Maturitas. 2009 Nov 26;
Chedraui P, Pérez-López FR, Mendoza M, Leimberg ML, Martínez MA, Vallarino V, Hidalgo L

BACKGROUND: Sleep disorders and sleep-apnea/hypopnea syndromes are very frequent in women, being misdiagnosed in many cases. The menopause, regardless of age, is associated to poor sleep quality and daytime sleepiness that can lead to impaired quality of life, and reduced productivity and functioning. OBJECTIVE: To assess daytime sleepiness and related risk factors among middle aged Ecuadorian women using the Epworth Sleepiness Scale (ESS). METHODS: In this cross-sectional study 149 women aged 40-59 years were assessed for hot flush presence and intensity using the Menopause Rating Scale (MRS) and requested to fill out the ESS and a questionnaire containing personal and partner data. RESULTS: Mean age of surveyed women was 47.6+/-5.5 years, with 67.8% having less than 12 years of schooling, 33.6% being postmenopausal, and 2.7% on hormone therapy. A 10.1% were current smokers and 20.8% were sedentary. According to the MRS (item 1) 51.7% presented hot flushes, which were graded as severe-very severe in 42.8% of cases. Regarding the partner (n=132), erectile dysfunction was present in 10.6%, premature ejaculation 6.1% and 17.4% abused alcohol. Mean total ESS score was 8+/-4.4 (median 8), with 33.6% considered having some degree of daytime sleepiness (ESS score >/=10). Logistic regression analysis determined that postmenopausal status (OR 6.58, CI 95% [2.51-17.23], p=0.001), sedentarism (OR 3.43, CI 95% [1.14-10.26], p=0.02) and hot flush presence (OR 2.61, CI 95% [1.02-6.65], p=0.04) among women were risk factors for increased daytime sleepiness (ESS total score >/=10) whereas partner faithfulness decreased this risk (OR 0.47, CI 95% [0.24-0.90], p=0.02). CONCLUSION: Increased daytime sleepiness in this middle aged series was related to female (hormonal status and sedentarism) and partner factors; several which are susceptible of intervention.

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Drugs Today (Barc). 2009 Sep; 45(9): 669-78
Owen RT

Premature ejaculation (PE) is a common problem worldwide and has significant impact not only on the sufferer but on the partner in terms of self-esteem, interpersonal distress and sexual satisfaction. A variety of psychological, topical and oral therapies have been tried in this condition with varying degrees of success. The selective serotonin reuptake inhibitors (SSRIs) are known to cause delayed ejaculation but require daily administration, have a relatively slow onset of action and may cause SSRI discontinuation syndrome on withdrawal. In addition, they are currently unlicensed for PE. Dapoxetine hydrochloride, an SSRI, has been specifically developed for on-demand use in PE. Its pharmacokinetic profile is characterized by rapid absorption, a short initial half-life of 1.3-1.4 h and rapid elimination with minimal accumulation even after multiple dosing. Several large phase III studies have demonstrated that dapoxetine can increase intravaginal ejaculatory latency time and improve several patient-reported outcomes relevant to control of ejaculation and satisfaction with intercourse. Dapoxetine is generally well tolerated with a low incidence of discontinuations due to adverse events. There were no signals for treatment-emergent anxiety or SSRI discontinuation syndrome after abrupt withdrawal.

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Today I’d like to tell you about one muscle in the male body that, unlike biceps and triceps, most guys have never heard of. And the fact that most men don’t know about it of course means they don’t know that training it can give them much more control over when they climax during sex. And, given that 75% of guys suffer from premature ejaculation, this little secret is definitely worth knowing.

When you come, a certain muscle involuntarily contracts – it does this each and every time you have an orgasm. It is the PC muscle. PC stands for Pubococcygeus, so you can see why we’ve shortened it. We won’t go into what its physiological function is or exactly where in your body it resides – because what’s the point? All you need and probably want to know is how the PC muscle can help you gain a greater degree of control over your sexual stimulation and therefore when you come during sex. Here’s how to locate it.

