Viagra ( Sildenafil )

Does Cialis Help with Premature Ejaculation

Tadalafil once daily improves ejaculatory function, erectile function, and sexual satisfaction in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia and erectile dysfunction: results from a randomized, placebo- and tamsulosin-controlled, 12-week double-blind study

Introduction: Tadalafil, a long-acting phosphodiesterase type 5 inhibitor, is approved for treating signs and symptoms of benign prostatic hyperplasia (BPH) and erectile dysfunction (ED); tamsulosin, an alpha-blocker, is approved for treating signs and symptoms of BPH.

Aim: To determine the effects of tadalafil or tamsulosin on sexual function, including ejaculation and orgasm, satisfaction, and erectile function, in sexually active men with ED and lower urinary tract symptoms suggestive of BPH (LUTS/BPH).

Methods: A randomized, double-blind, placebo-controlled study of tadalafil 5 mg once daily for 12 weeks in men with LUTS/BPH; tamsulosin 0.4 mg once daily was an active control.

Main outcome measures: The International Index of Erectile Function (IIEF) questionnaire was administered at baseline and 4, 8, and 12 weeks. Analysis of orgasm and ejaculation was post hoc based on the IIEF-Orgasmic Function (OF) domain (IIEF-Q9 [ejaculatory frequency] and Q10 [orgasmic frequency]). Other measures included IIEF-Intercourse Satisfaction (IS), Overall Satisfaction (OS), and Erectile Function (EF) domains. Changes from baseline to 12 weeks (or last observation) vs. placebo were analyzed using analysis of covariance. Higher IIEF scores indicate better functioning.

Results: Of 511 study participants, 310 (60.7%) had ED and were sexually active. The IIEF-OF increased significantly through 12 weeks with tadalafil vs. placebo (P = 0.048), as did IIEF-Q9 (P = 0.045) but not IIEF-Q10 (P = 0.100). Compared with placebo, IIEF-OF, Q9, and Q10 decreased significantly with tamsulosin (all P < 0.05). The IIEF-IS and OS increased significantly at end point with tadalafil (both P < 0.001); for tamsulosin, change was not significant for IS, while OS decreased significantly (P = 0.009). The IIEF-EF domain increased significantly vs. placebo with tadalafil (P < 0.001) but not tamsulosin (P = 0.699).

Conclusions: Tadalafil 5 mg once daily significantly improved ejaculation and orgasm, intercourse and overall satisfaction, and erectile function. Men receiving tamsulosin 0.4 mg once daily experienced a decrease in both ejaculatory/orgasmic frequency and overall satisfaction vs. placebo, with no significant effect on erectile function.

Trial registration: ClinicalTrials.gov NCT00970632.

© 2013 International Society for Sexual Medicine.

Similar articles

Egerdie RB, Auerbach S, Roehrborn CG, Costa P, Garza MS, Esler AL, Wong DG, Secrest RJ. Egerdie RB, et al. J Sex Med. 2012 Jan;9(1):271-81. doi: 10.1111/j.1743-6109.2011.02504.x. Epub 2011 Oct 7. J Sex Med. 2012. PMID: 21981682 Clinical Trial.

Glina S, Roehrborn CG, Esen A, Plekhanov A, Sorsaburu S, Henneges C, Büttner H, Viktrup L. Glina S, et al. J Sex Med. 2015 Jan;12(1):129-38. doi: 10.1111/jsm.12714. Epub 2014 Oct 29. J Sex Med. 2015. PMID: 25353053 Clinical Trial.

Oelke M, Giuliano F, Mirone V, Xu L, Cox D, Viktrup L. Oelke M, et al. Eur Urol. 2012 May;61(5):917-25. doi: 10.1016/j.eururo.2012.01.013. Epub 2012 Jan 20. Eur Urol. 2012. PMID: 22297243 Clinical Trial.

Carson CC, Rosenberg M, Kissel J, Wong DG. Carson CC, et al. Int J Clin Pract. 2014 Jan;68(1):94-103. doi: 10.1111/ijcp.12305. Int J Clin Pract. 2014. PMID: 24341303 Review.

