Premature Ejaculation: Causes, Symptoms and Treatments

In recent years, the medical world has improved its recognition and understanding of male sexual dysfunction, including the problems men can experience when engaging in sexual intercourse. Premature ejaculation is one form of sexual dysfunction that can adversely affect the quality of a man's sex life.
Reaching climax and ejaculating semen during penetrative sex is the typical route by which babies are conceived, but premature ejaculation does not just complicate reproduction, it can also adversely affect sexual satisfaction, both for men and their partners. The information here aims to demystify premature ejaculation and outline active treatment options for those cases where it is desired.

Fast facts about premature ejaculation
Here are some key points about premature ejaculation. More detail and supporting information is in the body of this article.

• In medical terms, premature ejaculation is a form of sexual dysfunction where a man has always, or consistently climaxes and ejaculates before or very soon after sexual penetration, causing distress. Under strict criteria, premature ejaculation is relatively rare.
• Cases of premature ejaculation that do not meet the strict medical criteria for the sexual disorder are more common and are defined simply as a man climaxing and ejaculating sooner than he or his partner desire. Often, a man's partner is less concerned than the man himself.
• In the majority of cases, an inability to control ejaculation is rarely due to a medical condition, although doctors will need to rule this out, including checking for erectile dysfunction
• Most cases of premature ejaculation have psychological causes - ranging from common anxieties about sex and relationships resulting in a temporary problem, to more serious psychological factors contributing to a persistent problem.
• Premature ejaculation can lead to secondary symptoms such as distress, embarrassment, relationship stress, anxiety and depression.
• Treatment options range from reassurance from a doctor that the problem can go away in time, through home methods of "training" the timing of ejaculation (alone or with the help of a trusted partner), to talking therapies and couples counselling.
• Drug options are available, there are currently no medicines approved for use in treating premature ejaculation.
• Doctors may consider offering "off-label" prescription of a certain type of antidepressant to help with premature ejaculation, but such medication can have side-effects. Additionally, some men find it helpful to apply a local anaesthetic cream to their penis to delay ejaculation by decreasing sensation.

What is premature ejaculation?

Premature ejaculation is a form of male sexual dysfunction. From the point of view of the man and his sexual partner, premature ejaculation means the man having an orgasm or "climaxing" sooner than wanted.¹
Estimates of the number of men affected by premature ejaculation vary depending on how the problem is defined. A high proportion of men report being affected by premature ejaculation, whereas a very small proportion of men actually meet the medical criteria for the most persistent form.²

Medically, the most persistent form of premature ejaculation (primary or lifelong premature ejaculation) is defined by the presence of the following three problems from the point at which a man becomes sexually active:^2-4

• Ejaculation always, or nearly always, happening before sexual penetration has been achieved, or within about a minute of penetration
• The man finding an inability to delay his ejaculation every time, or nearly every time, he does achieve penetration
• Negative personal consequences, such as distress and frustration, or avoidance of sexual intimacy.

Premature ejaculation was once known, in Latin as ejaculatio praecox (the translation being "precocious ejaculation").² It is also called rapid or early ejaculation.
An internet search will also reveal a lot of slang or colloquial phrases for premature ejaculation, although these often have little bearing on the reality of lived experience and may instead reinforce false ideas that are harmful to men's mental health. For example, such slang terms can lead men to feel they are to blame, have failed, are alone in their problem, or cannot be treated, while the opposite is usually the case. Premature ejaculation can cause a lot of embarrassment in boys and men, with a significant degree of stigma often attached to male sexual performance.⁵

How many men experience premature ejaculation?

Information obtained through surveys puts the "self-reported" prevalence of premature ejaculation in men as somewhere between 15% and 30%.^2,6
However, the prevalence of medically diagnosed and diagnosable premature ejaculation is much lower.^2,6 This statistical disparity does not in any way diminish the suffering experienced by men who do not meet the strict criteria for diagnosis.^2,6
In one analysis of nearly 5000 men in nine Asia-Pacific countries, 16% of men met the criteria for a diagnosis of premature ejaculation (PE) on the five-question Premature Ejaculation Diagnostic Tool (PEDT).¹⁹ Probably PE was found in 15% of respondents, while 13% of men self-reported PE.

Interestingly, less than half (just 40%) of the men with PEDT-diagnosed PE self-reported the condition, and just 19% of those with probable PE self-reported having the condition. A large number of men (some 6% of respondents) had a negative PE diagnosis on the PEDT but reported PE.¹⁹
Primary or lifelong PE is the most persistent problem in men and describes a condition where men have rarely experienced sex without prematurely ejaculating. This is the least common form of the condition and is thought to affect around 2% of men.⁷
However, more loosely defined premature ejaculation remains the most common form of male sexual dysfunction - more common than erectile dysfunction.^6,7

Causes of premature ejaculation

Let's discuss the causes of premature ejaculation, from psychological factors to medical causes and erectile dysfunction.

Psychological factors

Most cases of premature ejaculation are not related to any disease and are instead due to psychological factors.
Examples of psychological causes of premature ejaculation include:^8,9

• Sexual inexperience
• Novelty of a relationship
• Overexcitement or too much stimulation
• Relationship stress
• Anxiety
• Guilty feelings
• Depression
• Issues related to control and intimacy.

