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Understanding ejaculation disorders

November 29, 2016
Understanding ejaculation disorders

Understanding ejaculation disorders with a view of taking corrective measures will restore your relationship

Understanding ejaculation disorders: It is all about the P Shot

If there is anything which is frustrating men the most is the in ability to deliver the desired sexual performance in bed. The feeling is very embarrassing and discouraging making affected men to shy away from any sexual relationship. This condition has been a major cause of broken relationship and marriages globally. Is there anything which can be done to salvage the situation? The answer to this question is an absolute yes. We are privileged to have doctor Dalal Akoury who is a medical doctor administering such treatment to all affected people from all walks of life and so if you are suffering from this health condition (ejaculation disorders) then help is on the way if only you can reach out for it by calling on doctor Akoury for an appointment today. As you consider doing that let us expand on the discussion by highlighting on certain facts about understanding ejaculation disorders.

Ejaculation is a process which involves well-coordinated muscular and neurological events that involve emission of semen in the urine channel and ejection of the fluid from the urethral meatus (ejaculation proper). Emission is then accomplished by contraction of the vas deferens, seminal vesicles, and ejaculatory ducts. This process is under adrenaline control.

Ejaculation proper results from the rhythmic contractions of the muscles around the urethra, which causes the forcible ejection of the ejaculate. Within the spinal cord lies the ejaculation center which is the area involved in the coordination of signals from the brain and penis that eventually lead to ejaculation. Therefore we have four main ejaculatory disorders which can be seen in clinical practice and they may include:

  • Retrograde ejaculation
  • Premature ejaculation
  • Retarded ejaculation (orgasm) and,
  • Failure of ejaculation (an ejaculation).

Understanding ejaculation disorders: Retrograde ejaculation

This is the process through which the semen is passed in a retrograde fashion into the bladder as opposed to out of the urethra. This condition is majorly caused in there ways such as:

  • Anatomic (following bladder neck surgery or from a congenital process)
  • Neurologic (due to disorders that interfere with the ability of the bladder neck to close during emission, such as diabetes mellitus, retroperitoneal surgery)
  • Pharmacologic (due to paralysis of the bladder neck by certain medications)

This process is diagnosed by the finding of seminal fluid and/or sperm within a urine specimen obtained immediately after orgasm. The treatment of retrograde ejaculation in most cases is associated to the cause. It is always not very easy to treat and cure an Anatomic causes therefore those who are affected this way and would like to further children will have to engage in sperm harvesting from the bladder so as to initiate a pregnancy.

Pharmacologic causes are generally reversible by withdrawal of the offending medication. Neurologic causes becomes difficult to treat if there is complete nerve damage such as may occur in spinal cord injured patients. Such patients with a partial neural injury (diabetes), the use of certain medications like pseudoephedrine may convert the patient to an ante-grade ejaculator.

Understanding ejaculation disorders: It is all about the P Shot

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Understanding Depression and the Causes of Depression

January 30, 2015

Understanding Depression and its Causes – Men are the most affected by Depression

Understanding Depression and its causes is very important for your health as it makes you take the right treatment solutions in good time

The demands of life around us are full of tight deadlines and great expectations. In our quest to meet these deadlines we are often faced with a lot of pressure from our authorities and our own responsibilities which also hang on our shoulders. Depression is a disease causing families lots of discomfort, people actually lose their sources of lively hood, sexual relationships is affected, skin complexion is under threat and in very fatal cases suicide takes place. This is why we want to take time and understand depression and its causes, how it is affecting us and the society at large. First of all we must appreciate that depression has no respect to anybody. It affects people indiscriminately in all genders, social class, ages and religion. If you are on this link now and is feeling depressed, tackle this with speed and consult with the experts at AWAREmed Health and Wellness Resource Center under Doctor Akoury’s care for a more professional approach in dealing with depression.

