A couple of years ago, I met a guy at my local bar, and as soon as I beat him at eight-ball, he said he liked my eyes. We went to his place and stumbled quickly into bed, and after he slipped something on, we got down to business. He squirmed a little as he entered, and I noticed that it was very small. Being polite, I didn’t say anything, and we were still fumbling at it fifteen minutes later when I said, “Too many beers?”
The most common complications associated with the penile prosthesis are device malfunction and infection. Technological advances have decreased the rate of malfunction and a recent review found a 10-year device survival rate of 79.4% in 2,384 patients with inflatable products.33 Similar advances have led to the development of antibiotic-coated devices, which have resulted in decreased infection rates.
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Drug induced causes of erectile dysfunction are common and can complicate the medical management of underlying conditions associated with ED such as hypertension, depression, and BPH (Table 1). Beta blockers, selective serotonin reuptake inhibitors (SSRIs), and the uroselective alpha adrenergic receptor antagonists have been associated with the loss of libido or ejaculatory disorders, which can result in drug discontinuation by patients and suboptimal treatment of these conditions. Researchers examining the role of drug exposures in the prevalence of erectile dysfunction found that hypertensive patients taking selected antihypertensive therapy increased the odds of ED prevalence, compared with patients not taking selected antihypertensive therapy (odds ratio [OR] 3.0, 95% confidence interval [CI] 1.6-5.9).13

Pastore et al reported long-term benefit from pelvic muscle floor rehabilitation (PFM) in patients with lifelong premature ejaculation. The 154 participants in this retrospective study entered a 12-week program of PFM rehabilitation, including physio-kinesiotherapy treatment, electrostimulation, and biofeedback, with three sessions per week, with 20 min for each component completed at each session. Of the 122 participants who completed PFM rehabilitation, 111 gained control of their ejaculation reflex. Of the 95 participants who completed follow-up, 64% maintained satisfactory ejaculation control at 24 months and 56% did so at 36 months. [55]
Clinical efficacy. Clinical studies evaluating the efficacy of alprostadil have generally found that the intracavernous injections are more effective than the urethral suppository formulations. In a randomized, open-label, multicenter study involving 111 patients, 82.2% of intracavernous administrations resulted in successful intercourse, compared to 47.4% of urethral alprostadil suppository administrations (P<.0001).28 Similar results were found in a study that compared intracavernous injection to urethral suppository use in 66 patients with ED. Of alprostadil injections, 85% led to intercourse, compared to only 55% of suppository administrations (P<.05).27
I am male 39 year old having problem of PE.i do no smoke neither drinks.presently working in judiciary.i used masturbate till marriage.Before marriage i eas having sex affair with a women.i am married for five years.since 2to3 years iam having PE sex problem i am not satisfying my partner besides this as soon as my penis erects it starts emission and within two to three stokes i ejaculates and now i have lost sex desire i am in dilemma kindly redress my problem by ur valuable suggestion .Thanking u sir inanticipation.looking forward to ur advice
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Another effective strategy is to work with your partner or through masturbation to train your body to delay ejaculation, says Kramer. “You get to the point where you are going to ejaculate and then stop and think about sports or something else to cool down,” he explains. “This will help you train your body to master that response when you are with your partner.”
Men with this condition cannot identify the feelings that happen right before orgasm – this is the point of no return. In other words, men with PE are unable to recognize that they are about to come until it’s too late. This makes it difficult for them to pace themselves and prevent ejaculation from happening too soon, which also means that their stamina never has a chance to improve.
Transient visual changes and disturbances in color vision have been reported rarely with the administration of the PDE 5 inhibitors, because these agents are known to exhibit partial selectivity for the PDE 6 enzyme that is present in rod and cone photoreceptors.22 More recent postmarketing reports of decreased vision or complete loss of vision as a result of nonarteritic anterior ischemic optic neuropathy (NAION) have led to further investigation of a temporal relationship between the PDE 5 inhibitors and this condition. NAION is an uncommon visual disorder that can lead to decreased visual acuity as a result of a swollen or "crowded optic disc" and is typically more prevalent in patients with a small cup-to-disc ratio and comorbidities such as hypertension, hyperlipidemia, stroke, and coagulation disorders.22 Given that the risk factors for NAION share a close association with underlying disorders observed in ED patients receiving treatment with PDE 5 inhibitors, it remains unclear whether these agents increase the likelihood of developing NAION.

