VIMAX Pills can enlarge your penis size up to 3-4 Inches in length and up to 25% in girth !penile enlargment doctor vimax top rated penis enlargement pills VIMAX Pills is a powerful natural herbal male enhancement formula that increases penis length and girth, sexual desire, sexual health and helps to achieve stronger erections. Combining the formulations of the type of herbs found in many parts of the world that have been proven to work for many years, you can now enjoy the full benefits of our product. Some of the same type of herbs found in Polynesia where the men of the Mangaian tribe have sex on the average of 3 times a night, every night. While this is not what you may wish, it is nice to know your sexual performance can improve substantially. After many years of medical Research and Development, our company is pleased to offer you a 100% Natural and Safe Product that can safely and permanently enlarge your penis size up to 3-4 Inches in length and up to 25% in girth. Discover what our "proven to work" formula can do for you by ordering today. Many men were skeptical at first but after they gave our pills a try their sex life and self esteem changed for the better.Our pills will improve your overall sexual health, make you feel younger and you will have more pleasurable orgasms. You can take one pill 2 times per day to keep the effects of VIMAX PILLS in your system and to promote virility enhancement. 100% Safe and Natural Herbal IngredientsEpunedum Sagitum or Horny Goat Weed - Known in China as Yin Yang Huo. Chinese top medical doctors report that horny goat weed boosts libido and improves erectile function. Used to restore sexual fire and allay fatigue. Saw Palmetto - Known to stimulate a low libido in males and to increase sexual energy. A compound in saw palmetto has aphrodisiac effects. Ginkgo - Medicinal use of ginkgo can be traced back 5,000 years in Chinese herbal medicine.The herb also increases blood flow to the genitals which improves sexual function. In one study 78% of a group of men with impotence reported significant improvement without side effects. Other Ingredients: Muira Puama (balsam), Velvet, Damiana (leaf), Cayenne (fruit), Oats (entire plant), Avena sativa, Ginseng (root), Panax Ginseng, Caltrop (fruit) Tribulus terrestris. free exercise tip for penile enlargement vimax free penis enlargement tip VIMAX Pills helps you gain:
Do VIMAX Pills really work?We get many emails from our customers that say our pills helped them regain their sexual ego. It's up to you when to stop taking our pills since they are 100% safe and made from natural products. We had one customer write to us that he decided to stop the pills after he no longer felt embarrassed when making love. His penis used to be below average, 5 inches to be exact, now he is 7 inches and is fully satisfied. He wrote us saying that now his woman receives an orgasm 95% of the time they make love, before she could barely get excited. "I'm very grateful to Pillsexpert for bringing such miraculous changes to my life. Having gained 2.5 inches from the 4 months supply and became more passionate and sexually attractive I was even able to fix the relationship with my wife (we were on the verge of the divorce) by simply having great sex with her. I feel more confident now and …I'm just happy!!! You know how they say it: ”Miracles don't just happen, they are firstly very well prepared.” No doubt that your company put a lot of time and effort to start helping people. Thank you so much and good luck to you." Mark Andrew, FL penis enlarement penis enlagement Why are we #1 on the market?Consider the difference between a 7, 8 or 9 inch penis that is thicker and a penis that is 4 to 6 inches and narrower. With a larger penis you penetrate more sensitive areas of the woman. Your longer penis probes deeper searching those special nerve endings. The added width to your penis fills and presses her from side to side to give your partner the most exhilarating sensations. The results are permanent. You control the growth because once you reach your optimum size you could stop taking VIMAX PILLS. We say you could stop taking VIMAX PILLS because it is not necessary to be larger then 9 inches. Most women can only comfortably accommodate a 9 inch penis. Anything larger than that may be too large for most women. Nine inches or more then 9 inches, the choice is yours. Unlike other clones, Vimax Pills are made from only high end ingredients available to bring you best results possible. We run a serious business and treat as such, unlike other companies that appear out of nowhere and then disappear with your money without ever sending you a product you paid for. vimax penis enlargement program vimax penis enlargement patch Prices
Most of the orders placed before 1PM Eastern Standard Time are shipped the same day. |
||||||||||||
