Can Condoms Help?

What are premature ejaculation condoms?

They are basically condoms which are especially manufactured for men who ejaculate prematurely.

How do they help to prevent PE?

There are different ways how these condoms help to delay ejaculation. Some condoms are simply just thicker, thus reducing the friction and other sensations you have when you have intercourse. Other condoms actually contain a chemical which temporarily makes the skin of your penis a bit numb.

What chemicals are used to numb the penis?

They often contain benzocaine on the inside of the condom. This is a local anesthetic that is often used to relieve pain. There are possible side effects when using benzocaine on your skin, among them allergic reactions (itching, hives, swelling, tingling sensations, headache, etc.). In rare cases benzocaine can also cause methemoglobinemia, which is a serious blood disease.

Is the numbing effect immediate?

Now when the numbing of sensations is simply caused by a kind of thicker rubber, then yes, of course. But if benzocaine is used to reduce sensations, then it usually takes 1-2 minutes until the numbing effect really sets in after putting on the condom.

Can I just use two condoms on top of each other?

You surely can do that, but I advise you against doing that. One issue is that when you wear two condoms on top of each other, it creates additional friction (rubber with rubber) which can cause your condoms to tear or break.
There’s a famous sex study by Dr. Alexa Albert about condom use of commercial sex workers, which kind of makes a different point, however, I do advice against this practice.

Which PE condoms shouldn’t you use?

This is just my personal opinion, but I do not recommend the Trojan Extended Pleasure Condoms because the chemical that is used to numb the penis can also numb the vagina of your sex partner (causing her to feel less excited), because the chemical is not just on the inside of the condom, but everywhere.

What’s the best PE condom?

 Among the best delay condoms are Durex Performax Condoms, which are made from natural rubber latex and are electronically tested.

Topical Anesthetics Can Be Effective for Premature Ejaculation

Topical anesthetic agents seem to be effective and are generally well tolerated for patients with premature ejaculation (PE), according to a review published in Urology (2013;81:799-804).
Chunxiao Pu, MD, from Sichuan University in China, and colleagues conducted a systematic literature review and meta-analysis including data from eight eligible randomized controlled trials to assess the efficacy of topical anesthetic agents on intravaginal ejaculatory latency time (IELT).

The foreskin and premature ejaculation

The foreskin (prepuce) has been described as a simple fold of skin, with its structures and functions ignored. The foreskin actually is a complex organ, an integral part of the penis, with many important functions.

The foreskin protects the glans and the urinary meatus (opening) and performs many other integrated functions.

The immunological functions of the foreskin help protect the body from pathogens. The sphincter action of the preputial orifice prevents entry of infectious contaminants. Glands secrete lysozyme, an enzyme that breaks down cell walls of pathogens. The sub-preputial moisture lubricates and protects the mucosal lining of the glans and inner foreskin. The high vascularization of the foreskin brings cells to fight infection, while Langerhans cells secrete cytokines, proteins that regulate the intensity and duration of immune responses, and langerin, a substance that provides a barrier to HIV infection.

The foreskin provides the skin necessary to accommodate a full erection. Even when erect, the foreskin has a gliding action that provides additional sexual pleasure to the man and his partner. The gliding mechanism of the foreskin facilitates insertion and reduces friction and chafing during sex. The foreskin also provides a seal, keeping the secretions necessary for comfortable intercourse contained within the vagina.

The foreskin contains 20,000–70,000 erogenous nerve endings, the majority of which are concentrated in the ridged band, which encircles the inner opening of the foreskin. When the penis is flaccid, the nerve endings are protected but, when erect, they are exposed. Circumcision removes about three-fourths of the nerve endings in the penis, leaving the circumcised penis severely disabled by comparison.

These nerve endings allow a man to modulate his sexual experience. Without them, a man may feel pleasure, but, without warning, reaches ejaculation quickly. The greatest complaint of circumcised males is premature ejaculation.

Without the foreskin’s protection, the glans becomes keratinized (calloused). The free nerve endings in the glans become buried in layers of callused skin. Many circumcised males complain about sexual dysfunction and impotence because they lack the feelings and feedback meant to be provided by nerve endings that were amputated with circumcision. Circumcised men are 4.5 times more likely to be diagnosed with erectile dysfunction than intact men.

The foreskin plays an important role in protection, sexual function, and sexual pleasure.

Premature Ejaculation Therapy Not Supported by Evidence

 Research Source: The Cochrane Library

KEY POINTS

• Little evidence supports behavioral therapy as an effective intervention for premature ejaculation, according to a new Cochrane review.
• Behavioral therapy for premature ejaculation can include different positions, better control of movements, more mental focus, a start-stop approach and some medications.
• Therapy for premature ejaculation can cost $100 or more a session and eight sessions may be necessary over the course of several months.

A new review finds little reliable research to support treating premature ejaculation by teaching men how to control their bodies with their minds. Still, two of the review authors say it is too early to discount so-called behavioral therapy.