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
Prior to the market arrival of the oral PDE 5 inhibitors, alprostadil, a prostaglandin E1 analog that facilitates the erectile response through cavernosal smooth muscle relaxation, was considered the treatment of choice for the management of ED.12 Alprostadil remains the preferred second-line treatment option for patients who are unable to tolerate, or have an inadequate treatment response to the PDE 5 inhibitors.14 Alprostadil is commercially available as Caverject Impulse and Edex intracavernous injections, as well as Muse urethral suppositories. At the time of this review, Caverject Impulse is temporarily unavailable through the drug manufacturer.
The last technique that we will look at now could be very similar to the Meditation approach that is mentioned above, however this technique moves one step further again by introducing body or muscular control as well as mind control. The technique is known as Yoga. As mentioned above, difficulties benefit that Yoga exercises brings, that wasn’t present simply through meditation, is that this more complicated strategy involves not only relaxation, and control of your brain, but also the great things about teaching you to control your system as well, to be control your inhaling, as well as to strengthen your constitution and mental and physical health.
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?
Sir, I am kamalendu roy.for my premature ejaculation problem and erectile problem and size of penic.but problem you suggest me avena Q DaimanaQ and China Q.and acid phos 1m and selenium 1m. Can i take avena DaimanaQ and China Q before meal or after meal. And i want to tell you that after foreplay when I entered my penic i think i am very excited and i discharged early. Please sir help me.. I can’t stay more than 10seconds.i d penic is also not erectile properly. And seen is very liquid. Please sir help me… Please sir
Mei 59 years ka hu and pichle 7 years se diabities ka patient hu. Beginning mei to sugar levels by walking and change in food habits se controlled ho gayi per last 3 years se walk nahi kar pa raha hu kyoki office ki distance and traffic conditions ki wajah se bahut late aata hu and morning mei bhi jaldi jaana padta hai. Iski wajah se ab dawai leni pad rahi hai.
Sex is one of human most desire, which can never be stop. I am a married man. having to son, during sex with my wife I ejaculate eithen minutes, my sweet wife get very angry says u r satisfieing ur on desire, I try to have second sex with her but my peni does no erected, n my desire vanished, which makes me very worried, what medicine will be the best which will make both of us happy

Sir I am a btech student of 6th sem, I have a girlfriend too, though she loves me a lot & never want to a big sex from me but I am very much sad about my problem premature ejaculation. I get excitement even her soft lovely word like kiss ( not sexual words). A slippy liquid comes sometimes. Even when I masterbate (1-2 times in month) it comes out very early, with in 1 minutes or less. I am very sad and never concentrate on study for this.. I need a good job, be a good son of my parents also a good husband of my girlfriend.. Sir help me please. Help me sir. Waiting for ur reply.


With respect to the indications described on the portal, my symptoms and indications are identical to what have been described to cure with China and Staphysagria however I don’t know in what proportion should I take these medicines and should we take Mother Tinctures Or Potency (e.g. 30, 200 etc.) drugs of these compounds or would you suggest anything better to cure my problem
Premature ejaculation is a very common complain. So the first thing you should do is breathe easy about it. If you have premature ejaculation, there is nothing wrong or over-the-top about it. It is a common condition that many men suffer from every now and then. Just because you have ejaculated prematurely today, does not mean it will happen always.
The mixture of herbs in this product work together to combat the radicals and other toxins from the body that are in turn generated due to stress or anxiety. The product is useful for increasing the stamina in men and helps in the prolongation of intercourse time. The blend of nutritional herbs makes the product tasty enough and in turn useful for regulating sex desire in men.
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.
I am 28 yrs old male , I am very worried due to my quick ejaculation and i masturbate regularly and i am not married while masturbating within 1 minute and some time maximum 2 minutes i ejaculate and i am very much worried, if this continue it will affect my marriage life , So i request you to please give some good medicines so that it will take maximum time to ejaculate.
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
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 have premature ejaculation problem from the day one of our marriage. After I insert it into the vagina it takes only 2-3 strokes to ejaculate. My penis is too sensitive, even if my wife strokes with her hand it ejaculates after 2 -3 strokes. There is no erection problem; rather it becomes very hard at erected condition. During foreplay normally I become very eager to penetrate it into the vagina knowing that it will ejaculate soon! We are managing some how with this problem mainly restraining myself – like I just insert it but do not make any stroke for some time and then when it cools down a little just stroke 1 or 2 and the put a hold once again.
Some products contain oils basically work the same way as the penis enlargement cream. These oils contain herbs, amino acids, vitamins and minerals to encourage growth. The combine use of these herbs and minerals and known to increase blood flow to the penis helping not only increase the male manhood but also helps to keep the male organ healthy. Some men use these herbs and vitamins if they are suffering from erectly dysfunction (impotence) or premature ejaculation.

