CharlieH Posted June 27 Share Posted June 27 Delayed ejaculation, often overlooked, affects between 1% and 3% of men worldwide. This condition involves a persistent difficulty or inability to ejaculate despite adequate sexual desire, erection, and stimulation. Despite its impact on quality of life, no medications have been approved by major health agencies like the UK’s Medicines and Healthcare Products Regulations Agency (MHRA), the US Food and Drug Administration (FDA), or the European Medicines Agency (EMA). A groundbreaking study Researchers at Anglia Ruskin University (ARU) have conducted a comprehensive review, collating research from 13 different countries dating back to the 1970s. Published in the journal Trends in Urology and Men’s Health, this study explores various treatments for delayed ejaculation, offering new hope for those affected. Promising treatments The study identified several effective treatments. Vibration stimulation therapy and psychotherapy emerged as significant non-pharmacological options. Additionally, a cream containing capsaicin and vanilloid showed promise in a randomised clinical trial. Holistic approach to treatment Delayed ejaculation varies significantly among individuals, necessitating a holistic approach to treatment. Researchers emphasised the importance of understanding a patient’s full medical and sexual history, conducting thorough physical examinations, and assessing the partner’s perspective on the disorder and their overall sexual relationship satisfaction. Photo by Kelly Sikkema on Unsplash Expert insights Dr Lee Smith, Professor of Public Health at ARU, highlighted the widespread impact of delayed ejaculation, affecting up to three percent of men and potentially tens of millions of people worldwide. Dr Smith pointed out that the condition is often not discussed, leading to a lack of awareness about potential solutions. “To date, no attempt has been made to collate and evaluate the academic literature around these treatments,” Smith said. “Our study suggests that several potentially effective solutions should be more readily available through health professionals, ranging from creams to penile vibratory stimulation and psychological treatment, to help those who are living with this condition.” The potentially effective solutions should be more readily available through health professionals, ranging from creams to penile vibratory stimulation and psychological treatment, to help those who are living with this condition.” Historical context The review traces the history of delayed ejaculation treatments, starting with case reports from the 1970s. Early treatments included penile vibrations and psychotherapy, which showed long-term success in some cases. For instance, in 1976, a 29-year-old patient with good erectile function but delayed ejaculation was successfully treated with penile vibrations, maintaining improvement for 18 months. Psychological and behavioural therapies Various psychological and behavioural therapies have been employed over the years. In 1984, Delmonte reported two cases of married men successfully treated for psychogenic delayed ejaculation with couples psychotherapy and meditative relaxation exercises over ten months. Fisher’s case study in 1987 detailed a blind man whose delayed ejaculation was treated with a multimodal sex therapy approach, including intrapsychic, systems, and behavioural methods. Role of medications The new millennium brought pharmacological treatments into the spotlight. In 2007, Nelson et al. conducted a cohort trial involving penile vibratory stimulation, showing a significant improvement in orgasm and overall sexual function. Other pharmacological options explored included PDE-5 inhibitors, bupropion-SR, and low-dosage combinations of amfetamine and dexamfetamine. Photo by Towfiqu barbhuiya on Unsplash Recent advances More recent studies have continued to explore innovative treatments. For example, a 2010 study by Hong et al. found that 25mg of PDE-5 inhibitors daily improved general sexual function and reduced anxiety. Another study in the same year demonstrated that bupropion-SR 150mg daily significantly improved control over ejaculation and overall sexual satisfaction. Mechanical treatments, such as the TENGA masturbation aid, have also shown promise. In a Japanese case series, 20% of patients were able to ejaculate intravaginally following treatment, with one achieving spontaneous pregnancy. Future directions The comprehensive review by ARU researchers underscores the need for further research and the development of approved medications for delayed ejaculation. It also highlights the importance of a personalised approach to treatment, considering the patient’s unique medical and psychological background. The groundbreaking study by Anglia Ruskin University offers renewed hope for men suffering from delayed ejaculation. With a combination of psychological, behavioural, and emerging pharmacological treatments, millions of men may soon find relief from this often-overlooked condition. As awareness grows and more research is conducted, the future looks promising for those affected by delayed ejaculation. Dr. Nikhil Prasad 1 1 Link to comment Share on other sites More sharing options...
