Tag Archives: Premature ejaculation

Men Ejaculation Disorders

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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Premature Ejaculation: Causes and Treatments

Premature Ejaculation: Causes and Treatment

Premature ejaculation or PE, as it is commonly known, is one of the most common forms of male sexual problems. Perhaps it would be right to say that every man must have encountered the problem at some point in life. This is so when one considers how common the problem is in men across different ages and cultures. In this article, we shall examine what exactly this condition is, its causes and how it can be treated. We shall examine different classes of factors that are said to be the causes of this condition. With regard to treatment, our focus shall be on different natural methods that can be used to tackle it. But before we get to that, it is important that you understand what exactly premature ejaculation is.

premature ejaculation

premature ejaculation

What is Premature Ejaculation?

It is actually difficult to develop a comprehensive definition of premature ejaculation. This is so, because of several reasons that are obvious. For example, if we base our definition to the time taken for a man to reach orgasm, this may be right but not accurate since cases of men getting sexual satisfaction during intercourse sessions that last very shortly are not rare. It all depends on the conditions that prevail at the time. What is important though, in defining this condition is the fact that a man reaches orgasm not only too soon but also when he does not wish so. What this means is that for a condition to be taken as premature ejaculation three things are important. The first one is that the man gets to orgasm too soon, depending on the conditions at the time. The second thing is that the orgasm occurs when the man does not wish it to be so. The third thing is that orgasm is prompted in the man after minimal exposure to sexual stimulation. This usually happens too soon after penetration for one to successfully enjoy sexual intercourse.

· Causes of Premature Ejaculation

Now that we have understood what exactly premature ejaculation is, it is important that we move on to its causes. There are many different factors that are behind this condition. It is important to point out at this stage that there is hardly any single thing that is a direct cause of premature ejaculation. What happens in real life is that the condition occurs as a result of a complex interaction of factors in one’s life. Whereas some create the right conditions for the situation to set in, others simply aggravate it by ensuring that you do not break from it.

For the purposes of simplicity, we shall examine the different causes of the condition in terms of groups of factors that operate in a more or less similar fashion.

  • Causes of Premature Ejaculation from Physical Factors

Premature ejaculation may be caused purely by physical factors. Although this is uncommon, the presence of particular physical factors is usually enough to cause the condition in some people. There are several of such factors. For example, general body fatigue may be a big cause of premature ejaculation. A man who is physically exhausted may find it difficult to take his time and successfully go through the stages of sexual encounter. The physical state of the body may trigger a quick response in the form of an ejaculation that comes far too early. Apart from overall body fatigue, the manner in which the sexual experience is taking place may trigger premature ejaculation. Although this is not common, a hurried sexual experience that is done under unsuitable conditions may contribute to premature ejaculation.

  • Causes of Premature Ejaculation from Psychological Factors

It is a common saying that the greatest sexual experience is born and nurtured in the mind; the body only experiences a mere sensation. Although this may not be accurate, it underscores the fact that the state of the mind determines how well one enjoys a sexual experience. Since this is so, it then follows that some states of the mind may inhibit one from enjoying a satisfying sexual experience. To men, this inhibition is usually manifested in the form of premature ejaculation. Conditions such as anxiety, depression and overall mental stress are clear causes of premature ejaculation. And such conditions can be caused by different circumstances in one’s life.

premature-ejaculation

premature ejaculation

Treatment of Premature Ejaculation

Essentially, there are different natural methods that one can use to deal with the problem of premature ejaculation. A word of caution here is in order. The methods never work when used once; they rather work well when adopted and used over a long period of time. Therefore, for you to get the best results, you have to make them part of your routine.

At the heart of natural methods of treating premature ejaculation is that early ejaculation is a result of particular sensations that are communicated within the system of a man thus triggering him to get to the point – of- no- return during sex too soon. Therefore, if the man can learn to control the sensations, the process triggering ejaculation would be delayed as long as the man needs it to be. This is best done by practice. One needs to get a partner who is willing to go through the practice sessions as a way of improving his performance. During the practice sessions, the man is sexually stimulated to the point that ejaculation is about to be triggered. The stimulation is stopped and the man is allowed to relax fully before another session. When this is done repeatedly, the man will definitely learn to relax during sexual intercourse and control the sensations that arise from the experience thus being able to control the timing of his ejaculation.

