Can Cialis Help You Last Longer in Bed?

The mechanism of action and therapeutic efficacy of Cialis in the treatment of erectile dysfunction is by now quite well understood and known. Therefore, the drug could become an encouraging ally, which easily solves erection problems.

Will Cialis help prolong sexual intercourse and better control ejaculation? What is the effectiveness of the drug in the treatment of various sexual problems? In this article, we will cover this topic and answer your questions.

Indications

Cialis has a long history of use in men of all ages. Reliable studies support its efficacy, safety and good tolerability. Thanks to its long duration of action (36 hours), it has made a real revolution in solving problems such as poor erection.

If we talk only about approved indications for use, then Cialis is used in three cases:

●       Treatment of erectile dysfunction (ED).

●       Treatment of benign prostatic hyperplasia (BPH).

●       Treatment for ED and BPH.

If we talk about premature ejaculation (PE), then this disease is not on the list of indications for Cialis use. The manufacturer of this drug makes no claims that it helps users increase the time to ejaculation.

However, Cialis may be prescribed by doctors off-label, including to improve ejaculatory function. Doctors have noticed that after long-term use of Cialis, men are less likely to complain of PE and this is of great interest.

What is PE and ED

Before delving into the essence of the problem, you need to understand what sexual disorders can be in men.

Premature ejaculation is when a man ejaculates very quickly. The release of seminal fluid occurs with minimal sexual stimulation, at the beginning or shortly after the start of lovemaking.

PE types

Time to ejaculation

Mild

30 to 60 seconds after starting sex

Moderate

15 to 30 seconds after starting sex

Severe

before or during foreplay, or up to 15 seconds after the onset of sex

Although PE does not seriously threaten men's health, it is considered a problem due to its physiological characteristics and because it often leads to psychological problems:

●       Depression.

●       Low self-esteem.

●       Anxiety and stress before sexual intercourse.

The causes of this disorder are not widely understood. It is believed that a number of biological and psychological factors, such as other medications, anxiety and stress, increased sensitivity of the glans penis, etc., can lead to it. Age does not affect PE, as this disorder is more common in young men.

Erectile dysfunction is the inability to achieve and maintain an erection necessary for making love. Erectile insufficiency often worsens a man's self-esteem and leads to conflicts and tensions in relationships with a sexual partner.

The disease is usually diagnosed when symptoms persist for 3 months or more. As with PE, erection problems occur for both psychological and organic reasons.

What research says

In men, the most common sexual problems are erectile dysfunction and premature ejaculation. Often these problems are closely related, ED may occur after PE or vice versa.

Cialis (Tadalafil) and other PDE-5 inhibitors are effective in treating ED of any severity in men of any age. Some studies have shown that they can also help with premature ejaculation. Here's what we found:

●       Cialis 5mg taken daily prolongs ejaculatory latency.

●       PDE-5 inhibitors are significantly more effective than placebo in the treatment of PE, including in combination with behavioral therapy.

●       PDE-5 inhibitors are useful in the treatment of PE, including by increasing NO levels, dilating the smooth muscle of the vas deferens, and reducing performance anxiety.

●       The use of Cialis (Tadalafil) tablets is associated with significant improvements in ejaculatory function and sexual satisfaction.

Research has shown good and encouraging results. However, many of them involved only a few dozen men and the studies did not last long. Therefore, at this point in time, these data should be interpreted with caution.

The effectiveness of Cialis in the treatment of PE requires confirmation in full-scale clinical trials. If successful, this drug may have new indications.

Other treatments for PE

There is no treatment that has an 80-100% chance of curing PE and increasing the duration of sexual activity. However, PE responds well to treatment by addressing the causes of the disorder.

For example, if a man suffers from erectile insufficiency and because of this began to ejaculate prematurely, treatment of erection problems can lead to improved ejaculatory function.