Erectile dysfunction (ED), also called "impotence", is one of the most common health problems affecting men. Erectile dysfunction can be a total inability to achieve erection, an inconsistent ability to do so, or a tendency to sustain only brief erections. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Causes Erectile dysfunction has many underlying physical and psychological causes. Most men with physical causes usually have an associated psychological component. Underlying conditions of erectile dysfunction include the following: Physical health conditions Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. This occurs in conditions including multiple sclerosis, spinal cord injury and Parkinson's disease. The nerves involved in sexual arousal can also be damaged in surgery to the pelvic area, such as removal of the prostate. Vascular diseases account for nearly half of all cases of erectile dysfunction in men older than 50 years. These include atherosclerosis, veno-occlusive disease, peripheral vascular disease, arterial hypertension, history of heart attacks, blood vessel trauma, high cholesterol levels. Systemic diseases associated with erectile dysfunction: Diabetes mellitus is a major cause of erection problems (about 60% of men with diabetes experience erectile dysfunction), scleroderma, kidney failure, liver cirrhosis, hemachromatosis, dyslipidemia, hypertension. Neurologic diseases. Problems with the nervous system can affect the transmission of signals from the brain to the blood vessels in the penis. Diseases that affect the nervous system and are commonly associated with erectile dysfunction include: multiple sclerosis, spinal cord and brain injuries, parkinson's disease, alzheimer's disease, epilepsy, Guillain-Barre syndrome. Respiratory disease associated with erectile dysfunction include: chronic obstructive pulmonary disease, sleep apnea Conditions of the penis: Peyronie's disease (a rare inflammatory condition that causes scarring of erectile tissue), epispadias, priapism, Infections. Traumatic Causes. Trauma or injury to the penis, spinal cord, prostate, bladder, and pelvis can lead to erectile dysfunction by harming nerves, smooth muscles, arteries, and fibrous tissues of the corpora cavernosa. Bicycle riding for long periods has also been implicated as a cause of erectile dysfunction. Some types of prostate or bladder surgery. Surgery of the colon, prostate, bladder, or rectum may damage the nerves and blood vessels involved in erection. Medications. A great variety of prescription medication are known to cause or contribute to erectile dysfunction: blood pressure medication (especially beta-blockers) heart medication antihistamines antidepressants tranquilizers antipsychotics anticonvulsants appetite suppressants anti-ulcer medications sleeping pills Psychological conditions. Experts believe that psychological factors cause 10 to 20 % of erectile dysfunction cases. Anxiety and guilt are the most common psychological causes of erectile dysfunction. Depression, worry, stress, low self-esteem, and fear of sexual failure all contribute to loss of libido and erectile dysfunction. Substance abuse. Alcoholism. Drinking too much alcohol interferes with the production of the male hormone testosterone, which can reduce libido. Smoking is considered an important risk factor for erectile dysfunction because it is associated with poor blood circulation and its impact on cavernosal function. Hormone Disorders account for fewer than 5% of cases of erectile dysfunction. An imbalance in hormones, such as testosterone, prolactin, or thyroid, can cause erectile dysfunction. Age. Erection problems tend to become more common with age, but it can affect men at any age and at any time in their lives. Physical causes are more common in older men, while psychological causes are more common in younger men. Treatment options Erectile dysfunction is treatable at any age. In around 95% of the cases, a suitable treatment can be found. There are three oral medications approved for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All three medications belong to a class of drugs called phosphodiesterase (PDE) inhibitors. They block the enzyme phosphodiesterase-5 (PDE-5) and this helps maintain the levels of cyclic guanosine monophosphate (GMP), a chemical produced in the penis during sexual arousal. Balanced levels of GMP causes the smooth muscles of the penis to relax and increases blood flow. This allows a natural sequence to occur - an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness and possible side effects. All three drugs are generally well tolerated. They are a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%. truth about penis enlargment pills pnis enlargement surgery free penis enlargement tip penis enargement excersizes penis enhancement tip penis enlagement pills product safe penis enlarement pnis enlargement exercise
Yes, by all means, but it is technically called hypogonadism (low testosterone levels). Symptoms may vary, but most men will experience decreased libido (sexual desire) as well as erectile dysfunction, hot sweats, decrease in body hair, fatigue, or even depression. They also tend to lose muscle mass and gain weight due to increased subcutaneous fat. Erectile dysfunction is a common complaint of male patients past the age of 50, and although it is most commonly caused by such problems as vascular insufficiency (decreased blood flow) to the penis which usually responds well to such medications as Viagra, Cialis, or Levitra, your physician should check for hypogonadism as a possible cause and also screen for cardiovascular disease as well as diabetes. Certain prescription medications can also lead to problems with both libido and sexual dysfunction; most notably certain anti-depressants and hypertensive medications. Serum testosterone levels are at their highest between the ages of 20 to 30 and tend to progressively fall after age 40. If your testosterone levels