This article was reviewed by Lynn Marie Morski, MD, JD.
Brand name Viagra® (AKA sildenafil citrate) has earned a reputation as the go-to fix for challenges — especially ED. So, people often think of it as the magic pill for boosting stamina in bed.
But can Viagra make you last longer in bed? Viagra can absolutely help you maintain arousal if that’s where you’re struggling. And while it’s not FDA-approved specifically to treat (PE), some research hints it might help you avoid early climax.
Want to learn more? We’ve outlined the facts on sildenafil citrate and its potential for increasing stamina. Plus, we’ll introduce you to other proven ways to improve your performance in the bedroom.
Can Viagra Help You Last Longer?
Does Viagra delay climax? Some reports suggest that Viagra might be an effective treatment for PE.
Viagra (sildenafil citrate) is a type of ED medication called a phosphodiesterase type 5 inhibitor. PDE5 inhibitors like Viagra, Cialis® (tadalafil), and Levitra® (vardenafil) treat ED by increasing blood flow to the soft arousal tissues and blood vessels in your privates.
ED medications can help you get an arousal or maintain a firmer arousal to improve the experience for you and your partner.
On average, Viagra lasts for up to four hours after you take your dose. So, if you tend to lose your arousal during intimacy, Viagra’s effects could help you have intimacy for longer.
Why Viagra Could Help with PE
Does sildenafil make you last longer? There are a few interesting studies about Viagra’s effects on dysfunction. Let’s break them down:
- In a small 2007 study published in the International Journal of Urology: Official Journal of the Japanese Urological Association, researchers found a link between sildenafil (the active ingredient in Viagra) and an increase in climax time in men experiencing PE.
- Another study from 2005 published in The Journal of Medicine found that men who used sildenafil experienced a small increase in time before climax. The increase compared to placebo wasn’t statistically significant, but men did have an increased perception of control and overall satisfaction.
- According to a clinical study published in the International Journal of Impotence Research, sildenafil may reduce refractory time by several minutes. In this study, the average reduction in time was about nine minutes.
- A 2023 clinical trial involving 160 participants suggests that combining sildenafil citrate (50 mg) and the opioid painkiller tramadol HCl (100 mg) is a safe and effective treatment for PE.
So, how does Viagra help with PE? There are a few potential ways. First, it can influence the nervous system and reduce penile sensitivity, which might help you last longer. It also relaxes smooth muscles involved in climax, potentially giving you more control.
Why Viagra Isn’t an FDA-Approved Treatment for PE
Viagra isn’t FDA-approved to help you last longer in bed, and here’s why: Getting FDA approval requires costly, time-consuming clinical trials.
Viagra is already FDA-approved for ED treatment, and doctors can prescribe it off-label for PE. And some studies suggest it can help.
Here’s what Viagra can’t do:
- Boost your intimacy drive
- Prevent fatigue
- Reduce performance anxiety
- Make your privates bigger
The Risks of Using Viagra to Last Longer
Common side effects of Viagra include:
- Headaches
- Facial flushing
- Blurred vision
Usually, mild side effects subside within a few hours, but it’s important to pay attention to anything that just doesn’t feel right.
It’s important to tell your prescribing provider if you currently have any medical conditions or are taking medications for heart disease or hypertension. Some medications like those for high blood pressure (.e.g, nitrates and alpha-blockers) can cause dangerously low blood pressure when mixed with Viagra.
Does Viagra Increase Size?
There’s no evidence that Viagra can increase the size of your privates.
But, because Viagra helps make arousal firmer, it can give the appearance of a larger privates.
How to Treat PE and Last Longer in Bed
Does Viagra help with PE? Maybe. But it’s best you discuss all of your options with a healthcare provider.
Other options that can help delay climax and make you last longer in bed include:
- PE sprays, wipes, and creams
- SSRI antidepressants
- Non-medicinal techniques for reducing stimulation
Let’s go over these in more detail.
PE Sprays, Wipes, and Creams
Studies show that lidocaine-containing sprays are extremely effective as treatments for PE by reducing sensitivity.
In a 2003 study published in the International Journal of Impotence Research, men with PE were able to increase their latency from one minute and 24 seconds to 11 minutes and 21 seconds after applying a lidocaine-prilocaine-based spray.
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 privates.
Selective Serotonin Reuptake Inhibitors (SSRIs)
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 climax.
It’s one of the reasons healthcare professionals commonly prescribe SSRIs off-label to treat this common dysfunction.
Sertraline (the active ingredient in Zoloft®) is one of several SSRIs used to treat PE and improve performance. According to a study published in the journal Medicine, sertraline is effective at prolonging latency time and improving rates of satisfaction between patients and their partners.
Additionally, a 2007 study published in the journal Therapeutics and Clinical Risk Management found that men with PE who used paroxetine, fluoxetine, or escitalopram experienced an increase in climax time.
Non-Pharmaceutical Treatments
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 climax and improve your performance without using drugs, including:
- The stop-start technique
- The squeeze technique
- Distracting thoughts
- Kegel, or pelvic floor, exercises
- Solo time before intimacy
- Therapy for performance anxiety
Our guide to preventing PE covers these in more detail, with scientific data to back up each treatment option.
Factors Influencing Stamina
If you’re struggling with lasting longer in bed or getting arousal 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)
- Psychological factors, like stress, anxiety, depression, performance pressure, or past trauma, which can interfere with arousal and control over climax
- Certain medications, like antidepressants (e.g., SSRIs) and blood pressure medications (e.g., beta-blockers), which may contribute to ED or affect stamina
Intimacy might seem straightforward, but there’s often more to performance than just arousal. Viagra can help in certain situations, but sometimes, a mix of solutions is the key to a better intimate life and healthy function.
The one-stop intimacy shop
Viagra and Medicine for Lasting Longer in Bed
Your options for addressing PE range from lidocaine-based PE spray to techniques like the stop-start method and solo time before activity.
And then, there’s Viagra. Although the “little blue pill” is FDA-approved for 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 increase your libido? Unfortunately, no. It also won’t prevent performance anxiety or make your privates larger.
- Can you take Viagra for PE? There’s limited research on Viagra for PE but healthcare professionals sometimes prescribe Viagra and other ED medications off-label.
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This article originally appeared on Hims.com and was syndicated by MediaFeed.org.
