Benzocaine Vs Lidocaine For Premature Ejaculation: Which Is Best?

Understanding premature ejaculation can be quite the challenge, but luckily, there’s a variety of treatment options available to help manage it.

Topical anesthesia products like benzocaine and lidocaine are among the more popular choices. These pain-relieving agents work their magic by numbing the penis, reducing sensation, and ultimately allowing for extended periods of sexual stimulation before ejaculation takes place.

If that seems like a good thing to you, we’d agree. Keep reading to discover more about benzocaine and lidocaine and how to figure out which one could be the perfect choice for you.

What is Premature Ejaculation (PE)?

Premature ejaculation (PE) is a common form of sexual dysfunction that affects men. The American Urological Association characterizes PE as an inability to prevent ejaculation either before or shortly after sexual penetration, often with minimal sexual stimulation and sooner than desired by himself or his partner.

Similar to erectile dysfunction (ED), PE can cause distress and frustration, not to mention that it can lead to relationship difficulties as well.

The exact cause of premature ejaculation is not well understood. As is sometimes the case with ED, PE can also be due to a combination of psychological factors, such as anxiety or depression, and physiological factors like hormone levels or nervous system activity. It can also be influenced by certain medical conditions, such as prostate disease, and certain medications.

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There are two different types of premature ejaculation:

  1. Lifelong (primary): With this type, a man has had PE since his first sexual experience.
  2. Acquired (secondary): This is when premature ejaculation occurs in a man who has previously had normal ejaculatory control.

Premature ejaculation can be classified as:

  • Subjective PE: The person perceives they ejaculate too quickly, but their ejaculation time falls into the normal range.
  • Variable PE: The person usually has normal ejaculatory control but occasionally ejaculates prematurely.
  • Premature-like ejaculatory dysfunction: Men who orgasm within normal time limits, but they’re dissatisfied with their control over ejaculation.

Depending on the clinical diagnosis, there are various treatment options available for premature ejaculation, including behavioral techniques, psychotherapy, medications, and PE supplements. These treatments can help to delay ejaculation or increase satisfaction with sexual intercourse.

It’s best to speak with a healthcare provider to discuss the most appropriate treatment options based on individual circumstances.

How Benzocaine and Lidocaine Help with Premature Ejaculation

Benzocaine and lidocaine are both local anesthetics. They work by numbing the skin and tissues they come into contact with by temporarily disrupting nerve signals. They’re often used to reduce pain or discomfort caused by minor wounds, burns, and other skin conditions.

When it comes to premature ejaculation (PE), these substances can be used to decrease sensitivity and delay ejaculation.

Topical creams, sprays, or gels containing these anesthetics can be applied to the penis before sexual intercourse. By reducing the sensitivity of the penis, these products can help delay ejaculation and prolong the duration of sex. However, they must be used correctly to prevent potential side effects, such as transferring the numbing effect to the partner or causing a loss of erection due to excessive numbing.

It’s also important to note that these products are only addressing the symptom of PE (i.e., the quick ejaculation) rather than any underlying causes, such as anxiety or other psychological issues. Therefore, they may be most effective when used in combination with other treatments, such as therapy or counseling, especially if PE is causing significant stress or relationship problems.

Benzocaine

Benzocaine is useful as a form of topical anesthesia for managing pain, especially when it comes to numbing the sting of needle injections. The FDA has given its stamp of approval for benzocaine in the forms of gel, liquid, and lozenge, but the spray version hasn’t yet been approved.

Generally, using benzocaine topically for pain relief is seen as safe. However, it’s worth noting that it can sometimes cause allergic reactions or other hypersensitivity issues. These reactions are more commonly observed in children and older adults.

Lidocaine

Once known as lignocaine, lidocaine emerged as a powerful pain reliever in the 1940s. Its rapid rise in popularity stemmed from its increased safety compared to previous anesthetic agents.

Available as both an injectable and a topical solution, lidocaine is widely utilized to manage localized pain. Side effects are rare, particularly when applied topically. This versatile anesthetic is frequently employed to desensitize mucous membranes in areas such as the mouth, throat, and rectum.

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Products Containing Lidocaine and Benzocaine

There are several products available that contain either benzocaine or lidocaine and are designed to help with treating premature ejaculation (PE). Some of these are available over the counter, while others may require a prescription. Here are some examples:

  • Delay Sprays
  • Delay Wipes
  • Gels and Creams
  • Condoms

Remarkably, formal studies have demonstrated the effectiveness of benzocaine wipes in assisting men with PE. Indeed, the average Intravaginal Ejaculatory Latency Time (IELT) nearly doubled, going from just over one minute to almost two minutes when these wipes were used. (2)

Some specific product brands that are well-reviewed include:

  • VigRX Delay Spray: VigRx Delay Spray is an OTC product with benzocaine as the active ingredient. It’s designed to reduce male sensitivity during sexual activity with the goal of prolonging intercourse and helping to prevent premature ejaculation.
  • VigRX Delay Wipes: VigRx Delay Wipes are similar to the Delay Spray, but in a convenient, portable wipe form. They also contain benzocaine to quickly and gently reduce male sensitivity to help prevent premature ejaculation and prolong sexual activity.
  • Promescent Spray: Promescent Delay Spray is is an over-the-counter topical spray that contains lidocaine. It takes longer to start working (10-15 minutes), but it’s stronger than benzocaine products and lasts longer.

