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.
Over-the-counter topical anesthetic creams contain a numbing agent that can treat premature ejaculation by reducing sensation and delaying climax. Apply the cream to your penis 10 to 15 minutes before sex in order for it to be most effective. The 2017 Sexual Medicine study found that topical creams can help increase the time it took to ejaculate by a few minutes. Although generally well-tolerated, anesthetic creams can cause:
Suffering from Premature ejaculation & eraction dysfunction. Age 40 yrs, penis power also not remains for long time and discharge within 2 seconds. I had habit masturbation in the early age from 12years .But after marriage experiencing premature ejaculation. My sexual desire is ok , if doing masterbation then timing is correct (4 to 5 min) but during sex I have problem and pe within 10 seconds.
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.
Hoping you to be fine.I am from Pakistan.my age is 20 years and weight is 90 kgs and height iis 5’8. Sir I am an anxiety patient…i wanted to let u know that when ever i go near a girl in university my penis erects and when 5 minutes body heats up and i am about to discharge the sperms.i cant have control over this please help me out in curing this anxiety.
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.

Hello sir.. I am suffering from nightfall past 6months. The nightfall generally occrs in early morning between 4 to 9 am.Sexual dreams occur also.Sexual arouses occur fastly in my body but there is no weakness in me.Though I had a bad habit of musterbation in early age it never happened early days.After I started consuming allopathic medicine for acne treatment it started to occur.Early days it was 4 to 5 times a week but now it decreased to 1 to 2 times a week.Please help me.I will do whatever you say to cure this irritating disease. Thank you
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A highly recommend book is - The Multi-orgasmic Man: The Sexual Secrets That Every Man – by Mantak Chia, this offers a thorough explanation of Taoist techniques and moving sexual energy with some practical tips for you to try. Another way that may help you master these techniques is by receiving a tantric massage, where you can learn and practise the methods under instruction of a master practitioner who can help you to move sexual energy and show you how and when to use these techniques.
Not surprisingly, drug companies were quick to take notice. A short-acting SSRI called dapoxetine has already been developed specifically for premature ejaculation. According to a 2006 study published in The Lancet, when taken one to three hours before sex, the drug increased the time from penetration to ejaculation from 1.75 minutes to 2.78 minutes for men treated with 30 milligrams of the drug. Men who got 60 milligrams lasted 3.32 minutes.
The arrival of sildenafil (Viagra) to the US market in 1998 was the first FDA approved oral PDE 5 inhibitor. It was followed shortly by vardenafil (Levitra) and tadalafil (Cialis) in 2003, marking a shift in the management of ED as more patients began to seek treatment with the availability of these more convenient pharmacologic options. All 3 agents exert their effect by selectively blocking PDE 5 in cavernosal smooth muscle cells, which leads to a greater concentration of cGMP, thereby enhancing the effects of smooth muscle relaxation and cavernosal blood flow resulting in prolonged erectile function.
Iam suffering from severe premature ejaculation. I discharge within 6-7 secs. when ever i complete my urine some drops of urine drips out just aftet. I m suffering from excessive precum leakage too. I used to masturbate excessively . I think my P.C muscles has got damaged due to excessive hand practise. Is there any treatment in homeo to strenght my p.c muscles, cure premature ejaculation and enhance stemina.
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.
[Guideline] Stanley E. Althof, Ph.D1., Chris G. McMahon, M.D.2, Marcel D. Waldinger, M.D., et al. An Update of the International Society of Sexual Medicine’s Guidelines for the Diagnosis and Treatment of Premature Ejaculation (PE). International Society for Sexual Medicine. Available at https://www.issm.info/images/uploads/PE_Guidelines_v12_-_FEB_2014.pdf. February 2014; Accessed: September 25, 2018.

HERE IS MY TESTIMONY, I am from United State , i want to share a great testimony of how Dr ODUMU herbal mixture cream saves me from shame and disgrace, my penis size was a big problem to me as the size was really so embarrassing and discouraging, a 40 year old full grown man like me having 3 inches penis and to worsen it i don’t last in sex i cant even last one minutes it was really a thing of shame my wife was really tired of me because my sex life was very poor , she never enjoyed sex, i was always thinking and searching for solutions everywhere until last months when i saw a testimony of how Dr ODUMU herbal mixture cream have been helping people from the globe,i saw one MR EPHRIAM WARRA testifying of how Dr ODUMU helped him enlarge his penis size so i decided to give him a try ,we talked and he gave me steps to follow which i did and to my greatest surprise in less than 14 days of taking the herbal mixture cream my penis grow to 9 inches i couldn’t believe my eyes and as i speak now my penis is now 10.7 in hello everyone here, I am from United State , i want to share a great testimony of how Dr ODUMU herbal mixture cream saves me from shame and disgrace, my penis size was a big problem to me as the size was really so embarrassing and discouraging, a 40 year old full grown man like me having 3 inches penis and to worsen it i don’t last in sex i cant even last TWO minutes it was really a thing of shame my wife was really tired of me because my sex life was very poor , she never enjoyed sex, i was always thinking and searching for solutions everywhere until last months when i saw a testimony of how Dr ODUMU herbal mixture cream have been helping people from the globe,i saw one MR MATHEW testifying of how Dr odumu helped him enlarge his penis size so i decided to give him a try ,we talked and he gave me steps to follow which i did and to my greatest surprise in less than 14 days of taking the herbal mixture cream my penis grow to 9 inches i couldn’t believe my eyes and as i speak now my penis is now 10.7 inches long and i was amazed when my wife said i satisfy her so well now all thanks to Dr odumu herbal mixture cream,i will forever be grateful to him .you can contact him email [email protected] and you can call/whatsapp +2348147048549 i also learnt that DR ODUMU also have the herbal cure to problems like


