Delay Sprays: Topical Treatment for Premature Ejaculation
Delay sprays and creams are among the most frequently used practical and fast-acting treatment options in premature ejaculation. They aim to delay ejaculation by temporarily reducing sensitivity at the head of the penis. On this page I explain honestly how they work, how they should be used, how effective they really are and what their possible side effects are.
What Is a Delay Spray and How Does It Work?
Delay sprays generally contain local anaesthetic agents such as lidocaine and/or prilocaine. When applied to the head of the penis (glans), they temporarily reduce the sensitivity of the nerve endings in that area. The ejaculation reflex triggered by excessive stimulation is therefore delayed, and ejaculation time (IELT) may be prolonged.
How Is a Delay Spray Used?
A delay spray is usually applied to the head of the penis as a few sprays about 10–15 minutes before intercourse. Once the effect has begun, the excess is wiped off. To prevent the anaesthetic agent transferring to the partner, cleaning after application or the use of a condom is recommended. The correct number of sprays and waiting time varies by product; excessive use must be avoided.
Do Delay Sprays Really Work? (Effectiveness and Limits)
Sprays containing lidocaine and prilocaine have been shown in clinical studies to be an effective option that significantly prolongs ejaculation time and increases sexual satisfaction. Their greatest advantages are rapid effect, use on demand and low systemic side effects. However, they are not a permanent solution; they act only at the moment they are applied. If used incorrectly, excessive numbness, reduced erection quality or reduced sensation in the partner may occur.
What If a Delay Spray Is Not Enough?
For patients who do not benefit sufficiently from sprays and creams, or who want a lasting solution, oral drug treatment (dapoxetine, SSRIs) and, where appropriate, procedures such as selective dorsal cryoablation (nerve cooling) or neurectomy are considered.
Key points
- Delay sprays contain local anaesthetics such as lidocaine and prilocaine.
- They delay ejaculation by temporarily reducing glans sensitivity.
- Applied about 10–15 minutes before intercourse; excess wiped off, condom recommended.
- Advantages: fast, practical, low systemic side effects. Disadvantage: a temporary solution.
- Excessive use: numbness, reduced erection quality, reduced sensation in the partner.
- For a lasting solution: medical treatment, nerve cooling (SDC) or neurectomy.
Frequently Asked Questions About Delay Sprays
Do delay sprays really work?
Yes. Local anaesthetic sprays containing lidocaine and prilocaine temporarily reduce the sensitivity of the head of the penis and can prolong ejaculation time significantly. Clinical studies have shown an increase in ejaculation time and in sexual satisfaction.
How is a delay spray used?
It is usually applied to the head of the penis as a few sprays about 10–15 minutes before intercourse, and the excess is wiped off. Cleaning after application or the use of a condom is recommended so that the agent does not transfer to the partner. The product instructions and the advice of a physician should be followed for the correct dose and timing.
Are delay sprays harmful and do they have side effects?
When used correctly they are generally safe. Excessive application may cause pronounced numbness of the penis, reduced erection quality or reduced sensation in the partner. Skin irritation or allergy is seen rarely.
Can a delay spray transfer to the partner?
If the excess is not wiped off after application or a condom is not used, the anaesthetic agent may transfer to the partner and cause temporary reduced sensation in her as well. For this reason cleaning after application or the use of a condom is recommended.
How much does a delay spray cost?
Because the product and treatment plan vary from person to person, and because Turkish healthcare regulations do not permit fixed prices to be published, no figure can be given here. You may contact the clinic for the option that suits you.
Is a delay spray a permanent solution?
No. Sprays and creams are temporary solutions that act only at the time they are applied. In patients seeking a lasting solution, medical treatment and, where appropriate, procedures such as selective dorsal cryoablation or neurectomy are considered.
Which is better, cream or spray?
Both work on the same principle of local anaesthesia. A spray is more practical and quicker to apply; a cream may allow a more controlled dose. The choice depends on personal convenience and the physician’s advice.
An assessment matters for deciding whether a delay spray suits you and how it should be used. Get in touch for an appointment or information.
Scientific References
- Dinsmore WW, Wyllie MG. PSD502 improves ejaculatory latency, control and sexual satisfaction when applied topically 5 min before intercourse in men with premature ejaculation. BJU Int. 2009;103(7):940–949.
- Carson C, Wyllie M. Improved ejaculatory latency, control and sexual satisfaction when PSD502 is applied topically in men with premature ejaculation. J Sex Med. 2010;7(9):3179–3189.
- Althof SE, McMahon CG, Waldinger MD, et al. ISSM Guidelines for the Diagnosis and Treatment of Premature Ejaculation. J Sex Med. 2014;11(6):1392–1422.
This content is for general information only and does not replace examination by a specialist. Products should be used on the advice of a physician and in accordance with their patient information leaflet. For diagnosis and treatment, please consult a specialist physician.
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