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Do local anaesthetics help in delaying ejaculation?

Q: If premature ejaculation better termed as EOR has a psychological basis and as such has no physical cause, then why do local anaesthetics like Xylocaine help and delay the ejaculation? Please advise.

A:There are men who have "hypersensitive" glans penis. Local anaesthetic preparations help only in these cases where the cause is primarily physical and local. The hypersensitive glans penis is found more commonly in uncircumcised men. Local anaesthetics help only in a very small percentage of cases of Premature Ejaculation. Local anaesthetic agents also make sensations at the glans penis remarkably dull/low hampering the pleasure during intercourse. If anaesthetic agents were truly effective in each and every case, why should sexologists talk about or teach our patients techniques such as ‘Start-Stop’ and ‘Squeeze’? The treatment of Premature Ejaculation is not as simple as this (applying local anaesthetics). It is a complex phenomenon and needs meticulous management. I personally prefer calling it as Premature Ejaculation rather than EOR (Early Orgasmic Response).

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