These common psychological factors can affect men who have previously had normal ejaculation; such cases are often referred to as secondary or acquired premature ejaculation.⁷
Most cases of the rarer, more persistent form - primary or lifelong premature ejaculation - are also believed to be caused by psychological problems. The cause(s) of primary or lifelong PE can often be traced back to early trauma, such as:⁷

• Strict sexual teaching and upbringing - affecting young men who have been brought up under strict ideas that sex should be prohibited until marriage, for example, making enjoyment of sex more difficult because of a feeling that it is wrong or a sin
• Traumatic experiences of sex - anxiety and premature ejaculation can result from problems ranging from a loss of privacy when masturbating ("being caught" masturbating), to sexual abuse
• Conditioning - it is thought that early sexual behaviors can feed into later experiences of sex. One example is a teenager learning to ejaculate quickly to avoid being found masturbating. 

Medical causes of premature ejaculation

Biological causes of premature ejaculation are much less common than psychological ones. In rare cases, the cause can be more serious, such as nervous system damage as a result of surgery or physical trauma.¹⁰
The following are also possible medical causes of PE⁷ (doctors will focus on diagnosis and management of the underlying condition first and monitor for improvement in sexual function⁸):

Erectile dysfunction

Erectile dysfunction is a condition that doctors will want to rule out or treat first when working with a patient concerned about premature ejaculation.^6,7
Some men may confuse erectile dysfunction and premature ejaculation, believing themselves to have the former when they actually have the latter. This is because the penis normally loses its firmness after ejaculation.⁶
In some cases of erectile dysfunction, heightened sensitivity caused by changes to the normal pattern of nerve signals means that much less stimulation is needed to cause ejaculation.⁷
Finally, some studies have found an association between levels of serotonin - a natural neurotransmitter chemical involved in mood and depression - and ejaculation problems. Men with low brain levels of serotonin may have problems with premature ejaculation.¹⁰ However, the role of such factors remains largely theoretical, especially given that scientists still have a fairly poor understanding of the normal physiological processes that produce ejaculation.²

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Asthma Symptoms, Treatment and More

Asthma is a disease affecting your lungs. Asthma causes wheezing, shortness of breath, chest pain and coughing. In many instances, these symptoms appear mostly at night or early morning. Some people with asthma have these symptoms daily. People with asthma often have asthma attacks. An asthma attack occurs when something bothers your lungs. Airways become swollen and inflamed, which makes it hard to breathe. These attacks can be mild, moderate or severe. Even though you may feel fine, an asthma attack can occur anytime.

Asthma affects 25 million people in the United States, including 7 million children. Many children outgrow their asthma. For others, it becomes a lifelong condition. Most children develop symptoms before the age of 5. More boys have asthma than girls. In adults, there is no difference between men and women.

What Causes Asthma?

We don't know the exact cause of asthma. Researchers believe it results from several factors. Genes appear to be involved. For example, children of parents who have asthma are more likely to have asthma than children of parents who don't have asthma. Environmental factors also play a role. These factors are called "triggers." An asthma attack occurs when you come in contact with these triggers. Most people with asthma have allergies, which are also triggers.

Not all people have the same triggers. To help you identify your triggers, you should keep a diary and write down what you were doing before your symptoms got worse. If your asthma gets worse when you come in contact with a particular agent, then that agent is a trigger. According to the U.S. Centers for Disease Control and Prevention, common asthma triggers include: tobacco smoke, dust mites, cockroaches, pets, outdoor air pollution, mold, smoke from burning wood or grass and infections. Many other things can make asthma worse, including exercise, food additives, food preservatives, fragrances, medicines and emotions. Knowing and avoiding your triggers will help keep your asthma under control.

How Is Asthma Treated?

Asthma is treated with two types of medicines—a long-term medication and a quick relief medication. The quick relief medicine is also called a "rescue" medication. The long-term medication helps reduce airway inflammation. This medication reduces or even eliminates asthma symptoms. Most patients are given inhaled corticosteroids for long-term use. Quick relief medication is used when an asthma attack occurs or when symptoms suddenly get worse. You need to carry your quick relief medication with you at all times because an asthma attack can occur without warning.
Your treatment depends on the severity of your symptoms. Once you begin taking medication, your doctor will ask about your symptoms. He will also ask about any side effects that you may be experiencing. If symptoms are not under control, your doctor will adjust your dose or try another medication. The goal is to achieve maximum control with the least amount of medication.

What Is an Asthma Action Plan?

You and your doctor will create an asthma action plan. This plan describes your daily treatments and the time you should take your medication. It will also tell you which triggers to avoid. Your asthma action plan helps you identify if your asthma is getting worse. The plan gives you instructions as to when you should call the doctor or 911.

Your asthma action plan also tells you how to measure and record your peak air flow. You will be given a small handheld device along with instructions on how to use it. The device will measure how well air is coming out of your lungs. If your peak air flow measures at 80 percent or higher, your asthma is considered to be under control. If your peak air flow is between 50 percent and 79 percent, it means your asthma is not under control. If your peak air flow is less than 50 percent, you need to call your doctor or an ambulance.

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Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia).

Fast facts on diabetes
Here are some key points about diabetes. More detail and supporting information is in the main article.