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
Masturbating before sex or having more than one orgasm during sex is a common tip for men to last longer. And while it is true that some men are able to last longer the second time round, this does not solve the underlying problem; especially as the older you get, the longer it will take you to get an erection after ejaculation. Some of our clients are older men who used to rely on the second time and decided to treat their problem when they could no longer get a second erection quickly enough.
I m shorma,56,having pe since my young age I started coitus.I was a habitual masterbator in my early tees,but now very rare.I cant withstand more than a minute or 2. I m mildly diabetic for 10 years,no bp,little weight,anxious predispositio with social phobia of a high grade,having habitual constipation,allergic nasal stuffiness, allergic pharyngitis,itchy eye, occasional decreased sleep,, skin dry,intilerance to warmth,recent small finge toe arthritis. average body build,little weight gain.
2. The “Edging” method: Edging is a type of climax control exercise that involves stopping at sexual contact once you feel the urge to orgasm. You should wait until the urge is gone completely, but not until you lose your erection, to continue intercourse. This is another method that will slowly help you build sexual stamina over time, but is preferred when the partner is uncomfortable with the pause and squeeze method.
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.

Currently, there are no such exclusive outlets which we have that sell our ayurvedic products in India. You can obtain Lawax ayurvedic shighrapatan treatment by placing an online order only. For Indian customers, our exclusive website is there from where you can easily select and safely purchase a vast variety of ayurvedic treatments. We promise to provide hassle-free, secure and a delightful online shopping experience to you.
Premature ejaculation (PE) can be psychological and/or biological and can occur because of over- sensitive genital skin, hyperactive reflexes, extreme arousal or infrequent sexual activity. Other factors are genetics, guilt, fear, performance anxiety, inflammation and/or infection of the prostate or urethra and related to the use of alcohol or other substances.

The consequences of prolonged PE can be terrible since it can give rise to dissatisfied sexual life and make couple distressed and frustrated. In severe instances, it can even spoil a married life. Keep in mind that it is quite natural for a man to ejaculate early in his first sexual encounter. Losing control on your ejaculation once in a while doesn’t amount to PE problem. However, ejaculating within 1 minute on every single occasion can’t be regarded as normal. In that case, it is strongly advisable to seek proper homeopathy treatment for premature ejaculation.


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.
In studies by Safarinejad and Hosseini [50] and Salem et al, [51] the opioid analgesic tramadol was found to be significantly more effective than placebo in terms of increased time to ejaculation, increased sexual intercourse satisfaction, and tolerability. In a randomized double-blind, placebo-controlled clinical trial by Hamidi-Madani et al in 150 patients, 12 weeks of tramadol 50 mg on demand, paroxetine 20 mg on demand, and placebo all resulted in improvement, but the tramadol group experienced significantly greater benefit than the paroxetine and placebo groups (P < 0.0001). [52]

Precautions and adverse events. Both dosage formulations of alprostadil are administered locally and rapidly metabolized, making systemic side effects relatively uncommon with these agents. Local side effects such as penile pain associated with injection and urethral burning are the most common treatment-associated complications, occurring with variable incidence but reported in 17% to 37% of patients in clinical studies.23-25 Potentially serious side effects, such as prolonged erection and priapism are much less common and have been reported in approximately 1% of patients using alprostadil formulations.

