One problem that numerous men struggle with is staying sexually health throughout life.  One aspect of a healthy sex life is the ability to maintain a strong erection.  There are a variety of factors which impact the strength of an erection, most of which are related to your overall health.  This article provides you with an easy checklist to assess how you can adjust your life in order to make sure you’re taking care of the basics.  Engaging in health behaviors early can help prevent problems such as erectile dysfunction in the down the line.  Here are seven useful tips for keeping a strong erection.

Make dark fruits a part of your regular dietary routine

Antioxidants, such as anthcyanins, are found at high levels in dark fruits.  Including more of these in your diet can decrease the impact of diseases that create “oxidative stress” for the body, such as hypertension.  Antioxidants keep the oxidative stress under control and get rid of harmful, erection slowing comments called free radicals in your blood.  Antioxidants also enhance the amount of nitric oxide in the blood which makes blood vessels dilate or become larger.

If you smoke, make this the year to quit

Smoking is a well known risk factor for multiple diseases.  It is also increases a man’s risk of erectile dysfunction.   The best approach is not to smoke and if you do smoke work with your physician to create a plan to stop.

Find a way to keep stress under control

Many men, especially those in jobs that are filled with pressure, have trouble keeping stress at bay.  Stress can impact erections by increasing the amount of the “fight hormone” adrenaline which can lead to hardened arteries for people who are exposed to stress over a long period of time.  Hardened arteries slow down blood flow to the penis and decrease the strength of erections.  There are a number of ways to keep stress down.  Here are a few tips from the American Academy of Family Physicians.

Increase your intake of dark chocolate

Dark chocolate, unlike milk chocolate, contains a number of healthy properties for humans.  One compound in dark chocolate that is useful for strong erection is epicatechins (a type of flavonoid) which aid in the dilation of blood vessels.  A small dark chocolate bar a day can offer these benefits.

Increasing the strength of your Kegel muscles

When you urinate, there are muscles that you squeeze to push out any remaining urine.  Those muscles between your legs and behind your scrotum are your Kegel muscles.  Squeezing these muscles on a regular basis is an exercise that can help you maintain the strength of your erections.  You can do these exercises anytime you are sitting or lying down.  A good goal is to do 18 contractions daily holding each one for 10 seconds.  If you haven’t done these exercises before, you will need to practice holding the contractions for less time before you can reach 10 seconds.

Review the drugs you are taking

Certain prescription drugs can lead to erection problems.  One example is the cholesterol medication, Zocor, but there are many others.  For more take a look at this list

Lower your estrogen levels

Among the numerous problems that lack of exercise can bring is an increase in estrogen level.  Excess fat is the culprit of the problem.  Excess estrogen comes from the conversion of testosterone to estrogen in men with a body mass index of over 25.  This extra estrogen can increase your risk of erectile dysfunction.  The risk can be decreased by losing weight.

With these extremely useful tips, you can sustain strong erections and improve your overall sexual health.

References

http://www.menshealth.com/mhlists/rules_for_erections/

http://www.wonderfulpomegranateresearch.com/media/pdf/health/april_11/Zhang%202010.pdf

Causes of Premature Ejaculation

Premature ejaculation is quite common among men.  The causes are variable and rarely physical.  The most common cause is anxiety and too much stimulation prior to sexual intercourse during the early stages of a relationship.  During the course of a relationship, guilt and other psychological factors may play a role.  In general, this problem is viewed as stemming from one’s psychological/mental state.  Usually the condition improves without treatment.  Most men use mental or physical techniques to prevent themselves from ejaculating as a result of these causes.  However, there are times when premature ejaculation is cause by factors that are not psychological.

Role of Testosterone

In some cases, testosterone plays a role in premature ejaculation.  The connection to testosterone comes from the connection to erectile dysfunction, a condition during which men are persistently unable to develop and maintain erections.  As men age, testosterone levels decline and erectile dysfunction becomes a problem.  In addition to this problem, premature ejaculation may become more common.  The connection between erectile dysfunction and premature ejaculation continues to be studied, but there appears to be an association between these two problems that impact sexual performance at various ages.  Of course, the associated will vary based on a number of other factors related to a man’s health and well being, such as his weight (measured by body mass index), cardiovascular state, and neurological state.  One recent study explores this association by suggesting that some men with premature ejaculation who have low serum levels of a hormone called prolactin also have erectile dysfunction (low testosterone is one risk factor for this).  The importance of this connection is that the treatment of erectile dysfunction may decrease premature ejaculation.

