Emla Cream

EMLA is a topical anaesthetic cream containing two active ingredients — lidocaine (2.5%) and prilocaine (2.5%) — that work together to temporarily numb the skin where it is applied. When used for premature ejaculation (PE), EMLA is applied to the most sensitive area of the penis to reduce sensation, helping men to delay ejaculation and last longer during sex. It is a fast-acting, on-demand treatment that works within 15 to 30 minutes of application. It is worth noting that EMLA is used off-label for premature ejaculation — meaning it is a well-established and commonly prescribed treatment for PE, but it was not originally licensed specifically for this purpose. A consultation with one of our clinicians at Access Doctor is required before it can be prescribed.

EMLA cream is one of the more effective treatments available for premature ejaculation. Clinical evidence shows that it increases the time before ejaculation in approximately 77% of men who use it. As with all PE treatments, results can vary between individuals, and it may take a couple of attempts to find the right amount to apply and the timing that works best for you. EMLA does not cure premature ejaculation — it manages the symptoms on the occasions it is used. For longer-term management of PE, your clinician at Access Doctor may recommend combining EMLA with other treatments or techniques.

Apply a small, pea-sized amount of EMLA cream to the underside of the head of the penis, focusing on the area where the head meets the shaft — known as the frenulum or "banjo string" — as this is typically the most sensitive area. Apply it approximately 15 to 30 minutes before sexual activity. Crucially, you must wash off any excess cream thoroughly before intercourse — if the cream is not removed, it can transfer to your partner and cause unwanted numbness for them too. Do not apply more than recommended — using a larger amount will not improve the effect and may increase the risk of side effects.

EMLA cream is designed to reduce — not eliminate — sensation. The aim is to take the edge off hypersensitivity so that you can maintain better control, while still being able to enjoy sex. The degree of numbness varies between individuals and depends on how much cream is applied and how long it is left on. If you find the cream reduces sensation too much, try using a smaller amount or leaving it on for a shorter period before washing it off. Washing it off before intercourse is essential both to avoid transferring it to your partner and to fine-tune the level of sensation you experience.

Most men who use EMLA cream experience no significant side effects. The most commonly reported ones are mild and local — including temporary redness, slight skin swelling, tingling, a mild burning or itching sensation, or temporary paleness of the skin at the application site. These are normal reactions to the anaesthetic ingredients and usually pass quickly without any action needed. In very rare cases, a serious allergic reaction can occur — signs include a skin rash, difficulty breathing, dizziness, or swelling of the face, lips, or tongue. If this happens, stop using EMLA immediately and seek urgent medical attention. A very rare but serious reaction called methaemoglobinaemia — where the skin turns a blue-grey colour due to reduced oxygen in the blood — has also been reported. If you notice any unusual skin discolouration, seek immediate medical attention.

This is a very important practical point. EMLA cream must not be used with latex condoms, as it can weaken the latex and cause the condom to break — significantly reducing its contraceptive and STI-protective effectiveness. If you want to use a condom alongside EMLA cream, you must ensure it is a non-latex condom — such as one made from polyurethane or polyisoprene. Always check the condom packaging to confirm the material before use. Alternatively, thoroughly wash off the EMLA cream before putting on a latex condom. If your partner is pregnant or trying to become pregnant, use a condom to prevent any cream from being absorbed by your partner.

Yes — if EMLA cream is not fully washed off before intercourse, it can transfer to your partner and cause numbness or reduced sensation for them too. This is why it is essential to wash off any excess cream thoroughly before sex. Applying the cream, covering it with a light dressing for 15 to 20 minutes, then removing it and washing the area clean before intercourse is the most effective way to get the benefit of the anaesthetic while preventing transfer to your partner.

es — EMLA cream is just one of several treatments available for premature ejaculation through Access Doctor. Other options include Priligy (dapoxetine), which works by boosting serotonin levels in the brain to delay the ejaculatory response. These can be effective in up to 80% of men and can double or triple the time before ejaculation. Both approaches have their advantages — EMLA is applied as needed and works locally, while oral treatments offer a more systemic effect.