In ‘Bhaishjya ratnavali’ (an Ayurvedic text), a chapter named ‘veerya stambhana adhikara’ (chapter which contains various formulations which are useful to control ejaculation) is mentioned. Various single drugs (herbal), herbo-mineral formulations, various external applications (a paste containing various herbs) over feet and lower abdomen to with hold ejaculation, different amulets (wearing amulets prepared by various herbs) and various other practices are mentioned in Bhaishajya ratnavali [19].
i am suffering from hyperhidrosis from my childhood. the effected area is palm, feet & armpit only. in winter season my these part are also wet. in summer its gone worsest. i am unable to wear shoes in any weather, unable to write, unable to wear plane shirt. this problem have made my life worse. i am taking calcerea carbonica for 1 month but no relief found yet.
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10 Exercises To Deal With Premature EjaculationTo make your sex life more satisfying, you can control your ejaculation and orgasm at the right time. Here are 10 tricks that will help you put an end to premature ejaculation.  By: DoctorNDTV  Updated: Feb 20, 2018 06:06 IST 4-Min Read  SHARES These exercises will help you put an end to premature ejaculation Gentlemen, if you are feeling embarrassed or anxious because of ejaculating too soon during your intercourse sessions, this can help. While premature ejaculation happens mostly because of psychological reasons like depression, anxiety and over-excitement, it may also happen due to hormonal problems, an injury or other disease. To make your sex life more satisfying, you can control your ejaculation and orgasm at the right time. Here are 10 tricks that will help you put an end to premature ejaculation
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.
Lawax oil is wonderful part of ayurvedic premature ejaculation treatment that proves highly beneficial in treating the quick discharge of semen and mitigating all its distressing symptoms. Exotic herbal composition of Lawax oil helps to repair, heal and strengthen the weak penile nerves by providing the much needed nourishment and support to them. This herbal oil when applied over the affected area seeps through the dermal layers and the essential ingredients start providing their effective action. On consistent massage with Lawax oil, blood circulation through the male genital area is improved for good. The quality as well as functioning of male reproductive system is tremendously improved after massaging using this ayurvedic oil.
The first of these herbal remedies takes little preparation and uses substances easily accessible at the superstore or health food store, however, for the best effects, if these products can be gathered from organic, and unprocessed, options, the effects is often more strong. For this remedy, you need to take an Almond nut and crush it in a mortar and pestle until it is crumbled. The crumbled Almond is then located into a glass of milk, and consumed. This drink is taken twice a day. The result should be noticeable within a week.
Life was good outside, but in the bedroom there was always war. My weak Erection and early Ejaculation affected my job, emotion and I was depressed for years. I became suspicious and jealous because my wife was not having what she needed from me. I got to state where the only alternative was to find a cure from drugs I was used to. Luckily for, I read about Dr UDI Herbal medication. First, I was in doubt because I have tried a lot of medications. But Dr. UDI Herbal medication cleared my doubts after using it for a month as recommended; my Weak Erection and Premature Ejaculation became a history. If you are having similar issue, you may contact Dr. UDI via [email protected] OR contact him through what-app via +2348051243538
Ayurvedic material related to ‘Shukragata vata’/ ‘Vajikarana’ was collected from major Ayurvedic texts with their commentaries like, Charaka samhita, Sushruta samhita, Ashtanga sangraha, Ashtanga hridaya, Bhaishajya ratnavali and Yogaratnakara. Materials pertaining to Yoga were collected from ‘Hatha yoga pradipika’ & ‘Asana, Pranayama, Mudra & Bandha’. Electronic databases ‘Google scholar search’ and ‘Google search’ were searched for relevant studies and reviews published/appeared from 2010 to December 2016. The key words used for search were, ‘Premature ejaculation & Ayurveda’. Abstracts and full text articles which are freely downloadable and in English language were only included.
I am 40 yr old married for last 19 years and having two children. Usually I have sex in 5-7 days. I think I am slightly weak in performance. Erection comes normal but not so hard. While performing foreplay I feel quit OK but after 5-10 minutes of foreplay my penis goes slightly weak and when it comes to start the action it is slighly weak. At the same time the duration is less. Otherwise everything is OK. I only want to increase my libido so that I can have sex 2-3 times within 2 hrs. At the same time only slight boost up is required. Please advise. Thanks
The opinion of a partner can provide a significant contribution to clinician understanding. A complete description is essential in distinguishing PE from ED, i.e., the inability to attain or maintain an erection, because these conditions frequently coexist. Moreover, some men are unaware that loss of erection after ejaculation is normal; thus, they may erroneously complain of ED when the actual problem is PE.
When you get hard, your pelvic muscles keep blood in your shaft. This helps to enhance and maintain your rigidity, says urological surgeon Dr Andrew Siegel, the study's author and creator of pelvic floor exercise DVD Private Gym. And for premature ejaculators, squeezing those muscles can delay your orgasm. The stronger these muscles, the better the effect, Dr. Siegel says.
Premature ejaculation that relates to erectile dysfunction may resolve if the erectile dysfunction is treated successfully. If a patient has depression-related erectile dysfunction but not premature ejaculation, a drug with minimal adverse sexual effects might be considered so as to avoid causing delayed ejaculation or even anorgasmia. [22] However, if the patient has premature ejaculation, erectile dysfunction, and depression, an antidepressant with SSRI side effects has the added benefit of possibly alleviating the premature ejaculation. [23]

