There’s no evidence that Viagra can increase the size of your penis. But, because Viagra helps make erections firmer during sexual arousal, it can give the appearance of a larger penis. But it’s best you discuss all of your options with a healthcare provider. Other options that can help delay ejaculation and make you last longer in bed include: Non-medicinal techniques for reducing sexual stimulation Non-medicinal techniques for reducing sexual stimulation Let’s go over these in more detail. Studies show that lidocaine-containing sprays are extremely effective as treatments for premature ejaculation by reducing sensitivity.

Surgical Intervention

You can also learn about the differences between Viagra and Cialis, your options for premature ejaculation pills, and the available premature ejaculation treatments. A randomized study examining the effect of 3 SSRI on premature ejaculation using a validated questionnaire. Onset and duration of action of sildenafil for the treatment of erectile dysfunction. Topical lidocaine-prilocaine spray for the treatment of premature ejaculation: A proof of concept study. Beta-blocker therapy and symptoms of depression, fatigue, and sexual dysfunction.

Ejaculation Problems: Too Fast, Too Slow or Not at All

Combined on-demand sildenafil citrate and tramadol hydrochloride is an effective and safe treatment for premature ejaculation: A randomized placebo-controlled double-blind clinical trial. Sildenafil does not improve sexual function in men without erectile dysfunction but does reduce the postorgasmic refractory time. Efficacy and safety of sertraline for the treatment of premature ejaculation: Systematic review and meta-analysis. Full Name: Lynn Marie Morski, MD, JD Full Name: Lynn Marie Morski, MD, JD Current Role at Hims & Hers: Medical Advisor Current Role at Hims & Hers: Medical Advisor Education: Juris Doctor - Thomas Jefferson School of Law, 2014 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Juris Doctor - Thomas Jefferson School of Law, 2014 Juris Doctor - Thomas Jefferson School of Law, 2014 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Training: Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Family Medicine Residency - Mayo Clinic - 2008 Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Specialties & Areas of Focus: Mental Health, Primary Care, Psychedelic Medicine Previous Work Experience: Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Investigator - Elite Clinical Network, June 2024– Physician - Veterans Administration, 2010–2019 Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Invited Commentary on Psychedelic Therapy: A Primer for Primary Care Clinicians. Increased osteoporosis screening rates associated with the provision of a Periodic Health Examination. In a 2003 study published in the International Journal of Impotence Research, men with PE were able to increase their ejaculation latency (the time it takes to reach orgasm) from one minute and 24 seconds to 11 minutes and 21 seconds after applying a lidocaine-prilocaine-based spray. We offer an OTC delay spray, delivered right to your door, if you want to give this PE treatment a shot.

Product	Dosage	Quantity + Bonus	Price
Viagra Generic	25mg	60 + 4 Pills	71.99€ 68.56€
Viagra Generic	200mg	30 + 2 Pills	83.07€ 79.11€
Viagra Generic	100mg	90 + 6 Pills	129.02€ 122.88€
Viagra Generic	25mg	10 Pills	25.19€ 23.99€
Viagra Generic	25mg	120 + 6 Pills	125.56€ 119.58€
Viagra Generic	150mg	180 + 10 Pills	236.46€ 225.20€
Viagra Generic	100mg	270 + 10 Pills	270.47€ 257.59€
Kamagra Oral Jelly	100mg	30 + 5 Sachets	136.20€ 129.71€
Kamagra Soft Tabs	100mg	84 + 4 Pills	233.05€ 221.95€
Viagra Generic	200mg	20 Pills	61.69€ 58.75€
Kamagra Polo	100mg	60 + 4 Pills	189.39€ 180.37€
Kamagra Polo	100mg	180 + 8 Pills	446.52€ 425.26€
Viagra Generic	100mg	120 + 6 Pills	149.50€ 142.38€

Medicated wipes and creams that contain ingredients like lidocaine, prilocaine, and benzocaine are also available OTC and can be used to reduce the sensitivity of the penis. One of the main side effects of certain selective serotonin reuptake inhibitors (SSRIs) — like paroxetine and sertraline — is something called “anorgasmia,” or the inability to achieve orgasm. It’s one of the reasons healthcare professionals commonly prescribe SSRIs off-label to treat this common sexual dysfunction. Sertraline (the active ingredient in Zoloft®) is one of several SSRIs used to treat PE and improve sexual performance. According to a study published in the journal Medicine, sertraline is effective at prolonging ejaculation latency time and improving rates of sexual satisfaction between patients and their partners.