• Diabetes is a long-term condition that causes high blood sugar levels.
• In 2013 it was estimated that over 382 million people throughout the world had diabetes (Williams textbook of endocrinology).
• Type 1 Diabetes - the body does not produce insulin. Approximately 10% of all diabetes cases are type 1.
• Type 2 Diabetes - the body does not produce enough insulin for proper function. Approximately 90% of all cases of diabetes worldwide are of this type.
• Gestational Diabetes - this type affects females during pregnancy.
• The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet.
• If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a normal life.
• Type 2 patients need to eat healthily, be physically active, and test their blood glucose. They may also need to take oral medication, and/or insulin to control blood glucose levels.
• As the risk of cardiovascular disease is much higher for a diabetic, it is crucial that blood pressure and cholesterol levels are monitored regularly.
• As smoking might have a serious effect on cardiovascular health, diabetics should stop smoking.
• Hypoglycemia - low blood glucose - can have a bad effect on the patient. Hyperglycemia - when blood glucose is too high - can also have a bad effect on the patient.

This information hub offers detailed but easy-to-follow information about diabetes. Should you be interested in the latest scientific research on diabetes, please see our diabetes news section.
There are three types of diabetes:

1) Type 1 diabetes

The body does not produce insulin. Some people may refer to this type as insulin-dependent diabetes, juvenile diabetes, or early-onset diabetes. People usually develop type 1 diabetes before their 40th year, often in early adulthood or teenage years.
Type 1 diabetes is nowhere near as common as type 2 diabetes. Approximately 10% of all diabetes cases are type 1.
Patients with type 1 diabetes will need to take insulin injections for the rest of their life. They must also ensure proper blood-glucose levels by carrying out regular blood tests and following a special diet.
Between 2001 and 2009, the prevalence of type 1 diabetes among the under 20s in the USA rose 23%, according to SEARCH for Diabetes in Youth data issued by the CDC (Centers for Disease Control and Prevention). (Link to article)
More information on type 1 diabetes is available in our type 1 diabetes page.

Diabetes: Symptoms, Causes and Treatments

• What is Diabetes?
• Diabetes Symptoms
• Statistics, Facts & Myths
• Diagnosis of Diabetes
• Type 1 Diabetes
• Type 2 Diabetes
• Diabetes Complications

• What is Insulin?
• Discovery of Insulin
• Famous Diabetics
• Treatments for Diabetes
• Self Monitoring
• Food Planning

• Exercise
• Hypoglycemia
• Hyperglycemia
• Taking Insulin
• Insulin Pumps
• Latest Research

Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia).

Fast facts on diabetes
Here are some key points about diabetes. More detail and supporting information is in the main article.

• Diabetes is a long-term condition that causes high blood sugar levels.
• In 2013 it was estimated that over 382 million people throughout the world had diabetes (Williams textbook of endocrinology).
• Type 1 Diabetes - the body does not produce insulin. Approximately 10% of all diabetes cases are type 1.
• Type 2 Diabetes - the body does not produce enough insulin for proper function. Approximately 90% of all cases of diabetes worldwide are of this type.
• Gestational Diabetes - this type affects females during pregnancy.
• The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet.
• If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a normal life.
• Type 2 patients need to eat healthily, be physically active, and test their blood glucose. They may also need to take oral medication, and/or insulin to control blood glucose levels.
• As the risk of cardiovascular disease is much higher for a diabetic, it is crucial that blood pressure and cholesterol levels are monitored regularly.
• As smoking might have a serious effect on cardiovascular health, diabetics should stop smoking.
• Hypoglycemia - low blood glucose - can have a bad effect on the patient. Hyperglycemia - when blood glucose is too high - can also have a bad effect on the patient.

This information hub offers detailed but easy-to-follow information about diabetes. Should you be interested in the latest scientific research on diabetes, please see our diabetes news section.
There are three types of diabetes:

1) Type 1 diabetes

The body does not produce insulin. Some people may refer to this type as insulin-dependent diabetes, juvenile diabetes, or early-onset diabetes. People usually develop type 1 diabetes before their 40th year, often in early adulthood or teenage years.
Type 1 diabetes is nowhere near as common as type 2 diabetes. Approximately 10% of all diabetes cases are type 1.
Patients with type 1 diabetes will need to take insulin injections for the rest of their life. They must also ensure proper blood-glucose levels by carrying out regular blood tests and following a special diet.
Between 2001 and 2009, the prevalence of type 1 diabetes among the under 20s in the USA rose 23%, according to SEARCH for Diabetes in Youth data issued by the CDC (Centers for Disease Control and Prevention). (Link to article)
More information on type 1 diabetes is available in our type 1 diabetes page.

2) Type 2 diabetes

The body does not produce enough insulin for proper function, or the cells in the body do not react to insulin (insulin resistance).
Approximately 90% of all cases of diabetes worldwide are type 2.

Measuring the glucose level in blood

Some people may be able to control their type 2 diabetes symptoms by losing weight, following a healthy diet, doing plenty of exercise, and monitoring their blood glucose levels. However, type 2 diabetes is typically a progressive disease - it gradually gets worse - and the patient will probably end up have to take insulin, usually in tablet form.
Overweight and obese people have a much higher risk of developing type 2 diabetes compared to those with a healthy body weight. People with a lot of visceral fat, also known as central obesity, belly fat, or abdominal obesity, are especially at risk. Being overweight/obese causes the body to release chemicals that can destabilize the body's cardiovascular and metabolic systems.
Being overweight, physically inactive and eating the wrong foods all contribute to our risk of developing type 2 diabetes. Drinking just one can of (non-diet) soda per day can raise our risk of developing type 2 diabetes by 22%, researchers from Imperial College London reported in the journal Diabetologia. The scientists believe that the impact of sugary soft drinks on diabetes risk may be a direct one, rather than simply an influence on body weight.
The risk of developing type 2 diabetes is also greater as we get older. Experts are not completely sure why, but say that as we age we tend to put on weight and become less physically active. Those with a close relative who had/had type 2 diabetes, people of Middle Eastern, African, or South Asian descent also have a higher risk of developing the disease.
Men whose testosterone levels are low have been found to have a higher risk of developing type 2 diabetes. Researchers from the University of Edinburgh, Scotland, say that low testosterone levels are linked to insulin resistance. (Link to article)
For more information on how type 1 and type 2 diabetes compare, see our article: the difference between type 1 and type 2 diabetes.
More information on type 1 diabetes is available in our type 2 diabetes page.

