxetine.
• Reviews: The user response to medicine that alters mood and energy may vary based on individual responses.
• Availability: You need a prescription for this item.
• Cost: The amount may be influenced by health coverage and version availability.
• Expert opinion: "One has to weight up whether an antidepressant should be prescribed to solve a issue with premature ejaculation. A consultant is recommended."

Comparing the Options (HTML Table Example)

Here is a comparison table of all the pill options, presented in the required HTML table format:

Other Considerations

• Lifestyle Factors: Diet, exercise, and stress management can also play a role in sexual performance.
• Behavioral Techniques: Techniques like the "start-stop" method or the "squeeze" technique can help delay ejaculation without medication.
• Therapy: Psychological factors can contribute to PE. Therapy can help address these underlying issues.

Important Takeaways

• Always consult with a healthcare professional before using any medication to last longer in bed.
• Understand the potential risks and side effects of each option.
• Consider non-pharmaceutical approaches like behavioral techniques and therapy.
• Be realistic about expectations. No pill is a magic bullet, and results can vary.

Conclusion

Finding the right solution for premature ejaculation can significantly improve your quality of life and relationship satisfaction. While last longer in bed pills can be effective, it’s essential to approach them with caution, research thoroughly, and seek guidance from a qualified healthcare provider. Remember that a holistic approach, including lifestyle modifications and therapy, may provide the best long-term results. Addressing your performance anxiety is key!