Erectile dysfunction is better understood than premature ejaculation and has more useful treatments.  For example, drugs such as Viagra can improve erectile dysfunction and may make premature ejaculation less likely or allow men to continue performing sexually after premature ejaculation.  Also, erectile dysfunction caused by depression can be addressed by antidepressants, such as SSRIs, some which are also known to prolong erections as one of their side effects.  In addition, testosterone replacement therapy may be a useful treatment approach for men with low levels of testosterone associated with age.  Various methods of administering testosterone (such as patch, gel, or injection) make this treatment more amenable to men with busy lives or those who have preferred methods of drug administration.

Although the connection to erectile dysfunction can expand the treatment options for premature ejaculation, there is currently no drug approved by the US Food and Drug Administration specifically for premature ejaculation.  As stated, there are some studies which support the idea of using a type of drug called SSRI’s which are usually used as an antidepressant.  One side effect is a prolonged erection.  This drug can be prescribed by a physician off label.  Otherwise, the options are limited.  Thus a good assessment of a man’s testosterone level is important for making sure this is not leading to erectile dysfunction which may be impacting the problem of premature ejaculation.

National Male Medical Clinics offers superior options for Premature Ejaculation. Anti-depressants have been commonly prescribed for PE however because of commonly experienced side-effects see your physician or National Male Medical Clinics for other available solutions.

Sources

Lue TF, Broderick GA. Evaluation and nonsurgical management of erectile dysfunction and premature ejaculation. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 22.

Shafer LC. Sexual disorders and sexual dysfunction. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 36.

Corona G, Mannucci E, Jannini EA, Lotti F, Ricca V, Monami M, et al. Hypoprolactinemia: A New Clinical Syndrome in Patients with Sexual Dysfunction. J Sex Med. Feb 10 2009;[Medline]

Jannini EA, Lenzi A. Epidemiology of premature ejaculation. Curr Opin Urol. 2005 Nov;15(6):399-403.

http://www.mayoclinic.com/health/premature-ejaculation/DS00578

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002492/

Kilic S, Ergin, H, Baydinc YC. Venlafaxine extended release for the treatment of patients with premature ejaculation: a pilot, single-blind, placebo-controlled, fixed-dose crossover study on short-term administration of an antidepressant drug. Int J Androl. 2005;28:47. http://men.webmd.com/guide/overcoming-ejaculation-problems

The World Health Organization defines erectile dysfunction as have the following characteristics:

1. Persistent – 3 months or more
2.  Inability to attain an erection or maintain an erection
3. Unsatisfactory sexual intercourse

Epidemiology

The prevalence (total current cases) of erectile dysfunction is unclear because of the various definitions used for this illness and the different ways that studies are designed to determine prevalence.  The prevalence varies greatly from 10 to 52% of men, with most of the studies focusing on men ages 40 – 70 years of age.  In western countries, studies indicate that the incidence (new cases) of erectile dysfunction is from 25 to 30 new cases per 1000 people per year.  The majority of the men with erectile dysfunction are untreated.

Causes of Erectile Dysfunction

Erectile dysfunction may be caused by psychological or physical problems.  Psychological causes – such as depression – or other feelings and thoughts can prevent a person from being aroused mentally.  These can sometimes be treated with appropriate psychological therapy.  The physical causes vary and are often more difficult to treat.  Among these causes are hormonal insufficiencies (hypogonadism), diabetes, cardiovascular diseases, neurological diseases (i.e. multiple sclerosis and spinal cord injuries), hormonal dysregulation (i.e. elevated prolactin and Cushing syndrome) smoking, drug use, excessive alcohol consumption, and drug side effects.  These causes are more common in older men, which increase the prevalence of erectile dysfunction in men who are over 60 years of age.

Role of Testosterone

Testosterone is also well known for its role in the normal development of penile tissue and early male sexual characteristics during puberty, including penis growth.  However, a low level of testosterone is also one of the factors which can lead to erectile dysfunction.  Erections arise from two mechanisms: reflex or emotional stimuli.  Both involve a fairly complex set of events which are regulated to some degree by testosterone.  Adequate levels of testosterone are required for a healthy erectile system.  Testosterone appears to synchronize the erection process by stimulating the production of nitric oxide at the beginning of the erection and also stimulating the production of PDE-5 which leads to the end of an erection.  One study show that America’s increasing obesity problem is also connected to testosterone.  Men who are obese have lower levels of testosterone resulting in hypogonadism and increasing their chances of erectile dysfunction.
Some studies indicate that it determines the frequency of night time erections or near erections and also have morphine like effect on the brain (the sense of an orgasm).  As testosterone declines normally with age, the frequency of erections decreases further demonstrate the role of testosterone in the erection process.  One study demonstrated that lower levels of testosterone results in impaired relaxations of muscles of the penis which means a decreased chance of having an erection.  Hence, erections are clearly dependent on normal levels of testosterone.

