Does Cialis Help with Premature Ejaculation?
Picture this: Things are getting hot and heavy, and then suddenly…
Don’t you hate a rude interruption? It’s especially annoying when it comes in the form of premature ejaculation (aka PE).
Sure, you can help your partner reach orgasm without penetration, but PE can be pretty devastating when you’re in the throes of passion.
How do you know if you’re dealing with PE? If you’re “reaching the finish line” in under two minutes, it’s possible you have the condition known as premature ejaculation — even more likely if that time is under a minute.
Climaxing quickly can bring about feelings of shame and embarrassment, but know you’re not alone. PE is one of the most common male sexual disorders.
Premature ejaculation also often goes hand in hand with erectile dysfunction (ED). According to one 2017 study involving 937 Taiwanese males between 20 and 60, about 76 percent of those with PE also had ED.
So, how can you control ejaculation and deal with PE in your relationship? Cialis® (the brand name for tadalafil) isn’t a go-to treatment for PE. However, it might help you last longer in bed and improve sexual performance.
Below, we’ll get into the nitty-gritty of Cialis, including why healthcare professionals prescribe it, how it works, its side effects and whether it can help with PE. We also discuss alternatives to Cialis and whether they’re more or less effective for use in treating PE.
What Is Cialis Prescribed For?
Cialis is part of a class of medications known as phosphodiesterase type 5 inhibitors (PDE5 inhibitors). It works by inhibiting the PDE-5 enzyme, which helps relax blood vessels and improves blood flow.
Your healthcare provider might prescribe Cialis (or generic tadalafil) to help with medical conditions like:
Erectile dysfunction (ED). This is likely the most common reason healthcare professionals prescribe Cialis. Erectile dysfunction means you have trouble getting or keeping an erection long enough for penetrative sex. Cialis and similar ED treatments help by improving blood flow to the penis — and voilà! — erection resurrection.
Pulmonary arterial hypertension (PAH). Did you know you can have high blood pressure, specifically affecting the arteries that supply oxygen to the lungs? Yep. Cialis can help chill out the blood vessels in your lungs so your heart doesn’t have to work as hard to pump blood.
Benign prostatic hyperplasia (BPH). Cialis is also approved by the FDA (U.S. Food and Drug Administration) to treat symptoms of BPH, a non-cancerous enlargement of the prostate. The medication targets the prostate and bladder muscles, relaxing them and making it easier to drain the hose.
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Does Cialis Help With Premature Ejaculation?
You probably noticed that the above list of approved uses doesn’t include premature ejaculation. That’s because healthcare professionals don’t really prescribe it for ejaculation issues — at least, not as a first-line treatment.
Taking it for something other than ED, BPH or PAH is considered an off-label use. But that doesn’t mean it doesn’t work for something like premature ejaculation.
And there are studies to back up this claim.
One on men with PE between 18 and 65, for instance, found that those who took sildenafil (the generic version of and an active ingredient in Viagra) were able to last slightly longer than those who took a placebo. The difference wasn’t statistically significant, but participants in the sildenafil group reported better sexual satisfaction and increased confidence.
Another study involving 180 men with PE looked at the effectiveness of three treatments: 50 milligrams (mg) of sildenafil, 20 milligrams of paroxetine and the squeeze technique (which we’ll dive into a little later). Researchers split the men into three treatment groups and followed them for six months. Those taking sildenafil saw the greatest improvements in PE.
That said, evidence suggests that PDE-5 inhibitors like Cialis and Viagra are more effective in people who have both PE and ED symptoms.
Does Viagra make you last longer? Learn more about Viagra and PE in our guide.
Side Effects of Using Cialis for PE
You won’t necessarily experience side effects when taking a medication like Cialis. Still, it helps to have an idea of what they are so you know what’s typical versus what might be something to worry about.
It’s also important to follow your healthcare provider’s medical advice and take the dose of Cialis they prescribe — whether that’s a daily dose or as needed.
Here are a few common side effects of Cialis:
Headache
Flushing
Stomach issues like indigestion
Muscle aches
Stuffy nose
Dizziness
Back pain
More serious side effects can occur, such as:
Vision changes
Hearing loss
Prolonged erections (priapism)
Allergic reaction
Definitely seek immediate medical attention if you experience any of these severe side effects while taking Cialis.
And FYI, combining Cialis with some medications like nitrates can cause dangerously low blood pressure, which can lead to heart attack. If you feel dizzy or have chest pain after taking Cialis, seek immediate medical attention.
You also shouldn’t take Cialis if you’ve recently had a heart attack or stroke or if you have angina (chest pain) or heart failure. Make sure to give your healthcare provider a full picture of your medical history.