3) Gestational diabetes

This type affects females during pregnancy. Some women have very high levels of glucose in their blood, and their bodies are unable to produce enough insulin to transport all of the glucose into their cells, resulting in progressively rising levels of glucose.
Diagnosis of gestational diabetes is made during pregnancy.
The majority of gestational diabetes patients can control their diabetes with exercise and diet. Between 10% to 20% of them will need to take some kind of blood-glucose-controlling medications. Undiagnosed or uncontrolled gestational diabetes can raise the risk of complications during childbirth. The baby may be bigger than he/she should be.
Scientists from the National Institutes of Health and Harvard University found that women whose diets before becoming pregnant were high in animal fat and cholesterol had a higher risk for gestational diabetes, compared to their counterparts whose diets were low in cholesterol and animal fats. (Link to article)

Diabetes symptoms

 

What is prediabetes?

The vast majority of patients with type 2 diabetes initially had prediabetes. Their blood glucose levels where higher than normal, but not high enough to merit a diabetes diagnosis. The cells in the body are becoming resistant to insulin.
Studies have indicated that even at the prediabetes stage, some damage to the circulatory system and the heart may already have occurred.

Diabetes is a metabolism disorder

Diabetes (diabetes mellitus) is classed as a metabolism disorder. Metabolism refers to the way our bodies use digested food for energy and growth. Most of what we eat is broken down into glucose. Glucose is a form of sugar in the blood - it is the principal source of fuel for our bodies.
When our food is digested, the glucose makes its way into our bloodstream. Our cells use the glucose for energy and growth. However, glucose cannot enter our cells without insulin being present - insulin makes it possible for our cells to take in the glucose.
Insulin is a hormone that is produced by the pancreas. After eating, the pancreas automatically releases an adequate quantity of insulin to move the glucose present in our blood into the cells, as soon as glucose enters the cells blood-glucose levels drop.
A person with diabetes has a condition in which the quantity of glucose in the blood is too elevated (hyperglycemia). This is because the body either does not produce enough insulin, produces no insulin, or has cells that do not respond properly to the insulin the pancreas produces. This results in too much glucose building up in the blood. This excess blood glucose eventually passes out of the body in urine. So, even though the blood has plenty of glucose, the cells are not getting it for their essential energy and growth requirements.

How to determine whether you have diabetes, prediabetes or neither

Doctors can determine whether a patient has a normal metabolism, prediabetes or diabetes in one of three different ways - there are three possible tests:

• The A1C test
  - at least 6.5% means diabetes
  - between 5.7% and 5.99% means prediabetes
  - less than 5.7% means normal
• The FPG (fasting plasma glucose) test
  - at least 126 mg/dl means diabetes
  - between 100 mg/dl and 125.99 mg/dl means prediabetes
  - less than 100 mg/dl means normal
  An abnormal reading following the FPG means the patient has impaired fasting glucose (IFG)
• The OGTT (oral glucose tolerance test)
  - at least 200 mg/dl means diabetes
  - between 140 and 199.9 mg/dl means prediabetes
  - less than 140 mg/dl means normal
  An abnormal reading following the OGTT means the patient has impaired glucose tolerance (IGT)

Why is it called diabetes mellitus?

Diabetes comes from Greek, and it means a "siphon". Aretus the Cappadocian, a Greek physician during the second century A.D., named the condition diabainein. He described patients who were passing too much water (polyuria) - like a siphon. The word became "diabetes" from the English adoption of the Medieval Latin diabetes.
In 1675, Thomas Willis added mellitus to the term, although it is commonly referred to simply as diabetes. Mel in Latin means "honey"; the urine and blood of people with diabetes has excess glucose, and glucose is sweet like honey. Diabetes mellitus could literally mean "siphoning off sweet water".
In ancient China people observed that ants would be attracted to some people's urine, because it was sweet. The term "Sweet Urine Disease" was coined.

Controlling diabetes - treatment is effective and important

All types of diabetes are treatable. Diabetes type 1 lasts a lifetime, there is no known cure. Type 2 usually lasts a lifetime, however, some people have managed to get rid of their symptoms without medication, through a combination of exercise, diet and body weight control.

Special diets can help sufferers of type 2 diabetes control the condition.

Researchers from the Mayo Clinic Arizona in Scottsdale showed that gastric bypass surgery can reverse type 2 diabetes in a high proportion of patients. They added that within three to five years the disease recurs in approximately 21% of them. Yessica Ramos, MD., said "The recurrence rate was mainly influenced by a longstanding history of Type 2 diabetes before the surgery. This suggests that early surgical intervention in the obese, diabetic population will improve the durability of remission of Type 2 diabetes." (Link to article)
Patients with type 1 are treated with regular insulin injections, as well as a special diet and exercise.
Patients with Type 2 diabetes are usually treated with tablets, exercise and a special diet, but sometimes insulin injections are also required.
If diabetes is not adequately controlled the patient has a significantly higher risk of developing complications.

