Precautions and adverse events. The studies that have evaluated the SSRIs for the treatment of PE have generally found these agents to be well tolerated overall, particularly with trials involving patients receiving on-demand treatment. Some of the more commonly reported side effects predominantly occurring in patients on continuous dosing include: nausea, fatigue, headache, confusion, and diarrhea. To minimize potentially serious adverse reactions, patients taking SSRIs should be instructed to avoid taking other serotonergic drugs and advised against abruptly discontinuing therapy. Furthermore, healthcare providers should monitor patients closely for drug interactions, because several SSRIs are highly protein bound and metabolized through the cytochrome P450 system.
I am 64. After my Congestive Heart Failure diagnosis in 2009 my first symptom were feet swelling, energy loss and chest pains. Suddenly I got weak and dizzy and had severe shortness of breath. My blood pressure was 200/100, respiration was 28 with oxygen saturation of 88 percent. I was extremely short of breath. My doctor started me on blood pressure medications, Lasix and nitroglycerin, the medications helped but not much.untill i found the great dr called santy jatto In june this year he gave me herbal remedy immediately I had a total decline in all symptoms including the leg and feet swellings, shortness of breath, fatigue, weight problems, excess urination, chest pains and others. contact him now
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 …

You will learn how to use masturbation to beat premature ejaculation. In order to succeed with this technique, you must put these four tips to work.1. Ensure You Use the Right LubricantIt’s very important to make use of a lubricant when masturbating, since the aim of doing it is to boost your sexual stamina. In other words, you want to make sure that the experience you have during masturbation is as close as possible to normal sex.
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.
Hi iam 25 year old. I have done mastrubution for 12 to 13 years long… now iam feeling lots of side effects. like premature ejaculation. erictile dysfunction. bending penis… penis become to small and senstive… recently foreplay with my g.f . but penis not standing leaking top.. and pain in testicles more in left ball and to hard pain cant walk… penis is not getting hard.. once I tried to intercourse but the penis is bending and totally failure in erect… please help me sir.. is any cure for it iam dying with this problem.
Modern medicine attacks premature ejaculation treatment from three different directions. The first step is usually sex therapy, in which a sex therapist will make a careful physical examination and will talk to you and your partner about your sexual life to understand the root of your sexual problems. This therapy may involve simple remedies like masturbating an hour before intercourse or any other technique which would help you delay orgasms.
Premature Ejaculation is defined by a number of factors consistently occurring over six months or more. Where men feel like they have no control over ejaculation (either during masturbation or when with a partner); that the time between penetration and ejaculation is too short (for example before a man is erect, before penetration has happened or within seconds after penetration has taken place); and this causes them distress and problems within or in starting relationships.
Behavioral therapy is one possible approach for treating premature ejaculation. Most commonly, the "squeeze technique" is used. If a man senses that he is about to experience premature orgasm, he interrupts sexual relations. Then the man or his partner squeezes the shaft of his penis between a thumb and two fingers. The man or his partner applies light pressure just below the head of the penis for about 20 seconds, lets go, and then sexual relations can be resumed. The technique can be repeated as often as necessary. When this technique is successful, it enables the man to learn to delay ejaculation with the squeeze, and eventually, to gain control over ejaculation without the squeeze. Behavioral therapy helps 60% to 90% of men with premature ejaculation. However, it requires the cooperation of both partners. Also, premature ejaculation often returns, and additional behavioral therapy may be needed.
Premature ejaculation is a completely normal and common type of sexual complaint that affects up to 40 percent of men in the United States. Any of these home remedies and natural treatments can help you manage your symptoms. But if premature ejaculation persists, you should see your doctor to rule out any underlying causes and explore other treatment options.
Herbal prescriptions are usually provided after the Panchakarma therapies, which is an ayurvedic remedy for premature ejaculation. It is advised to use them under the supervision of an ayurvedic practitioner before resorting to the time consuming therapies. An herbal drug which is usually prescribed for delaying ejaculation is called Stambhaka Ayurveda.

Other nonpharmacologic approaches may be helpful. If the male is relatively young and can achieve another erection within a few minutes after a premature ejaculation, he may find that he is much less likely to experience a premature ejaculation the second time. The interval for achieving a second climax often includes a much longer period of latency, and the male can usually exert better control in this setting.