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and DeBrino, G. Older Man With Fever and Tender Rash. Invited Commentary on Psychedelic Therapy: A Primer for Primary Care Clinicians. Medical Content Reviewed & Approved: List pages or topics the expert has reviewed for accuracy List pages or topics the expert has reviewed for accuracy List pages or topics the expert has reviewed for accuracy Quotes or Expert Insights: Mental health care isn’t a luxury, it’s a fundamental part of overall well-being. We all deserve mental health support that’s evidence-based, accessible, and affordable.

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Mental health care isn’t a luxury, it’s a fundamental part of overall well-being. Media Mentions & Features: A User’s Guide to Therapeutic Psychedelics: From magic mushrooms to MDMA and ayahuasca to ibogaine—everything you need to know before (and after) taking the leap - Oprah Daily, May 6, 2024 A User’s Guide to Therapeutic Psychedelics: From magic mushrooms to MDMA and ayahuasca to ibogaine—everything you need to know before (and after) taking the leap - Oprah Daily, May 6, 2024 A User’s Guide to Therapeutic Psychedelics: From magic mushrooms to MDMA and ayahuasca to ibogaine—everything you need to know before (and after) taking the leap - Oprah Daily, May 6, 2024 Why I Practice Medicine: I'm passionate about helping people access reliable, affordable healthcare—without stigma or unnecessary barriers. Everyone deserves to feel informed and empowered when it comes to their health! I'm passionate about helping people access reliable, affordable healthcare—without stigma or unnecessary barriers. Hobbies & Interests: Salsa dancing, drumming, surfing, scuba diving, triathlons Salsa dancing, drumming, surfing, scuba diving, triathlons Salsa dancing, drumming, surfing, scuba diving, triathlons Erectile dysfunction is a condition in which you have trouble getting or keeping an erection firm enough for satisfying sex. Additionally, a 2007 study published in the journal Therapeutics and Clinical Risk Management found that men with premature ejaculation who used paroxetine, fluoxetine, or escitalopram experienced an increase in ejaculation time. Now that we’ve covered what pills make you last longer in bed let’s move on to drug-free interventions. After all, managing PE might not require any medications. Instead, you might simply have to make some lifestyle changes. Beyond medications like sildenafil, lidocaine, and sertraline, there are several ways to increase your time before ejaculation and improve your sexual performance without using drugs, including: Our guide to preventing premature ejaculation covers these in more detail, with scientific data to back up each treatment option. If you’re struggling with lasting longer in bed or getting an erection altogether, there’s usually more than one thing going on.

Contraindication	Reason	Alternatives
Nitrate medication	Risk of severe hypotension	Use other treatments
Cardiovascular disease	Potential for adverse cardiovascular events	Consultation before use
Severe hepatic impairment	Altered drug metabolism	Avoid or adjust dosage

Here’s what could be at play: Physical and lifestyle factors, like poor cardiovascular health, obesity, smoking, excessive alcohol use, lack of physical activity, and unmanaged health conditions like diabetes or high blood pressure (hypertension) Physical and lifestyle factors, like poor cardiovascular health, obesity, smoking, excessive alcohol use, lack of physical activity, and unmanaged health conditions like diabetes or high blood pressure (hypertension) Psychological factors, like stress, anxiety, depression, performance pressure, or past trauma, which can interfere with arousal and control over ejaculation Psychological factors, like stress, anxiety, depression, performance pressure, or past trauma, which can interfere with arousal and control over ejaculation Certain medications, like antidepressants (e.g., SSRIs) and blood pressure medications (e.g., beta-blockers), which may contribute to erectile dysfunction or affect stamina Certain medications, like antidepressants (e.g., SSRIs) and blood pressure medications (e.g., beta-blockers), which may contribute to erectile dysfunction or affect stamina Sex might seem straightforward, but there’s often more to sexual performance than just arousal.