Testosterone Therapy as Treatment for Erectile Dysfunction

The use of testosterone therapy to treat erectile dysfunction also supports the role of low testosterone as a risk factor for erectile dysfunction.  One recent study demonstrated that with testosterone therapy night time near erections, penile blood flow and visually stimulated erections increase.  Testosterone therapy was supported by an article which examined a number of past studies (meta-analysis).  This meta-analysis which was conducted in 2000 revealed that studies between 1966-1998 demonstrated a statistically significant greater response to testosterone therapy for erectile dysfunction in the treatment groups versus control groups. Treatment with testosterone is viewed as more permanent than other treatments because it addresses an underlying cause, hormonal deficiency, which is easier to adjust than other physical causes of erectile dysfunction.  The goal of this treatment is to provide a dosage of testosterone that mimics the normal level of testosterone and its related metabolites in the man’s body.  This goal can be met with different, existing testosterone therapies which include patches, gels, and long acting injections.  Testosterone can also be used in conjunction with a PDE-5 inhibitor.  As stated earlier, PDE-5 is a combined which increases in order to stop an erection. The PDE-5 inhibitor prevents this compound from acting and thereby leads to a longer erection.  However, some men do not respond to this drug and testosterone can provide added benefits to these men.

If you are interested in learning more on erectile dysfunction or any other sexual health related problems, contact one our clinics today.

Sources
M Diaz-Arjonilla1, M Schwarcz1, RS Swerdloff and C Wang. Obesity, low testosterone levels and erectile dysfunction. International Journal of Impotence Research (2009) 21, 89–98

Jain P, Rademaker AW, McVary KT. Testosterone supplementation for erectile dysfunction: results of a meta-analysis. J Urol 2000; 164: 371–5

Lunenfeld B, Saad F, Hoesl CE. ISA, ISSAM and EAU recommendations for the investigation, treatment and monitoring of late-onset hypogonadism in males: scientific background and rationale. Aging Male 2005; 8: 59–74.

Kubin M, Wagner G, Fugl-Meyer AR. Epidemiology of erectile dysfunction. Int J Impot Res. 2003 Feb;15(1):63-71.

Farid Saad, Anca S. Grahl , Antonio Aversa, Aksam A. Yassin, Atez Kadioglu, Ignacio Moncada and Ian Eardley. Effects of testosterone on erectile function: implications for the therapy of erectile dysfunction. 2 0 07 B J U I N T E R N A T I O N A L | 9 9 , 9 8 8 – 9 9 2

History of Testosterone Replacement Therapy

The notion that people deficient in some compound that their body normally makes can be cured by taking an external form of the compound is an old concept.  This is the principle behind blood transfusions, insulin injections for diabetes, growth hormone injections, and more.  Testosterone replacement therapy follows this same conceptual approach.  In fact the concept of incorporating the other animals’ sexual organs or prowess into human bodies is an ancient idea that exists in numerous cultures.

Early research in Germany in the mid 1800’s led to the discovery that castrated roosters lost their ability to mate and other characteristics that were unique to roosters – such as crowing in the morning.  When the roosters’ testes were replaced, their normal behavior returned.  Subsequently, during the late 1800’s, an elderly French scientist injected himself with animal testicular extract (from guinea pigs and dogs) and reported at a scientific conference in Paris that he felt rejuvenated as a result.  This early experiment revealed some of the benefits of testosterone which are seen in patients today – increased strength, concentration, and energy.  This event triggered growing interest in the notion that features of younger male behavior and body characteristics, particularly those associated with sexual abilities, could be captured and used to help older men regain their younger selves.  In the 1930’s testosterone was synthesized.  This discovery began the pharmaceutical industry’s journey towards making testosterone for replacement therapy.  Not long after this, clinicians began prescribing testosterone.  In 1944, a couple of Detroit physicians demonstrated in a Journal of the American Medical Association study that some men appear to have shrinking gonads or internal reproductive organs as they age.  This discovery demonstrated that these men were similar to younger men who had an illness called hypogonadism (small testes resulting in low levels of testosterone) and therefore might benefit from any treatments the younger group required.  The physicians also demonstrated that men who had this problem improved with testosterone.  Later discoveries revealed that women having their ovaries removed who also had declines in sexual functioning also improved after receiving testosterone.  Hence the therapy was useful for men and women.

