I have been reading online about premature ejaculation (PE) for the past few years, to try help my husband out. I can’t find any solid solution for this problem nor any genuine pills for PE. Recently he came to know about the pill called Dapoxetine. In some countries it’s already been recommended and available. Can you confirm this pill is ok for him to use and from which site to purchase online?
The diagnosis of PE is based on sexual history alone. A detailed sexual history should be obtained from all patients with ejaculatory complaints. When obtaining the patient’s history, several important sexual and psychological characteristics should be assessed: frequency and duration of PE, relationship to specific partners, occurrence with all or some attempts, degree of stimulus resulting in PE, nature and frequency of sexual activity (foreplay, masturbation, intercourse, use of visual clues, etc.), impact of PE on sexual activity, types and quality of personal relationships and quality of life, aggravating or alleviating factors, and relationship to drug use or abuse.

Dapoxetine, a rapidly absorbed SSRI with a short half-life, has received the most attention of the investigational agents for PE. Despite receiving a non-approvable letter from FDA in 2005, dapoxetine is in phase 3 studies and is currently available in several European countries. Unfortunately the SSRIs BMS-505130 and UK-390957, which had shown some initial promise, no longer appear to be under development.44 The proposed rationale behind the development of the 5-HT1A antagonists for PE is that the coadministration of these agents with the SSRIs may improve the onset of effect in patients who are utilizing on-demand treatment. Combination treatment with pindolol (a non-selective beta blocker with known 5-HT1A antagonist properties) and paroxetine was shown to improve IELT, weekly intercourse episodes, and satisfaction in PE patients who were refractory to paroxetine monotherapy.45 However, combination therapy was also associated with significantly more side effects, which is consistent with the poor tolerability of non-selective beta blockers. Despite several studies that have evaluated the use of sildenafil, vardenafil, or tadalafil, substantial data to support the efficacy of these agents in men with PE, who do not have coexisting ED, is lacking.46


There are also topical anaesthetics available such as EMLA numbing cream, which contain prilocaine and/or lidocaine to help delay ejaculation in men whose ejaculation is caused by over-sensitivity. Topical anaesthetics are applied 15 to 20 minutes before sex - but they must be washed off completely before having sex, as they can also be absorbed into the vagina.
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SSRI clinical efficacy. Paroxetine, sertraline, and fluoxetine have been the most studied SSRIs and are commonly recommended agents for the management of PE within their class. Based on results from several randomized controlled trials, paroxetine seems to have the greatest effect on improving IELT and delaying ejaculation from 1.5 min before treatment to 7.7 min after treatment.40,41 Sertraline and fluoxetine have also been shown to increase IELT and improve patient satisfaction, compared to placebo, although fluoxetine's long half-life lends itself to continuous daily dosing rather than on-demand administration.
My name is Martins, I live in Nigeria. I’m 28 years old. I think I have a probelm with premature ejecuation because for the first time I tried to have sex in 2015 but I got disappointed because I ejeculated even before I penetrated. I tried for the second time four days ago I equally experienced the same thing. Please what is actually wrong with me and how can I go about it?
Premature ejaculation (PE) is one of the most common sexual complaints among men of all ages and can affect both partners’ sexual gratification during intercourse. Many men are incredibly concerned with finding a means to an end for their premature ejaculation problem. Of course, men may suffer from premature ejaculation for a variety of reasons, including physical ailments that lower sex drive and prevent sexual stamina, as well as psychological conditions that do the same. In order to treat premature ejaculation at its source, you will need to work with your doctor to identify what factors may be causing you to be unable to build sexual stamina. You should treat these problems directly in order to cure the problem of premature ejaculation.