come back low, your physician may wish to order a couple of other tests to determine the actual cause. There are other causes of low testosterone other than merely aging. If your testosterone level IS low and you are going to receive treatment, make sure that you are screened for prostate cancer. Your doctor should perform a digital rectal exam, order a PSA (prostate specific antigen) blood test, and your testicles should be examined for size, nodules and other abnormalities. Topical testosterone gel is usually the preferred method of administering the hormone. Topical 1% testosterone is available as Androgel or Testim. The starting dosage is 5 gm a day and applied to dry skin of the abdomen, upper arm or shoulders. The gel should not be placed on the genitals! The area of skin should be allowed to dry and a shirt be worn during contact with children or women as it IS possible to transfer the medicine to the skin of another individual. The serum testosterone level should be determined again about two weeks after initiating treatment. The administration of testosterone replacements have NOT been demonstrated to increase the incidence of prostate cancer, myocardial infarction, cardiovascular disease, or stroke. It can, however, elevate the PSA (prostate specific antigen) level. Treament has come a long way over the past few years with the advent of the topical applications. Testosterone used to be given by intramuscular injection which was both painful and had to be given rather frequently because the levels of the medication would not last long in the blood stream. The topical applications tend to maintain an even level of medication at all times without the peaks and valleys caused by the old injections. Testosterone replacement should improve libido, muscle mass, and well being. It can aggravate sleep apnea, cause mild acne, and gynecomastia (slight enlargement of the breasts), but NOT in everyone. It can enable a male to feel much more vibrant, improve his sexual desire, ability, and performance, and make life a lot more enjoyable overall. Copyright 2006 Ted Crawford penile enlargement information home penis elargement penile enlargment information safe penile enlargement penis elargement surgery cost free penis enlargement tip penis enargement product natural penis enargement pills free penis enlargment pills
Along with face-lift, breast enlargement and a number of other plastic surgery procedures, rhinoplasty is considered as one of the most commonly performed plastic surgery in America. This procedure works by reshaping the contour of the nose for the following reasons: for enhancing the size, change of tip or bridge, change of angle in relation with your upper lip and the nose and to narrow the size of the nostrils. It may also be that it corrects some breathing problems and other birth-related conditions. Rhinoplasty won’t help increase the ideality of your face nor will it change other people’s perception on you. Like with most plastic surgery procedures, the patient often expects that after the surgery, their psychological views about themselves will change along with the change in their physical appearances. Rhinoplasty is not a means to make other people look at you in a way different from how they currently see you or to match your ideal look. People who are considered as best candidates for rhinoplasty are those who are after the improvements it may result to and not for perfection. You have to be physically, emotionally and psychologically healthy before you may be considered as candidate or else all your expectations will become failures. It is mostly performed for aesthetic purposes. The person has the only command over the attitude he or she may take after the procedure. Age can also be part of the considerations before you may be passed as a candidate for the operation. Majority surgeons do not allow surgery for teenagers. Not until they are past the stage of development, 15 for girls and a bit later for boys. It must be noted too that the teenager’s intention is healthy. As it may be observed, all surgeries entail risks and possible failures. However, these chances can be decreased if a certified and experienced surgeon will perform the surgery. Nonetheless, there would still be some complications that can never be prevented such as reaction to anesthesia (both local and general), nose bleeding and infections. It is best to follow your surgeon’s guidelines to minimize such negative effects. There can be permanent and temporary side effects after rhinoplasty. Usually after the surgery, small spots of red blood cells may be seen on your nose. These typically become permanent, it is best to ask your physician concerning it. Scarring on the other hand is very minimal. Rhinoplasty is normally performed inside the nose so the scars wont be visible. Nevertheless, when the surgery is open, especially with the case of shortening the expanse of your nostrils, the scars may still not be visible. There is also a possibility of repeated surgery. But this is a minor issue since only around 10% of all patients will have to endure secondary surgery for correcting deformities. This can never be avoidable and may also happen among the most skilled surgeons. Communication, specifically a good one, must be made between you and your surgeon. You have to discuss your goals and see if they will work for you. On his part, in return, he has to answer all your queries and assure to it that you know all the risks that are covered by the procedure. He must also stress out the factors that will seriously affect your rhinoplasty procedure. These factors, when not properly addressed may have adverse effects on the outcome of your surgery. It is best if these will be disclosed to you. cheapest penis enlagement pills pnis enlargement surgeon do penis enhancement pills really work penis elargement device natural penis enhancement pills penis enlargement picture penis enlargement surgeries penis enlarement forum free penis enlargment pills
