EMLA Cream 5%
EMLA is a cream you apply directly to your penis before sex. It contains local anaesthetics that have a numbing effect to help delay ejaculation and works in around 30 minutes.
What is EMLA Cream?
EMLA Cream contains local anaesthetics to help manage premature ejaculation (PE), something many men experience.
EMLA's oil base can weaken latex condoms, increasing the risk of splitting. To protect against unplanned pregnancy or sexually transmitted infections (STIs), you'll find non-latex polyurethane condoms work better. These will not be affected by the cream.
If you’re unsure which products to use, a pharmacist will be able to help.
How to apply EMLA Cream
Around 15-30 minutes before sex, apply a small amount of EMLA (about the size of a pea) to the underside of your penis near the frenulum area.
The frenulum is the small ridge of tissue on the underside of the penis that connects the foreskin to the glans (head). It's often referred to as the 'banjo string' because of its appearance. This area contains many nerve endings and is particularly sensitive.
Before intercourse, remove any excess cream to prevent transfer to your partner. If you don't feel the desired effect, you can apply a little more across a wider area instead of just one specific point. You'll find more detailed instructions in the patient information leaflet and it’s important to follow these.
How EMLA works
The active ingredients in EMLA cream are local anaesthetics prilocaine and lidocaine. When applied to the tip of your penis, they temporarily reduce sensitivity in that specific area.
For many men, this decreased sensitivity helps delay ejaculation and makes sex last longer.
How effective is EMLA?
Research shows that many men find EMLA cream effective in delaying ejaculation. Studies also show the treatment can significantly increase the time between getting an erection and ejaculating.
Possible side effects of EMLA
You may notice these mild effects where you apply EMLA:
Redness
Slight swelling
Tingling sensations
Skin paleness
There may be a mild burning feeling or itching, but this is rare. For comprehensive information about potential side effects, you should read the manufacturer's product information leaflet that comes with your medicine.
If you are concerned about any side effects you experience, you can contact us through your account.
Frequently asked questions
This treatment is available through our service for men aged 18 and over. However, EMLA is not suitable for everyone. You should not use this treatment if you have G6PD deficiency or certain blood disorders such as methaemoglobinaemia. You should also avoid using EMLA if you have an open wound on your penis, as this will cause irritation.
Following a thorough consultation, most men can use EMLA cream alongside other medications. When completing your consultation questionnaire though, it's essential to tell us about all prescription medications, over-the-counter products, and any recreational substances you use. This helps us ensure EMLA can be prescribed safely for you.
Looking for other ways to manage PE? Here are several approaches that could be helpful:
Some men benefit from counselling or hypnotherapy to address potential psychological factors
Behavioural techniques can be effective for managing symptoms
Priligy is another medication we can prescribe. This works differently by affecting how your brain processes signals, which can delay the time it takes to ejaculate