Ayurveda uses the inherent power of natural herbs to bring about wonderful results on the human body. The herbs are natural and 100% safe. Ayurveda helps to naturally enhance the body functioning in an herbal way. The herbs for premature ejaculation help improve stamina and endurance in a healthy natural way. The male vigor and strength is increased by the usage of Ayurvedic herbs for premature ejaculation.
homeopathy discerns that the body has within it a controlling and defending force and power .It is only when this fighting power or resistance is disturbed, do we fall ill. The disease is thus not an affection of the parts but a disorder in the patient as a whole. Since one patient differs from another each requires a different medicine based on his individual and mental symptoms.
My name is Georgi atanasov from spain and i am a married man but was not happy with my life and marriage because of my penis size was embarrassing and frustrating,imagine a man of 37 years old having 2.4 inches penis when fully erected,to worsen it all ,i cannot even last 1 minute in bed and it was really destroying my marriage because my wife was always complaining anytime we make love and she said that i cannot satisfy her the way a man is suppose to satisfy his wife in bed also she was about to seek divorce because of my weakness in bed .i was frustrated and devastated because i have used so many product both online and hospital and non was able to enlarge my penis but when i was searching through the internet for a herbal cure and penis enlargement then i saw a testimony of so many people testifying about DR OBUE HERBAL PENIS ENLARGEMENT CREAM AND LIQUID on how DR OBUE help them to enlarge their penis size then i decided to try my luck he replied me also gave me some encouraging words and told me what to do which i did and to my greatest surprise after one week of using his herbal cream and liquid that he sent to me through UPS delivery service my penis size grow to 7 inches when fully erected and now it is two weeks of treatment and my penis size is 11 inches and my wife is always screaming anytime i make love to her,saying that i am killing her with my big monster dick size and i can stay in bed for more than 1 hours without cumming.
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My semen is very very thin and i feel very weak after ejaculation. My legs and back pain and feel very weak after ejaculation. Also i feel the desire to have sex all the time even though i cannot last a few seconds. I am currently taking homoeopathic treatment for this problem but have no improvement at all. I recently was on anti depressants for my anxiety problems. But the P.E. problem is much older so i dont think it has much to do with my recent anxiety problem.
According to the principles and philosophy of Ayurvedic medicine, PrematureEjaculation is caused due to aggravated Vata. The Prakupita Vata enters into Shukra dhatu and causes early ejaculation. It comes under the gatatva concept of vata characterized by a group of clinical presentations, which include ejaculatory as well as seminal impairments is referred as Shukragatavata or Shukravritavata.
Now, lie down on the floor. Contract your pelvic floor muscles for three seconds and then relax them for three seconds. You should repeat this process at least ten times and you can do these premature ejaculation exercises several times a day. Once you know you are targeting the right muscles, these premature ejaculation exercises can be done in almost any position, like while sitting, standing, driving your car, or watching television. They are entirely discreet and super beneficial to your sexual health.
On regular intake of Lawax last longer pills, one will be able to perform longer in bed and that will definitely boost up a man’s confidence. After taking this ayurvedic treatment for shighrapatan, he will be able to give enjoyable and repeated lovemaking sessions to his partner that will restore the intimacy of the couple. These last longer pills are responsible for healing, nourishing and strengthening of the whole male reproductive system. The overall libido or lovemaking drive of a person is also increased. Now, let us pay a closer attention to the ayurvedic herbs and natural ingredients that are used to make capsules of Lawax ayurvedic cure for premature ejaculation. After that, we have mentioned the directions of use of Lawax capsules also.
Both psychological and physiological factors come into play when you talk about premature ejaculation. Unfortunately, many men feel embarrassed talking about it and do not seek help, prolonging a condition that could have been easily cured. So the first thing is that you should talk about it with someone. Seek a doctor or a sexologist and discuss your problem with them. If you want discretion, you may try out an Ayurvedic premature ejaculation cure too.
The herbal tablets are made using the mixture of 23 wonderful ingredients including pure herbs. All the herbs used in this herbal formulation are mentioned in Ayurveda. The product has the power to boost the sexual organs of men as well as make the digestion healthy enough. The product is packed with nutritional herbs and is useful for overcoming the weakness, which is otherwise also a cause of this sexual problem. The product is useful for increasing the stamina and endurance in men.