Wang Y, Bao Y, Liu J, Duan L, Cui Y. Wang Y, et al. Low Urin Tract Symptoms. 2018 Jan;10(1):84-92. doi: 10.1111/luts.12144. Epub 2016 Nov 5. Low Urin Tract Symptoms. 2018. PMID: 29341503 Review.

Cited by

Wang C, Zhang H, Liu Z, Tu X, Zhang Y. Wang C, et al. Sex Med. 2022 Jun;10(3):100506. doi: 10.1016/j.esxm.2022.100506. Epub 2022 Apr 1. Sex Med. 2022. PMID: 35378439 Free PMC article.

Sebastianelli A, Spatafora P, Morselli S, Vignozzi L, Serni S, McVary KT, Kaplan S, Gravas S, Chapple C, Gacci M. Sebastianelli A, et al. Curr Urol Rep. 2020 Oct 27;21(12):56. doi: 10.1007/s11934-020-01009-7. Curr Urol Rep. 2020. PMID: 33108544 Free PMC article. Review.

Itoga A, Zha X, Nagase K, Aoki Y, Ito H, Yokoyama O. Itoga A, et al. BMJ Open Diabetes Res Care. 2020 May;8(1):e001111. doi: 10.1136/bmjdrc-2019-001111. BMJ Open Diabetes Res Care. 2020. PMID: 32371530 Free PMC article.

Stridh A, Pontén M, Arver S, Kirsch I, Abé C, Jensen KB. Stridh A, et al. JAMA Netw Open. 2020 Mar 2;3(3):e201423. doi: 10.1001/jamanetworkopen.2020.1423. JAMA Netw Open. 2020. PMID: 32196105 Free PMC article.

Pattanaik S, Mavuduru RS, Panda A, Mathew JL, Agarwal MM, Hwang EC, Lyon JA, Singh SK, Mandal AK. Pattanaik S, et al. Cochrane Database Syst Rev. 2018 Nov 16;11(11):CD010060. doi: 10.1002/14651858.CD010060.pub2. Cochrane Database Syst Rev. 2018. PMID: 30480763 Free PMC article.

Does Cialis Help with Premature Ejaculation?

viagra, cialis and levitra for premature ejaculation

Cialis (Tadalafil) is a drug intended to treat erectile dysfunction. Still, it is often confused as an effective treatment for men with premature ejaculation.

Can Cialis help you last longer in bed? Yes, but only if by lasting longer in bed, you mean being able to have an erection firm and long enough for intercourse. Typically Cialis is not prescribed for men who suffer from premature ejaculation.

So, what could be the source of this confusion? Well, it could be that people are simply confused about the differences between premature ejaculation and erectile dysfunction. It could also be related to some myths and misconceptions about how Cialis work. The purpose of this article is to resolve the confusion you might have about Cialis and premature ejaculation.

Does Cialis help with premature ejaculation?

Cialis is not typically prescribed to men who experience premature ejaculation. Cialis is the commercial name of tadalafil– an ED drug from the phosphodiesterase type 5 inhibitors (PDE5) family.

PDE5 drugs are intended for the treatment of erectile dysfunction. Cialis causes an increase in blood flow to the penis, which allows men with ED to get erect and maintain erections when they want to have sex. However, this increase in penile blood flow does not impact the ability to delay orgasm. Erections and orgasms are two separate processes that happen in the body.

It’s important to note that in some cases, erectile dysfunction can be caused by performance anxiety. This condition is called psychological erectile dysfunction. In other cases, performance anxiety can also be the cause of premature ejaculation.

The Premature Ejaculation Program

Does Cialis keep you hard after coming?

This is a common myth. Although Cialis can help with getting an erection, you do not stay hard after you ejaculate. In a tiny percentage of cases, the penis remains erect even after ejaculation, but this is usually considered an unwanted side effect that needs to be treated.

Cialis could reduce the refractory period (the period between ejaculation and the ability to get another erection) for some men. Still, there is no guarantee that you could have an erection again after ejaculation, even if you’ve taken Cialis.

