Does Cialis make you last longer?

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Cialis may be associated with improved sex

Can Cialis help with premature ejaculation? It certainly seems that way.

While primarily marketed as an ED treatment, Cialis isn’t just about improving erections — it may also help with other aspects of sexual function, like ejaculation and orgasm. One analysis of 17 studies looked at the effects of tadalafil on orgasms and found the following:

About 66% of those with severe ejaculation difficulties reported improvements after taking Cialis, compared to only 36% in the placebo group.

Similarly, 66% of people with severe issues reaching orgasm experienced better results with Cialis, while just 35% in the placebo group saw improvements.

These improvements in ejaculation and orgasm were linked to higher overall sexual satisfaction, helping people feel more fulfilled during sexual encounters.

It’s worth noting that this analysis was done in men who had ED. So the improvements in ejaculation and orgasm may be partly related to having better erections overall. Additional research in people with PE or other ejaculatory or orgasmic issues who don’t have ED is needed.

PDE5 inhibitors may boost sexual confidence

Medications like Cialis and Viagra (sildenafil) are part of a class of medications called phosphodiesterase type 5 inhibitors (aka PDE5 inhibitors). These drugs work by blocking an enzyme called PDE5, which increases blood flow to the penis and can strengthen erections.

While PDE5 inhibitors aren’t specifically designed to treat premature ejaculation, research shows they can improve ejaculatory control, sexual confidence, and satisfaction.

One study found that men taking sildenafil reported feeling more in control of ejaculation. While it didn’t significantly increase the time before ejaculation, the improved sense of control helped reduce anxiety during sex.

Those using sildenafil also reported higher sexual satisfaction scores, likely because of stronger erections and an improved overall experience in the bedroom.

Sildenafil significantly helped reduce the time it took for men to achieve another erection after ejaculation — known as the postejaculatory refractory time.

Cialis combined with other drugs might be more effective

When used alongside other treatments, Cialis may offer more noticeable benefits for those with PE. Multiple studies have explored the combination of Cialis and selective serotonin reuptake inhibitors (SSRIs), which are often used off-label to treat PE, and found promising results.

Men taking this combination experienced a significant increase in the time to ejaculation (known as intravaginal ejaculation latency time, or IELT) compared to either medication alone.

SSRIs seem to delay ejaculation by increasing serotonin levels, which affects the ejaculatory reflex. Meanwhile, PDE5 inhibitors like Cialis enhance erection quality by improving blood flow.

Together, these medications may complement each other by addressing both the physical and psychological aspects of sexual performance. Of note, the combination also comes with a higher chance of side effects like headache and flushing compared to either medication alone.

Researchers have identified several possible ways PDE5 inhibitors may help with PE, including:

Reducing sympathetic nervous system activity (which plays a role in triggering ejaculation)
Relaxing smooth muscle in the reproductive tract
Improving confidence by strengthening erections and reducing performance anxiety

Does Cialis increase libido?

No, Cialis doesn’t increase libido. While it can help improve your physical ability to get and maintain an erection, it doesn’t directly increase your sexual desire or make you feel more “in the mood.”

Here’s why: Cialis works by blocking an enzyme called PDE5, which allows more blood to flow to the penis. However, it only works when you’re already sexually aroused. Sexual stimulation is necessary to start the process — this triggers the release of nitric oxide in your body, which helps Cialis do its job. Without that initial spark of arousal, the medication won’t have any effect.

If you’re feeling a dip in libido, the cause might be related to other factors, such as low testosterone, stress, other hormone changes, or relationship dynamics. For those concerns, a conversation with your healthcare provider can help you figure out the best approach.

In short, Cialis can support your physical readiness, but your libido depends on what’s going on in your mind and body. That being said, if erectile dysfunction is what’s impacting your libido, the improved erections, confidence, and reduced performance anxiety that come with having Cialis as an option may indirectly help.

What is Cialis normally prescribed for?

Cialis is FDA-approved for the following indications: erectile dysfunction (difficulty getting and maintaining an erection), benign prostatic hyperplasia (BPH, aka enlarged prostate), and the combination of ED and BPH together.

Let’s take a closer look at its common uses and how it can make a difference.

Erectile dysfunction (ED): Cialis is often prescribed to help people who have difficulty getting or maintaining an erection long enough for sexual activity. It works by blocking an enzyme called PDE5, which increases blood flow to the penis and can help support an erection when sexually stimulated.

Benign prostatic hyperplasia (BPH): Cialis is also approved to treat symptoms of BPH, which happens when the prostate becomes enlarged (not due to cancer). This condition can cause frustrating urinary symptoms, like trouble starting urination, frequent urges to go, or difficulty fully emptying your bladder. Cialis works in BPH by relaxing smooth muscles in the prostate, bladder, and urethra, which can help ease urinary symptoms.