Complications linked to badly controlled diabetes:

Below is a list of possible complications that can be caused by badly controlled diabetes:

• Eye complications - glaucoma, cataracts, diabetic retinopathy, and some others.
• Foot complications - neuropathy, ulcers, and sometimes gangrene which may require that the foot be amputated
• Skin complications - people with diabetes are more susceptible to skin infections and skin disorders
• Heart problems - such as ischemic heart disease, when the blood supply to the heart muscle is diminished
• Hypertension - common in people with diabetes, which can raise the risk of kidney disease, eye problems, heart attack and stroke
• Mental health - uncontrolled diabetes raises the risk of suffering from depression, anxiety and some other mental disorders
• Hearing loss - diabetes patients have a higher risk of developing hearing problems
• Gum disease - there is a much higher prevalence of gum disease among diabetes patients
• Gastroparesis - the muscles of the stomach stop working properly
• Ketoacidosis - a combination of ketosis and acidosis; accumulation of ketone bodies and acidity in the blood.
• Neuropathy - diabetic neuropathy is a type of nerve damage which can lead to several different problems.
• HHNS (Hyperosmolar Hyperglycemic Nonketotic Syndrome) - blood glucose levels shoot up too high, and there are no ketones present in the blood or urine. It is an emergency condition.
• Nephropathy - uncontrolled blood pressure can lead to kidney disease
• PAD (peripheral arterial disease) - symptoms may include pain in the leg, tingling and sometimes problems walking properly
• Stroke - if blood pressure, cholesterol levels, and blood glucose levels are not controlled, the risk of stroke increases significantly
• Erectile dysfunction - male impotence.
• Infections - people with badly controlled diabetes are much more susceptible to infections
• Healing of wounds - cuts and lesions take much longer to heal

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Natural Sex Power Booster Remedies For Men That Can Increase Libido

UR Good capsules can cater you both mental and physical strength so that you can peacefully concentrate on lovemaking act. These supplements improve strength and stamina.

Are you aware of herbal sex power booster supplements? These supplements are mainly required for boosting up power in men so that they can thoroughly receive the outstanding enjoyment of bed performances. UR Good capsules are smaller in size but they have got immense power to boost up the sexual life of any man. Shilajeet means rocking life and thus if you are willing to get such a life then start taking these herbal capsules from day one. These capsules have been prepared by keeping in mind all the important health issues of the genital organs of male beings.

Within the Himalayan ranges, Shilajeet herb is available and the researchers collect this herb from those regions in order to create these amazing natural sex power booster remedies . Total 85 minerals are found within the herb and these minerals are quite useful in correcting different erectile troubles of men. Fulvic acid is also found within this herb which is useful for maintaining the genital health of men to a great extent. On the other hand, metabolism can also be effectively controlled as a result of consuming this herb. Sometimes, excessive weight might leads to different kinds of penile troubles or issues.

Sometimes, you might feel dizzy or tired after coming from work and this tiredness also affects your penile erection directly or indirectly and thus you must take these power capsules on a daily basis in order to acquire a lot of energy and body strength that can help you to stay longer on bed. On the other hand, you can get a highly satisfactory penile erection which results into satisfactory penetration. All your stress hormones will get released via your orgasm and you will feel relaxed. You will also get a nice sleep and can enjoy a fresh and night morning next day.

UR Good capsules need to be sincerely taken so that you can get a perfect shape by curtailing all unwanted fats from your body and this is very much important for avoiding unwanted penile issues. While choosing these herbal sex power booster supplements from online stores, you must check out that whether original Shilajeet herb is present within the supplements or not. FDA approval is necessary and thus you must check out the same. This step is essential so that you can get rid of online scams which can be quite dreadful and thus you are suggested purchasing only original product.

Water consumption is one of the main requirements in this regard otherwise UR Good capsules will not work in desirable manner. If you consume lots and lots of water then in that case detoxification occurs as a result of which you can get freedom from different kinds of toxic elements that might hamper you sex life. These natural sex power booster remedies are the easiest means of taking Shilajeet herb and if you go deeper within the reviews then you will come to know that these capsules can be taken by men irrespective of all ages.

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13 Natural Foods for Male Sexual Enhancement

In this article you will discover 13 foods that are beneficial to male sexual health. Many foods in your kitchen can significantly contribute to increased libido, stamina and a bigger penis the natural way!

You are what you eat. A familiar phrase touted by dieticians. But if you aren’t selective about what you eat, some foods could wind up eating you. Regardless, there are healthy foods and non-healthy foods – and all do one thing or another aside from providing you with calories and nutrition to help you run that carbon-dioxide engine commonly known as your body.

Some foods help you sleep better, like turkey with tryptophan. Some fight bacteria and fungus, like garlic. And some foods even help increase your appetite. Not for food — your sexual appetite! These foods are referred to as aphrodisiacs. And you probably already have many of them right in your own kitchen.

Ever since the dawn of time, when man tasted that bitter fruit, he knew some foods had marvelous powers. The ancient Romans thought that about hippo snouts and hyena eyeballs. Traditional Chinese medicine used ground tiger penis and rhino horn to improve sexual libido and erections. Today, modern man discovered some foods that did just that. He called them “aphrodisiacs,” and found them right in his kitchen.