Unsatisfactory Sex-Life...is an Important Reason for People to Go For “Extra-Marital Relations” or “Divorces” Introduction In a Country where using the word “Sex” itself is a big taboo; where anyone talking anything below belt is consider as a “Character Less” person, how can one talk about “ Love Making”? I agree that ours is a country which gave to this world “the art of love making” through pictorial presentation of “KAMASUTRA” but we still hesitate and feel shy, when one is asked to explain those positions. Just look into your “Sex Life” and see if what you are doing in “Love Making” or it is just a “Lust”? Are you having “fun” while making-love or you are just “inviting in” or “inserting in” as “fire” there is not bearable? This article is prepared with the inputs from 467 people across the country and out-of them around 287 where females and among them 261 had experienced “Love-Making”. Most of these ladies did mentioned that in their married life...it is just “Roll-on; Roll-Off and Sleep”. There is no doubt that “Physical Relations” are important for the long-lasting “love-relations” between couple. Unsatisfactory Sex Life can lead to “Extra-Marital Relations” or “Divorces”. Lets discuss about it. Why “Love-Making” is important? What is the importance of “Foreplay” is satisfactory “Love Intercourse”. After the game is over, what is that a male or female expects from each other? And things like that. Lets being with “KAMASUTRA”. History...behind KAMASUTRA The KAMASUTRA history leads us back to the ancient India, between the 1st and 6th centuries (although the exact year of its writing still unknown). Considered by many specialists as the most important and influent book on the human sexuality, the KAMASUTRA (which was actually written by Vatsyayana, a scholar on Indian traditions) is today commonly mistaken as a plain and simple compendium of sex positions, or a manual to the art of sex. Other than that, the KAMASUTRA is a real document of an important part of Indian customs and traditions, showing many thoughts and ideas that still fit in our today's society values. There are, indeed, descriptions and paintings of sex positions on the original KAMASUTRA. The author Vatsyayana regarded lovemaking as being much more than physical encounter, but also an important spiritual act of love and learning, a "divine union" as the author refers on the book. He considered that there were only eight possible sex positions, multiplied by eight. The total amount of 64 sex positions being called "The 64 Arts". However, only about 20% of the KAMASUTRA was dedicated to sex positions, and the rest is in fact a compendium on insights about the relationships between men and women and in the ancient India's social and religious life. The KAMASUTRA only reached the Eastern civilization in 1883, thanks to Sir Richard Burton, who wrote the first English translation for the book. Since then, other two key translations from the original KAMASUTRA in Sanskrit were made: one in 1970 by Indra Sinha and the most recent one by Wendy Doniger in 2002. However, we may find plenty of "unofficial" translations focusing only on the sex positions (and including several positions not listed on the original), specially on the Internet. Most of these versions have little in common with the original KAMASUTRA. KAMASUTRA in its true Sense For many people – especially in the Western world - KAMASUTRA is merely a collection of different love-making positions, a combination of acrobatics and pornography. But for the Eastern mind, the true meaning of KAMASUTRA reaches beyond this purely physical interpretation. For them, sex – in all of its forms - is sacred. It reproduces the ultimate creative act, the union of the masculine and the feminine cosmic principles. Sex is the cause of the creation and manifestation of the universe. According to Tantra, sexual intercourse, however trivial it may seem, is sacred, cosmic (even when the lovers do not acknowledge this fact, which is usually the case). When doing the asanas (the yoga positions adopted for the ritual), tantra seeks to "divinize" the couple and their sexuality. Without this spiritual element, KAMASUTRA and Koka Shastrano wouldn't evoke divine rituals. These two treatises aim to increase sensual voluptuousness. To this end, they propose several sex techniques, with a focus on love-making positions. In fact, the asanas, or traditional positions for joint meditation, are specific and scarce. Tao teachers have chosen the most comfortable positions for prolonging intercourse, sometimes even up to two hours without having to move much, for this would hinder interiorization during divine intercourse. They are usually so comfortable that complete physical and mental relaxation is achieved, and alternative consciousness levels, or even