Doctor Akoury founded this facility to give you hope and healing. An appointment with her will save you from the risks of so many health; social and psychological complications which are associated with depression. Remember that we have this life to live once and all the opportunities offered by this life are supposed to be enjoyed and celebrated. Doctor Akoury understand what it means to be depressed and that is why her treatment is focus on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. As you consider scheduling for that appointment with doctor Akoury let us continue into the discussion by understanding depression and its causes in details.

Understanding Depression and its causes: Difference between feeling miserable and being depressed

In the course of attending to our normal daily assignments, we are bound to meet low moments from time to time. These low moments are often managed and do not last long. They come and we deal with them putting them behind us, they never dominate our lives and because of this we would say that in such moments we were just miserable and not depressed. However, if the low moments (depression) goes on for weeks, months, or becomes very bad, to the point that you find yourself stuck and unable to lift yourself out of it, this time it will be clear that you are depressed. This will begin to affect every area of your life which necessitates the need for professional help. It must however be clearly understood that depression is not a sign of weakness, and like I have indicated it cut across the board and has affected many famous and successful men and women across the globe.

Understanding Depression and its causes: What makes men depressed?

There are quite a number of things that are inclined to depression. Therefore for us to understand depression and its causes, the following points are very fundamental.

Understanding Depression and its causes: Relationships

Oh my goodness the trouble in a marriage or important relationship is the single thing most likely to make you depressed. How does it achieve this, doctor Akoury share with us the following:

Communication style

A difference in communication style can be a problem, particularly between married couples. For instance if a disagreement or argument makes you feel uncomfortable, you may chose not to talk about it. However your choice may not go well with your partner who may want to have it discussed. Therefore choosing to be quite may make your partner feel ignored. The feeling of being ignored may propel your partner to press you into the discussion which in turn will cause you to feel nagged and will tend to withdraw further which can make your partner feel even more ignored. The result of all this is that both of you will be depressed.

Separation and divorce

  • Men have traditionally seen themselves as being in charge of their families’ lives. However, women are more likely to start the process of separation and divorce.
  • Depression is more common and more severe in men who are divorced. This may be because, as well as losing your main relationship:
    • You often lose touch with your children
    • You may have to move to live in a different place
    • You often find yourself short of money.

Pregnancy and children

  • We have known for many years that some mothers become depressed after having a baby.  We now know that more than 1 in 10 fathers also have problems at that time.
  • This shouldn’t really be surprising. We know that major events in people’s lives, even good ones like moving house, can make you depressed. And becoming a parent will change your life more than almost any other thing. Suddenly, you have to spend much more of your time looking after your partner, and possibly other children. You may get very tired.
  • A new mother will tend to be less interested in sex for a number of months. Simple tiredness is the main problem, although it’s easy to take it personally and feel that you are being rejected.
  • You may have to adjust, perhaps for the first time, to taking second place in your partner’s affections.
  • You may have to re-balance the demands of home and work – there’s a lot more to do at home and you just can’t spend so much time at work.
  • A new father is more likely to become depressed if his partner is depressed, if he isn’t getting on with his partner, or if he is unemployed.
  • If you get depressed at this time, it will affect your partner.

Work

Work can be stressful. If your work makes you depressed, you won’t be able to cope as well. This will make you feel worse and less able to cope and further makes you feel even worse.

Unemployment

Besides relationship difficulties, unemployment is the greatest impediment to piece and this is likely to push people (particularly men) into a serious depression. Professional studies have established that 1 in 7 men who become unemployed will develop a depressive illness in the next 6 months. This means that your work may form a large part of what makes you feel good about yourself. If you lose your job, you will also lose other privileges that come with it like the company car, home staff like cooks, gardeners. Coming to terms with this can be hard to adjust to. Further to that being at home and looking after the children while your wife or partner becomes the bread-winner is another headache. From a position of being in control, you may face a future over which you have little control, especially if it takes a long time to find another job. And depression itself can make it harder to get another job.

Retirement

You may even find it hard if you retire at the usual time, especially if your partner carries on working. Although life may be less stressful, you may miss the structure of your day, your social life with colleagues and the sense that you make a difference.