Spices

They’re not called spices for nothing — they’re spicy. And enhance erections.
Aniseed. Many people believe aniseed to be an aphrodisiac that will increase physical and mental interest and desire for sex and cause more erect erections just by sucking on the seeds.
Basil. An effective all-purpose spice that stimulates the entire uro-genital system, boosts the sex drive, and gives erections an uplift, while providing a sense of well-being during the sex act.
Ginger. Ingested raw, cooked or in crystal form, ginger is a stimulant to the circulatory system with the powers to re-awaken sexual desire and produce more intense erections.
Nutmeg. Taken in just the right amount, it’s an aphrodisiac that increases erections and bodily responses of the erogenous zones to sexual stimuli. In larger doses it can evoke hallucinatory sexual fantasies.

Foods

Almonds. A major source of essential fatty acids that are vital in the production of testosterone, the viscosity and regulation of blood flow and the healthy makeup of every cell membrane in the body, all contributors of sexual energy.
Asparagus. Its phallic shape is suggestive of what powers it has, in addition to the vitamin E it contains that is known to stimulate the secretion of the life-force behind erections– testosterone.
Bananas. A sex symbol if there ever was one. As well as being suggestive and having psychologically arousing properties, its vitamin B and potassium content is essential for sex hormone production, the enzyme bromelain’s pain-relieving action also heightens sex drive.
Celery. Contains the hormone androsterone, an odorless excretion of the sweat glands said to arouse females, but related to growth of the male sex organ that also has aphrodisiac properties.
Chili Peppers. Many “hot” foods contain capsaicin that stimulates areas of the nervous system associated with sex, while raising our endorphin levels and elevating feelings of well-being, it also raises erections.
Chocolate. For a female, when roses won’t do it, chocolate usually will. And for a male, a stimulant in chocolate called phenylethylamine creates a natural high, and a sexual excitement that combines with theobromine– a caffeine-like substance that many believe to be the underlying force behind extreme sexual passion and intense erections.
Figs. The female counterpart to the male banana. Since the days of early Rome has been accredited as the number two sexual stimulant food aside from oysters. More from myth than any scientific or chemical reason, however, there is evidence of the presence of amino acids in figs increasing potency.
Nuts. Peanuts, cashews, walnuts, even granola and chickpeas contain large amounts of the amino acid L-Arginine. One of the nine most essential aminos found in the body that it can’t manufacture at all. High in nitric oxide content needed to relax smooth penile muscle tissue – this results in improved blood circulation within the penis and more rigid, extended erections.
Oysters. The number one aphrodisiac of all time – raw oysters are rich in zinc, a mineral needed for the manufacture of testosterone. Also because its high zinc content increases sperm production– it is thought to add to the powerful impetus behind erections and orgasms.
Here’s food for thought — the greatest aphrodisiac is your mind.

There is no doubt about it. Sex originates in the mind; from there signals are sent through the central nervous system to alert almost every organ and gland in the body. If there’s enough testosterone secreted, enough blood flowing to and within the penis and no structural, psychological or physiological anomaly present, your body will respond with, and maintain an erection.

Food, spices and other additives, either found in nature or made in laboratories can positively influence erections so that the entire sexual experience can be both pleasurable and satisfying for both you and your partner. Make these aphrodisiac foods part of your normal diet, and they could only further enhance man’s greatest need – the act of sex. Good appetite!

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Best Natural Home Remedies To Cure Thin and Watery Semen

Thin and watery semen is one of the major sexual problem of many males. Low sperm count, smoking, drug abuse, stress, hormonal imbalance, lack of fructose and poor diet plan are some common causes of thin and watery semen. Excessive sexual activity and frequent masturbation are some other causes of thin and watery semen. However you can cure this problem by following some natural remedies which are given below:

Natural Home Remedies To Cure Thin Semen

1. Fructose Rich Foods

As Fructose is one of the main component of semen so a diet poor in fructose may result in thinning of semen. You can replenish your fructose deficiency by eating food rich in carbohydrates. Fruits and vegetables are rich source of fructose so try to include fresh fruits and vegetables in your diet plan. Apple, berries, pears, grapes, dates, guava, mango, pineapple and watermelon and rich sources of fructose. Cucumber, cabbage, tomato, lettuce and onions are good sources of fructose.

2. Dried Dates and Milk

Soak 5-7 dry dates(chhuhara) in milk for 2-3 hours or until they become soft. Eat them with milk daily to cure thinning of semen. Dates are excellent source of carbohydrates and dietary fibers. They also contain a good amount of Vitamin B1, B2, B3, B5 and small amount of Vitamin A1. Dates(khajur) not only improve overall energy level but also increase sexual stamina and help to make your semen dense.

3. Zinc Rich Foods

Sometimes zinc deficiency also cause thinning of semen. Oyster, lamb(mutton), almonds, peanuts, pine nuts(chilgoza), cashews and sunflower seeds are good sources of Zinc.


4. Selenium Rich Foods

Selenium is also essential for proper thickening of semen. Brazil Nuts, Sunflower Seeds, Fish(salmon, sardines and tuna), Oyster, Lamb(mutton),chicken,eggs,wheat germ, barley, brown rice, oats and onion are good sources of selenium.

5. Vitamin C, E, and B12 Rich Foods
Sometimes deficiency of certain vitamins may also lead to thinning of semen. Increase your intake of Food rich in Vitamins C, E, B12 in your diet plan.