Squeeze method: This is yet another highly suggested home shighrapatan treatment. Engage in coitus and as soon as the ejaculation is about to happen, squeeze the top of the male organ with your hand until the urge subsides. After around 30 seconds, resume with the foreplay again and repeat it until the ejaculation cannot be stopped. Squeezing the private male organ leads to reduction in the erection. Try activity and it will surely help.
My age 58 n half years. suffering quick discharge problem during intercourse and sensivity of penis skin. Some times few seconds after entering and some time little more time. Before 1983 I have the habit of musterbation and cured with H/Medicine treatment in 1983. Pl help suggest medicines and oblige. All German H/Medicines are available here in Pakistan. Best Regardes.
homeopathy works especially well in those cases where the cause of sexual dysfunction is psychological such as depression, stress or anxiety of performance. In cases where nerve damage (due to surgical causes) has resulted in erectile dysfunction (impotence) or ejaculation problems, homeopathy can help to improve the nerve functions over a period of time. Dysfunction resulting from surgical causes (such as Peyronie's disease) may not respond too well to treatment. As far as drug-induced causes are concerned, the physician may suggest alternative medications that may not have an adverse effect on the person's sexual functions. Lastly, constitutional homeopathic treatment can also help in tackling systemic causes of sexual dysfunction such as obesity, diabetes, high blood pressure, hormonal problems, etc.
At times, people consider it as a significant disease, but it is not. Those men who go through these conditions start avoiding the intercourse and make excuses to their partners. It affects their confidence to some extent and makes them irritated, stressed and depressed in some cases. People find it to be shameful to discuss with their friends and doctors. They have the opinion that this problem is permanent and does not have any solution. Most of the times men get humiliated or stressed in these types of situations. Here, homeopathic medicine for premature ejaculation prove to be the safest and suitable.
You don’t need us to tell you that this is not a long-term strategy. Excessive consumption of alcohol or illegal drugs poses a serious health risk, and engaging in these behaviors every time you want to have sex is a bad idea. But other than the health risks, it is also counterproductive. As we mentioned earlier, PE is caused by an inability to identify the feelings and sensations that you experience before orgasm. Instead of being more in touch with your body, alcohol only reduces your focus and perpetuates your problem.
A middle-aged man had main complaints of premature ejaculation since last 3-4 years. He would also feel tired and weak after sexual activity. He had taken several different herbal preparations, Ayurvedic and homeopathic combinations, and conventional medicines but none of them worked. His other complaints were constipation with bleeding piles since last 5-6 years and chronic acidity. Mentally, he was worried about his condition. He was overly concerned about his performance and he felt guilty about being unable to satisfy his wife. He felt that he was doing injustice to his wife. He was prescribed Causticum. Within 1 week, his problem of bleeding piles had completely stopped and there was marginal improvement in his ejaculation. After a month of homeopathic treatment, he could sustain for a longer time. Within 6 months there was no anxiety regarding ejaculation.
Sir please suggest me a homeopathic medicine . I am suffering with premature ejaculation.I realizes following symptoms as slight stimulatiin put me into intense sexual desire,whenever I observe any smutty things promptly I seek to indulge in sexual activities it causes to masturbation.My penis erects frequently and concurrently it start to discharge water colour gel through.Whenever I penetrate within 4 or 5 strokes I am ejaculated.Kindly suggest me what medicines should I use.I am unable to suppress my sexual desire.

The "squeeze" technique works by squeezing the penis in the area between the shaft and the glans (for about 30 seconds), just before you are about to ejaculate. This stops the ejaculation, but may affect your erection, at least until you are stimulated again. You should then repeat this process 4-5 times until you decide not to delay orgasm anymore.
I am 42 and my husband is 57 with ED. It’s been a 6 years journey to today. We’ve tried all the pills, lotions, injections, etc. Nothing worked anymore. His desire was there but it just doesn’t happen very often anymore. He had high blood pressure, cholesterol and diabetes (takes pills) He was thinking that surgery is the only option left to do. It was so permanent and I wasn’t sure he’s ready for that. Nor I for that matter. I missed sex don’t get me wrong. But it’s really separated us and made it uncomfortable to be intimate at all. UNTIL I MET DR Ole on an internet website,people taking about his good works and his good native herbs and i also ordered for the herbs and i got it in two days and my husband used it and till today my husband has been active in the bed room with his ED cured.all thanks to Dr Ole. Anyone else with similar issue should order for his herbs at [email protected] or via mobile +2348068724934
Am still very surprise about this miracles, I don’t know whom to believe anymore, all the Dr and scientist said there is no cure for hepatitis B, but i contacted this clinic health med lab who claim they have permanent cure and your hepatitis B will be negative, i doubted them cause there are a lot of fraud in the internet these days, but i just have to give a try and when they ask for money for the medication, i totally disagree with them.
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.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The usual symptoms seen in women are irritation over petty issues, stress from work or due to other emotional factors, decreased interest and desire for sexuality and low energy complains in performing daily activities. They usually complain of feeling tired all day or the lack of stamina. Shatavari herb helps improve stamina and energy levels in women. It shows wonderful action on the female libido and enduring power that increases self respect and confidence. Shatavari is used in the preparation of Atirasadi churna.

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.

Hello Dr sharma, I m 54 yr old person. I m facing problem of Pre Mature Ejaculation since 4 yrs. Hardly it remains for 20 to 30 seconds. Sometimes ejaculates before penetration . Erection is there. Semen is watery. Sexual desire is normal. Afraid of the situation in bed with partner. Talking medicine of thyroid 25mg and febutaz 20 mg for uric acid daily.No sugar, no BP, Please suggest me homoeopathic medicine to eradicate d problem.
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