The introduction of selective serotonin reuptake inhibitors (SSRIs) revolutionized the treatment of premature ejaculation.4 In 1994, the first study of SSRIs in men with premature ejaculation demonstrated a delaying effect with paroxetine (Paxil).5 Since that time, SSRIs have been repeatedly investigated for their propensity to delay ejaculation. Certain SSRIs and the tricyclic antidepressant clomipramine (Anafranil) have become the agents of choice for the treatment of premature ejaculation.6
meri age 26 hai . jab main 12 k tha tab se masterbation kr raha hun . one year se chor di but ek night fall bhi mere body ko tor deta hai aur bahut weakness feel hoti hai like joint pain aur bahot si jo ek overmasterbater ke hoti hai but meri problem sabse jyada penis ki hai jo ki erection ke time ok but normal condition mein bahut hi loose ho jata hai jo koi bi fitting ke trousers or underwear pehen kr jab bi baithta hun to uper nahin jata penis lagta testicles ki jaisa latakta hai like penis aur testicles mein koi defference nahi . sir please please help me …
Following much study and exploring of the problem, the Ancient Ayurvedic Doctors acquired finally agreed on the most crucial cause of Untimely Ejaculation. In the Aged Ayurvedic view, the challenge comes up when an imbalance of an essential energy in the body has took place or is occurring. The problem would remain until balance was restored. The essential energy that was found to be in imbalance by the Antique Indian Doctors was what is called the Vita.
The botanical name of Shatavari is Asparagus racemosus. The herb has been used for its multiple health benefits over centuries. Its medicinal properties have worked well for nervous and gastric disorders. Ayurvedic physicians have used its beneficial effects for improving female health and female sexual system since centuries. Its main sphere of action is on the female sexual system where it helps to increase the libido thereby helping improve confidence and self esteem.
Speak with your doctor if you consistently ejaculate before you want to. Remember, one instance of premature ejaculation does not mean that you have a condition that requires treatment. Your doctor may refer you to a sex therapist if premature ejaculation is causing major problems in your sex life or personal relationships or if you would like to consider behavioral therapy.
The penis is comprised of several key structures: the corpus cavernosum encased within the tunica albuginea, the corpus spongiosum containing the urethra, and the extensive vascular system of arteries and veins.8 In the flaccid state, penile smooth muscle tissue is contracted and arterial blood flow which supplies the sinusoidal cavities within the pair of corpora cavernosa is equal to venous drainage from them. With the exception of nocturnal penile tumescence, a sensory stimulus initiates the erectile process via two coordinated pathways involving vasoactive substances, prostaglandins, and circulating catecholamines.9,10 Nitric oxide, which is synthesized and released from endothelial cells, crosses into smooth muscle cells and enhances the activity of guanylate cyclase, which catalyzes the formation of cyclic guanosine monophosphate (cGMP) from guanosine triphosphate (GTP). The second pathway involves prostaglandin E1-mediated activation of G proteins within smooth muscle cells, followed by stimulation of adenylate cyclase and increased production of cyclic adenosine monophosphate (cAMP) from adenosine triphosphate (ATP).9 By decreasing intracellular calcium concentrations, both cGMP and cAMP cause smooth muscle relaxation, which leads to increased cavernosal arterial blood flow and decreased venous drainage resulting in an erection.
i am 43 year old man and married for 14 yrs. when i have sex with my wife, i normally ejaculate in 1 min after which there is no erection. this condition is prevailing for last 1 year. earlier i used to have normal time around 7 – 10 min. i am not diabetic. my pressure is normal. can u please suggest some homeo medication to help my condition. i exercise regularly and eat healthy mostly.

