Can you use an analgesic such as tramadol for premature ejaculation? Read on to find out!
Scientific Evidence for the Use of Tramadol for Premature Ejaculation
What Is Premature Ejaculation?
Premature ejaculation is a common type of male sexual dysfunction which involves:
- Having little or no control over the timing of ejaculation
- Ejaculations with minimal sexual stimulation
- Psychological or relational consequences such as poor sexual satisfaction, anxiety, distress, and interpersonal difficulties
- A consistent intra-vaginal ejaculation latency time (IELT) of less than one minute
What is the intra-vaginal ejaculation latency time (IELT)? This refers to the time between penetration and ejaculation. It usually involves the stopwatch method where someone starts the stopwatch upon penetration and stops it upon ejaculation.
A 2007 study reports approximately 24% of men in the United States have experienced premature ejaculation. On top of that, only about 9% of men who experience premature ejaculation seek treatment.
What Is Tramadol?
Tramadol HCI is an oral medication from the 1970s. It is approved by the US Food and Drug Administration (US FDA) as an opioid analgesic, a type of drug which helps relieve pain by acting on the central nervous system.
Tramadol is also known as:
- M T7 Pill
Dolcet and Zaldiar combines tramadol with another analgesic, paracetamol, while Ultram and M T7 pill contains 50 mg of tramadol.
When Did Researchers Test Tramadol for Premature Ejaculation?
In 2013, Amil Khan and Deepa Rasaily published a study on the effects of tramadol on premature ejaculation. Previous studies show that tramadol could possibly delay ejaculation and the researchers wanted to test this.
Who Did The Researchers Test Tramadol On?
60 heterosexual men consented to participate in the study. All of the men in the study were:
- Diagnosed with premature ejaculation
- Between 20-45 years old
- Healthy and did not have any major physical illness (type 2 diabetes, high blood pressure, sexually transmitted diseases, or other psychiatric illnesses)
- Currently in an emotionally stable relationship
- Not using the barrier method of contraception (ex: condoms)
- Not diagnosed with other sexual disorders (ex: erectile dysfunction)
The researchers also trained the men and their female partners to use the stopwatch method during sexual intercourse.
How Did Researchers Determine the Effects of Tramadol on Premature Ejaculation?
The researchers divided the participants into two groups:
- Group A (experimental group) drank 100 mg of tramadol for 4 weeks. They could also take tramadol sporadically or on-demand, usually 2-8 hours before sexual contact.
- Group B (control group) was given a placebo for 4 weeks. Just like the experimental group, they were given regular doses of the placebo and they could also take the placebo on demand a few hours before sex.
Every time they had sex, the female partners would measure the IELT using the stopwatch function of their mobile phones. Participants also had to wait 20 hours in between each sexual encounter to make sure the drug washes out.
The researchers would meet the participants after 4 and then again at 8 weeks to record the participants’ IELT, vital signs, and take note of any adverse events. To determine the effects of tramadol on premature ejaculation, the researchers analyzed the data in the following ways:
- Difference between average IELT before and after the treatment for each group
- Difference between the experimental group and the control group’s average IELT after the treatment
The researchers were able to find evidence in the efficacy of tramadol as a possible way to treat premature ejaculation.
Why Use Tramadol for Premature Ejaculation?
The results of the study show that tramadol may treat premature ejaculation. There was a significant increase in the average IELT after taking tramadol continuously and by demand.
Before the treatment, the experimental group had an average IELT of 59.2 seconds. After the treatment, the same participants had an average IELT of 202.5 seconds (for continuous treatment) and 238.2 seconds (for sporadic/in-demand treatment).
On the other hand, the control group had an average IELT of 58.7 at the beginning of the study. At the end of the study, the control group had an average IELT of 94.8 seconds (for continuous treatment) and 96.6 seconds (for sporadic/in-demand treatment).
On top of that, for the experimental group, the frequency of sexual intercourse increased from an average of 2.44 times each week to an average of 4.86 times each week. For the control group, the frequency of sexual intercourse also increased from an average of 2.13 times each week to 3.23 times each week.
With these results, the researchers report that the sex life of their patients in the experimental group improved. The patients themselves also report greater satisfaction in their sex life.
If one study isn’t enough to convince you of tramadol’s positive effect on premature ejaculation, a meta-analysis on the effects of tramadol on premature ejaculation was published in 2015. A meta-analysis is a systematic review of several studies on a single topic.
In this meta-analysis, eight randomized controlled trial studies were evaluated. The results of the meta-analysis support the findings of Khan and Rasaily’s 2013 study.
In most of the studies, tramadol was more effective in increasing average IELT over a placebo. So, tramadol may truly be a viable treatment option for premature ejaculation.
Don’t let sexual dysfunctions, like premature ejaculation, rob you and your partner of a vital aspect of intimacy. There are things you can do to help treat sexual dysfunctions.
It’s important to choose treatment options that science and the US FDA backs up. Remember, everyone deserves a satisfying sex life—including you!
What are your thoughts on tramadol for premature ejaculation? Share your thoughts in the comments below.