Delayed ejaculation, often overlooked, affects between 1% and 3% of men worldwide. This condition involves a persistent difficulty or inability to ejaculate despite adequate sexual desire, erection, and stimulation. Despite its impact on quality of life, no medications have been approved by major health agencies like the UK’s Medicines and Healthcare Products Regulations Agency (MHRA), the US Food and Drug Administration (FDA), or the European Medicines Agency (EMA). A groundbreaking study Researchers at Anglia Ruskin University (ARU) have conducted a comprehensive review, collating research from 13 different countries dating back to the 1970s. Published in the journal Trends in Urology and Men’s Health, this study explores various treatments for delayed ejaculation, offering new hope for those affected. Promising treatments The study identified several effective treatments. Vibration stimulation therapy and psychotherapy emerged as significant non-pharmacological options. Additionally, a cream containing capsaicin and vanilloid showed promise in a randomised clinical trial. Holistic approach to treatment Delayed ejaculation varies significantly among individuals, necessitating a holistic approach to treatment. Researchers emphasised the importance of understanding a patient’s full medical and sexual history, conducting thorough physical examinations, and assessing the partner’s perspective on the disorder and their overall sexual relationship satisfaction. Photo by Kelly Sikkema on Unsplash Expert insights Dr Lee Smith, Professor of Public Health at ARU, highlighted the widespread impact of delayed ejaculation, affecting up to three percent of men and potentially tens of millions of people worldwide. Dr Smith pointed out that the condition is often not discussed, leading to a lack of awareness about potential solutions. “To date, no attempt has been made to collate and evaluate the academic literature around these treatments,” Smith said. “Our study suggests that several potentially effective solutions should be more readily available through health professionals, ranging from creams to penile vibratory stimulation and psychological treatment, to help those who are living with this condition.” The potentially effective solutions should be more readily available through health professionals, ranging from creams to penile vibratory stimulation and psychological treatment, to help those who are living with this condition.” Historical context The review traces the history of delayed ejaculation treatments, starting with case reports from the 1970s. Early treatments included penile vibrations and psychotherapy, which showed long-term success in some cases. For instance, in 1976, a 29-year-old patient with good erectile function but delayed ejaculation was successfully treated with penile vibrations, maintaining improvement for 18 months. Psychological and behavioural therapies Various psychological and behavioural therapies have been employed over the years. In 1984, Delmonte reported two cases of married men successfully treated for psychogenic delayed ejaculation with couples psychotherapy and meditative relaxation exercises over ten months. Fisher’s case study in 1987 detailed a blind man whose delayed ejaculation was treated with a multimodal sex therapy approach, including intrapsychic, systems, and behavioural methods. Role of medications The new millennium brought pharmacological treatments into the spotlight. In 2007, Nelson et al. conducted a cohort trial involving penile vibratory stimulation, showing a significant improvement in orgasm and overall sexual function. Other pharmacological options explored included PDE-5 inhibitors, bupropion-SR, and low-dosage combinations of amfetamine and dexamfetamine. Photo by Towfiqu barbhuiya on Unsplash Recent advances More recent studies have continued to explore innovative treatments. For example, a 2010 study by Hong et al. found that 25mg of PDE-5 inhibitors daily improved general sexual function and reduced anxiety. Another study in the same year demonstrated that bupropion-SR 150mg daily significantly improved control over ejaculation and overall sexual satisfaction. Mechanical treatments, such as the TENGA masturbation aid, have also shown promise. In a Japanese case series, 20% of patients were able to ejaculate intravaginally following treatment, with one achieving spontaneous pregnancy. Future directions The comprehensive review by ARU researchers underscores the need for further research and the development of approved medications for delayed ejaculation. It also highlights the importance of a personalised approach to treatment, considering the patient’s unique medical and psychological background. The groundbreaking study by Anglia Ruskin University offers renewed hope for men suffering from delayed ejaculation. With a combination of psychological, behavioural, and emerging pharmacological treatments, millions of men may soon find relief from this often-overlooked condition. As awareness grows and more research is conducted, the future looks promising for those affected by delayed ejaculation. Dr. Nikhil Prasad
Popular Post thaibeachlovers Posted June 27 Popular Post Share Posted June 27 Women probably like it. 1 3 Link to comment Share on other sites More sharing options...