6. Reduce your Stress Level

Reduce your stress level because stress is also responsible for hormonal imbalance and cause thinning of semen. You can reduce your stress level by regular practice of yoga or meditation.

7. Regular Exercise Along with Healthy Foods

Exercise is important to strengthen the body muscles and and adequate production of semen. Regular exercise not only helps to overcome the problem of thin semen but also helps to reduce your overall stress level. After exercise don't forget to fuel your body with healthy foods including fresh fruits and vegetables otherwise fructose deficiency may further lead to thinning of semen.

8. Proper Sleep

Proper and uninterrupted sleep of 6-8 hours is essential for healthy brain because only a healthy brain is able to release a balanced amount of sex hormones for proper thickening of semen.

Some Precautions and Useful Tips

(i)If you are a diabetic patient fructose rich food are hazardous to you so avoid consuming them before consulting a doctor.

(ii)Avoid Masturbation because the men who indulge in over masturbation start producing poor quality semen due to weakness of muscles. Testes require 48-72 hours to replenish sperms that`s why daily masturbation or ejaculation not only reduces the amount of semen available for each ejaculation but also reduce sperm count in semen and hence results in thinning of semen.

(iii)Maintain a gap of 3 days between two consecutive ejaculations. More times you ejaculate, the less dense your semen will be because daily ejaculation reduces the amount of semen available during each ejaculation. So for dense semen and healthy sperms have sex with your partner at least after 2 or 3 days.

(iv)Avoid Smoking because it not only damage blood vessels but also restrict the oxygen supply to blood and decrease sperm production and also decrease their life span.

(v)Avoid alcohol because it affects your liver function, which, in turn disturb hormonal levels. Even two drinks a day will have long term effects on sperm production.So strictly avoid alcohol intake.

(vi)Avoid hot baths because over heating is dangerous for sperms.

(vii)If you don't get rid of thinning of semen by using above remedies then don't rely only on these home remedies and consult your problems with doctor because sometimes thinning of semen may be a cause of an other underlying sexual disease.

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Male Fertility and Infertility

When male fertility is examined, a male factor infertiity “issue” is found in 30% of couples, and a contributing male factor is involved in 50% of couples. Besides being the cause of the problem, another reason to evaluate men for infertility is because it may be a symptom of significant but otherwise silent disease. View also our video “Sperm Count Decline“.

Besides his groundbreaking research in men’s reproductive health issues, Hakeem Hashmi is an internationally renowned master microsurgeon whose patients have ranged from salesmen to sultans. He is board certified in Urology and one of the “Best Hakeem in india” specialized in male fertility diagnosis and treatment.
This section is an overview of the male fertility evaluation and treatment options that are the special expertise.

Male Fertility and Infertility Diagnosis and Treatment

• Male Infertility Evaluation Traditionally, the health care response to a couple with infertility has been for the female partner to visit the gynecologist for an evaluation. The male partner may or may not be asked to give a semen analysis.

• Get a Second Opinion Although medical advice can get complex, for the most part, the discussion that you have with your doctor should make sense to you and you have a right to have all of your questions answered so that it does make sense to you.

•  Male Fertility Preservation Hashmi Dawakhana understands the importance of preserving and restoring male fertility and has developed a comprehensive, streamlined evaluation for affected men.

• Spermatogenesis Sperm production is hormonally driven. Brain hormones govern sperm production and are precisely controlled. The male genitalia are responsible for sperm and ejaculate production.

• Oligospermia Oligospermia is a male fertility issue defined as a low sperm concentration in the ejaculate. Low sperm concentration or “sperm count” is the number of sperm in a prescribed volume of ejaculate.

• Azoospermia Azoospermia is the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. If this is the case, then one or both of two conditions may be present.

• Testis Biopsy A testis biopsy is helpful in many cases of azoospermia. If an evaluation of azoospermia is not clearly showing whether there is a problem with sperm production or one of a blockage in the ducts of the reproductive tract, then the next step is to examine the testis itself and assess sperm production.

• Non-Surgical Male Fertility Treatment Only about 20% of young men actually know the exact time to have sex during the female cycle to achieve a pregnancy. The critical period can be assessed by either basal body temperature charting or home kits that detect the LH surge in the urine immediately (24 hours) prior to ovulation.

• Surgical Male Fertility Treatment Surgical treatment options include varicocele repair, ejaculatory duct resection and vasectomy reversal. What is nice about surgical treatments for male infertility is that they can “cure” the problem and allow for conception at home and not in the laboratory.

• Sperm Mapping Sperm Mapping is a technology that “maps” the location of sperm in the testis. The technique is designed to benefit severely infertile men. It is a minimally-invasive, non-surgical procedure performed under local anesthesia in the office. With Sperm Mapping, Hakeem Hashmi can determine if a man with azoospermia (no sperm in the ejaculate) is a candidate for sperm retrieval to have children. Sperm Mapping also helps to minimize invasive testis sperm retrievals and reduces the potential damage to the testis from these procedures.

• Sperm Retrieval Sperm retrieval procedures are designed to collect sperm from organs within the male reproductive tract. First developed in 1985, sperm retrieval combined with in vitro fertilization (IVF) and ICSI are invaluable for allowing infertile men without ejaculated sperm the opportunity to be fathers. Dr. Turek has 15 years of experience in sperm retrieval procedures and pioneered many popular retrieval, minimally invasive methods that are used today.

