EMLA cream
How to Apply EMLA Cream for Premature Ejaculation
Jul 29, 2025
Premature ejaculation is more common than many realize, affecting anywhere from 2% to 30% of men worldwide. It’s not just about finishing “too soon”; for many, it comes with frustration, embarrassment, and sometimes even strain in their relationships. Yet despite how widespread it is, the topic often gets brushed aside, leaving men unsure where to turn for help.
One option that’s quietly gained attention is EMLA cream, a numbing cream originally designed for minor skin procedures. Although it wasn’t made for sexual use, some men have started using it off-label to help reduce sensitivity and delay ejaculation. Because of its medical-grade ingredients, it’s considered safer than many unregulated “delay sprays” sold online.
In this article, we’ll break down how to apply EMLA cream for premature ejaculation, including step-by-step instructions, when to use it, what side effects to watch for, and how to use it responsibly.
Key Takeaways
- EMLA cream is a topical anesthetic that may help manage premature ejaculation by temporarily numbing penile sensitivity.
- Its active ingredients (lidocaine and prilocaine) block nerve signals without affecting hormones.
- Effects usually begin within 15–30 minutes on mucosal skin and can last up to an hour after removal.
- Proper application is essential: apply a small amount, wait 20–30 minutes, then thoroughly remove the cream before intercourse.
- Use with caution: avoid broken skin, remove completely, and be mindful of latex condom compatibility.
- Clinical studies show that EMLA can extend ejaculatory latency time, though overuse may cause reduced pleasure or skin irritation.
- While not a cure, EMLA can be a helpful part of a broader PE management plan—best used occasionally and under medical guidance.
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How EMLA Cream Works to Reduce Penile Sensitivity
EMLA cream combines lidocaine and prilocaine, two topical anesthetics that work by blocking nerve signals in the skin. When applied to the penis, this numbing effect can reduce sensitivity and help delay ejaculation. Unlike oral treatments, EMLA acts locally and is minimally systemically absorbed, making it a convenient, non-invasive option for those seeking short-term control.
For those wondering how long EMLA cream lasts, its onset and duration vary slightly depending on the area of application. On intact skin, the effects generally start within 60 minutes, whereas on mucosal surfaces like the glans, onset can begin in just 15–30 minutes. The numbing sensation typically lasts up to one hour after the cream is removed.
While not a cure for premature ejaculation, EMLA may be a helpful part of a broader strategy for managing symptoms.
Step-by-Step Instructions for Applying EMLA Cream for PE
Knowing how to apply EMLA cream for premature ejaculation is key to getting the best results safely. Here’s a detailed guide to follow before intimacy:
- Wash and Dry the Area: Use mild soap and water to gently clean the penis. Make sure the skin is completely dry before application.
- Apply a Small Amount: Squeeze out about 0.5g (pea-sized) of cream and apply it to the glans and optionally the shaft, depending on sensitivity levels.
- Massage Gently: Spread it evenly over the desired areas. Avoid over-applying to prevent too much numbness.
- Wait 20–30 Minutes: Allow enough time for absorption. Wearing a condom during this wait time can prevent the cream from rubbing off.
- Remove Thoroughly: Wipe off all visible cream with a damp cloth or rinse gently. This step is crucial to avoid transferring numbing effects to your partner.
- Proceed with Intercourse: Once sensation has reduced to a manageable level and the cream is removed, you can begin.
Avoid reapplying during intercourse, and only use as needed to minimize potential irritation or loss of pleasure.
Safety Tips and Warnings When Using EMLA Cream for Intimacy
While EMLA is considered safe when used correctly, it’s important to take precautions:
- Avoid Broken Skin: Do not apply on cuts, rashes, or irritated areas.
- Don’t Overuse: Too much cream may cause deep or prolonged numbness, reducing sensation or satisfaction.
- Remove Completely: Any leftover cream can transfer and numb your partner’s skin.
- Watch for Reactions: Redness, itching, or burning may signal an allergic reaction—stop use and consult a doctor.
- Consult Your Doctor: Especially if you have heart conditions, skin disorders, or are taking other medications.
- Be Cautious with Condoms: EMLA is oil-based, which can weaken latex condoms and increase the risk of breakage. Use polyurethane or non-latex condoms instead.
- Avoid Oral Contact: EMLA should not be used if oral sex is expected, as it may cause numbness in the mouth or throat.
Evidence and Clinical Opinions on EMLA for Premature Ejaculation
Clinical studies support the short-term use of EMLA cream to help delay ejaculation. A double-blind, placebo-controlled trial found that men using EMLA experienced significantly longer intravaginal ejaculatory latency times (IELT) compared to those using a placebo. The study also noted minimal systemic absorption and generally mild side effects, such as temporary numbness or slight irritation.
Many doctors recommend EMLA as an off-label solution for patients not ready for or unable to take oral medications. Still, frequent or improper use may cause skin irritation or negatively impact sexual pleasure. It is best suited for occasional use under medical guidance.
Conclusion
EMLA cream can be an effective short-term option for men seeking relief from premature ejaculation. Its localized action, minimal systemic absorption, and ease of use make it an appealing choice for those preferring non-oral solutions. However, its success depends on correct application, open communication with partners, and realistic expectations.
While it isn’t a cure, EMLA may serve as part of a broader management plan that includes behavioral strategies or professional counseling. If symptoms persist or cause distress, always consult a healthcare provider for tailored treatment options.
FAQs
1. Can I use EMLA cream every time before sex?
Yes, but it should be used in moderation. Frequent application can lead to skin sensitivity or reduced effectiveness over time.
2. How long should I leave EMLA on before wiping it off?
Generally, 20–30 minutes is sufficient. Wipe it off completely before intercourse to avoid numbing your partner.
3. Does EMLA cream have any side effects?
Mild redness, tingling, or temporary numbness are common. Allergic reactions are rare but possible.
4. Can my partner feel the numbing effect?
Yes, if the cream isn’t removed entirely. Always wash the area before any sexual contact.
5. Is EMLA safe to use with condoms?
Use caution. EMLA may weaken latex, so consider polyurethane condoms or consult your doctor.
6. Do I need a prescription to buy EMLA?
In many regions, yes. However, some over-the-counter numbing creams contain similar ingredients.
7. Will EMLA cure my premature ejaculation permanently?
No. It provides temporary relief but doesn’t address the underlying causes of PE.
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References
Ventus D, Jern P. Premature ejaculation. In: Chapple CR, Wein AJ, eds. Primer on Urology. Springer; 2025. doi:10.1007/978-3-031-55405-6_54
James MMS, Cooper K, Ren K, et al. Topical anaesthetics for premature ejaculation: a systematic review and meta-analysis. Sexual Health. 2015;13(2):114. doi:10.1071/sh15042
Butcher MJ, Zubert T, Christiansen K, Carranza A, Pawlicki P, Seibel S. Topical Agents for Premature Ejaculation: A Review. Sex Med Rev. 2020;8(1):92-99. doi:10.1016/j.sxmr.2019.03.003