Dr Kenny du Toit is a urologist practicing in Rondebosch, Cape Town. He is also consultant at Tygerberg hospital, where he is a senior lecturer at Stellenbosch University. He is a member of the South African Urological Association, Colleges of Medicine South Africa and Société Internationale d’Urologie. Board registered with both the HPCSA (Health professions council of South Africa) and GMC (General medical council UK). He has a keen interest in oncology, kidney stones and erectile dysfunction.http://www.dutoiturology.co.za
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.
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?
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.

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.
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hello everyone here am ken from united state , i want you all to join me thank dr.joefel who helped me out of shame and disgrace and for restoring happiness to my life and family . i was having sex problem infant i have never enjoyed sex because of my premature ejaculation and to worsen it my penis was very small , i tried so many pills and herbs but didn't work until a friend of mine introduced adonko herbal mixture which is owned by dr.joefel to me and i order for it and within few weeks of taking the herbs my penis started increasing and my performance on bed was wow! as am writing this now the size of my penis have grown from 4cm to 7cm and before now i hardly last a minute in bed but i can now last hours during sex , all thanks to dr.joefel ...am now a happy man you can reach him via his personal email dr.joefelspiritualtemple@gmail.com or via his company email adonkoherbalmixture@gmail.com you can also add him up on whatsapp or call via +2348139452225.....thanks...
Premature Ejaculation is defined by a number of factors consistently occurring over six months or more. Where men feel like they have no control over ejaculation (either during masturbation or when with a partner); that the time between penetration and ejaculation is too short (for example before a man is erect, before penetration has happened or within seconds after penetration has taken place); and this causes them distress and problems within or in starting relationships.
The optimal medical treatment regimen for premature ejaculation has not been established. The author’s experience has been that in some males, single dosing before sexual relations can work well, whereas in others, it may be necessary to achieve and maintain a target blood level through daily use of the medication, as in the treatment of clinical depression.
Sir, I’m 42yrs and married in 3yrs . But at the time of intercourse I’m facing premature ejaculation . My intercourse duration lasts only 30 to 50 seconds. And Rarely only 1minute. Kindly help me by giving advice and remadiel treatment of my problem of premature ejaculation for which I will be greatful to you. I oftenly use homeopathic medicine and believe in homeo.

I’m Arhaan (22yrs/Male) from delhi. I’m suffering from Piles and Anal Fissures from last 3yrs. I tried every way of treatment but of no use. In homeopathy i found relief in my problem but still i’m not completely cured. I’m prone to constipation. I easily get angry. I prefer luke warm water for bath around the year, not much fond of sweets instead i like namkeens and