Until recently the best approach for getting testosterone into the human body has been a challenge. Early oral testosterone pills caused liver toxicity and remain a challenge to create today.  An implantable form of testosterone that was placed under the skin worked well and is still used today.  However, this method requires minor surgery which can present some small risks of infection and irritation of the implantation site.  The most common method of testosterone replacement therapy remains injections.  However, newer technology has led to the creation of testosterone patches which are less invasive than injections yet more inconvenient for many men as they are often placed on the scrotum of men.

How Does Testosterone Replacement Therapy Work?

The goal of testosterone replacement therapy is to replace the testosterone that a person would normally have without whatever condition is causing abnormally low levels.  The therapy works best when testosterone is delivered to the body at an appropriate level.  For all methods of injection, testosterone levels rise, sometimes to above normal levels, then declines.  Thus appropriate monitoring is needed in order to make sure that the rise and decline are actually happening in a manner which is beneficial to a patient and not harmful.  Excessive testosterone can cause a number of side effects, including shrinking of testicles, acne, enlarged prostate, and hair loss.  Different types of testosterone administration have unique concerns associated with them.  For example, injections pose a risk of infection.  Testosterone patches and gels pose a risk of allergic skin reactions.  If the method of administration is appropriate, testosterone replacement therapy should offer all the benefits of the body’s normal testosterone which include: increased concentration and focus, normal sperm production, normal bone density, increased sex drive, increased energy level, increased lean muscle mass, better sleep, better memory, improved mood, mental clarity and more.

National Male Medical Clinics offers testosterone injection and a gel (topical application).  Injections have a 100% success rate in providing testosterone that is used in the same ways as to the body’s normal testosterone.  It is usually provided once a week.  The gel is useful for men who are sensitive to the effects of testosterone.  It is administered daily in low doses.

1. Increase sex drive or libido and Improve male sexual performance

One of the most common complaints that men have when their testosterone levels decline with age is that their desire to have sex or libido decreases.  In addition, their frequency of erections, sustaining erections, and performance during sex is affected.  Testosterone replacement, under the appropriate medical supervision, can alleviate both problems. However, testosterone replacement is unlikely to increase sperm count and may decrease sperm count for young men.

2. Enhance mood / Reduce depression

While a person’s mood can change daily and depression might result from a number of factors, low testosterone is a likely cause in an otherwise healthy man without any clear reasons for depression.  What’s confusing about depression is that the signs are slightly different for each person.  However, in general, people have a depressed mood or persistent feelings of sadness/hopelessness, decreased energy or fatigue, loss of interest in hobbies or other activities which used to be a source of fun, difficulty concentrating, increased or decreased appetite, increased or decreasing sleeping, and increased irritability/restlessness.  The symptoms are extensive.  If low testosterone is a cause or one of the causes, testosterone replacement can improve most or all of these symptoms by essentially improving a man’s mood and increasing his desire to live.  A good way to think about this change is that men begin to have “feel young again.”

3. Increase energy and vitality

Lack of energy is noticeable in all areas of life – on the job, at home, on vacation, etc.  Men with low testosterone will feel like they are getting tired faster than normal or just lack the ability or desire to do as many activities as they’ve done in the past.  Testosterone replacement increases the drive to get out and live life, get things done at work, and more.  According to physicists, all types of movement require energy.  So, this change is essential to living the life that men desire to have.

4. Increase bone density

Bone density is a measure of the strength of a person’s bones. This is an important measure because if bone’s are less dense they are more brittle and likely to break.  Low bone density is a typical problem of aging women, and not something men typically think about as a health problem.  However, men with declining levels of testosterone slow have changes in their bone density and have an increased chance of bone fractures and breaks.  Testosterone replacement increases bone density over time.

5. Improve fertility

For some men with low testosterone, fertility may still be a concern because they are younger (for example in their late 30’s) and still want to have children.  The impact of testosterone on their fertility arises from their increased desire to have sex.  Testosterone alone is not a treatment for infertility.  The exact cause of infertility must be addressed.  Testosterone replacement may be a component of that therapy.