When you take a pee, you tense your PC muscle to stop the flow. Or, when you’re absolutely busting, you tense your PC muscle to stop the flow from…flowing. If you still aren’t sure what or where it is, next time you come pay attention to which muscle down there twitches every second or so until you finish ejaculating. Okay, so you know which muscle it is.

Now you need to get used to isolating it. Try tensing it right now, but don’t tense any other muscle down there. Don’t tense your legs and don’t tense your buttocks. Tense your PC muscle, hold it for 2 seconds, then relax. You’ve just performed one Kegel. A Kegel is a way of exercising your PC muscle by doing what you just did – tensing, holding and releasing.

Doing Kegels regularly strengthens your PC muscle, which gives you an increased degree of control over your orgasm. You become much better at keeping your stimulation level steady during sex, instead of it going up and down as it wishes, out of your control.

Here’s a good beginner’s routine which you can use three times a week to tone up your PC muscle and thereby increase your sexual stamina and control.

Start by doing 20 Kegels. Each repetition should go like this: tense as hard as you can, hold it for 2 seconds, then relax. Wait a couple of seconds, then repeat. Your PC muscle will probably feel quite tired after doing 20 reps, so give it a break for a few minutes.

Then, do 5 reps that go like this: tense using a medium amount of strength, hold it for 5 seconds, then relax. After a few weeks, you’ll notice the difference in bed. Your erections will feel harder and more "powerful" and your ability to control your sexual sensations will have improved. You can either continue to use the PC muscle routine above, or develop your own, more advanced routine, by adding reps and tensing for longer during each rep.

For more exercises to help avoid premature ejaculation, please visit the How To Last Longer Having Sex Blog at http://how-to-last-longer-having-sex.blogspot.com/

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J Sex Med. 2010 Jan; 7(1 Pt 2): 414-44
Porst H, Vardi Y, Akkus E, Melman A, Park NC, Seftel AD, Teloken C, Wyllie M

ABSTRACT Introduction. Clinical trials in male sexual dysfunction (MSD) are expanding. Consequently, there is a need for consensus standards in this area. Aim. To develop an evidence-based, state-of-the-art consensus report on standards for clinical trials in MSD. Methods. A literature review was performed examining clinical trials in erectile dysfunction (ED), premature ejaculation (PE), delayed/absent ejaculation, libido disorders/loss of desire, hypogonadism, and Peyronie’s disease, focusing on publications published in the last 20 years. This manuscript represents the opinions of eight experts from seven countries developed in a consensus process. This document was presented for peer review and debate in a public forum and revisions were made based on recommendations of chairpersons to the International Consultation on Sexual Medicine. Main Outcome Measure. Expert opinion was based on the grading of evidence-based medical literature, widespread internal committee discussion, public presentation, and debate. Results. According to experience and recent publications in dealing with clinical trials in sexual dysfunction, recommendations have been made for conducting trials in patients with ED, PE, delayed ejaculation, libido disorders, hypogonadism, and Peyronie’s disease. Conclusions. It is important that future clinical trials are conducted using standards upon which investigators can rely when reading manuscripts or conducting new trials in this field. Porst H, Vardi Y, Akkus E, Melman A, Park NC, Seftel AD, Teloken C, and Wyllie M. Standards for clinical trials in male sexual dysfunctions. J Sex Med 2010;7:414-444.

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One of the more sensitive areas of discussion for men is typically that of sexual performance. The male has the stereotypical reputation for physical dominance and control, and this sort of expectation can easily transfer to matters of sexual intimacy. It’s sometimes, and perhaps often, believed and expected that the male should have the capacity to sexually satisfy his partner most if not all of the time. Where a male is not able to regularly satisfy his partner, a problem of some sort is often presumed.

The problem most often defined in a male that relates to sexual functioning is premature ejaculation. Though premature ejaculation is not uncommon terminology, the specific definition of what premature ejaculation is can be difficult to pin down. What may be best accepted as the definition of premature ejaculation is the belief by the male and possibly his partner that the male’s ejaculatory control is insufficient. This belief in itself certainly doesn’t prove that a male has a particular poor ejaculatory response in comparison to other males, but it does indicate that sexual performance is a problem from that male’s perspective, which is reason enough to at least give the situation consideration.