Access options

Your options for addressing premature ejaculation range from lidocaine-based PE spray to techniques like the stop-start method and masturbating before sexual activity. Although the "little blue pill" is FDA-approved for erectile dysfunction (ED) (not PE), healthcare professionals can also prescribe a dose of Viagra off-label to help men last longer in bed. Let’s recap what we know about Viagra for PE: Does Viagra make you last longer in bed? It might, but the question could use more research. Does Viagra make you last longer in bed?

Information to gather in advance

It also won’t prevent performance anxiety or make your penis larger. There’s limited research on Viagra for PE but sildenafil 200 mg healthcare professionals sometimes prescribe Viagra and other ED medications off-label. If you’re having trouble lasting for an extended period of time, talk to a healthcare professional about your premature ejaculation treatment options, including Viagra, SSRIs, and delay spray. Want to do more for your sex life? We can help connect you to a healthcare professional for sexual health medical advice, or to talk about sertraline for PE and paroxetine for PE. Viagra can help in certain situations, but sometimes, a mix of solutions is the key to a better sex life and healthy sexual function. Your options for addressing premature ejaculation range from lidocaine-based PE spray to techniques like the stop-start method and masturbating before sexual activity. Although the "little blue pill" is FDA-approved for erectile dysfunction (ED) (not PE), healthcare professionals can also prescribe a dose of Viagra off-label to help men last longer in bed.

Tip	Explanation	Best Practice
Consult a healthcare professional	To determine appropriateness and safe dosage	Essential before starting treatment
Start with low dose	To minimize side effects and assess response	Usually 25-50 mg
Monitor and report side effects	To optimize treatment and safety	Follow-up appointments
Combine with behavioral therapy	Enhances overall outcomes	Address psychological factors

Let’s recap what we know about Viagra for PE: Does Viagra make you last longer in bed?

Erectile function and PE may influence each other.
Sildenafil can improve erectile rigidity, indirectly helping PE.
Psychological factors often underpin PE.
A detailed sexual history is essential for diagnosis.
PE is a common condition, not a reflection of masculinity.
Non-pharmacological methods include start-stop techniques.
Partner cooperation enhances treatment outcomes.
Some men experience placebo effects from medications.
Regular follow-up is necessary to assess progress.
Emotional well-being is linked to sexual health.
Combining therapy modalities can provide best results.

It might, but the question could use more research. Does Viagra make you last longer in bed? It also won’t prevent performance anxiety or make your penis larger. There’s limited research on Viagra for PE but sildenafil 200 mg healthcare professionals sometimes prescribe Viagra and other ED medications off-label.

Ethics declarations

Premature ejaculation (PE) and erectile dysfunction (ED) are the most prevalent sexual disorders in men. ED is commonly reported among patients with PE. Although recent guidelines recommend to treat ED first in men with both PE and ED, this recommendation is not based on evidence and there are limited data about the efficacy and safety of dapoxetine/sildenafil combination therapy for these patients. The aim of this study is to evaluate the clinical efficacy and safety of the dapoxetine/sildenafil combination (Dapoxil® 30/50 mg film-coated tablet) in the treatment of patients with PE and concomitant ED.

Neurobiology of sexual behaviour

If you’re having trouble lasting for an extended period of time, talk to a healthcare professional about your premature ejaculation treatment options, including Viagra, SSRIs, and delay spray.

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Premature ejaculation: clinical subgroups and etiology

Want to do more for your sex life? We can help connect you to a healthcare professional for sexual health medical advice, or to talk about sertraline for PE and paroxetine for PE. You can also learn about the differences between Viagra and Cialis, your options for premature ejaculation pills, and the available premature ejaculation treatments. A randomized study examining the effect of 3 SSRI on premature ejaculation using a validated questionnaire.

Can ED Medications Boost Confidence and Sexual Stamina?