Popular Post Robert Paulson Posted June 27 Popular Post Share Posted June 27 Wait, I’m confused. How is this a problem just keep going 1 3 Link to comment Share on other sites More sharing options...
Popular Post CharlieH Posted June 27 Author Popular Post Share Posted June 27 I would've thought a delay is preferable to premature. thats for sure. 1 4 Link to comment Share on other sites More sharing options...
Popular Post scubascuba3 Posted June 27 Popular Post Share Posted June 27 Two causes, condoms and drinking too much 1 1 1 2 Link to comment Share on other sites More sharing options...
stoner Posted June 27 Share Posted June 27 19 minutes ago, CharlieH said: I would've thought a delay is preferable to premature. thats for sure. i see you never tried E. 2 Link to comment Share on other sites More sharing options...
Popular Post fredwiggy Posted June 27 Popular Post Share Posted June 27 35 minutes ago, scubascuba3 said: Two causes, condoms and drinking too much Three, as stated, involves thinking too much. Men, those who actually care, try much of their lives to last longer for the woman's pleasure, and sometimes it doesn't happen because you have trained yourself to last. Relaxing and thinking of the woman's beauty in front of you helps. 1 2 Link to comment Share on other sites More sharing options...
scubascuba3 Posted June 27 Share Posted June 27 4 minutes ago, fredwiggy said: Three, as stated, involves thinking too much. Men, those who actually care, try much of their lives to last longer for the woman's pleasure, and sometimes it doesn't happen because you have trained yourself to last. Relaxing and thinking of the woman's beauty in front of you helps. Many men use Viagra etc, that also delays it. Must be a nightmare to have cumming issues 1 Link to comment Share on other sites More sharing options...
0ffshore360 Posted June 27 Share Posted June 27 Sadly amusing . " I can last all night " bs reversed to " I can not finish" ? I wonder how many who get "you didn't finish !" from a woman ever think to retaliate with "you didn't orgasm" if honestly applicable? Do people in genuine relationships pander so much to Big Pharma en masse? Beyond chemical contraception, condoms , surgical sterilization that is? Link to comment Share on other sites More sharing options...
RSD1 Posted June 27 Share Posted June 27 3 hours ago, CharlieH said: I would've thought a delay is preferable to premature. thats for sure. I just checked and penisobsessionnow.com is still available. It might be worth sitting, or even squatting on it. Just sayin’ 1 Link to comment Share on other sites More sharing options...
Middle Aged Grouch Posted June 27 Share Posted June 27 Meself, depending on the hottie of the evening, it's the other way. The juice gets out a bit to soon at the first try🤣....and man is it enjoying...for me anyhow.... and perhaps not that much for the lady😗 who has to wait for the 2nd course !! 2 Link to comment Share on other sites More sharing options...
Popular Post Yellow Fever Posted June 28 Popular Post Share Posted June 28 And this is an issue why?? I would have though being able to go longer is a blessing? my farang Willy can only last a couple of minutes with a beautiful 18 yr old Thai lady, it’s embarrassing 1 3 Link to comment Share on other sites More sharing options...
SAFETY FIRST Posted June 28 Share Posted June 28 (edited) 15 hours ago, CharlieH said: Delayed ejaculation, often overlooked, affects between 1% and 3% of men worldwide. This condition involves a persistent difficulty or inability to ejaculate despite adequate sexual desire, erection, and stimulation I get this condition when having sex with a female other than my girlfriend. They don't excite me as much. Edited June 28 by SAFETY FIRST 1 1 Link to comment Share on other sites More sharing options...
