A sexual problem refers to a problem that prevents an individual from experiencing satisfaction from the sexual activity. Sexuality is a complex process and is coordinated not only by various systems of our bodies but is also related to personal and social experience, which keep changing with time and age. Any disturbance in any of these areas leads to sexual problems.

The various sexual problems, which are common among men, can be penned down as

Lack of desire

Ejaculation Problems

Infertility

Erectile dysfunction or Impotence

The causes, which can lead to, the above-mentioned problems are:

Physical Health

These conditions include diabetes, heart disease, neurological diseases, hormonal imbalances, and kidney disease, liver failure that can cause impotence.

Lifestyle

Drinking and smoking can lead to erection problems. Alcohol often increases the desire by reducing inhibitions, but it leads to erectile dysfunction. These can also reduce your desire for sex. Being physically inactive also contributes to the chances of impotency.

Medications

The side effects of medicines like antidepressant drugs, medicines to treat hypertension, anxiety and benign prostate enlargement can affect sexual desire, can cause impotence and can also lead to problems related to ejaculation and orgasm.

Psychological factors

Stress, anxiety, concern about sexual performance, relationship problems, depression, feelings of guilt, depression and fatigue are some of the psychological factors which leads to sexual problems. Regular sexual routines may also contribute to a lack of enthusiasm for sex.

Obesity/Over Weight

Obesity is another major factor, which increases the risk sexual problems. Being overweight is often overlooked as a cause of sexual difficulties but can lead to serious problems such as lack of desire and erectile dysfunction.

Age

Levels of testosterone, the male hormone, decrease slowly with age, which may affect sexual function and can cause lack of desire, ejaculation problem and impotence.

A sexual problem prevents a man from experiencing satisfaction from sexual activity. Sexuality is a complex process also related to personal and social experience, which keeps changing with time and age. Any disturbance in any of these areas leads to sexual problems.

The various sexual problems, which are common among men, are lack of desire, ejaculation problems, infertility, erectile dysfunction and impotence.

Few Ayurvedic Remedies are:

a). Vajikarna is one of the disciplines which deals with vitality, men seek rejuvenation mainly with the object of reactivating their sexual vigour and drive which can be achieved by the concept of rasayana (rejuvenation) and vajikarna (virilization). The best agent of virilification being an exhilarating sexual partner. Drink milk after a meal of swastika rice (a kind of Indian rice which is of high nutritional value) mixed with ghee (clarified butter) and with black gram gruel.

b). Pumpkin seeds, Brazil nuts and almonds are rich in the amino acid, boosting levels of blood to the genitals, making them natural viagra. Oysters, the richest source of Zinc, nourish the prostate gland and boost testosterone production.

c). For some common problems in men the remedies have been listed below:

1. Premature ejaculation & unsatisfactory erections or sexual deficiency: In most cases the root cause for this is very psychological. Herbal remedies- shilajit, stress guard medicines, taila oil – for gentle massage, Narasimha rasyan, Musli power extra capsules, Addyzoa capsules, Tentex royal capsule and Vigomax forte.

2. Male infertility is often due to the sperm count falling below the fertility level. Herbal remedies- Shilajit – with milk or butter , Promotil capsules, Narasimha rasayan, Sathavaree gulam,Makaradhwaj vati, Swarna Bhasma, Kaminividrawan ras, Pushpdhanwa ras, Stimulex+ , Musli power extra capsules and Addyzoa.

3. Nocturnal emissions: It is an involuntary discharge of semen without undergoing orgasm. Herbal remedies- Chandraprabha bati, Aswagandharishta, Bhringaraja ras, Shri gopal tail, Kaminidugdh ras and Neo tablet, .

4. Impotency: It is directly related to anxiety regarding sexual performance. Herbal remedies- Ashwagandha churna, Kaminidugdh ras, Shri gopal tail, Shilajith gold, Aswagandharishta, Bhringaraj ras, Makaradhwaj vati, Swarna Bhasma, Kaminividrawan ras, Pushpdhanwa ras, Stimulex+ and Lakshadi oil.

It is quite essential and natural that a common family man must adopt the perfect combination of ayurveda and sex to practice blissful actual sex act following the ayurveda concept of vigor and vitality.

Dr Rajesh Nair is the consultant of world’s largest online Ayurvedic store http://www.ayurvedaforall.com. Please check his favourite male sex herbal medicines and premature ejaculation medicines.