6. Increase strength and endurance

With the increased energy of testosterone replacement comes a greater desire to do things.  For men who are engaged in regular physical activity, testosterone replacement will increase their ability to get achieve physical goals.  For those who have been feeling a declining desire to engage in physical activity, testosterone replacement may increase this desire and make things like running, walking, lifting weights, and hiking much more appealing.

7. Regulate body fat distribution

Although body fat increases mainly because of men eating more than they need on a daily basis, low testosterone is also a cause.  Testosterone replacement aids men in their weight loss efforts by increasing their desire to participate in a variety of physical activities (including sex) and changing the way fat is distributed on their bodies.  With increased testosterone levels, healthy eating, and exercise, some men find that testosterone replacement leads to a new, better physique for them.

8. Increase body hair growth

For men with general hair loss throughout their body, testosterone replacement therapy can bring back the hair they are used to.  Testosterone replacement is not a treatment for baldness and low testosterone is not a cause of baldness.

9. Reduce risk of heart disease

Heart disease is the number one cause of death for men.  Any factors that can decrease risk of heart disease are useful for men.  Testosterone replacement, for those with low testosterone, can decrease the risk of heart disease.  Again, physicians need to carefully monitor levels, because high testosterone can increase the risk of heart disease.  The appropriate level for a particular man can only be reached with the help of a physician.

10. Increase lean muscle mass when coupled with a balanced diet and exercise

Through the increased energy that comes from increased testosterone and improved fat distribution, men are likely to see an increase in their muscle ton.  They will begin to feel learner.   Of course, there are a number of factors that affect weight, so a healthy diet and regular physical activity (in or out of the gym) are necessary for men to see this change.  Testosterone in addition to these changes in behavior can result in a better looking body.

Instances of patient premature ejaculation (PE) and erectile dysfunction (ED) are among the more common sexual disorders affecting a large number of men across all ages. Although in a number of cases, some form or relief can be provided to alleviate the condition, the psychological ramifications associated with sexual dysfunction can have far reaching consequences on the mental health of the patient. The biggest concern here is the inability to satisfy your partner.

We at Los Angeles Male Medical Clinic (LAMMC) understand the distress that a patient might be undergoing in his personal life due to a sexual disorder. We are a well-recognized and professionally respected national sexual health clinic focussing on providing treatment as well as supportive care for patients with all kinds of sexual dysfunctions. Our medical expert and our team of professionally trained all male nursing staff take care to understand the root and triggers of the problem and formulate treatment procedures accordingly.

At Los Angeles Male Medical Clinic (LAMMC) we provide comprehensive treatment options for sexual disorders which include PE, ED, testosterone imbalance, lack or decreasing levels of libido, side effects of prostate removal as well as diabetes related sexual dysfunctions.

One of our clients, *Bill Kimbell, came to us in deep anguish over his inability to experience an erection. Having met a lovely woman, Bill was keen on taking the relationship to the next level of physical intimacy. However, he has been holding back because of his fear of not being able to perform when the time presents itself.

Like a lot of men who suffer from erectile dysfunction and premature ejaculation, Bill spent thousands of dollars on purchasing “fly-by” overnight miracle drugs which promised quick and effective cures. None of these helped him. He in the meantime was left agonizing over his condition. This led him into a state of depression. His physician was of the opinion that depression might be the cause behind our client suffering from ED for which he was prescribed anti-depressants. Anti-depression medication has however, had no effect on his condition.

Having tried all possible cures and treatments he came to us. After a careful study of his case history and analysis, our medical expert determined that kidney disease and nerve damage were the reasons behind our patient’s inability to experience an erection over a period of 10 years.

Studies and tests indicate that kidney disease can lead to erectile dysfunction. Causes for erectile dysfunction associated with kidney disease however can vary largely due to the fact that kidney disease can relate to different types of kidney-related conditions. Two important aspects governing an erection are clear communication between the brain and the penis as well as necessary hormone levels. In patients with some form of kidney disease, both of these aspects can be partly and or completly disrupted. Equally important to achieving a successful erection is strong blood flow and high energy level; both of which can be affected by kidney disease. Medications prescribed to patients with kidney disease have also been found to contribute toward erectile dysfunction.