Problems with sex

  • When men are depressed, they feel less good about their bodies and less sexy.  Many go off sex completely.
  • Some men who are depressed have intercourse just as often, but they don’t feel as satisfied as usual.
  • A few depressed men seem to have sex more often, perhaps as a way of trying to make them feel better.
  • Some antidepressant drugs can reduce your sex-drive.

The list is endless suicide is also a factor but in all this prompt treatment is very vital and the sooner you do it the better.

Understanding Depression and its causes – Men are the most affected by Depression

 

 

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Men Ejaculation Disorders

October 31, 2014

Men Ejaculation Disorders – Erectile Dysfunctions

Ejaculation

Men Ejaculation Disorders are of different types e.g (i) Retrograde ejaculation (ii) Premature ejaculation (iii) Retarded ejaculation (orgasm) and, (iv) Failure of ejaculation (an ejaculation). Treatment is available and needs to be done in good time.

For a long time in many societies and even in the presence, discussions about topics relating to sex have been seen as a taboo and unacceptable. This practice has been the greatest reason why many people are suffering in silence for conditions which could be easily treated if they come out to seek for help. Sexual dysfunctions come in different ways and in this article we are going to be discussing on the disorders of ejaculation.

Ejaculation encompasses coordinated muscular and neurological events that involve deposition of semen in the urine channel (emission) and ejection of the fluid from the urethral meatus (ejaculation proper). Emission is accomplished by contraction of the vas deferens, seminal vesicles, and ejaculatory ducts. This process is under adrenaline control. Ejaculation proper results from the rhythmic contractions of the muscles around the urethra, which causes the forcible ejection of the ejaculate. Within the spinal cord lies the ejaculation center which is the area involved in the coordination of signals from the brain and penis that eventually lead to ejaculation. There are however four main ejaculatory disorders that are seen in clinical practice and they include the following:

  • Retrograde ejaculation
  • Premature ejaculation
  • Retarded ejaculation (orgasm) and,
  • Failure of ejaculation (an ejaculation).

Retrograde Ejaculation

Retrograde ejaculation is the process whereby the semen is passed in a retrograde fashion into the bladder as opposed to out the urethra. There are 3 potential causes to this problem;

  • Anatomic (following bladder neck surgery or from a congenital process),
  • Neurologic (due to disorders that interfere with the ability of the bladder neck to close during emission, such as diabetes mellitus, retroperitoneal surgery)
  • Pharmacologic (due to paralysis of the bladder neck by certain medications)

This process is diagnosed by the finding of seminal fluid and/or sperm within a urine specimen obtained immediately after orgasm.

The treatment of retrograde ejaculation depends to some extent on the cause. For instance anatomic causes are rarely curable and sperm harvesting from the bladder is required for those patients wishing to initiate a pregnancy. Pharmacologic causes are generally reversible by withdrawal of the offending medication. Neurologic causes are difficult to treat if there is complete nerve damage such as may occur in spinal cord injured patients. In those patients with a partial neural injury (diabetes), the use of certain medications (pseudoephedrine for example) may convert the patient to an antegrade ejaculator.

Premature Ejaculation

Premature ejaculation which is also known as rapid ejaculation lacks a definition that is agreed upon by all practitioners but essentially is the condition whereby a patient ejaculates with minimal sexual stimulation and before he wishes it to occur. It can be life-long (primary) or secondary. There are numerous theories as to the cause but most cases are probably multi-factorial with a contribution from both psychological and physical factors. This is believed to be the most common sexual dysfunction in males with almost 30% of men of all ages suffering from this condition. Interestingly however, the quality of life of these patients is not negatively affected by their condition. The management of this problem is best handled in a combined psycho-pharmacologic fashion. The use of medications to increase ejaculation time is useful in permitting the patients to practice senate focus exercises to recondition the ejaculatory reflex. The latter technique is essential to the long-term cure of premature ejaculation. To date, there is minimal evidence-based data assessing the outcome of this therapeutic approach.