When is Cialis prescribed for men with premature ejaculation?

Cialis can be prescribed for men with premature ejaculation when it co-occurs with erectile dysfunction. Some studies were conducted to see if PDE5 drugs effectively treat premature ejaculation. This 2005 study that was published in the Journal of Sexual Medicine, for example, found that although the times until ejaculation “were not significantly improved, sildenafil (Viagra) increased confidence, the perception of ejaculatory control, and overall sexual satisfaction, and decreased the refractory time to achieve a second erection after ejaculation in men with PE.

With that said, these drugs should usually not be considered to be a solution for men with premature ejaculation. There are other effective solutions for premature ejaculation.

So, how do you treat premature ejaculation?

There are multiple treatment options available for men who suffer from premature ejaculation. These include using antidepressant medications and pain-reducing medications that can help reduce premature ejaculation, topical anesthetic creams, sprays, and gels that are designed to numb the skin of the penis and can be used as a premature ejaculation treatment, and behavior modification techniques geared toward training the mind to recognize the “point of no return” (where orgasm is imminent) and to edge away from that point once it is recognized.

The Premature Ejaculation Program

In summary

Premature ejaculation can have various causes and may be treated through multiple means. However, drugs like Cialis may not be an appropriate first-line treatment for most cases of PE, even though they can sometimes be helpful for men who experience erectile dysfunction.

Erectile dysfunction can co-occur alongside premature ejaculation, but for men who experience only PE and do not have ED, drugs like Cialis may be of little to no help in improving their sexual performance and enjoyment.

Cialis increases blood flow to the penis but does not work to prolong the time between penetration and ejaculation.

Behavior modification techniques may be more appropriate as a treatment method for men who are struggling with PE and want to gain control over how long they last in bed.

Hatzimouratidis, K., Amar, E., Eardley, I., Giuliano, F., Hatzichristou, D., Montorsi, F., Vardi, Y., Wespes, E., & European Association of Urology (2010). Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European urology, 57(5), 804–814. https://doi.org/10.1016/j.eururo.2010.02.020

About Zvi Zuckerman, MD

Medical Doctor and Sex Therapist

Dr. Zvi Zuckerman is a medical doctor and sex therapist whose exemplary career has spanned forty years. Among the positions he has held, Dr. Zuckerman has served as the director of the Andrology and Sex Counseling Unit at the Rabin Medical Center.

Today, Dr. Zuckerman serves as a professional consultant for the Between Us Clinic, which provides sex therapy online programs for couples and men experiencing premature ejaculation. He also treats patients at his private clinic.

Does Cialis Make You Harder or Last Longer?

Its effects can last up to 36 hours, compared with 4 to 5 hours for Viagra. Cialis can be taken with less planning, but the side effects may last longer.

Can I take two 5mg Cialis? Each tablet of tadalafil contains 2.5, 5, 10, or 20 mg. If you take multiple tablets at once, you will have the dosage of the individual tablets combined. You should only take tadalafil once a day, regardless of the recommended dosage schedule.

Does Cialis cause weight gain?

Cialis may have a small effect on blood pressure. It is also very safe for heart health. There are some indications that it may have a positive impact on bone health, and thus may help gain weight. At present, most of the evidence for this comes from animal studies. [1]

Does Cialis raise blood pressure? What is the effect of caffeine on blood pressure? Cialis may cause a slight decrease in blood pressure. The blood pressure-lowering effect of Cialis is increased if it is taken with a nitrate drug; however, this is not a problem for most men. Nitrates are a type of medication that is prescribed by doctors for angina.

What are the effects of Cialis?

Cialis is used for the treatment of erectile dysfunction (ED). It increases blood flow to the penis following sexual stimulation and allows men to keep an erection hard enough for sex.

How Long Does Generic Cialis last? Tadalafil is often quicker than other ED drugs, taking effect in less than 30 minutes.

Can Cialis be chewed?

