Q. My husband does not have problems getting or sustaining an erection, but sometimes he gets so excited that he reaches orgasm before I do. When that happens I cannot achieve release.
Whenever I watch the ads for drugs like Viagra or Cialis on television, I wonder whether they would help my husband last longer.
A. A double-blind study conducted in 80 men found that Levitra (vardenafil) was helpful. The time to ejaculation nearly doubled, from 48.5 seconds to 82.5 seconds (BJU International, online Sept. 7, 2010). That might not be long enough for you.
There are, unfortunately, no prescription drugs approved for this problem. Doctors occasionally prescribe local anesthetics or SSRI antidepressants such as Prozac or Zoloft (European Urology, May, 2010).
The best approach might be for the two of you to see a sex therapist. This provider could offer behavioral counseling that should help quite a bit.