Si può desiderare di provare un trattamento naturale disfunzione erettile come un diverso per i problemi di costruzione. Al giorno d oggi ci sono diverse terapie sul mercato, ma un trattamento naturale disfunzione erettile è stato confermato qualche ora e ora di nuovo per dare risultati efficienti e permanenti. Cos è la disfunzione sessuale? L incapacità di sviluppare o sostenere una costruzione abbastanza lungo per fare l amore è chiamato disfunzione erettile, ED https://farmacia-senzaricetta.it/ o (maschio) problemi di erezione. Tutti gli uomini possono avere problemi di costruzione di volta in volta e gli scienziati considerano ED essere presenti se si verificano problemi di costruzione almeno il 25% del tempo. Alcuni fatti duri: ED Può essere dovuto a problemi emotivi. Stress, pressione, giltiness, depressione, bassa autostima e ansia prestazioni può essere la causa dei vostri problemi di costruzione. La ricerca ha confermato che il 90 per cento della disfunzione erettile è fisica in origine, non emotiva. L impotenza colpisce la maggior parte degli uomini durante la loro vita e può essere dovuto a troppo colesterolo, problemi cardiaci, diabete, ipertensione, fumo o alcol. Alcuni rimedi possono essere la ragione. Le questioni legate al movimento sono collegate. Se ti occupi dei tuoi problemi di movimento, hai piu possibilita di risolvere questo problema. Qui ci sono 5 consigli facili su come aumentare la circolazione: 1. Mangia i pasti giusti. Questo ti rendera il flusso sanguigno ovvio. Una grande parte di rimanere sani e anche mantenere il flusso sanguigno ovvio è legato al vostro piano di alimentazione quotidiana e quello che si mangia. Una buona cura per la disfunzione erettile è mangiare un piano a basso contenuto di grassi e grande alimentazione di fibre. Mangiare fibre tutti i giorni e questo viene scoperto in prodotti cerealicoli cereali integrali, frutta e verdura. Evitare il più possibile pasti pronti o pasti non sani. 2. Wonder herbal rimedi. Molti rimedi vegetali per ED eseguire bene come possono migliorare il movimento. Hanno molto meno reazioni avverse rispetto ai farmaci convenzionali e si svolgono in modo efficiente per migliorare hardons e la forza, troppo. Erbe naturali come Ginkgo Biloba sono utilizzati come una strategia per ED. Gli specialisti di erboristeria credono anche che le spezie o le erbe come noce moscata, portano al movimento intorno al corpo, tra cui il pene. 3. Vitamine naturali vitali. Gli scienziati sanitari hanno scoperto che una mancanza di supplemento è tipico tra gli uomini con ED in particolare vitamina A. Se si ha una mancanza del nutriente ossido di zinco, Questo è stato confermato per portare alla disfunzione erettile. Queste inadeguatezze derivano dal fatto che molti valori nutrizionali in quello che mangiamo piano non sono sufficienti. Aggiungere al vostro fabbisogno di nutrienti aumenterà la circolazione del sistema e migliorare questa condizione. Gli integratori alimentari sono completamente naturali, quindi non dovrete preoccuparvi dei rischi di reazioni avverse. Inoltre, queste vitamine naturali sono utili per il vostro benessere over-all. Oltre a questi vantaggi benessere, disfunzione erettile vitamine naturali e integratori costano molto meno di farmaci rimedi. 4. Esercitare. Fai una mossa e non un tablet vibrante. Camminare farà di più per migliorare e sostenere hardons di qualsiasi altra compressa chimica nel lungo periodo. Il fitness fisico manterrà bassi livelli di pressione e mantenere grandi stadi di movimento. Andando per un 20-30 minuti di movimento rapido ogni giorno, può affrontare questo problema e può sostenere la vostra libido senza l uso di qualsiasi farmaco. 5. Sottolineare. Questo è il peggior attaccante per problemi di erezione. Scopri diversi metodi per riposare. Alcuni metodi tipici per riposare includono la lettura di un libro, la meditazione, un bagno rilassante o allenamenti di respirazione. Sto solo imparando alcuni semplici allenamenti di respirazione che possono migliorare significativamente il movimento nel reparto pantaloni. Una naturale disfunzione erettile soluzioni di trattamento stanno diventando sempre più popolare con gli uomini. Questi rimedi a base di erbe sono preferiti perché non hanno reazioni avverse e sono confermati essere efficiente come il farmaco. La maggior parte degli uomini combattere parlano dei loro problemi, in particolare la disfunzione erettile come c è poca discussione sui problemi di erezione. La verita e che ED ha un impatto su piu di dieci milioni di uomini solo negli Stati Uniti. Non siete soli e l aiuto è disponibile.
Pe.be
Premature Ejaculation fact sheet
Premature Ejaculation (PE) is the most common male sexual dysfunction in men <60 years, yet it is one of the most under-diagnosed and under-treated.