This medicine can be taken with or without food. Do not chew the tablet, but swallow it whole. Do not break, split, chew, or crush it. The medicine may improve the ability to have sexual activity for up to 36 hours. [2]

Can I drink orange juice with Cialis? You should avoid eating grapefruit or drinking grapefruit juice while you are taking this medicine. You can choose an orange juice as an alternative citrus beverage.

What are the effects of Cialis?

Cialis has a similar effect to Viagra in that it relaxes the smooth muscles and arteries inside the penis. It also increases blood flow to the penis. An erection is the result of increased blood flow into the penis when it is aroused.

Does Cialis give you a hard on? What does cialis do to a man?
What happens when you take Cialis? How does Cialis work best?
How does Cialis make you feel? What happens if you take Cialis?

What does cialis do to your heart? Cialis was found to improve the heart’s ability to respond to adrenaline, which in turn improved blood flow. Most heart failure medications help improve symptoms and reduce the risk of potentially fatal cardiac events.

Does Cialis help you maintain an erection after ejaculation?

After you ejaculate, you usually become less sexually excited. This means that you’ll likely lose your erection after ejaculation. You need sexual stimulation to have an erection, even if you’re taking Cialis. Even though Cialis leaves your system after 36 hours, it can still be effective for up to that amount of time.

What can I do to make Cialis work more quickly?

Unfortunately, there is no way to make Cialis work faster or keep your erection longer. There is no difference in taking the medication with or without food.

How long does an erection last with Cialis?

Cialis is sometimes called the \”weekend drug\” because it can last for up to 36 hours. We don’t mean that you’ll have an erection for 36 hours straight. That would be dangerous and inconvenient. You will be ready to have sex within 36 hours if you are turned on.

How long does Cialis last?

A number of prescription treatments are available for erectile dysfunction, such as Viagra, Cialis, Spedra, Levitra and Sildenafil. Essentially, they all help you gain and maintain an erection by increasing blood flow to your penis; helping you last longer in bed.

Does Viagra Make You Last Longer?

Clock next to a bed

Viagra is a medication that helps you to get and keep an erection, so it can make you last longer in bed if you’re finding it difficult to stay erect during sex. However, Viagra does not help you last longer if you’re orgasming faster than you want to. If this is happening to you, then there are other treatments that can help.

Find out how Viagra works and what other options there are to help you last longer in bed.

Contents

Does Viagra help you last longer in bed?

Viagra can only help you last longer in bed if you find it difficult to get an erection, or you are losing your erection too quickly. This is called erectile dysfunction.

You may also lose your erection after orgasming, and find it difficult to get another erection for a while. This is completely normal, and is called the refractory period. Viagra can help you last longer by reducing your refractory period, which means that you can have sex again more quickly after you have orgasmed.

Viagra is only approved for treating erectile dysfunction in the UK. If you need help lasting longer in bed for a different reason, you might need another treatment. Other reasons people might need help lasting longer in bed include:

  • Orgasming too early during sex (premature ejaculation) –Some studies suggest that Viagra may be able to help with premature ejaculation, but there is not enough evidence to support treating premature ejaculation with Viagra alone.
  • Low sex drive – Viagra only works when you’re already aroused and doesn’t increase sex drive
  • Low stamina – Viagra doesn’t improve physical fitness, and can’t help if you’re getting tired during sex

There are other medications available to treat premature ejaculation. For more information, see the section below on “How Else Can I Last Longer in Bed?”.

Why isn’t Viagra meant to treat premature ejaculation?

Premature ejaculation has a number of possible causes, such as performance anxiety, increased sensitivity, and heightened stress levels. However, lack of blood flow to the penis does not cause you to orgasm too quickly, so Viagra isn’t an effective treatment for premature ejaculation.

Why doesn’t Viagra make you more aroused?

Viagra does not stimulate you sexually, it can only help you get an erection once you’re already aroused. Because Viagra only helps you to get an erection by improving blood flow to the penis, it doesn’t force you to get an erection, so it won’t work unless you’re sexually stimulated.

Does Viagra make you bigger?