When I lie in procumbent manner and think a sexual speech in my mind then the sperm come out after 1 minute but till I am not sleeping just lie in procumbent manner. From 7 year ago to now I am suffering this disease. So I kindly request you to tell which medicine I shall take.If I convalesce in your theory then I shall owe to you. And I always pray God for you that God take you into heaven
I’m masturbating for 6 years. I’ve stoped masturbation now but I’m suffering from great impotency problem. Unable to make my penis stand. I’m 19 years old, I masturbated when I was 14 years old. I’ve stopped masturbation now. I took yohimbinum Q and bryta carb 200. But I stopped taking yohimbinum Q because I was taking it without prescription of any homeopathic doctor. What should I do now? I can not make my penis stand fully. Plz help me. I cry at every night. Plz help me.
Premature ejaculation that relates to erectile dysfunction may resolve if the erectile dysfunction is treated successfully. If a patient has depression-related erectile dysfunction but not premature ejaculation, a drug with minimal adverse sexual effects might be considered so as to avoid causing delayed ejaculation or even anorgasmia. [22] However, if the patient has premature ejaculation, erectile dysfunction, and depression, an antidepressant with SSRI side effects has the added benefit of possibly alleviating the premature ejaculation. [23]
Unfortunately, most doctors are unaware that sex therapy works so well. When men mention PE, doctors usually prescribe low-dose antidepressants. Why? Because the popular SSRI drugs (Prozac, Paxil, Zoloft, etc.) cause several sexual side effects-including delayed orgasm/ejaculation. In men, this means lasting longer. Drug makers have persuaded doctors to harness this side effect to treat PE.

Premature Ejaculation (PE) is defined as ejaculation before the completion of satisfactory sexual activity for both partners. ‘Shukragatavata’ is a pathological entity of Ayurveda similar to premature ejaculation. The present article is aimed to find out various formulations or practices available in ancient Indian erotic literature, Ayurveda and in Yoga. Ayurvedic management of premature ejaculation consists of, various herbal and herbo-mineral formulations, external applications over lower abdomen or all over the body, wearing different amulets made by herbs, psychotropic herbal drugs for reducing performance anxiety, various techniques elaborated in ancient Indian erotic literature to fasten the orgasm in female partner and also use of shukra stambhaka drugs to improve control over ejaculation. Vasti is an important panchakarma procedure and an ideal choice in the management of premature ejaculation. Various yoga practices are also described to get control over ejaculation and among them ‘vajroli mudra’ is an important one.

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Hi sir, i am satyajit. I am a 26 years old boy. My height and weight is 5’6” and 55 kg respectively. I am unmarried. I am starting mastarbrates at the age of 17. I do mastarbrates still now. In the time of mastarbrating my sperm within 10-15 seconds. I want to get rid of this problem. Please suugest me the medecine and it uses so that i can get rid of this problem
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