Premature ejaculation (PE) sprays contain a local anaesthetic that slightly numbs the head of the penis, which can help you last longer during sex. You spray it on a few minutes before sex and it starts working quickly. Used exactly as the leaflet says, it helps many men. In the UK the two licensed sprays are Stud 100, available from pharmacies, and Fortacin, which needs a prescription. Here's how they work, how to use them safely, and what else can help.
What is premature ejaculation?
Most men ejaculate sooner than they'd like now and then. PE is when it happens regularly, often with very little stimulation, and it's causing you or your partner distress. It's common and it can be treated. The NHS page on ejaculation problems explains the possible causes, which can be physical, psychological or both.
How do PE sprays work?
The local anaesthetic in the spray reduces how sensitive the head of the penis is to touch. That lowers the build-up of sensation during sex, so it takes longer to reach the point of ejaculation. You still have feeling; the aim is to take the edge off, not to go completely numb. Sprays work within minutes and you only use them when you plan to have sex.
Stud 100 vs Fortacin
| Stud 100 | Fortacin | |
|---|---|---|
| Active ingredient | Lidocaine | Lidocaine and prilocaine |
| How to get it | Pharmacy medicine: a pharmacist checks a few questions first | Prescription only |
| How much | 3 to 8 sprays; no more than 24 sprays in 24 hours | 3 sprays per dose; no more than 3 doses in 24 hours |
| When | 5 to 15 minutes before sex | At least 5 minutes before sex |
We supply Stud 100 lidocaine spray after a short pharmacist check.
How to use a PE spray safely
- Use the amount in the leaflet. Start with the lowest number of sprays and don't go over the maximum. Using more won't help you last longer and can make you too numb to keep an erection or enjoy sex.
- Spray onto the head and shaft of the penis, then wait the time the leaflet gives before sex.
- Protect your partner. The spray can numb your partner too. Wipe off any excess before sex, or use a condom, and check the leaflet for which condoms it can be used with.
- Don't use it if you or your partner are allergic to local anaesthetics, or on broken or irritated skin.
- Keep it away from your eyes, nose and mouth, and wash your hands after use.
- Stop using it if it causes irritation for you or your partner. Don't use Stud 100 for longer than 3 months without speaking to a doctor.
Side effects
Most side effects are mild and limited to where the spray is applied: numbness, tingling, burning or irritation of the penis. Some men find it harder to keep an erection if they've used too much. Partners can also notice numbness or irritation. If you use far more than the leaflet allows and feel dizzy or unwell, wash the spray off and get medical advice.
Other treatment options
- Dapoxetine tablets: dapoxetine (Priligy) is a prescription tablet taken 1 to 3 hours before sex. It works in a different way, on the chemical signals that control ejaculation. Our article does Priligy work? explains what to expect.
- Techniques: the stop-start and squeeze techniques, practised alone or with a partner, help some men gain more control over time.
- Counselling: if stress, anxiety or relationship problems play a part, talking therapy or sex therapy can help, on its own or alongside treatment.
You can compare the options we offer on our premature ejaculation treatment page.
When to see a GP
See your GP if PE has always been a problem and is affecting your life, if it has started after years of normal control, if you also have problems getting or keeping an erection, or if you have pain when you ejaculate. A GP can look for an underlying cause and refer you to a specialist or a sex therapist if needed.
Premature ejaculation spray FAQs
Do PE sprays really work?
For many men, yes. A numbing spray used as the leaflet describes can help you last longer during sex. It works within minutes and only needs using when you plan to have sex.
Will my partner go numb?
They can, if spray is left on the skin. Wipe off any excess before sex, or use a condom, and follow the leaflet.
Can I use a PE spray with condoms?
Usually, yes, but check the leaflet for your spray, because it lists which types of condom it has been tested with.
How long before sex should I use it?
Stud 100 is used 5 to 15 minutes before sex. Fortacin is used at least 5 minutes before.
Spray or tablets: which is better?
It depends on you. A spray works within minutes and is only applied to the penis, so it suits men who'd rather not take a tablet. Dapoxetine tablets are taken 1 to 3 hours before sex and need a prescription. A pharmacist or GP can help you choose.
Does Viagra make you last longer?
Not directly. Sildenafil (Viagra) treats erection problems, not premature ejaculation, though it may help if both happen together. Read more in our article on whether Viagra makes you last longer.
Can I use EMLA cream for premature ejaculation?
EMLA cream isn't licensed for premature ejaculation. It's a numbing cream for use before needles and minor skin procedures. Sprays such as Stud 100 are licensed for premature ejaculation and are designed to be used on the penis.
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