To treat his ED, our medical expert administered a test dose of TriMix. Following which, our patient was able to experience a penetrable erection within minutes. Having established our patient’s positive response to TriMix, a dose based on his needs was formulated. Post this treatment procedure, Bill has been able to achieve a penetrable erection and has been extremely pleased about the improvement in his condition.

If you or someone you care about is suffering from erectile dysfunction and or premature ejaculation, or from any other form of sexual disorder come visit us at Los Angeles Male Medical Clinic (LAMMC) today. Our team of dedicated and professional all male staff can provide you with the correct form of treatment to address your problems. Don’t waste time over ineffective and conventional “one glove fits all” kind of treatment. Give us call, schedule an appointment, and benefit from our expertise.

*Name has been changed to protect the privacy of our patient*

In a heart-warming case, *Kevin Arnold, a 79-year old man, approached us with ED and was successfully treated at the Dallas Male Medical Clinic. Having lost his life partner, Kevin came to us with the hope that a customized treatment procedure might help him regain his sexual health. He told us that he had recently met a woman and he was keen on pursuing a relationship with her. However, with a history of heart disease he had been struggling with ED and was extremely apprehensive about the future of his relationship with this woman as locally available and popularly recommended medication such as Viagra or Cialis were options which he was not very keen on trying.

A detailed and extensive health review pointed towards heart disease being the leading cause behind our patient’s ongoing struggle with ED. The health review also indicated that our patient was suffering from low testosterone levels. Various options were laid out before our patient and for each case he was informed about not only the benefits but also about the price structure involved. At each stage the all male team at DMMC clearly detailed the procedural steps involved as well as the expected results to ensure that our patient had the last word over a treatment of his choice.

Based on his present condition, our medical expert worked out a personalized formula for our patient. He was administered a controlled dose of TriMix which produced the desired results. Mindful of the fact that he has a heart condition and taking into account his age, the dosage was adjusted accordingly keeping with the requirements of our patient.

Post this course of treatment, it gives us great joy to see Kevin happy and satisfied with the results. We can see a new found confidence in his eyes and a bounce in the steps of the same man who came to us with severe reservations about popularly available treatment option. This life changing transformation and witnessing the eagerness to embrace happiness which has come knocking around a second time in the life of our patient is reward enough for us.

This however, is just the beginning for us. We are acutely aware of the fact that there are a lot of men out there who shy away from talking about problems such as ED and premature ejaculation among other sexual disorders.

Proper analysis and testing can provide effective solutions for the treatment of all kinds of sexual dysfunctions. The first step is to seek out medical intervention and taking the requisite measures for diagnosing problems related to sexual health. ED can be diagnosed in several ways; a complete medical check-up and reviewing of sexual history along with blood tests and urinalysis can effectively indicate and or point out to factors which can contribute toward ED.

The Dallas Male Medical Clinic is dedicated toward providing treatment for all kinds of sexual disorders affecting men. Once an accurate diagnose has been arrived at, our medical expert details out personalized treatment options to help our patients. While treatment for ED can include oral medication, surgery, as well as psychotherapy, medical experts at the Dallas Male Medical Clinic depend on innovation and unique drug therapy to treat ED. The treatment is always tailored to address the needs and requirements of our patients at all stages.

Sexual disorders for which treatment is provided at the Dallas Male Medical Clinic include ED and premature ejaculation, lowering in the levels of libido, testosterone imbalance and diabetes and kidney related as well as heart disease related sexual dysfunctions.

Sexual disorders are like any other medical condition. With proper treatment patients can expect a complete cure and renewal of sexual health and vigor.

Call us today at the Dallas Male Medical Clinic for an appointment and let our professionally trained medical experts help you regain your sexual health.

*Name has been changed to protect the privacy of our patient*

It has been estimated that more than 40% of men suffer from significant occurrence of PE. On the other side of the statistic, studies indicate that ED is more commonly associated with advancing age and can be caused by physical conditions such as heart diseases, diabetes, kidney disease, certain medication among other things.

In the last few decades, significant advancements in treatment procedures and options have improved the outlook for both Premature Ejaculation and Erectile Dysfunction. There however, still exists a certain level of stigma which is associated with these sexual dysfunctions. And while both conditions can be effectively managed with therapy and medication as well as with exercises, the number of men who actively seek out medical treatment is still very low.

Even today, a lot of misconception surrounds Premature Ejaculation and Erectile Dysfunction primarily because these two sexual dysfunctions can and in a lot of instances do concurrently-occur. Hence it is not uncommon for a man suffering form ED to confuse his condition with PE and vice versa. Often times, over and above psychological conditions of anxiety and stress and or depression, the underlying triggers for both conditions can be biological in nature in which case medical intervention can be critical to an improvement in the condition or for a complete cure.