It’s also common for people to have ED and BPH simultaneously, and Cialis is specifically approved for treating both at the same time.

Types of Cialis Ro offers

Ro provides several options to suit your preferences and lifestyle:

Cialis: The “weekend pill” that’s known for its long-lasting effects, this option allows for flexibility in timing and can stay active for up to 36 hours. Cialis is available in doses of 2.5 mg, 5 mg, 10 mg, and 20 mg. The low-dose pills are usually used for daily use, and the higher doses are to be taken as-needed (though you should always follow specific instructions from your healthcare provider).

Generic tadalafil: This is a more affordable alternative with the same active ingredient as Cialis, offering the same benefits at a lower cost.

Daily Rise Gummies: These daily gummies contain tadalafil in a low dose (7 mg), keeping the medication in your system so you’re always ready for sex without needing to plan ahead. This dosage and delivery system are not FDA-approved, but the active ingredient is FDA-approved for treating ED.

Ro Sparks: A unique two-in-one option that combines sildenafil with tadalafil in a fast-dissolving tablet. It can work within 15 minutes after dissolving and can remain active for up to 36 hours, offering quick results and long-lasting effects. While Ro Sparks isn’t an FDA-approved medication, its active ingredients are approved separately for treating ED.

Alternative options for treating PE

There are many approaches to treating PE. Whether it’s simple techniques, small lifestyle changes, or medication, there’s likely something out there that might work for you. It’s all about finding what feels right and helps you feel more confident.

Topical treatments to last longer

Topical treatments contain numbing agents like benzocaine, lidocaine, or prilocaine, which make the penis less sensitive. Many people find this helps them delay ejaculation. These products come in various forms — creams, sprays, or wipes — and are usually available over the counter.

For example, we offer Roman Swipes, convenient disposable wipes with benzocaine that you can carry discreetly.

Using them is pretty simple:

Apply the product to your entire penis, from the tip to the base, about 10–15 minutes before sex.
Give it a few minutes to take effect.
Before getting started, wipe off any excess product to avoid numbing your partner’s skin.

Remember that the numbing effect can reduce sensation for you and, if not used properly, for your partner too. This might affect sexual pleasure, so it’s worth experimenting to find the right balance.

Always follow the directions on the package, and if you have questions or concerns, don’t hesitate to talk to your healthcare provider.

Personalized ED treatment for you.

PE medications

You might be wondering: Does Cialis keep you from coming? Are there drugs that help you last longer in bed?

Currently, there are no FDA-approved medications specifically for PE in the United States. But fortunately, there are some medications developed for other purposes that are commonly prescribed off-label to help manage PE symptoms, and Cialis is on that list.

Another option we offer at Ro is sertraline, which is one of the recommended off-label treatments for PE by the American Urological Association (AUA).

Let’s take a closer look at the medication options your healthcare provider might recommend off-label for PE.

Selective serotonin reuptake inhibitors (SSRIs)

SSRIs are medications commonly prescribed for depression and anxiety, but they are also used off-label to treat PE.

These drugs work by increasing active serotonin levels in the brain, which can help delay ejaculation by slowing the signals involved in the ejaculatory reflex.

Common SSRIs for PE include:

Paroxetine (Paxil)
Fluoxetine (Prozac)
Sertraline (Zoloft)

SSRIs are typically prescribed as daily medications, allowing them to build up in your system over time to produce a consistent effect. Some medications can also be prescribed on an as-needed basis, including clomipramine and dapoxetine.

While SSRIs are effective, they may come with side effects such as nausea, fatigue, dizziness, or changes in mood. Some people may also experience reduced sexual desire or difficulty achieving orgasm, and others can experience erectile dysfunction as a side effect.

Communicating openly with your healthcare provider is key to finding the right balance between effectiveness and comfort. What’s important is how your body reacts to the medication.

Phosphodiesterase-5 (PDE5) inhibitors

Medications like Cialis (tadalafil) and Viagra (sildenafil) are not designed specifically for PE but can still play a helpful role when prescribed off-label. These drugs improve blood flow and improve erectile function, and can also help with smooth muscle relaxation in the ejaculatory tract. They can help boost confidence and reduce anxiety — factors that often contribute to PE.

Tramadol

Although primarily used as a pain reliever, tramadol can be prescribed off-label for PE and is usually taken on demand before sexual activity. By influencing certain chemicals in the brain (like serotonin, norepinephrine, and GABA), tramadol can delay ejaculation while increasing ejaculatory control and sexual satisfaction.