BoganInParasite Posted June 28 Share Posted June 28 Honestly opened this thread expecting some form of humour. Link to comment Share on other sites More sharing options...
klauskunkel Posted June 28 Share Posted June 28 19 hours ago, CharlieH said: Vibration stimulation therapy Autotune your member with this repurposed Tuning Fork Kit, the correct vibration for the special occasion: Link to comment Share on other sites More sharing options...
ignore it Posted June 28 Share Posted June 28 While married women and prostitutes for desperate for a cure to this problem, all the single women of a licentious nature hope for a pandemic. 1 Link to comment Share on other sites More sharing options...
tandor Posted June 28 Share Posted June 28 19 hours ago, fredwiggy said: Three, as stated, involves thinking too much. Men, those who actually care, try much of their lives to last longer for the woman's pleasure, and sometimes it doesn't happen because you have trained yourself to last. Relaxing and thinking of the woman's beauty in front of you helps. i spose 'shirt-lifters' have their own set of issues. 1 Link to comment Share on other sites More sharing options...
GreasyFingers Posted June 28 Share Posted June 28 Never worried about it on the night. A "morning glory" always fixed it. 1 Link to comment Share on other sites More sharing options...
digger70 Posted June 28 Share Posted June 28 23 hours ago, Robert Paulson said: Wait, I’m confused. How is this a problem just keep going That's ok if one is 25/40/50. but some of us at 70+ run out of Steam after a Little while 🙏 2 Link to comment Share on other sites More sharing options...
thecyclist Posted June 28 Share Posted June 28 On 6/27/2024 at 5:53 PM, Robert Paulson said: Wait, I’m confused. How is this a problem just keep going Keep going for how long? 1 hour, 2 hours...at some point you re going to collapse from exhaustion Link to comment Share on other sites More sharing options...
Robert Paulson Posted June 28 Share Posted June 28 2 minutes ago, thecyclist said: Keep going for how long? 1 hour, 2 hours...at some point you re going to collapse from exhaustion Oh cmon that’s easy. Go to sleep and wake back up. Wake me up when we find a real problem Link to comment Share on other sites More sharing options...
Robert Paulson Posted June 28 Share Posted June 28 1 hour ago, digger70 said: That's ok if one is 25/40/50. but some of us at 70+ run out of Steam after a Little while 🙏 Take a Power Nap, wake back up 1 Link to comment Share on other sites More sharing options...
jimn Posted June 28 Share Posted June 28 The only time I have a problem is having drank to much beer. No brewers droop but prolonged non ejaculation. 1 Link to comment Share on other sites More sharing options...
Kinok Farang Posted June 28 Share Posted June 28 I've come to tell you i can't cum. Link to comment Share on other sites More sharing options...
john donson Posted June 29 Share Posted June 29 side effect of viagra, my ex told me , after f...cking a lot of younger men that needed viagria to get hard with her, looooooooooooooooooooooooooooool 1 Link to comment Share on other sites More sharing options...
SAFETY FIRST Posted June 29 Share Posted June 29 22 hours ago, BoganInParasite said: Honestly opened this thread expecting some form of humour. Sorry to say mate, but this is not your thread. Link to comment Share on other sites More sharing options...
connda Posted June 29 Share Posted June 29 Sexier women? Link to comment Share on other sites More sharing options...
connda Posted June 29 Share Posted June 29 What they don't mention (and should) is that certain prescription drugs (although OTC in Thailand) as well as alcohol can make Mr. Johnson decide not to have a happy-ending. Gotta be careful using new drugs to counteract some other drugs which is causing the problem in the first place. Link to comment Share on other sites More sharing options...
connda Posted June 29 Share Posted June 29 14 hours ago, jimn said: The only time I have a problem is having drank to much beer. No brewers droop but prolonged non ejaculation. Yep! After about 4 brews Mr. Johnson's erector-set works just dandy, but the valves to the happy-ending fire hose end up stuck closed. Happy partner tho'. Link to comment Share on other sites More sharing options...
connda Posted June 29 Share Posted June 29 On 6/27/2024 at 7:27 PM, 0ffshore360 said: Sadly amusing . " I can last all night " bs reversed to " I can not finish" ? I wonder how many who get "you didn't finish !" from a woman ever think to retaliate with "you didn't orgasm" if honestly applicable? You do what women do: You fake an orgasm. Been there, done that. I take my cue from Meg Ryan in "When Harry Met Sally." Link to comment Share on other sites More sharing options...
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