It affects around 1 in 5 men (according to the DSM-IV definition)
worldwide and regardless of age. It’s a complex medical condition
which can be caused by various factors and can be described as short ejaculatory latency time, a low or absent sense of control over ejaculation and negative personal consequences.
Essentially, for men with PE, the sexual response presents an
ejaculation sequence that is compressed, occurring more quickly and with less control than for non-PE men. In fact, the excitement phase is
very quick, with generally a normal erection, a brief plateau followed by
Issue and prevalence
According to the ISSM (International Society for Sexual Medicine) PE is
1. Ejaculatory latency time (IELT) of about 1 minute - Ejaculation which always or nearly always occurs prior or within about one
2. Lack of control over ejaculation - Inability to delay ejaculation in all or nearly all vaginal penetration
3. Negative personal problems related to the condition - Negative personal consequences, such as distress, frustration and/or the
The IELT (Intravaginal Ejaculatory Latency Time – it’s the time from
vaginal penetration to ejaculation) limit of about 1 minute is based on
the observation that approximately 90% of men with Lifelong PE report
IELTs of less than 1 minute and 10% have an IELT of 1 to 2 minutes.
IELT has a direct effect on the man’s sense of control over ejaculation,
but does not directly influence satisfaction or personal distress.
A man’s level of perceived control over ejaculation is linked to whether he also experiences negative consequences associated with PE, including low satisfaction with sexual intercourse and personal distress related to ejaculation.
1. Primary PE (also referred as “lifelong”) – characterised by onset
from the first sexual experience, which continues throughout
life. In these cases ejaculation occurs too fast, before vaginal
penetration or less than 1-2 minutes after
2. Secondary PE (also referred as “acquired”) – characterised by
gradual or sudden onset with ejaculation previously being
PE is more prevalent in men < 60 years than Erectile Dysfunction (ED)
and is not age-related. Approximately 50% of men with symptoms of
PE indicated that these symptoms had been present since their first
Despite its prevalence, PE stil represents an underdetected and
undertreated medical condition as men are often unwil ing to discuss their symptoms with their doctors, often due to embarrassment or the perception that there are no solutions. Also, men with PE believe there
is no promising treatment for their condition. As a result, only 9% of
those with self-reported PE consulted a doctor and of this small group
nearly 70% did so at a visit scheduled for another reason. Of the 91% of
men that had not consulted a physician 52.2% noted that they had
The sexual response in men has been described as a cycle of
characteristic physical changes, composing 4 phases: desire, excitement, orgasm (ejaculation) and resolution. Male sexual
dysfunction general y occurs in one or more of the first 3 phases of the
sexual response cycle, including dysfunctions of sexual desire (i.e.
hypoactive sexual desire), arousal (i.e. erectile dysfunction and longer
time needed until getting sexual y aroused) and orgasm/ejaculation (i.e.
premature ejaculation, delayed ejaculation and anejaculation).xvi i
PE results from the rapid progression of the first 2 phases of the sexual
response cycle but is not necessarily related to elevated or altered
arousal.Ejaculation is primarily influenced by central nervous system control and current evidence suggests that PE is a more neurobiological than psychological phenomenon.
The process of ejaculation is central y regulated and involves a range of neurotransmitters, including serotonin (5-HT), dopamine, oxytocin and
others. Many data suggests that serotonin and specific 5-HT receptors
subtypes are predominantly involved in the process of delaying
Consequently, PE might be associated with the presence of low synaptic levels of serotonin in regions of the CNS that modulate ejaculation.
Secondary PE can be caused by both psychological and physical factors.
Common physical causes of Acquired Premature Ejaculation include:
• Prostate diseases, especially prostatitis
PE&Personal Distress – PE&Couples
A satisfying sex life is essential to any successful relationship, and sexual well-being is crucial to a person's overal health. The World
Health Organisation (WHO) defines health as: “A state of complete physical, mental and social well-being and not merely the absence of Many aspects of the lives of both men and their partners are impacted
• a “very poor” or “poor” control over ejaculation (95%)
• personal distress “moderate” to “extreme” (90%)
• a “very poor” or “poor” satisfaction with intercourse (57%)
• interpersonal difficulty related to ejaculation (63%)
IELT was significantly shorter in men with PE compared with men
without PE (1.8 median IELT for PE and 7.3 for non-PE men).xxi The
negative impact of PE can have a detrimental effect on self-confidence
and may cause mental distress, anxiety, embarrassment, frustration and depression.
Partners of men with PE are also affected by this condition.