The diagnosis of PE is based on sexual history alone. A detailed sexual history should be obtained from all patients with ejaculatory complaints. When obtaining the patient’s history, several important sexual and psychological characteristics should be assessed: frequency and duration of PE, relationship to specific partners, occurrence with all or some attempts, degree of stimulus resulting in PE, nature and frequency of sexual activity (foreplay, masturbation, intercourse, use of visual clues, etc.), impact of PE on sexual activity, types and quality of personal relationships and quality of life, aggravating or alleviating factors, and relationship to drug use or abuse.
Sexually, in initial few years, I could not even do it without condom because going with bare-skin, I hardly could resist the ejaculation at it used to happen within 10-15 strokes. After 1-2 years, on my wife’s insistence, I tried without condom with some success. But now it again has come upfront. This type of problems are stereotyped with manhood so remain unarticulated.
Another solution that has been around for many years and which increases ejaculation latency time is the use of numbing materials. These usually come in the form of a spray or cream which you apply to the penis. Today, there are also condoms which have the numbing material inside them. In our experience, condoms are not practical, because the desensitizing material takes about 5-20 minutes to be absorbed.
1. The “Pause and Squeeze” method: This method is an easy exercise done during sex that includes the interaction of both partners. It can not only help prolong the time before ejaculation but can help you build more natural sexual stamina over time. In order to use this method, you need to stop intercourse when you feel the urge to orgasm. Then, have your partner wrap their hand around the base of your erection and squeeze firmly to slow blood flow to or from the penis. Your partner should keep this grip on your erection until your urge to orgasm is gone. Then, you can continue intercourse as normal. This method can be repeated as many times as you’d like.
Results take time and effort – It usually takes between 4 and 12 weeks to see results; and during this time you will be required to commit to the process. Not all men are motivated enough to put in this effort. But the power of a satisfactory sex life should never be underestimated; and if PE is something that you seriously want to overcome, we believe you will find it worthwhile to give this a go.
homeopathy, on the other hand, effectively deals with the root cause of the disorder and provides lasting solutions. In addition, certain changes in the lifestyle can go a step further and relieve the patient of his problems successfully without opting for any make-shift treatment. It is strongly suggested that patients suffering from erectile dysfunction, premature ejaculation or other sexual dysfunctions seek homeopathy early on to experience the benefits of this science to the fullest.
I use Promescent and I have been extremely happy with it. It's a spray rather than a cream and you are able to personalize the number of sprays to your individual needs. It's lidocaine based with an absorption molecule so it should be able to decrease the sensitivity you are experiencing. I really like the product and I believe it could help others out

47 years. 19 years married. Had bad habit of musterbation up to my age of 20 years. Sexual thought always haunted me. I suffered from night fall from the age of 15 years to 28 years. After marriage it had gone. But I do not get satisfaction in intercourse. Because, my sensation is nil. I do not feel charm. No good feelings of ezaculation. Premature ezaculation. But, my erection exist, so, I go on any way until my wife is satisfied. So, I do relation to satisfy my wife only. I have nothing to get from it. I am losing my interest in sex. Please advise.
age 30 year ,i m married , my sex desire was good but i was sufering premature ejaculation for year & creat stress & anxiety,after get married when i have sex that time i was not getting sexual desire due to fear of ejaculation,despite no desire, nd ejaculation occured, since next day i was complety lost my sex desire, 2 year passed away, but still i try to have sex but only erection happened but mind is sensless from desire or excitment and quickly semen released. after that my mind became heavy nd irritating.i use agnus castus , yohimbinium etc but no improvment on desire except organ. please help my married life is going to ruin…
The most indicated homeopathic treatment for premature ejaculation with impotency are Phosphorus, Avena Sativa, and Nuphar Luteum. Phosphorus is a very effective homeopathic medicine for treatment of premature ejaculation with impotency. Person having irresistible desire but lacking power is treated well with Phosphorus. Premature ejaculation and too much sexual indulgence resulting in impotency is treated well with Avena Sativa. Another wonderful homeopathic medicine Nuphar Luteum is best indicated in case of early emissions, impotency and with complete absence of sexual desire.
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