ED has been associated with low serum testosterone levels secondary to hormonal conditions such as hypogonadism, and testosterone replacement therapy has been shown to improve these symptoms in patients with androgen deficiency.29 Several testosterone replacement products are commercially available including: immediate and delayed release injections, a transdermal patch, topical skin gels, a buccal mucosa delivery system, and sterile pellet implants. The less-practical, short-acting testosterone propionate injection is administered several times a week and has been largely replaced by the lipid soluble ester formulations, testosterone cypionate and enanthate, which can be administered every 2 to 4 weeks. Two transdermal formulation patches (Testoderm and Testoderm TTS) designed for application to the scrotum are both currently unavailable through the drug manufacturer. One available non-scrotal transdermal delivery system (Androderm) is available in 2.5 mg and 5 mg systems, which should be reapplied nightly, every 24 hours. A 1% testosterone gel preparation (AndroGel) for trandermal delivery is available in 2.5 g and 5 g unit dose packets. A metered dose pump (Testim) is another 1% testosterone gel and is available in 5 g tubes. Patients should be instructed to wash hands after applying and avoid showering within 2 hours of application. A controlled-release mucoadhesive buccal delivery system (Striant) is designed to administer 30 mg of testosterone over a 12-hour period when applied above the incisor tooth twice daily. Implantable sterile cylindrical pellets (Testopel) are subcutaneously implanted by a healthcare professional and continuously deliver testosterone for 3 to 4 months or up to 6 months. Dosage should be individualized based on the minimum daily requirements of testosterone; two 75 mg pellets should be implanted for each 25 mg testosterone propionate required weekly.
Forty years ago, pioneering sex therapists William Masters, M.D. and Virginia Johnson developed a simple, effective program that quickly cures most men's rapid, uncontrolled ("premature") ejaculation (PE). The Masters and Johnson program, modified a bit over the years, is still used today. It empowers 90 to 95 percent of men to break the PE habit and learn to last as long as they'd like.
Premature ejaculation (PE) treatments work by inhibiting your body’s impulse to orgasm. They vary in method - you might be prescribed an anaesthetic cream to numb the penis, a prescription tablet to delay ejaculation impulses in the brain, or find that counselling helps to root out psychological causes. The ultimate goal is the same: to help you to last longer during sex, and to soothe feelings of embarrassment or dissatisfaction associated with the condition.
The most effective homeopathic medicines for premature ejaculation along with diminished power are phosphoricum acidum, conium, sulphur, and iodum. Phosphoricum acidum acts well when sexual power is diminished, testicles are very tender and swollen. Conium is widely used for treating early emissions along with diminished power. Sexual nervousness with weak erection and ill effects of a sexual desire indicates conium. Sulphur is a very effective for premature ejaculation along with impotency especially when the organ are cold, relaxed and powerless. Premature ejaculation, loss of sexual power with atrophied testes is treated well with homeopathic medicine iodum.