• Varicocele Repair Varicoceles are enlarged veins (varicose) in the scrotum; they are the most commonly corrected reason for male infertility. Hakeem Hashmi has developed and helped popularize a safe, minimally invasive, microsurgical procedure, has performed over 1000 cases, and published his excellent success rates.

• Ejaculatory Duct Resection Ejaculatory duct obstruction is presenting itself as a semen analysis with a low volume, ejaculatory duct obstruction is the cause of male infertility in 1-5% of men.

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Erectile dysfunction (impotence) - Causes

Erectile dysfunction (ED) can have many causes, such as certain medical conditions, medications and stress.
It's important to identify the cause of erectile dysfunction and treat any underlying conditions.

Erections

When a man becomes sexually excited (aroused), his brain sends signals to the nerves in his penis. The nerves increase the blood flow to the penis, causing the tissue to expand and harden.
Anything that interferes with the nervous system or the blood circulation could lead to erectile dysfunction.
Anything that affects the level of sexual desire (libido) can also cause erectile dysfunction because a reduced libido makes it more difficult for the brain to trigger an erection. Psychological conditions, such as depression, can reduce libido, as can changes in hormone levels (chemicals produced by the body).

Physical causes

There are four main types of health conditions that can cause physical problems resulting in erectile dysfunction. These are:

• conditions affecting the flow of blood to your penis – vasculogenic
• conditions affecting your nervous system, which is made up of your brain, nerves and spinal cord – neurogenic
• conditions affecting your hormone levels – hormonal
• conditions affecting the physical structure of your penis – anatomical

Injuries and surgery

Penis injuries or surgical treatment of the penis, pelvis or surrounding areas can sometimes lead to erectile dysfunction.
Erectile dysfunction is also thought to occur in up to 15-25% of people who experience a severe head injury.

Vasculogenic conditions

Examples of vasculogenic conditions that cause erectile dysfunction include:

• cardiovascular disease – a disease of the heart or blood vessels, such as atherosclerosis (hardening of the arteries) 
• high blood pressure (hypertension)
• diabetes – a condition caused by high blood sugar levels. This can affect both the blood supply and the nerve endings in your penis, so it is also a neurogenic condition

Erectile dysfunction is strongly associated with cardiovascular disease. For this reason, it may be one of the first causes your GP considers when making a diagnosis and planning your treatment.

Neurogenic conditions

Examples of neurogenic conditions that cause erectile dysfunction include:

• multiple sclerosis – a condition that affects the body's actions, such as movement and balance 
• Parkinson’s disease – a condition that affects the way that the brain coordinates body movements, including walking, talking and writing
• a spinal injury or disorder
• a stroke – a serious condition that occurs when the blood supply to the brain is interrupted

Hormonal conditions

Examples of hormonal conditions that cause erectile dysfunction include:

• hypogonadism – a condition that affects the production of the male sex hormone, testosterone, causing abnormally low levels 
• an overactive thyroid gland (hyperthyroidism) – where too much thyroid hormone is produced
• an underactive thyroid gland (hypothyroidism) – where not enough thyroid hormone is produced 
• Cushing's syndrome – a condition that affects the production of a hormone called cortisol

Anatomical conditions

Peyronie's disease, which affects the tissue of the penis, is an example of an anatomical condition that can cause erectile dysfunction.

Medicine 

In some men, certain medicines can cause erectile dysfunction, including:

• diuretics – these increase the production of urine and are often used to treat high blood pressure (hypertension), heart failure and kidney disease 
• antihypertensives – such as beta-blockers, that are used to treat high blood pressure
• fibrates – medicines used to lower cholesterol levels
• antipsychotics – used to treat some mental health conditions, such as schizophrenia 
• antidepressants –  used to treat depression and some types of pain
• corticosteroids – medication that contains steroids, which are a type of hormone
• H2-antagonists – medicines used to treat stomach ulcers
• anticonvulsants – used to treat epilepsy
• antihistamines – used to treat allergic health conditions, such as hay fever
• anti-androgens – medication that suppresses androgens (male sex hormones) 
• cytotoxics – medication used in chemotherapy to prevent cancer cells from dividing and growing

Speak to your GP if you are concerned that a prescribed medicine is causing erectile dysfunction. Alternative medication may be available. However, it is important never to stop taking a prescribed medicine unless you are advised to do so by a qualified healthcare professional who is responsible for your care.

Psychological causes

Possible psychological causes of erectile dysfunction include:

• depression – feelings of extreme sadness that last for a long time
• anxiety – a feeling of unease, such as worry or fear

Erectile dysfunction can often have both physical and psychological causes. For example, if you have diabetes, it may be difficult for you to get an erection, which may cause you to become anxious about the situation. The combination of diabetes and anxiety may lead to an episode of erectile dysfunction.
There are many emotional issues that may also affect your physical ability to get or maintain an erection. These include:

• relationship problems
• lack of sexual knowledge
• past sexual problems
• past sexual abuse
• being in a new relationship 

Other causes

Other possible causes of erectile dysfunction include:

• excessive alcohol intake 
• tiredness
• using illegal drugs, such as cannabis, heroin or cocaine

Cycling

Men who cycle for more than three hours per week may be recommended to try a period without cycling to see if this helps improve erectile dysfunction.
Riding in the correct position with a properly fitted seat may also help to prevent regular cycling from leading to erectile dysfunction

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