Decreased sensations

Condoms cover the penis and reduce its sensitivity. Condoms (especially those with a thicker wall) are often used for PE, but there is no clinical evidence that this treatment is effective.

The use of anesthetic gels and sprays also has some effect, but it is not permanent and does not work for all men. These drugs should be used at least half an hour before sexual activity. Sometimes they can cause problems getting and maintaining an erection because they cause a decrease in sensitivity.

Choosing a position in sex can also help. In some positions, the sensations are weaker, which leads to a longer act. However, this is individual and each couple should experiment.

Special techniques

Men can learn to control their ejaculation through specific exercises, such as the stop-start technique. As soon as a man feels that ejaculation is close, he should ask his partner to stop sexual stimulation. Sexual activity can be resumed shortly after his desire to ejaculate subsides.

There is no evidence that this technique can cure premature ejaculation. In addition, not all couples will like this technique.

Counseling

Many men with PE have comorbid psychological illnesses and problems, such as depression, sexual anxiety, and low self-esteem. In these cases, consultation with a psychologist is necessary.

Physiotherapy

Physical therapy, especially pelvic floor exercises, is becoming increasingly popular. For example, Kegel exercises are helpful in treating some sexual problems that are usually caused by physical causes. They are aimed at strengthening the pelvic floor muscles, which are necessary for sexual activity.

Cialis with Dapoxetine

Dapoxetine is a short-acting selective serotonin reuptake inhibitor (SSRI) drug. It has been specifically developed to relieve ejaculation problems in men.

Dapoxetine delays the processes that cause ejaculation by increasing serotonin levels in the brain. As a result, the man continues to make love for a longer period of time.

The benefit of Dapoxetine is that it can be used as needed. Other SSRIs become effective when used every day.

Unless your doctor says otherwise, Cialis can be taken with Dapoxetine. The instructions for the drug and other reliable sources do not indicate that these drugs can interact with each other.

Important information about the dosage of Dapoxetine:

●       Dapoxetine 30 mg or 60 mg tablets are used 1-3 hours before sex, but not more than once every 24 hours.

●       Treatment begins with a dose of 30 mg, which can subsequently be increased to 60 mg.

●       You must use it every time you plan to have sex.

Cialis tablets are taken at least 30 minutes before sexual activity and work up to 36 hours. If you have taken Cialis and Dapoxetine together, it is best to wait 2-3 hours before intimacy with a partner for the medication to start working.

Important! Dapoxetine tablets effectively solve problems with premature ejaculation, but not for all men the first time. Use the tablets at least 6 times before sexual activity. If nothing changes, consult your doctor.

Cialis and Dapoxetine: side effects and safety

The most common side effects of Dapoxetine are:

●       Headache.

●       Nausea.

●       Sweating.

●       Dizziness.

These same side effects (other than sweating) are very common with Cialis (Tadalafil) or other PDE5 inhibitors. Taking medications together increases the risk of these side effects.

Usually, adverse reactions do not cause serious discomfort and do not interfere with making love. If they persist or if you feel worse, seek medical attention.

Cialis is not recommended to be taken with alcohol, although this is not a contraindication. Usually small doses of alcohol do not affect the pharmaceutical effects of ED drugs and the well-being of men.

Dapoxetina is an SSRI and therefore can be classified as an antidepressant. Dapoxetina in combination with alcohol may cause side effects such as:

●       Drowsiness.

●       Fainting.

●       Dizziness.

●       Impairment of mental activity.

Conclusion

Premature ejaculation is a widespread sexual problem that can affect any man at any age. It often goes hand in hand with other disorders, including erectile dysfunction.

Cialis and other PDE5I drugs are used off-label to treat men with premature ejaculation. Many studies indicate the effectiveness of this method of therapy.

Unfortunately, there is no 100% conclusive evidence that ED medications help delay orgasm in most men. Despite encouraging results from some studies, larger studies are needed to confirm the efficacy and safety of this treatment modality.

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