• more than 60% of the partners of PE men are not satisfied with
• 60% of men with PE stated to believe that their relationship
would be stronger if they were better able to satisfy the partner
• the majority of men with PE (60%) would seek medical
treatment if their partner suggested it and approximately 75% of
those who have sought solutions have done so especially to
improve their partner’s sexual satisfactionxxvi
Treatment options
PE was initially seen as a psychological problem and for decades was
treated with behavioural and cognitive therapies. Subsequently,
pharmacological treatments such as prescription drugs and topical
PE, both chronic (Lifelong) or Acquired, is often a condition of
organic/neurobiological etiology that can be treated. If PE is caused by
another disease (for instance by a non-diagnosed chronic prostatitis),
the treatment of that disease wil have positive effects also on PE. Even
for treatment of Lifelong PE there are different options the doctor can
In any case, a doctor’s consultation is strongly recommended for a correct diagnosis and treatment.
Here are some of the treatments generally used in men with PE
symptoms, that include a range of cognitive/behavioural approaches
(e.g., special positions during sex, interrupted stimulation), topical
desensitising agents, and prescription drugs.xxvi
Behavioural and cognitive therapy
These include different psychological and physical techniques aimed at
training men to recognise pre-ejaculatory signs enabling them to
• The most often used behavioural techniques are the “stop-start”
technique (first introduced by Dr. J. Semans in 1956) and the
“squeeze” technique (described by Masters and Johnson, 1970). (Porst, 2012) Several modifications of these techniques are available, but
after initial success rates of 50-60%, clinical experience shows that
they often fail to provide long term improvements. Instead of the
“stop-start” technique, which can be unsatisfactory for the female
partner, it is better for men to learn how to modulate and reduce
the level of arousal and excitement by doing slow, sensual movements while breathing deeply and slowly. The goal is to keep
the level of arousal below the ejaculation threshold, while
maintaining a good erection. These breathing control techniques
seem to have a calming effect and, at that moment, seem to really
work. But clinical experience and scientific studies suggests that
improvements achieved with these methods are generally not
• Masturbation before sexual intercourse is a technique used by
many younger men. Fol owing masturbation, the penis can be
desensitised, possibly resulting in greater ejaculatory delay after the
recovery period. In a different approach, the man learns to
recognise the signs of increased sexual arousal and how to keep his
level of sexual excitement below the intensity that final y triggers
the ejaculatory reflex.Such self-help techniques, while partially
effective in the short term, may actually exacerbate rather than
alleviate PE, as they deliberately ignore or dampen the sexual
sensations that need to be control ed in order to improve the
condition. Furthermore, bad masturbation practice, i.e. a non-stop
rush to climax, can further impede the development of ejaculation
In general, there is no control ed research to support the efficacy of
Pharmacological treatment
Different oral treatments have been successfully used under medical
Topical creams or sprays containing anaesthetic compounds such as
lidocaine and prilocaine, that desensitise the penis and thus help
delaying ejaculation, provided moderate success-rates in smaller
studies.xxxii But these topical anaesthetic medications are often difficult
to dose and may therefore cause numbness of the glans/penis resulting
in a loss of erection and/or ejaculation if they are overdosed. There is
also the possibility of transferring the anaesthetic compound to the
partner, thus reducing pleasurable sensations resulting in
Other methods
Other self-help techniques, including double condoms or condoms
containing anaesthetics (“delay” condoms), which produce a slight
numbing effect, while partially effective in the short term, they may
ultimately exacerbate rather than alleviate PE, as they deliberately
ignore or dampen the sexual sensations that need to be control ed in
i Lindau 2007, McCarty 2012, Sotomayor 2005
vi Giuliano et al. 2008, Patrick et al. 2007
viii Giuliano et al. 2008, Patrick et al. 2007
ix McMahon 2013, EAU 2012, Waldinger 2007, Jannini 2007, Broderick 2006
x McMahon 2013, EAU 2012, Buvat 2011, Rowland 2010, Waldinger 2007, Jannini 2007, Broderick 2006
xiv Lindau 2007, McCarty 2012, Sotomayor 2005
xxi McMahon 2011, Buvat 2011, McCarty 2012
xxxv Sotomayor M, 2005; Atikeler MK, 2010
06 Marshall 065057 2/6/06 1:05 pm Page 345 Abstract While it was once assumed that sexual function andvirility naturally declined with age, the sexual capacities of theaging body have more recently been aligned to new performativestandards, particularly for men. This article explores the historyand contemporary dimensions of this new culture of virility. Thefirst section reviews shifting scien
EUROPÄISCHER ÖFFENTLICHER BEURTEILUNGSBERICHT (EPAR) Zusammenfassung des EPAR für die Öffentlichkeit Das vorliegende Dokument ist eine Zusammenfassung des Europäischen Öffentlichen Beurteilungsberichts (EPAR), in dem erläutert wird, wie der Ausschuss für Humanarzneimittel (CHMP) die durchgeführten Studien beurteilt hat, um zu Empfehlungen bezüglich der Anwendung des Arzneimitt