sleep, can be reached. The asanas must also favor magnetic interchange of vital energy, and facilitate control over ejaculation and the body's health. Tantra dismisses (at least at the beginning) the most common position used in the Western world - the so-called "missionary position" (Uttana bandka in Sanskrit), in which the man lies over the woman. This position is rejected by Tao followers because it does not facilitate control. Famous Love-Making Positions Genital Sex: -Missionary Sex Position: The most famous and common position: man on top and woman at the bottom, with her legs spread, there is direct penetration; -Feet on his shoulders Sexual Position: While man is kneeling, the woman rests her legs on his shoulders; From Behind: -Leapfrog Sex Position: It looks like the doggy position, but here, the woman's torso is lower; -Spread-Eagle Sex Position: While the woman is laid and facing down, the man must be on top; Woman on Top: -Cowgirl Sexual Position: With the man lying down on his back, the woman sits on top facing him; -Reverse Cowgirl Sex Position: The same as above, but in this position the woman faces away; Sitting and Kneeling: -Black Bee Sexual Position: The man sits on the floor with her hands behind him. The woman sits on top, with her hands on his shoulders; -Watching the Game Sex Position: Man sits in a chair and the woman sits on top of him, face-to-face; Standing: -Wheelbarrow Sexual Position: The woman must be lifted by something, so the man penetrates her, standing; -Stand and Carry Sex Position: While the man, standing, holds the woman, she wraps her legs around his waist and holds on his shoulders. What is Foreplay and what is its importance in “Satisfactory” Love-Making Foreplay consists of sexually stimulating activities that usually lead to intercourse. Since it generally takes women longer to physically become ready for intercourse, foreplay is important in ensuring that the female partner will find lovemaking as satisfying as the male. As foreplay intensifies and a woman becomes increasingly sexually excited, she experiences physiological changes: The labia gradually become swollen and turn a deeper color of pink, the vagina secretes a lubricating fluid that makes insertion of the penis easier, and her nipples harden. For a man, foreplay generally strengthens an erection and increases the urge to have intercourse and ejaculate. Some Basic Techniques Considered as Foreplay are : Kissing and deep kissing on the mouth and across the body Stroking the erogenous zones Fondling the breasts Nipple stimulation and sucking Sensual massage Frottage (rubbing) and digital manipulation of genitals Oral sex Strip tease Lap dance Body painting Showering together Use of vibrators and other sex toys There is no time limit to foreplay. And some couples routinely engage in foreplay that does not lead to intercourse and ejaculation. However, most consider foreplay the appetizer and intercourse the main course. In any relationship where sex is involved, foreplay can be almost as important as if not necessary for the actual sex act to occur. Technically I think of foreplay as any activity that occurs as a precursor to the sex act that has the intent of increasing the level of excitement in your partner and yourself or for preparing one another for the sex act. After discussing about “KAMASUTRA”...”Various Positions involved” in love-making...and importance of “Foreplay” ...lets share what male or female want from each other...after sexual intercourse Most of the people just sleep over without even asking their partners as how they feel or what they want. As a result they feel dejected and hurt. So, what males like after sex? After asking many a man what he likes to do after making love, taking a nap topped the list by a landslide, and having a snack came in at second. Now, in a man's ideal world, every woman would get up after lovemaking, prepare a warm snack for her man and then stroke his hair while he takes a long nap. And although there are women out there who do comply with such a request, chances are it won't become the post-sex routine you're hoping for. It just ain't going to happen. Relationships are about give and take, and while giving her an orgasm and taking a nap fit the rhetoric, that's not the way it's going to be. Recent statistics released by the University of Chicago also reveal an important fact: Married men, and not their single counterparts, are the most physically and emotionally fulfilled when it comes to sex. They say that the feelings of sharing have never been stronger than in the moments that follow sex. Which isn't to say that both men and women don't complain of spouses who get out of bed too quickly to wash up, or go back to chores, or turn on the TV, or roll over and fall asleep. They just want to talk about each other...not about their kids or relatives etc. It should both of them. For many men, the loss of an erection after sex can also beckon the loss of a bond, a shrinking and even shirking away. Want some useless words of advice? Try not to take it personally. If your husband's haste to jump out of bed upsets you, therapists recommend looking at the act of lovemaking as a process that can start as early as dressing for dinner and not conclude until you're both emotionally ready to end your intimacy. The word postcoital implies there's something that happens before and something that happens