Are Premature Ejaculation and Erectile Dysfunctions Linked?

Because in most men who have been diagnosed with ED as a primary problem, the secondary concern in most instances is PE, the two are often thought to be mutually inclusive. Also because reduced or hampered blood flow, critical to achieve a penetrable erection, to the genital areas is one of the main reason for premature ejaculation and erectile dysfunction, the logic of “one reason one  problem” gets applied.

However, to answer the query of PE and ED being linked, it is imperative to first understand the difference between Premature Ejaculation and Erectile Dysfunction.

Erectile dysfunction is characterized by the inability of a man to get a penetrable erection. The cause for this can be manifold with the most likely culprits here being age as well as heart disease and diabetes, blood pressure, substance abuse and certain forms of treatment and medications. The condition if properly and timely diagnosed can be treated with certain medication and or a cocktail of different medications based on the patients health and his particular requirements.

Premature Ejaculation on the other hand is characterized by a man’s inability to control his ejaculatory response in nearly all vaginal penetrations. And although the time line for establishing the existence of PE is rather ambiguous, a general definition of PE is when both partners agree over a partner climaxing too soon. While medications can provide a certain degree of relief in PE, the condition can be largely managed via therapy and exercises.

In a number of cases it was found that premature ejaculation occurred when the man was diagnosed with both acute and mild forms of erectile dysfunction. Likewise, men with erectile dysfunction who need constant penile stimulation to maintain a penetrable erection, it was found that the incidence of premature ejaculation tended to be high. In a lot of cases, especially where no medical intervention or treatment is sought, premature ejaculation was found to be a leading cause behind the development of erectile dysfunction over a period of time. Because of this, the conditions are often thought to overlap and co-exist in a man even if the triggers for each case might be different.

Understand Your Erection Problem

Loss of an erection is a normal occurrence after ejaculation. A lot of men do not understand this concept well, which can lead them to think that they are suffering from erectile dysfunction when the real problem really is with premature ejaculation. Confusion on the part of the man while explaining his condition to a medical expert and failure on the part of the attending physician to carefully and completely investigate the conditions and symptoms as well as health history can lead to wrong diagnoses.

In cases where both premature ejaculation and erectile dysfunction are found to be present, it is always advisable that treatment for ED be sought first. A lot of men who were treated for ED found that their PE was relatively rectified and or alleviated.

Psychological Trauma Of Sexual Incapacity

The psychological trauma associated with Premature Ejaculation and Erectile Dysfunction can also aid in compounding the situation further. A lot of men with either Premature Ejaculation and or Erectile Dysfunction constantly battle the feelings of inadequacy and rejection. The sense of not being able to perform sexually and not being able to satisfy their partners is a mental handicap. In situations such as these, men with premature ejaculation will over a period of time develop erectile dysfunction as a secondary problem and vice-versa.  The fear or anxiety of ejaculating prematurely is a major factor for men losing their erection too soon or being unable to achieve a penetrable erection in the first place. It is in these cases where the development of symptoms for both erectile dysfunction and premature ejaculation can occur at the same time.

To find out more information, please contact one of our clinics today.

The International Society for Sexual Medicine uses two criteria for establishing PE: 

• Ejaculation which either happens always or nearly always within a minute or less of vaginal penetration
• Inability to control ejaculatory response during all or nearly all vaginal penetrations

Premature Ejaculation Is Not A Disease

One of the biggest misconceptions surrounding PE is that it is a sickness or disease affecting certain men only. Nothing can be far from the truth. It is a well established fact that even the most healthy males can and do experience PE at some point. While in some men the condition is a one time occurrence, in others it can happen a few times. Others yet might suffer from the more acute state of PE in which there is little or no control over the time it takes to ejaculate; which is typically within less than a minute of vaginal penetration. Numerous studies have clearly indicated that PE can have both biological and psychological triggers.

Premature Ejaculation Is A Common Condition

It has been estimated that more than seventy percent males experience PE (also known as rapid ejaculation) at some point while nearly twenty percent males between the ages of 18 – 59 suffer from regular PE. In some cases, lack of sexual activity can also leave a man overly anxious about having sex. Even among healthy males with an active sex life, PE is not uncommon as per- performance anxiety can lower the ejaculatory threshold and hamper what should otherwise be a pleasurable encounter for both individuals.