Sertraline (the active ingredient in Zoloft®) is one of several SSRIs used to treat PE and improve sexual performance. According to a study published in the journal Medicine, sertraline is effective at prolonging ejaculation latency time and improving rates of sexual satisfaction between patients and their partners. Additionally, a 2007 study published in the journal Therapeutics and Clinical Risk Management found that men with premature ejaculation who used paroxetine, fluoxetine, or escitalopram experienced an increase in ejaculation time. Now that we’ve covered what pills make you last longer in bed let’s move on to drug-free interventions. After all, managing PE might not require any medications.

Efficacy and safety of fixed-dose oral sildenafil in the treatment of erectile dysfunction of various etiologies

Instead, you might simply have to make some lifestyle changes. Beyond medications like sildenafil, lidocaine, and sertraline, there are several ways to increase your time before ejaculation and improve your sexual performance without using drugs, including: Our guide to preventing premature ejaculation covers these in more detail, with scientific data to back up each treatment option. If you’re struggling with lasting longer in bed or getting an erection altogether, there’s usually more than one thing going on. Here’s what could be at play: Physical and lifestyle factors, like poor cardiovascular health, obesity, smoking, excessive alcohol use, lack of physical activity, and unmanaged health conditions like diabetes or high blood pressure (hypertension) Physical and lifestyle factors, like poor cardiovascular health, obesity, smoking, excessive alcohol use, lack of physical activity, and unmanaged health conditions like diabetes or high blood pressure (hypertension) Psychological factors, like stress, anxiety, depression, performance pressure, or past trauma, which can interfere with arousal and control over ejaculation Psychological factors, like stress, anxiety, depression, performance pressure, or past trauma, which can interfere with arousal and control over ejaculation Certain medications, like antidepressants (e.g., SSRIs) and blood pressure medications (e.g., beta-blockers), which may contribute to erectile dysfunction or affect stamina Certain medications, like antidepressants (e.g., SSRIs) and blood pressure medications (e.g., beta-blockers), which may contribute to erectile dysfunction or affect stamina Sex might seem straightforward, but there’s often more to sexual performance than just arousal. Viagra can help in certain situations, but sometimes, a mix of solutions is the key to a better sex life and healthy sexual function. Onset and duration of action of sildenafil for the treatment of erectile dysfunction.

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Viagra after one year

In a 2003 study published in the International Journal of Impotence Research, men with PE were able to increase their ejaculation latency (the time it takes to reach orgasm) from one minute and 24 seconds to 11 minutes and 21 seconds after applying a lidocaine-prilocaine-based spray. We offer an OTC delay spray, delivered right to your door, if you want to give this PE treatment a shot. Medicated wipes and creams that contain ingredients like lidocaine, prilocaine, and benzocaine are also available OTC and can be used to reduce the sensitivity of the penis. One of the main side effects of certain selective serotonin reuptake inhibitors (SSRIs) — like paroxetine and sertraline — is something called “anorgasmia,” or the inability to achieve orgasm. It’s one of the reasons healthcare professionals commonly prescribe SSRIs off-label to treat this common sexual dysfunction. Topical lidocaine-prilocaine spray for the treatment of premature ejaculation: A proof of concept study. Beta-blocker therapy and symptoms of depression, fatigue, and sexual dysfunction. Combined on-demand sildenafil citrate and tramadol hydrochloride is an effective and safe treatment for premature ejaculation: A randomized placebo-controlled double-blind clinical trial. Sildenafil does not improve sexual function in men without erectile dysfunction but does reduce the postorgasmic refractory time. Efficacy and safety of sertraline for the treatment of premature ejaculation: Systematic review and meta-analysis. Full Name: Lynn Marie Morski, MD, JD Full Name: Lynn Marie Morski, MD, JD Current Role at Hims & Hers: Medical Advisor Current Role at Hims & Hers: Medical Advisor Education: Juris Doctor - Thomas Jefferson School of Law, 2014 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Juris Doctor - Thomas Jefferson School of Law, 2014 Juris Doctor - Thomas Jefferson School of Law, 2014 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Doctor of Medicine - Saint Louis University School of Medicine, 2005 Training: Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Family Medicine Residency - Mayo Clinic - 2008 Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Primary Care Sports Medicine Fellowship - University of Arizona, 2009 Specialties & Areas of Focus: Mental Health, Primary Care, Psychedelic Medicine Previous Work Experience: Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Investigator - Elite Clinical Network, June 2024– Physician - Veterans Administration, 2010–2019 Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Physician & Subinvestigator/Clinician Rater - Kadima Neuropsychiatry Institute, January 2025– Invited Commentary on Psychedelic Therapy: A Primer for Primary Care Clinicians. Increased osteoporosis screening rates associated with the provision of a Periodic Health Examination. and DeBrino, G. Older Man With Fever and Tender Rash. Invited Commentary on Psychedelic Therapy: A Primer for Primary Care Clinicians.