Viagra will only make your penis bigger if you aren’t able to get completely hard on your own. Viagra won’t make your penis larger, and it won’t increase the maximum size of your erection. The only way to increase your penis size is through surgery, which is not always successful and has low patient satisfaction levels.

Could Viagra help me last longer?

Viagra can only help you last longer if you’re losing your erection during sex. If you find that you regularly can’t get or keep erections hard enough for sex, Viagra treatment could be right for you. Viagra works for about 74% of men who try it, but if it doesn’t work for you then you could try one of the alternatives to Viagra.

Viagra isn’t right for everyone though. If you’ve got other health conditions or you’re taking other medications then Viagra might not be safe to take.

  • Are under 18 years of age
  • Are female
  • Are taking medications containing nitrates (for chest pain)
  • Have heart or liver problems
  • Have had a stroke recently
  • Have had a heart attack recently
  • Have low blood pressure
  • Have a rare inherited eye disease

Medications that react with Viagra:

How much longer can Viagra help you last?

If you’re losing your erection during sex, Viagra can make keeping erections easier for 4 to 6 hours. If Viagra works for you, then you won’t have an erection for the whole 4 to 6 hours, you’ll just find getting and keeping them is easier during this window.

Studies show that the amount of Viagra in your system is highest 30 to 120 mins after you take it. Viagra has a half-life of 3 to 5 hours which means after 3 to 5 hours, more than half of your dose of Viagra will have left your system.

You can still lose your erection after orgasm

Viagra doesn’t stop your erection going down after you ejaculate, so you’ll likely lose your erection after you do. If you are having trouble orgasming too early then you may need separate treatment for premature ejaculation.

You can get more than one erection while on Viagra. If you ejaculate and there’s still some time left for your Viagra to work, you could still be able to get another erection. You may have to wait a short time between one erection and the next, as you would do normally after ejaculating. You will also need to be sexually aroused.

Can other erectile dysfunction treatments help me last longer?

If you’d like longer-lasting erectile dysfunction medication, Cialis and Cialis Daily could be good options. Cialis lasts up to 36 hours, compared to 4 to 6 hours for Viagra. Cialis Daily is always in effect so you can always be ready for sex if you need to be.

There are other treatments for erectile dysfunction that can give long-term improvements to erections, including:

Counselling – erectile dysfunction can be caused by stress, anxiety, or other mental health factors. Talking with a counsellor can help improve your erections long-term if your erectile dysfunction is related to your mental health.

Surgery – if all other erectile dysfunction treatments fail, then surgery can be an option. A pump can be inserted into the penis which is then filled with air when an erection is needed.

Lifestyle changes and exercises – upping your fitness, cutting down on drinking and smoking, or strengthening the muscles used for erections can all improve erectile dysfunction. If you can keep up these changes, you could see long-term relief from your symptoms.

View Premature Ejaculation Treatments

How else can I last longer in bed?

Instead of Viagra, there’s a few ways to improve how long you last in bed before having an orgasm, including:

Premature ejaculation medication

You can get premature ejaculation medications online. Simply fill in a short questionnaire and a doctor will check your answers and approve treatment if it’s right for you. Superdrug Online Doctor offers:

You can also see your doctor about premature ejaculation treatment.

Techniques for delaying orgasm

There’s a few tips and tricks you can try to last longer in bed:

Technique Explanation
Masturbating before sex This can decrease sensitivity and arousal, helping you to last longer before you orgasm
Thicker condoms Thicker condoms can reduce sensitivity during sex which can delay orgasm
Taking a deep breath Taking a deep breath when you feel like you’re about to orgasm can shut down the ejaculatory reflex
The squeeze technique Masturbating until you’re about to orgasm and then squeezing the head of the penis to stop orgasm can help you practice controlling your orgasm
The stop-go technique Similar to the squeeze technique but instead of squeezing the head of the penis you stop touching it altogether to stop the stimulation and then carrying on once the urge to orgasm had faded

Lifestyle changes

Some habits or lifestyle choices are risk factors for There are some risk factors for premature ejaculation that can be controlled through a healthier weight and regular exercise, as well as cutting down on things like drinking or smoking.