Alternatives to Cialis for Premature Ejaculation
Okay. You talked to a professional and decided together that Cialis isn’t the smartest option for you. That’s okay! There are plenty of alternatives to Cialis for premature ejaculation for you to consider.
Let’s break them down.
Topical Treatments to Last Longer
Topical treatments work by numbing your penis and reducing sensations during sexual activity, thus delaying ejaculation. They essentially make your penis less sensitive to touch so you can last longer in bed. Common numbing agents include benzocaine and lidocaine.
Numbing agents come in a few forms, including creams, sprays and wipes. And they’re typically available over the counter (OTC).
You should follow the manufacturer’s directions when using topical treatments like Delay Spray or Clockstopper benzocaine wipes. But typically, these products should be applied to your entire penis, from tip to shaft.
And in many cases, they need time to work their numbing magic (actually, it’s science). After a few minutes, you can get down to it.
Quick caution: if you want to try out numbing agents, be sure to wipe off excess product to prevent it from affecting your partner’s parts and impacting their sexual stimulation.
PE Medications
There are no FDA-approved medications for premature ejaculation, so “PE pills” is a bit of a misnomer. That said, healthcare providers may prescribe the following as off-label treatments for PE:
Antidepressants. Selective serotonin reuptake inhibitor (SSRI) medications for depression, like sertraline, fluoxetine, paroxetine and clomipramine, may help delay ejaculation. Here’s the thing: They might work for PE, but they can also impact your libido and cause ED symptoms as a side effect.
Alpha-blockers. Healthcare professionals typically prescribe these drugs for conditions like high blood pressure and BPH. One noted side effect? Delayed ejaculation.
PDE-5 inhibitors. Cialis is a PDE-5 inhibitor, but it’s not the only one sometimes used to help with the symptoms of PE. Other PDE-5 inhibitors, like sildenafil (Viagra) and vardenafil (Levitra), might help boost your sexual function and help with your quick-to-orgasm problem. However, they might not be effective if you only have PE symptoms.
Techniques for Lasting Longer
There are also a few non-medication tricks to help control ejaculation:
Start-and-stop technique. This method involves bringing yourself close to the big O and stopping right before orgasm until the urge goes away. The idea is to gain greater awareness of that phase right before ejaculation so you can recognize and stop PE.
Squeeze technique. This is similar to the start-and-stop method, except it involves squeezing the head of your penis to limit arousal and prevent orgasm. Research suggests both the start-and-stop and squeeze techniques can be effective short-term solutions, but it’s unclear how well they work in the long run. Need a step-by-step guide? Check out our blog on the squeeze technique.
Pelvic floor exercises. Aside from pregnant folks who do kegel exercises, we’ve all been sleeping on beefing up our pelvic floor — the layer of smooth muscles that supports your urethral sphincter. Learning to control those muscles can help you get a handle on your too-soon orgasms.
Distraction. Thinking about something other than sex might help curb your arousal and keep you from finishing too quickly.
Condoms. Since condoms can reduce sensation and put pressure around the penis, they may help keep you from going over the edge, so to speak. It definitely helps that they prevent the spread of sexually transmitted infections (STIs).
Mental health counseling. PE is a physical issue, but it can stem from emotional roadblocks, like performance anxiety. Talking to a qualified sex therapist can help you learn coping tools for sexual dysfunction.
Also, heads up: You might be able to find OTC supplements that promise to make you better in bed. But supplements don’t go through the same regulatory processes as prescription meds with FDA approval.
Actually, there’s really not much oversight at all, making the supplement aisle kind of like the Wild West. If you’re curious about these “treatments,” be sure to talk with a healthcare provider before giving them a try.
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Does Cialis Make You Last Longer? The Final Word
While occasionally reaching the finish line early isn’t a big deal, recurring PE can mess with your confidence, sexual function, self-esteem and relationships.
It can feel shameful to talk about, but you’re not alone. It’s one of the most common sexual issues facing men.
Here’s the bottom line:
Premature ejaculation can be frustrating to deal with and even cause you to feel embarrassed about your sexual performance. But thankfully, it’s treatable.
Erectile dysfunction and premature ejaculation often show up together. ED drugs may help with both issues by boosting erectile function.
The best solution? Talking with a healthcare professional. They can help you determine the root cause of your symptoms and find a treatment that’s right for you.
Medication and behavioral strategies, including therapy, are potential treatment options that can help with PE.
Some erectile dysfunction treatments, like sildenafil (generic Viagra), avanafil (generic Stendra) and chewable ED hard mints, may indirectly help improve your ejaculatory latency — a fancy word for the ability to last longer. To get started with treatment, consult a licensed healthcare provider online about premature ejaculation treatments. You can learn more about putting the brakes on PE in our guide on how to stop premature ejaculation.
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment or medication.