Gilbert recommends the topical treatment to his patients before he prescribes an SSRI, and so does Mulhall. This seems like it would be a giveaway -- a numb penis tell, if you will. Luckily, medical science is on the case. Gilbert personally sees it beyond that, as a first-line therapy for premature ejaculation. Submit a letter to the editor or write to letters theatlantic. The concept isn't new, and these lidocaine sprays have received a thoroughly mixed bag of reviews. The options of wiping it off after giving it time for some to absorb into your skin or, more hastily, hooding it under a condom come to mind as possible solutions.