As a result of their mild vasodilatory effects, caution should be exercised when the PDE 5 inhibitors are coadministered with other antihypertensive agents. The administration of nitrate-containing preparations are contraindicated with sildenafil, vardenafil, and tadalafil due to the profound hypotensive effects of this drug combination. Furthermore, because of the underlying association of ED with cardiovascular disease, clinicians should carefully assess whether these agents are indicated in a particular patient. The Princeton Consensus Conference was developed to stratify ED patients by cardiovascular status into low-, intermediate, and high-risk categories to assist practitioners in determining whether a particular patient can safely engage in sexual intercourse.20 The Second Princeton Consensus Conference reaffirmed these criteria in 2004.21
It is defined as persistent or recurrent ejaculation with minimal stimulation, either before, upon or shortly after penetration and before a person wishes it. This disturbance causes distress and interpersonal difficulties and can lead to decreased satisfaction with either one or both partners. It is now also recognized that ejaculation happens with little or no voluntary control.
Premature ejaculation is a condition which is characterized by uncontrolled ejaculation shortly after or before sexual penetration. It can happen with very little or no sexual arousal of the person. This emotionally affects people by making their self esteem drop and can also cause anxiety problems. Premature ejaculation is very common and also results in unsatisfactory sex.
सर,मैं 30 वर्ष का युवक हूँ।जो विगत 14 साल से धात व शीघ्र पतन की समस्या से ग्रसित हूँ।मैंने 10 वर्ष की आयु से ही अत्यअधिक मात्रा में हस्थमैथुन किया।जिसके बाद धात व premature ejaculation की समस्या उत्पन्न हुई। जरा सा भी कामुक विचार आते ही बहुत अधिक मात्रा में चिपचिपा पदार्थ निकलता है। तथा योनि में लिंग डालते ही वीर्य निकल जाता है।2 सेकंड में ejaculate हो जाता हूँ।मुझे तनाव,चिंता,स्मरण शक्ति की अत्यअधिक कमी,आत्म विस्वास की कमी
There are no physical or biological complications of premature ejaculation. However, if you consistently have premature ejaculation, it could put a lot of strain on your relationship. Occasionally, premature ejaculation may cause fertility problems. If you have been ejaculating too often or too prematurely, your sperm count may be low. Ejaculating prematurely may also prevent fertilization from taking place. In such a case, you may have to consider infertility treatment.
He’s already learned some coping mechanisms—not rushing into sex, avoiding certain positions—but there’s a limit. “If my wife were willing to completely sacrifice her needs and let me not move for a couple of minutes at a time, I could last a very long time,” he says. “But there are only so many times you can do that without exhausting your reservoir of goodwill.” Though happily married, he’s emotionally tormented: “Half the reason guys have sex is to get off, and the other half is to have women say nice things about them—to reflect back to them their great manliness. When you come too quickly, you feel like you’re a kid and not a man, because you can’t control yourself and you can’t please a woman.”
Hi-My name is Jose and I am 59 years young, and I have IBS and prostate cancer and I found this out because I have had a very overactive bladder for the past few years. After going to the free clinic last June I will FINALLY be starting my prostate cancer treatments the last week of October and my doctor prescribed me Viagra that I am supposed to take beginning the week before my treatment begins. I don't have a lot of money (the treatment is taking every bit of my HSA) and he told me there were places online I could buy it and save some money, as Im going to be working a lot less during the treatments. Also, I am wondering if anyone has taken Viagra and if it affected your over active bladder issues at all?
I m suffering from PE since last more than 1yrs. I m so streess due to my job as well as due to my marriage life and another thing is i m constantly thinking about sex but i m so afraid about early ejecuation so within 30 sec after inserting in vagina i m ejeculate. So plz suggest me homeopathic medicine or suggest any combination of homeopathic medicine to treat my problem.