Males are sometimes curious about whether there’s a specific baseline with respect to ejaculation times during intercourse. In other words, what’s the average time that males typically orgasm during intercourse. The answer to that question may be impossible to ever answer with complete certainty, but there have been studies that indicate males delay orgasm following sexual penetration for six and a half minutes on average. Six and half minutes may or may not seem like a great deal of time, but it gives some indication of how realistic sexual performance expectations actually are. It should be noted that the six and a half minute range is not an absolute standard.

In the event that a male does not make it to the six and a half minute point prior to orgasm, it is not some form of concrete evidence that a sexual dysfunction exists. A better standard to use, again, may be the male’s own perception that his sexual functioning is abnormal. While a male by himself can certainly come to the conclusion that he ejaculates too soon, getting input from a regular intimate partner would provide valuable insight into whether there’s actually a problem. It’s entirely possible that the male’s partner may not perceive any problem with sexual functioning at all, and that the difficulty only lies in the male’s self-perception.

In the event that an issue with premature ejaculation is suspected, there are a number of options available to treat the problem. Premature ejaculation is not especially uncommon, and usually responds well able to treatment.

Zinn Jeremiah is a freelance writer. To read more of Zinn’s work, visit http://www.hubonline.biz/website-content.htm . For intimacy enhancement help, visit http://www.hubonline.biz/more-satisfaction.htm .

Article Source: ArticleSpan

Have you been coming even before your partner is even having an orgasm? Have you been hearing complaints from your wife or partner regarding the climax which is pretty soon? These may be the symptoms of premature ejaculation. Rapid ejaculation, premature climax, rapid climax, early ejaculation are some of the terms by which premature ejaculation is known. Around 35 to 40 percent of the total world population is suffering from this condition in varying capacities. Premature ejaculation means lack of control over voluntary ejaculation. Researchers say that a man ejaculating in two minutes of penetration is said to fall under or has premature ejaculation. A research by Alfred Kinsey proved and demonstrated that 75 percent of the men ejaculate before or within two minutes of perpetration in almost 50 percent of the times they had sex. Today we and the sex therapists know well the reason for premature ejaculation that is when it�s in lack of ejaculatory control, let it be sexual or emotional, this problem may cause serious consequences in any relationship.

Premature ejaculation seems to be uncontrollable thing, but whatever happens it has a causes related to it. Young people and adults who experience sex for the first time often ejaculate early. Those who are having an intercourse after a very long time ejaculate prematurely. There are some people who can even take control over ejaculation after their first encounter itself. According to the current research by IELT (intra vaginal ejaculation latency time) states that there is an average ejaculation time of six or six and a half minutes in an average adult ageing from 18 to 30. A man having 1.5 minutes as IELTs can report himself as a non premature ejaculation person but however a person having 2 minutes as IELT has a very poor control over his ejaculation and will be diagnosed for premature ejaculation.

The causes for premature ejaculation can be different even regardless to sex. During the first time you are having sex, it is going to be in the car or at your home when your parents are not in. while going ahead with sex there is psychological pressure on you, will you be able to do it or not? What if someone suddenly comes when you are with your partner? These thoughts make you concentrate less on ejaculation control because you are subconsciously thinking of other consequences. Premature ejaculation can even be a reason because of environmental factors around the person.

Premature ejaculation can be because of depression, stress, financial problems, high expectations etc. even interpersonal problems can be a reason for premature ejaculation, unsolved problems, feelings being hurt due to some reason. These factors even contribute to premature ejaculation. The most effective way to stop premature ejaculation is hypnosis. Hypnosis has been very affective all over the world for the treatment of premature ejaculation. Hypnosis will help you create a certain pattern in your unconscious mind for your sexual performance. As you are a relaxed and in a pleasurable state of hypnosis, your unconscious mind can even learn more about e sex and sexual activities. You will start taking time in ejaculation and will enjoy sex and with the help of hypnosis you will be there for a longer time, even after your partner has orgasms. It will go on to be a truly pleasurable act and hypnosis for premature ejaculation will help you control this unpleasant condition, enabling you to explore the beautiful possibilities of passion and intimacy.

For more on premature ejaculation cure and how to stop premature ejaculation visit the links.

Article Source: ArticleSpan