Sildenafil is a PDE5 inhibitor used mainly for erectile dysfunction.
Some men use sildenafil to delay ejaculation temporarily.
Sildenafil may improve confidence in sexual performance.
It does not treat underlying causes of premature ejaculation.
Sildenafil's effects can last up to 4-6 hours.
Using sildenafil for PE is off-label and not medically approved.
Combining sildenafil with other ED medications can be risky.
Timing of sildenafil intake affects its effectiveness.
Side effects include headaches, flushing, and nasal congestion.
It may interact with nitrates, causing dangerous blood pressure drops.
Always consult a doctor before using sildenafil for PE.

Medical Content Reviewed & Approved: List pages or topics the expert has reviewed for accuracy List pages or topics the expert has reviewed for accuracy List pages or topics the expert has reviewed for accuracy Quotes or Expert Insights: Mental health care isn’t a luxury, it’s a fundamental part of overall well-being. We all deserve mental health support that’s evidence-based, accessible, and affordable. Mental health care isn’t a luxury, it’s a fundamental part of overall well-being. Media Mentions & Features: A User’s Guide to Therapeutic Psychedelics: From magic mushrooms to MDMA and ayahuasca to ibogaine—everything you need to know before (and after) taking the leap - Oprah Daily, May 6, 2024 A User’s Guide to Therapeutic Psychedelics: From magic mushrooms to MDMA and ayahuasca to ibogaine—everything you need to know before (and after) taking the leap - Oprah Daily, May 6, 2024 A User’s Guide to Therapeutic Psychedelics: From magic mushrooms to MDMA and ayahuasca to ibogaine—everything you need to know before (and after) taking the leap - Oprah Daily, May 6, 2024 Why I Practice Medicine: I'm passionate about helping people access reliable, affordable healthcare—without stigma or unnecessary barriers. Everyone deserves to feel informed and empowered when it comes to their health! I'm passionate about helping people access reliable, affordable healthcare—without stigma or unnecessary barriers. Hobbies & Interests: Salsa dancing, drumming, surfing, scuba diving, triathlons Salsa dancing, drumming, surfing, scuba diving, triathlons Salsa dancing, drumming, surfing, scuba diving, triathlons Erectile dysfunction is a condition in which you have trouble getting or keeping an erection firm enough for satisfying sex. Premature ejaculation (PE) and erectile dysfunction (ED) are the most prevalent sexual disorders in men. ED is commonly reported among patients with PE. Although recent guidelines recommend to treat ED first in men with both PE and ED, this recommendation is not based on evidence and there are limited data about the efficacy and safety of dapoxetine/sildenafil combination therapy for these patients. The aim of this study is to evaluate the clinical efficacy and safety of the dapoxetine/sildenafil combination (Dapoxil® 30/50 mg film-coated tablet) in the treatment of patients with PE and concomitant ED.

Age Group	Response Rate (%)	Common Side Effects	Typical Dose	Notes
18-30	65	Headache, dizziness	50 mg	Younger patients often respond well
31-50	70	Flushing, nasal congestion	50-100 mg	Dose titration may be needed
51+	55	Dizziness, hypotension	25-50 mg	Increased caution advised

Sildenafil Use in Men with Comorbid Erectile and Ejaculatory Dysfunction