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Directions: Three times a day (perhaps at meal times), squeeze and lift the muscles in that area, then relax them fully. Hold the squeeze for ten seconds, then rest for four seconds; do this ten times. Then do ten quick flicks. This should only take a few minutes and you can do it whilst sitting or standing. When you squeeze the PC muscles, it should feel as though you are holding in wind or urine. Make sure you are not holding your breath and don’t squeeze your buttocks, thighs or tummy muscles.
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.
I am suffering from Premature Ejaculation due to over excitement during sex. I discharge in less than one minute. There is no problem in erection.What’s should i do to last for half an hour….. One more thing while having sex, if I use condom or I masturbate, the intercourse session is increased.I will get married within 3 months but I must solve this problem of premature ejaculation if I want to be able to fulfill my future spouse’s sexual needs. As a matter of fact, if I can’t find a solution to my problem of ejaculating within a minute or two after penetration, I don’t need to get married at all I feel. I am in desperate need, therefore, to get this problem addressed… Is there real hope for me? And if so, how do I go about getting the help?
I’m 35y old with 65kg athletic body suffering from PE. I have weak election and mostly indulge in sexual fantasy at the age of 15-16y regularly masturbating till age, but from the last 2-3 years I’m masturbating very rarely and night fall happen only in a month bcz i have taken some unani medicine. My problem is now i get excited instantly and whn masturbate I ejaculate in a minute and feel weakness, pain in limbs I have no health problem I’m still fit, no disease, so kindly suggest me some gud medicine.
Natural remedies for treating erectile dysfunction Erectile dysfunction has many causes, can affect any male, and is often distressing? Some people advocate several different natural remedies, mostly herbs and other plants. Here, we look at their merits and side effects, plus lifestyle changes, and alternative therapies that may bring relief for erectile dysfunction. Read now
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Diagnosis and treatment outcome measures. A complete assessment of sexual function should be evaluated in order to differentiate ED from PE, which has been reported to co-occur in approximately 30% of patients.40 Complaints involving difficulties maintaining an erection as a result of early ejaculation in the absence of comorbid ED factors could be misdiagnosed as ED if a patient is not properly screened for PE. A short intravaginal ejaculatory latency time (IELT), which is the time from vaginal penetration to ejaculation, can be helpful in establishing the underlying etiology of sexual dysfunction. Recently, the Premature Ejaculation Tool, a valid and reliable measure of premature ejaculation, was developed to capture patient concerns beyond a short latency time.42
Ashwagandha: Ashwagandha is a very popular ayurvedic cure for premature ejaculation used in India to very easily delay PE as well as numerous other male reproductive problems. This herb helps in boosting libido and attaining long ejaculatory latency. On regular consumption of Ashwagandha, the pleasure of lovemaking is enhanced manifold along with the improved stamina. It is also a crucial ingredient that is used to make ayurvedic treatment for premature ejaculation.
Sir i am Ajit pal singh from punjab bathinda i am married one baby but i am faced early discharging problem and my piens not properly hard if i stops doing sex for 10 seconds my piens are ded i face this problems in long time some madiciens used but no results my age 40 years i think my sex power early ends plz tell me some madiciens to improve my sex power and strong piens thanks
Thanks for this wonderful writer up, please I do have premature ejeculation which occurs immediately I penetrate and my semien is watery,on my right breast has something like cysts which not painful in morning it will look as if it has desolved later in the day if I press it have gathered again it makes my right breast to be more than the left side.
Changing the approach/thinking when making love can help to prevent you from climaxing early. How can you do this? well, the best way to relax and remain calm is by putting your attention in your breathing, also noticing your partners breathing, is faster, slower than yours…no need to change it, just become aware of it, are you breathing in your chest or lower in your belly? Simply by shifting your attention to your breath may help change your mindset. Take time to check how you feel, the different areas of your body, slow down, there is no rush, no pressure, there is no objective so not focusing on orgasm, but the sensations and pleasure you and your partner experience along the way can also help with his.
Hi Doctor, Im Khalil from Pakistan. Sir I have the problem of premature Ejaculation from a very long time approx 10 years back, you can sasy from the start of my marriage. my timmings are nothing. its below to 1 minute and some times its not crossed 20 seconds. even then i got released if my partner start and make me ready for sex. im very disturbed from it. Kindly suggest me any top best level medicine for this treatment. which can easily available in pakistan.