Premature Ejaculation Is Not A Purely Psychological Condition

Another common misconception about PE is that it is a purely psychological condition. Anxiety, stress, physical exhaustion and mental fatigue, depression etc., can all lead to PE. However, in a lot of cases biological conditions such as an oversensitive glans penis and an enlarged prostrate can cause PE. If PE is an on-going condition or if it is affecting your relationship(s) then seeking professional help is always a good idea.

Consumption Of Certain Substances Does Not Necessarily Stump Premature Ejaculation

Sex enhancers such as certain pills and drugs, alcoholic cocktails, wine, chocolates among other man-made aphrodisiacs can heighten sexual pleasure as these substances work by lowering inhibitions of the mind which results in relaxatio of the body. In case anxiety is the underlying cause of PE, these might help to a certain extent as they can help the mind relax which in turn can relax the body. Certain anti-depressant drugs have been known to help reduce PE. However, in-case PE has other biological triggers then ingesting these will not help. Substance abuse even in a healthy male with no sexual dysfunctions can lead to far greater problems such as erectile dysfunction, premature ejaculation, inability to orgasm, among other side effects.

Mental Distraction And Diversion Are Not Permanent Solutions To Premature Ejaculation 

A common myth shared by many men is that mental distraction and diverting the mind from the sexual act can effectively delay ejaculation. While this can delay PE in some men, it is not a “one-pill works for all men” kind of an option. If your PE is not caused by a physical problem, then learning to control your body responses and urges will work much better for you.

Premature Ejaculation Can Occur In Women As Well 

While this is a relatively less researched area, recent studies have indicated that in women climaxing too soon is akin to PE in men. Women with this condition mirrored the same anxiety levels and apprehensions about a non-satisfactory sexual encounter as men with PE. Although the effects of PE in women has a much lesser degree of stigma attached to it.

Climaxing Within A Few Minutes Of Penetration Is A Sign Of Premature Ejaculation

It is very difficult to determine what constitutes a definite time frame for PE to be established. Different men climax within different time frames. So while some couples think lasting less than 20 minutes is a case of PE, for others yet, a sexual encounter of even 10 minutes can be perfectly satisfactory. PE is ideally established based on a number of symptoms. However, a working definition for establishing PE can be, a partner climaxing too soon as ascertained by both partners.

Premature Ejaculation Can Be Managed With Exercises

There are a few exercises such as Kegels among other muscle controlling exercises which have proven to be helpful in managing PE in a number of men. Conditioning the mind and the body to work in sync while having, sex can go a long way in managing PE. For more information about Kegels, please visit http://noprematureejaculation.com/kegel-exercises.html

Premature Ejaculation Can Be Categorized As Lifelong And Acquired

PE can be categorized as Primary (lifelong) under which a male has had no ejaculatory control right from his first sexual encounter while Secondary (acquired) PE is marked by a period of normal ejaculatory performance followed by regularly occurring PE.

Premature Ejaculation can and in most cases does have an impact on the sexual and social confidence of a man. While the perfect cure is still a long way to come, a number of tropical treatment options have made it possible for men to successfully manage PE and regain their sexual confidence.

Our client was an hard worker who had a productive lifestyle. The only thing wrong was that he had a common blood flow impairment. While this is easily solved with medications such as Cialis, needless embarrassment kept this client from coming into his local Dallas clinic. However, after learning there was a specialty male enhancement clinic away from his hometown, he jumped at the opportunity.

Our client was originally scared that he would have to explain his condition to work buddies who happened to go to the same doctor. The Dallas male enhancement clinic is different, in that it’s not a clinic that treats everyday illnesses. Instead, the DMMC only treats male impairment cases.

We were able to assess the client’s needs from a preliminary interview and a round of laboratory tests. We concluded that the client needed a dose of medication administered in his genital region to correct the deadened nerves that impaired his blood flow. Though initially scared, we were able to calm the patient by informing him of the lack of pain the injection would cause. He is currently living a more satisfied life.

The DMMC is part of a nationwide male enhancement clinic chain. We specialize and assess erectile dysfunction cases. Our treatment methods include education, hormone therapy, medications, such as Cialis, and treatment exercises. We empower men to overcome ED. We also teach men how to improve their sexual health, how to stop premature ejaculation and how to enhance their sex drive. Our male enhancement clinic wants to help. Book an appointment with us today.