Retarded Orgasm

Retarded orgasm is a very difficult sexual dysfunction to treat. This condition involves the inability of the patient to achieve orgasm (ejaculation) in a timely manner and in severe cases men fail to achieve orgasm on any occasion. As men age, there is an increase in the time it takes to achieve ejaculation, however, in some men this increase may lead to the inability to ejaculate within a 30 minute time period from the initiation of sexual stimulation. The causes of this condition include the use of certain anti-depressant medications (Prozac, Zoloft, Paxil, Luvox, Celexa), sensory neurologic disorders affecting penile sensation (as may occur with diabetic nerve damage), and psychological disorders (this is frequently seen in older men in their early experiences following divorce or being widowed).

Finally there are men in whom there is no clear etiology for this problem and these are believed to have either a physiological or idiopathic form of this condition. There does not exist any pharmacologic strategy for these patients although there are anecdotal reports of the use of the anti-depressant bupropion. If patients are significantly bothered by this problem, as many of the sufferers are, the use of penile vibratory therapy has the ability to permit patients to achieve orgasm. The results are better in patients in whom there is a delay in orgasm as opposed to those who have a consistent complete failure to achieve orgasm.

Now therefore having understood all the erectile dysfunctions affecting men and in particular at the point of ejaculation, the question I want to pose to you is, are you or anyone you know is suffering from either of the problems silently because of the societal problem? Would you want to be of help to someone or even to yourself? I believe you want to put this behind you and have full enjoyment of your sex life. Help is only a phone call away at AWAREmed Health and Wellness Resource Center under Doctor Akoury’s care. Calling doctor Akoury today to schedule for an appointment is the best you can do for yourself or to your friend. Doctor Akoury is an expert of over two decades and has been of help to many patients across the globe ensuring that every patient that passes through her care does not comeback for the same problem. You deserve the best in your sex life and that is what you will get from your engagement with the experts at AWAREmed Health and Wellness Resource Center. Don’t hesitate make that call today.

Men Ejaculation Disorders – Erectile Dysfunctions

 

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Ejaculation Disorder: Having trouble with ejaculation?

September 9, 2014

 Ejaculation Disorder – It is all about the P Shot

 

Ejaculation disorders can be very frustrating during sexual intercourse and must be treated timely.

If there is anything which is frustrating men the most is the in ability to deliver the desired sexual performance in bed. The feeling is very embarrassing and discouraging making affected men to shy away from any sexual relationship. This condition has been a major cause of broken relationship and marriages globally. Is there anything which can be done to salvage the situation? The answer to this question is an absolute yes. We are privileged to have doctor Dalal Akoury who is a medical doctor administering such treatment to all affected people from all walks of life and so if you are suffering from this health condition then help is on the way if only you can reach out for it by calling on doctor Akoury for an appointment today. As you consider doing that let us expand on the discussion by highlighting on certain facts about ejaculation disorders.

 

Ejaculation is a process which involves well-coordinated muscular and neurological events that involve emission of semen in the urine channel and ejection of the fluid from the urethral meatus (ejaculation proper). Emission is then accomplished by contraction of the vas deferens, seminal vesicles, and ejaculatory ducts. This process is under adrenaline control.

 

Ejaculation proper results from the rhythmic contractions of the muscles around the urethra, which causes the forcible ejection of the ejaculate. Within the spinal cord lies the ejaculation center which is the area involved in the coordination of signals from the brain and penis that eventually lead to ejaculation. Therefore we have four main ejaculation disorder which can be seen in clinical practice and they may include:

 

  • Retrograde ejaculation
  • Premature ejaculation
  • Retarded ejaculation (orgasm) and,
  • Failure of ejaculation (an ejaculation).