Dear Sir, my sperm discharge within few seconds when i talk or touch my girlfriend . I am 23 years old boy and suffered from premature ejaculation from 7-8 years . I am starting masturbating when i am just 14 years old and done it fastly and vigorously , so now i have no controll on it . Hence , It occurs due to my bad masturbating habbit in early age . I, m unmarried and does not undergoes sexuall inyercouse yet. Please preffer me safe homeopathic medicine .
There is no such strict ejaculation time period. But still if the ejaculation is occuring in 5 to 8 minutes can be considered as normal ejaculation. But if the ejaculation is occuring in 1 minute can not be called as healthy and normal ejaculation. Another thing if both the partner are happy in that short period also can not be called as pre mature.
PE may occur due to medical conditions affecting the nervous system and urinary and reproductive areas of the body. A man’s ability to control his ejaculatory reflex can also be affected by alcohol, drugs and medication, as well as low testosterone or an over-sensitive penis. Visit your GP or LloydsPharmacy Online Doctor for further advice on Premature Ejaculation.
As a part of the shighrapatan treatment, doctors usually suggest ‘off-label’ allopathic medication usually a type of antidepressant that helps in dealing with enormous stress during PE. Such allopathic medicines contain harsh chemical ingredients and can cause harmful side-effects. Certain other treatments include application of a local anesthetic cream to the male genital to decrease the sensitivity and delay ejaculation. Such methods drastically reduce the pleasure during lovemaking for both the partners due to contact with that anesthetic cream. In some cases, these topical creams may even result in an allergic reaction. Hence, one can easily see that all such treatment oppose the threats of serious reactions to our health.
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Ayurveda is an ancient Indian system of medicine that makes use of herbs existing in the nature and formulates herbal remedies using the inherent power present in these herbs. We in Ayurveda believe that herbal remedies bring to you the richness of the herbs in a natural, unadulterated form. These combinations help improve immunity and provide strength, endurance and will.
I’m Andrew Barji I’m facing problem during sex.during foreplay my penis becomes wet even a thought of sexual activity or when I see sex pictures or videos my penis will go wet and after inserting penis it often ejaculate within a minute. Sometimes when I’m in the mood to have sex and I hold my penis I will discharge though I used to masturbate earlier not now.pls sir I need your help and better prescription. Thanks and God bless you for your good work. Regards to your family.
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
Due to excessive sex desire i have abused my self with masturbation and due to which may be iam having these problems, shriviled penis even after erection it is 4inch and the dia is 3 inch, early discharge and premature ejaculation also. The early discharge is on thinking or feeling about having sex. But after that also there is ejaculation but it finishes in seconds , please advice me which homeo medicines should i take to at least safe guard my next marriage.
Retrograde ejaculation can be caused by diabetes, nerve damage, various medications, and surgery that disturbs the sphincter muscle. It's harmless and won't interfere with the feeling of orgasm. (It can also make for an easy post-sex clean-up.) But since it does affect fertility, some men may need treatment if their partners are trying to get pregnant.
I am facing too much problem of premature ejaculation as I was in habit of “Mushtzani” due to watching film and now I am using Avenasat Q, Acid Phos Q, Yohimbino Q, Dimiana Q, Nuphureno Q, Murapho, Q, agnus castus,Q yohimbino, acidum phosphoricum, selenium and dimiana (R-41 and Maktum Tablets) suggested by my Boss who was an Addl. Registrar in High Court but nothing was effective for me and now I am much weak in premature ejaculation and diminished desire Dr. Sahib I have a female daughter but now I am much ashamed before my partner. My age is 40 years. Kindly suggest the best treatment for premature ejaculation and stiffness and hardness and desire as I am too much weak in premature ejaculation and diminish desire. Dr. Sahib It is also pointed out that my body has some heat. kindly must reply as I am much anxious and awaited for your sympathetic consideration