How do condoms work for PE?
Answer: Condoms are similar to topical therapies in that they reduce tactile penile sensation. Reduced sensation results in decreased or delayed nerve signals from the penis being relayed to the spine, which in turns sends signals to active the organs (i.e. prostate, seminal vesicles) and nerves that underlie the ejaculation process.
Condoms used alone have two distinct advantages over topical therapy alone: they are an important part of practicing safer sex and they don’t cause reduced sensation to partners. Some men, however, find that condoms are too numbing and have difficulty getting or maintaining erections. Condoms can also suddenly slip off, unlike topical therapy, which can lead to a sudden increase in pleasurable sensation that leads to PE (as well as inadvertent intravaginal ejaculation). Condoms can also be used together with topical anesthetics, and some men find that this gives them excellent results.
Some condoms (i.e. “sheepskin” condoms) are specifically designed to be very thin to avoid reducing pleasurable sensation. Regular latex condoms should instead be used by men who are using condoms to control PE.
This information is not, nor is it intended to be, a substitute for professional medical advice, diagnosis, or treatment, and should never be relied upon for specific medical advice. If you have any questions or concerns, please talk to your doctor.