Herbal prescriptions are usually provided after the Panchakarma therapies, which is an ayurvedic remedy for premature ejaculation. It is advised to use them under the supervision of an ayurvedic practitioner before resorting to the time consuming therapies. An herbal drug which is usually prescribed for delaying ejaculation is called Stambhaka Ayurveda.
Good day to everyone out there who is reading this testimony, I am Mat Anthony from Ohio, USA. I am happy for given the opportunity to share my experience about Dr. Onienie who is a great and specialized herbal doctor who only treats with the used of powerful herbs. My fiancee always do complained every time when we are having sex and sometimes after sex, all just because I was having a small Dick and it does not satisfy her the way she wants it. Sometimes, i get weak during sex to the extent I can't even go for just two rounds, I myself was not happy about it and even before I met her others girls do complain and some even do cheat on me because I am having a small dick. But for this my present girlfriend, I love her so much and I want to marry her, I just can't stay and open my eyes letting other guys out there taking her from me or seeing her cheating on me, I undergo several medical treatment which did not work out and even eat up lot of my money. One blessed and faithful morning, I was talking to a friend of mine and I seek helped from him on how to get my dick more enlarge so that I can satisfy every woman in my life because I knew he was having a huge dick and because of that many girls do ran after him. He make mentioned of Doctor Onienie and told me never to share the secrete out, I said ok, and he told me everything how he got a big dick just within one week of using the medicine only, it was surprising though and he contacted the doctor in my present and said to him a friend wants to speak with him, he gave me the phone I explained everything to doctor and the doctor said I should send him my home address and full names and promised me that once I started taking it I will start seeing changes after three days because its very powerful and I am not allowed to have sex not until I completed taking the meds for one week. After two days I received the medicine and I used according to the instructions instantly after three days I started seeing changes, and one of the changes was my dick do get up and stand for like ten minutes before going down. When I finished taking the medicine, I called him and inform him and he said I should have sex now and tell him the outcome after sex, which I did in the mid night with my fiancee, she
My mother aged is 77 year she has suffering from cold and cugh since last for Mont she was admitted and treated with pipjo 4.5 mg trice daily for 6 days and back to home.But since November last year still she is suffering from cold we given her some antibiotic twice but after few days its relapse.please give me your valuable advice ……kindly suggest some medical advice.
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.
A single-blind randomized placebo-controlled clinical study in 100 patients concluded that tadalafil, 5 mg once daily for 6 weeks, was significantly more effective than placebo (P=0.001) and was well tolerated in the treatment of premature ejaculation. [46] Similarly, a meta-analysis of 15 randomized clinical trials suggests that PDE5-Is are significantly more effective than placebo (231 participants; P <  0.00001), that there is no difference between PDE5-Is and selective serotonin reuptake inhibitors (SSRIs; 405 participants, P = 0.50), and that PDE5-Is combined with an SSRI are significantly more effective than SSRIs alone (521 participants, P = 0.001). [47] The use of PDE5 inhibitors for the treatment of premature ejaculation is not approved by the FDA and is considered an off-label use.

Of the 35 studies used in the previous meta-analysis, 8 studies (N=263) were prospective, double-blind, real-time stopwatch studies that were separately analyzed in a subsequent meta-analysis. These 8 studies evaluated clomipramine, fluoxetine, paroxetine, sertraline, citalopram (Celexa), fluvoxamine (Luvox), mirtazapine (Remeron), and nefazodone (Serzone) against placebo. Paroxetine (783% IELT increase, 95% CI, 499–1228), clomipramine (360% IELT increase, 95% CI, 200–435), sertraline (313%, 95% CI, 161–608), and fluoxetine (295%, 95% CI, 200–435) exerted a significant delay in the IELT compared with placebo.6
I am 34 year male recently got married couple of months ago, i have too early ejaculation problem while during intercourse last only few seconds (2 or 3) and sometimes before even entering vagina!! I have hard erection during foreplay but when it comes to have intercourse i lose my erection..i used some sildenfil citrate tablet before intercourse which made me erect while penetrating inside the vagina..and it worked!! but it lasted only few seconds and i discharged too quick!! 🙁 i didnt have this erection problem earlier but facing it for a month.. for your info, i used to masturbate since my early age (rubbing my penis with my matix on my bed), for many years i masturbated once in a week and sometimes once in a fortnight.. i urinate excessively whenever drink any liquid (Tea,water,soft drink etc etc) and also i dont have my bowls on daily basis (sometimes daily sometimes after 1 day gap) kind of constipation problem..i have allergy problem as well and catch flu very quick..hair are also falling excessively due to this flu thing.
There is no exact definition of premature ejaculation. While some couples may be happy with sex lasting a certain amount of time, others might find the same duration insufficient. In general terms, ejaculation within less than two minutes is considered to be premature, especially if it happens before penetration. Many couples think that if ejaculation happens within less than ten minutes, it is premature.
The surgically implanted penile device was the first treatment available for ED patients almost 40 years ago, and today the penile prosthesis remains a viable treatment option for patients with a poor response to medical therapy. Currently available prosthetic devices are either noninflatable or inflatable. The non-inflatable or malleable products consist of a flexible rod that remains in a semi-rigid state and, although more reliable than the inflatable systems, they are not as desirable for many patients. The more desirable 3-piece inflatable products typically consist of a prosthetic cylinder implanted within each corpora which is connected to a fluid-filled reservoir and a pump in the base of the scrotum.
Basically, you have to aim to put less pressure on your reproductive glands and specifically the penis while having intercourse. This is a widely used method and one of the simplest positions to try is the spooning position. It is basically a side by side position that you can enjoy with your partner for a very long time. Alternatively, you can also try the passive position where you lie below your partner.
My semen discharge when I am talking with my girlfriend, touching her hand and get aroused. even after slight arousal, my penis have erection and then semen comes out. I am unmarried, 37 years, 5′-5″”, guy weight 67 kg. Yet not do have any sex with female till now. Doing masterbastion occasionally. During masterbation it will take around 2 minutes to ejaculate. Kindly suggest me proper homoepathy medicine for this case.
Whether a man chooses to pop a pill to deal with his problem will come down to how the condition plays itself out in his life. After all, the amount of time it takes a person to climax depends on the partner and the circumstances. In McCullough’s study, only half of the self-identified premature ejaculators felt upset enough to want to seek help. For some women, longer foreplay and shorter intercourse may feel less like a disappointment than a bonanza.
7. How much foreplay are you engaging in? Try more or less, or different types of foreplay. Try more or less focus on the penis to control the level of stimulation. If you are achieving an 8.5 level of stimulation before attempting to penetrate, where a nine is the point of ejaculatory inevitability, penetrate when you are a six or seven. Never carry a lit match into a dynamite factory. Sometimes more foreplay helps with premature ejaculation because it allows the man to gain control over his anxiety and to be relaxed instead of hurrying through, which could “amp up” his anxiety and lead to premature ejaculation.