Although these methods have been known to work, they may not be effective to everyone at all time. There are certain cases that are too complex to be handled by natural methods. Such cases may require medical attention. So when such is the case, you may book an appointment with us at AWAREmed and we shall evaluate your condition and get the best remedy for you.

Premature Ejaculation: Causes and Treatment

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Healing Sexless Marriage

When the flame goes out: healing a sexless marriage

marriageThe sparkle goes out of perfectly normal marriage every once in a while. It is unusual however to have continued months, or even years of celibacy in marriage. Conjugal relations can become ‘dead’ and unstimulating, becoming just another chore on a long to-do list.

Either way, it is frustrating and can really have one or both partners feeling unfulfilled or unwanted. How does a couple that couldn’t keep their hands off each other turn into ‘that’ couple? Well, focusing on an endless hierarchy of needs can cause a couple to get caught in the rat race. Career demands can interrupt a couple’s time destroying romantic intentions. Caring for children and elderly parents can also take their toll on the marriage. All that responsibility placed on a couple can cause them to feel overwhelmed and responsible for their comfort and happiness. Constant disagreements, bickering and not really listening to your partner can also drive a wedge between a couple that is reflected in the bedroom. All is not lost. There are a few things a couple can try to get things back on track in their sex life.

  • Physicality.

Go for a full body check-up. Make sure there is nothing wrong with either of you. Discuss the effects any medications and contraceptive methods may be playing into the situation. Confront any issues like vaginal dryness, premature ejaculation etc that inhibit your intimate time together. Get to the bottom of them and look for solutions with a qualified medic.

  • Keep fit

Maintain your fitness. A regular exercise regimen reduces stress, increases feel-good endorphins and makes you feel more alive. It might also make a couple look and feel more attractive besides, the more admiring looks a couple gets, the more desirable and passionate they feel!

  • Communicate sexually

Get a discussion going about what turns you on. There is a whole buffet of unexplored sexual territory that you may have overlooked. Find out how your partner’s needs have evolved and stay interested. It might be much easier to share erotic fantasies on an impersonal medium on email or private chat rooms. The idea is to find points of convergence, experimentation and no-go zones in a gentle non-judgmental way.

  • Flirt and tease

Married couples often assume marriage means consent, and so don’t bother seducing their beloved. They either ask for sex as if it were a business transaction or wait until they are propositioned. Make the most of small opportunities to make romantic gestures and always leave them wanting a little bit more. Cook your beloved breakfast in bed and surprise them with a stimulating massage.

  • Clear up any resentments

If there are any deep seated issues in the marriage, try resolve them as soon as you can. Don’t let things fester. They will eventually turn up in the bedroom. Matters of infidelity, in-laws and finances can cause strain on a relationship. Consider hiring outside help from a qualified psychologist, sex or relationship therapist to get to the bottom of deep seated issues. Your sex life will be hotter for it!

  • Be adventurous

Try some of the things on each other’s ‘maybe’ sex lists. It could surprise you to find that you enjoy them! It will be a great turn on to them and a romantic expression of love that can only fan the flames of love. The idea is to be playful, creative, sly demanding etc. Just let go and enjoy the freedom of being your lover’s chosen one.

  • Make sex a priority

There is no getting around it. Couples with a healthy intimate life make time for it. It doesn’t happen by accident. It is deliberate and requires a lot of dedication. Sometimes it is deciding to learn different techniques, sometimes it means forfeiting certain acts that feel unpleasant to your beloved. Whatever the case, take the time to learn more and more about each other’s bodies and erotic desires.

  • Find your passion

The fuel that causes great adventures between the sheets also creates excitement in many other areas of life. So if there is a lack of passion in a marriage, chances are there are other areas in life that need to be reignited. Find things that stimulate you and return that spring in your step. Take up mountain climbing, repair vintage cars, start a business, start a homeless shelter etc. You’ll know you’re on the right track when you can laugh at a silly joke for minutes on end.

Sexless seasons come and go, but they do not have to be permanent. Get out of that rut by trying one of these tips. Your spouse will become your lover once more.

When the flame goes out: healing a sexless marriage

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Ejaculation Disorder: Having trouble with ejaculation?

 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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