 

Retrograde Ejaculation is an Ejaculation Disorder

 

This ejaculation disorder is the process through which the semen is passed in a retrograde fashion into the bladder as opposed to out of the urethra. This condition is majorly caused in there ways such as:

 

  • Anatomic (following bladder neck surgery or from a congenital process)
  • Neurologic (due to disorders that interfere with the ability of the bladder neck to close during emission, such as diabetes mellitus, retroperitoneal surgery)
  • Pharmacologic (due to paralysis of the bladder neck by certain medications)

 

This ejaculation disorder is diagnosed by the finding of seminal fluid and/or sperm within a urine specimen obtained immediately after orgasm. The treatment of retrograde ejaculation in most cases is associated to the cause. It is always not very easy to treat and cure an Anatomic causes therefore those who are affected this way and would like to further children will have to engage in sperm harvesting from the bladder so as to initiate a pregnancy.

 

Pharmacologic causes are generally reversible by withdrawal of the offending medication.

 

Neurologic causes become difficult to treat if there is complete nerve damage such as may occur in spinal cord injured patients. Such patients with a partial neural injury (diabetes), the use of certain medications like pseudoephedrine may convert the patient to an ante-grade ejaculator.

 

Premature Ejaculation is an Ejaculation Disorder

 

Premature ejaculation also known as rapid ejaculation, experts are not in agreement of a particular definition nonetheless it is a condition whereby a patient ejaculates with minimal sexual stimulation and before he wishes it to occur. It can be life-long (primary) or secondary. There are numerous theories as to the cause but most cases are probably multi-factorial with a contribution from both psychological and physical factors. This is understood to be the most common sexual dysfunction affecting men with about 30% of men of all ages suffering from this condition.

 

Interestingly however, the quality of life of these patients is not negatively affected by their condition. Therefore it would be better to manage this ejaculation disorder appropriately by handling both psycho-pharmacologic fashions. The use of medications to increase ejaculation time is useful in permitting the patients to practice senate focus exercises to recondition the ejaculatory reflex. The latter technique is essential to the long-term cure of premature ejaculation. To date, there is minimal evidence-based data assessing the outcome of this therapeutic approach.

 

Retarded Orgasm is a Ejaculation Disorder

 

Retarded orgasm is a very difficult sexual dysfunction to treat. This ejaculation disorder involves the inability of the patient to achieve orgasm (ejaculation) appropriately and in a timely manner and with severe cases men fails completely to achieve orgasm on any occasion. Age is a serious factor here since as men grow older normally they tend to increase in the time it takes to achieve ejaculation, however, in some men this increase may lead to inability to ejaculate within a 30 minute time period from the commencement of sexual stimulation. The causes of this ejaculation disorder include the use of certain anti-depressant medications (Prozac, Zoloft, Paxil, Luvox, Celexa), sensory neurologic disorders affecting penile sensation (as may occur with diabetic nerve damage), and psychological disorders (this is frequently seen in older men in their early experiences following divorce or being widowed).

 

Finally, there are many men suffering from with an ejaculation disorder and there suffering must be brought to an end so that they can get their sex life back. Like I mentioned above doctor Dalal Akoury founded this health facility (AWAREmed Health and Wellness Resource Center) to help you be who you want to be. Your ejaculation disorder is only a problem because you have not sought the expert opinion. When you call doctor Akoury she will evaluate your condition and administer treatment to you using the P Shop. ThePriapus Shot,® (also known as the P-shot) is designed to deliver lasting improvements in sexual performance to men, especially those who have lost function due to an enlarged prostate, prostate cancer, the after-effects of surgery, drug side effects and other conditions such as diabetes. Remember Priapus Shot®procedure begins with a quick and easy blood draw. Then, using a proprietary technique, the growth factors are extracted from your blood and concentrated into the Platelet Rich Plasma (PRP).  PRP is the injected into areas of the penis that are most important for the sexual response. These areas are numbed with a local anesthetic cream before injection, yielding little or no discomfort during the procedure. This will only take some few minutes in her office and will be done in total confidentiality leaving with a more fulfilled sex life, call her now.

 

Disorders of Ejaculation – It is all about the P Shot

 

 

 

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