While tramadol can be effective, it’s important to follow your healthcare provider’s instructions closely. Potential side effects of the medication include nausea, dizziness, drowsiness, and sleep disturbance

Tramadol is an opioid. While developing opioid dependence is possible, the risk is low when taking tramadol at a low dose and on an as-needed basis for PE.

Behavioral techniques for lasting longer

These methods are designed to help you understand your body better, regain control, and build confidence over time. They might feel a little awkward at first and could take some getting used to, but they’re proven strategies that could help you feel more in control and less rushed during sex.

The stop-start technique

The stop-start technique involves pausing sexual activity when you’re close to ejaculating — at the moment when you feel the urge to climax is strongest, but before ejaculation begins. The goal is to regain control over your arousal and build the ability to delay ejaculation.

Here’s how to do it:

During sexual stimulation, pay attention to the sensations building up in your body. The “point of no return” is when ejaculation feels inevitable — this is the moment before which you want to stop stimulation.
Pause all activity and allow the urge to climax to fade. This might take 30 seconds to a minute.
Once the sensation subsides, resume stimulation.
Repeat this process several times before allowing yourself to ejaculate.
Over time, this technique could help you identify the physical sensations that lead up to ejaculation and can give you more control during sex.

The squeeze technique

The squeeze technique takes a similar approach but adds physical pressure to help reduce arousal. It’s often used with a partner but can also be done alone.

How it works:

Stimulate your penis until you feel like you’re about to ejaculate.
Pause and gently squeeze the base of the head (where the shaft meets the head of your penis). Use your thumb and forefinger to apply pressure.
Hold the squeeze for about 10–30 seconds or until the urge to ejaculate fades.
Once you feel back in control, resume stimulation.
By repeating as many times as needed, you can reach the point of entering your partner without ejaculating.

With consistent practice, the squeeze technique might help you learn to delay ejaculation naturally, even without squeezing over time.

Pelvic floor exercises (Kegels)

Strengthening your pelvic floor muscles could improve your ability to delay ejaculation. These muscles play a key role in ejaculation and orgasm, and gaining better control over them might help you last longer.

Here’s how to start:

Identify your pelvic floor muscles by stopping the flow of urine midstream. The muscles you engage to do this are the ones you’ll be working on.
Contract these muscles for 3–5 seconds, then relax for the same amount of time.
Repeat this process 10–15 times per session, aiming to do three sessions per day.

Some people have also experienced success with the following variations of Kegels:

Kegels while lying down (may make it easier to engage the muscles if you’re new to kegels)
Rapid-fire Kegels (holding and releasing for only 1 second each, repeating 8-10 times, 2–3 times a day)
Kegels in motion (doing Kegel exercises while you’re walking, running, doing squats, or weightlifting)

If you aren’t sure if you are doing kegels properly, you can always seek support from a biofeedback specialist who can make sure you are engaging the correct muscles.

Distraction techniques

Sometimes, focusing less on arousal can help you last longer. Distraction techniques involve shifting your thoughts to neutral or non-sexual topics to lower your arousal level.

Examples include:

Mentally listing items you need to buy at the grocery store.
Naming players on your favorite sports team.
Thinking about a neutral task, like organizing your closet or planning your day.

While this method doesn’t address the root cause of PE, it might help you regain control during sexual activity in the short term.

Using condoms

Thickened condoms can be a good option for those looking to delay ejaculation. These condoms are designed to help extend sexual intercourse by reducing sensitivity around the penis to give you more control.

Lifestyle changes that can influence PE

Research has identified many modifiable risk factors associated with PE. Modifiable risk factors are aspects of your health or lifestyle that you can change or improve to reduce the likelihood of experiencing a condition.

Lifestyle factors can play an important role in PE, and small adjustments might help you feel more in control.

Physical activity: People who exercised five or more times per week were less likely to report PE. Regular movement may help regulate serotonin levels, which are involved in controlling ejaculation.

Urinary health: Those with lower urinary tract symptoms (LUTS), such as urgency, frequent urination, or difficulty urinating were more likely to experience PE. Addressing these issues with a healthcare provider could potentially improve symptoms.

Mental health: Depression and anxiety were associated with higher odds of PE, emphasizing how emotional well-being can affect sexual control. If mental health is playing a role, working with a therapist who specializes in sexual health can be a helpful step.

Making adjustments in these areas such as exercising regularly, managing stress, or seeking treatment for urinary symptoms may help you improve symptoms over time.

If PE is a concern, you could consider speaking with a healthcare provider to explore these factors and develop a plan that feels right for you.

Ro Sparks

Hard in 15 mins (on avg), ready for up to 36 hours, 2-in-1 formula