Mark, 49, a divorced attorney, is an ideal candidate for the drug. He began taking Prozac for depression ten years ago and noticed it delayed his release time. No longer depressed, he has stopped taking it—but still struggles with PE. His physician referred him to urologist Jed Kaminetsky, and he’s about to start a clinical trial with dapoxetine. (Kaminetsky is most famous as the inventor of Dream Cream, a nonprescription arousal cream for women, which makes him a kind of Dr. Feelgood for both sexes.)
A meta-analysis6 of 35 treatment studies with serotonergic antidepressants from 1943 to 2003 shows that, despite major differences in design and drug dosing, clomipramine, fluoxetine (Prozac), paroxetine, and sertraline (Zoloft) significantly delay ejaculation compared with placebo. The percentage increase in IELT was the primary outcome measured. The rank order of efficacy was:
The best homeopathic medicine for any disorder depends on the characteristic symptoms presented by a person. This means that homeopathic treatment for erectile dysfunction as well as premature ejaculation is highly individualized. No two people are the same, and homeopathy is most effective when the right 'constitutional remedy' is chosen as per the physical and mental symptoms.
I just want to use this opportunity to thank Dr solution who has made me a man again by curing my 6 years weak erection problem.I can not pay you for all you have done for me but i just want you to know that an forever gratful for your help.Becauss i can now boldly say now that am a man. For any weak erectin and premature ejaculation problem just contact him at drsolution49@gmail.com
Sir I am suffering from sperhattorrhoea since 4 years m 18 yrs old I have visited doctor for some time I feel relief and it’s starts suddenly again so I am very depressed and not felling at all good I am trying everything from diet food and I have completely left junk food still discharge occurs frequently in night sir plz suggest me some medicine so I get cure from this..
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.

5 sorry but ek aur chij puchhna chahunga mere penis ki lmbai 4.9 aur motai 2.8 cm h kya ye narmal h aur kya meri problem ka ilaj ho skta h kyuki mai kisi girl ki life khrab nhi krna chahta hu. mai 15 ki age se masterbation krta aa rha hu tbhi se ye problems bhi h pr us smy age km hone k karn mai in smsyao ko smjh nhi paya. kripya uchit margdrshn kijiye

Although the exact cause of premature ejaculation (PE) is not known, new studies suggest that serotonin, a natural substance produced by nerves, is important. A breakdown of the actions of serotonin in the brain may be a cause. Studies have found that high amounts of serotonin in the brain slow the time to ejaculation while low amounts of serotonin can produce a condition like PE.
I’m Ramesh i’m 37 years old unmarried i fall in bad habits from childhood & was doing it almost everyday 5-6times now im suffered from PE and ED morning wood also does not come & I have had many ayurvedic medicines from different doctors but no satisfactory result i’m deeply down by these things i read about homeopathy is really helpful in such cases, kindly suggest how I can treat such issues and how long I will have to take these medicines for lifetime result.
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