Remember, it’s important to use these products as directed to avoid potential side effects, such as excessive numbness or skin reactions. If you’re considering using a product for PE, it’s a good idea to talk to a healthcare provider to discuss whether it’s suitable for you.

See Also: Premature Ejaculation: Top Treatments to Stop PE and Last Longer in Bed

Which Is Better For PE, Benzocaine or Lidocaine?

Lidocaine and benzocaine may both be anesthetics, but lidocaine packs a more powerful punch at lower concentrations – it’s potentially ten times stronger than its counterpart! This also means that lidocaine’s effects last longer than benzocaine, but your mileage may vary.

As highlighted by various studies, lidocaine appears to outperform benzocaine in delaying ejaculation. No wonder many men rely on lidocaine over benzocaine for condoms and sprays.

When it comes to how quickly lidocaine takes effect, it’s not nearly as fast-acting as benzocaine. It will typically take 10-15 minutes for the effects to kick in, with peak impact occurring around the 35-40 minute mark.

On the other hand, benzocaine is quite the speedster. It kicks into gear within a minute or two after application and keeps up the pace for about 5 to 10 minutes. This rapid response makes benzocaine a popular choice for treating burns and skin injuries.

It’s also gentler than lidocaine, which some men may prefer. But when it comes to dealing with premature ejaculation, lidocaine’s longer-lasting effects might prove more beneficial.

So which is better? As previously noted, lidocaine has proven to be a more successful treatment than benzocaine in addressing premature ejaculation. Nevertheless, the impact of both these solutions is subject to individual variation among patients.

What Are The Risks and Side Effects of Using Benzocaine Vs. Lidocaine For PE?

Both benzocaine and lidocaine are generally considered safe for most people when used as directed. However, like all medications, they can have potential side effects and risks. Here are a few to consider:

  1. Skin reactions: Some people may have an allergic reaction to these anesthetics, resulting in redness, itching, rash, or swelling at the site of application.
  2. Numbness: As these products work by numbing the area, they can reduce sexual pleasure. If too much is used, or it’s left on for too long, it could also potentially cause a temporary inability to achieve an erection.
  3. Transference to partner: If not used correctly, there is a risk of the anesthetic being transferred to a sexual partner, which could desensitize their genital area and decrease their sexual pleasure. This can be mitigated by washing off the product before intercourse or using a condom.
  4. Systemic toxicity: Although rare, especially with topical use, it’s possible to absorb enough of these drugs through the skin to affect other parts of the body, which can lead to symptoms like dizziness, headaches, irregular heartbeat, and in severe cases, seizures or respiratory distress. This is more likely if the product is used more frequently or in larger amounts than recommended.
  5. Methemoglobinemia: This is a very rare but serious condition that can occur with benzocaine use, where an abnormal amount of methemoglobin—a form of hemoglobin—is produced. This can dramatically decrease the amount of oxygen that the blood can carry. Symptoms include bluish skin or lips, headache, shortness of breath, fatigue, and rapid heart rate.

These risks highlight why it’s important to use these products as directed and seek professional medical advice with confidentiality from a healthcare provider. Always follow the instructions on the product label and be aware of any potential reactions or side effects.

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Choosing The Right Delay Treatment

If you’re searching for a non-prescription solution to manage your erectile dysfunction, or looking a quick fix to prolong your performance, topical anesthetics like lidocaine or benzocaine might just be the answer you’re after.

When it comes to addressing premature ejaculation, lidocaine has shown better results, but both options have proven to be effective. So, choosing to try either treatment will set you on the right path.

Just a little word of caution: don’t leave it on for too long, and make sure to wash it off before getting intimate – ensuring a pleasurable experience for both you and your partner.

References
  1. https://www.urologyhealth.org/urology-a-z/p/premature-ejaculation
  2. https://www.auajournals.org/doi/10.1016/j.juro.2017.02.3143
  3. https://www.auanet.org/guidelines/archived-documents/premature-ejaculation-guideline
  4. https://www.ncbi.nlm.nih.gov/books/NBK547551/
  5. https://www.tandfonline.com/doi/full/10.1080/2090598X.2021.1943273
  6. https://casereports.bmj.com/content/2018/bcr-2018-227351
  7. https://www.urologyhealth.org/urology-a-z/p/premature-ejaculation
  8. https://pubmed.ncbi.nlm.nih.gov/11692349/

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a doctor other qualified healthcare provider with any concerns you may have regarding a medical issue or treatment.