after, and that there is an it. All there is is a whole. Now, what is that a female want after “Sexual Intercourse”? I can't pretend to know what every single one wants after sex. The desires range from cuddling and talking to being left alone and being fed. But from what I could gather, touching definitely topped the list. They want to cuddle. It's no secret; just about every woman loves it when her man finishes doing his thing only to flip her around and hug her in the spoon position. That's the goldmine of affectionate actions. Flipping her around isn't even necessary, but chances are that some kind of bodily touching may be. Why? Well, because sharing in a very sacred experience with a woman likely leaves her feeling vulnerable. And something as small as wrapping your arm around her can make all the difference. They want to talk. Although many guys aren't big fans of the "cuddle," there are even less men around who want to talk once the deed is over. But if she wants to talk, you may have to keep your ears open and listen up. Chances are that she will likely talk about what went down -- especially if you had her yelling out like a banshee. And I'm quite sure that your "stork able" ego will overtake your need for some shuteye when it comes to such a topic anyway. She may pamper you by saying, “Let's do it again”. If she's still raring to go after the first round, chances are she'll be all over you, doing her best to let you know that the evening call for a second round. Between playing with herself and stroking your penis, you may just find yourself going into round two before you know it. But if you're older and more comfortable in your relationship, chances are that you may not be as easily aroused for round two, and, of course, that isn't your fault. Add that to the fact that you probably did all the work and it's quite possible that your little man won't be good to go right away. Conclusion “Love-Making” is a process. There is a beginning...there is Delivery and then there is an end. More than “just” physical, it is an emotional bonding. And let me tell you, if people are going for “Extra-Marital Relations” one of the main reason for that is “Unsatisfactory” Sexual Relations. Even law says that unsatisfactory “sex relations” is a valid reason for divorce. You can make your love life interesting and enjoyable...you just need “imagination” or “innovation”. Have a “enjoyable” and “fun filled” life. Always be together and love each other. Looking forward to your comments and feedback. With lots of love and care prosolution penis enlargement pills penile enlargement herb vimax best penis enlargement surgery result review vigrx penis enlargment picture pnis enlargement pic cheapest penile enlargment pills best penis enlagement free penis enlargment pills
Premature ejaculation is a rather common, yet rarely discussed problem. It occurs when a man orgasms during intercourse sooner than he or his sexual partner would like resulting in embarassment a lot of times and leaving both individuals unfulfilled. It can occur from before penetration or just after penetration. Premature ejaculation is rarely caused by a physical or structural problem. Most commonly, it is a result of overstimulation or anxiety. Abnormal physical findings are rare and more insight can usually be obtained by interviewing the couple involved. Many times, the root of the problem maybe uncovered and steps taken to improve the problem. Methods to improve the conditon are many. Practice and relaxation can many times improve the problem. Men may try to learn to distract themselves by thinking of non-sexual subjects to avoid becoming excited too fast. Examples include thinking about the upcoming football game on the weekend or what new movie can we go to next. Sounds funny, but merely shifting thoughts away from the current task will many times help. Medications can help delay ejaculation. Serotonin reuptake inhibitors like Prozac, Zoloft, or Paxil may be helpful because they all have a common side effect of prolonging the time it takes to achieve ejaculation. Clomipramine 25 mg prior to intercourse has also been shown to help significantly. Local anesthetic creams may be applied to the penis to decrease stimulation. Decreased feeling in the penis may prolong the time before ejaculation. Condom use may also have this effect on some men. If all of these methods fail, an evaluation by a sex therapist, psychologist, or psychiatrist may be helpful for some couples. In most instances, a man is able to obtain ejaculatory control through education and practice of the simple techniques outlines above. Persistant premature ejaculation may be a sign of depression or a serious anxiety problem, both of which could be helped by psychiatric evaluation and intervention. A persistant problem of ejaculatory control may lead to sexual dissatisfaction on the part of one or both partners and can lead to discord or sexual tension in a realtionship. In a younger couple wishing to start a family, this problem can obviously affect the chances of fertilization and pregnancy. If the above measures do not help, call your physician to set up an appointment to discuss medical treatment. I also highly recommend the following as it has helped many with this problem. I have goten very positive feedback from my patients who have purchased this treatise on the subject and the cure. Copyright (c) 2006 Ted Crawford