Article Source: ArticleSpan

Int Urol Nephrol. 2010 Feb 20;
Gökçe A, Demirtas A, Halis F, Ekmekcioglu O

OBJECTIVE: The aim of this study is to measure the ejaculation latency time (ELT) and to evaluate the effects of vardenafil on ELT and rigidity parameters of patients with lifelong premature ejaculation (PE) in a laboratory setting. MATERIALS AND METHODS: Double-blind, placebo-controlled, cross-over laboratory study was performed with 40 males with lifelong PE. As the subject ingested the placebo or vardenafil, real-time penile tumescence and rigidity monitoring began. Audiovisual sexual stimulation (AVSS) was performed 45 min later. The patient began vibratory stimulation to the frenular area at 8th minute of AVSS till ejaculation. A button has been placed under the cover where the patient presses to operate the vibrator. ELT was calculated in seconds with a chronometer. Following ejaculation, AVSS was stopped. The test was repeated with second medication in 7-15 days. RESULTS: Among 40 patients, the results of 17 could be evaluated. When the patient took placebo and vardenafil, mean ELTs were 62.7 and 189.5 s, respectively. When compared with placebo, vardenafil improved ELT significantly (P = 0.04). After the beginning of AVSS, time to first recorded base or tip rigidities was shorter and time to last recorded tip or base rigidities following ejaculation was longer than placebo; however, these differences were not significant (P > 0.05 for each). CONCLUSIONS: This laboratory design might be used to evaluate the effects of drugs on patients with ejaculation disorders. In this laboratory setting study, vardenafil exerted a threefold increase in ejaculation delay outside the vagina in patients with lifelong PE.

Read Full Article

Arch Sex Behav. 2010 Feb 19;
Christensen BS, Grønbæk M, Osler M, Pedersen BV, Graugaard C, Frisch M

Sexual dysfunctions and difficulties are common experiences that may impact importantly on the perceived quality of life, but prevalence estimates are highly sensitive to the definitions used. We used questionnaire data for 4415 sexually active Danes aged 16-95 years who participated in a national health and morbidity survey in 2005 to estimate the prevalence of sexual dysfunctions and difficulties and to identify associated sociodemographic factors. Overall, 11% (95% CI, 10-13%) of men and 11% (10-13%) of women reported at least one sexual dysfunction (i.e., a frequent sexual difficulty that was perceived as a problem) in the last year, while another 68% (66-70%) of men and 69% (67-71%) of women reported infrequent or less severe sexual difficulties. Estimated overall frequencies of sexual dysfunctions among men were: premature ejaculation (7%), erectile dysfunction (5%), anorgasmia (2%), and dyspareunia (0.1%); among women: lubrication insufficiency (7%), anorgasmia (6%), dyspareunia (3%), and vaginismus (0.4%). Highest frequencies of sexual dysfunction were seen in men above age 60 years and women below age 30 years or above age 50 years. In logistic regression analysis, indicators of economic hardship in the family were positively associated with sexual dysfunctions, notably among women. In conclusion, while a majority of sexually active adults in Denmark experience sexual difficulties with their partner once in a while, approximately one in nine suffer from frequent sexual difficulties that constitute a threat to their well-being. Sexual dysfunctions seem to be more common among persons who experience economic hardship in the family.

Read Full Article

Arch Sex Behav. 2010 Feb 19;
Christensen BS, Grønbæk M, Osler M, Pedersen BV, Graugaard C, Frisch M

Sexual dysfunctions and difficulties are common experiences that may impact importantly on the perceived quality of life, but prevalence estimates are highly sensitive to the definitions used. We used questionnaire data for 4415 sexually active Danes aged 16-95 years who participated in a national health and morbidity survey in 2005 to estimate the prevalence of sexual dysfunctions and difficulties and to identify associated sociodemographic factors. Overall, 11% (95% CI, 10-13%) of men and 11% (10-13%) of women reported at least one sexual dysfunction (i.e., a frequent sexual difficulty that was perceived as a problem) in the last year, while another 68% (66-70%) of men and 69% (67-71%) of women reported infrequent or less severe sexual difficulties. Estimated overall frequencies of sexual dysfunctions among men were: premature ejaculation (7%), erectile dysfunction (5%), anorgasmia (2%), and dyspareunia (0.1%); among women: lubrication insufficiency (7%), anorgasmia (6%), dyspareunia (3%), and vaginismus (0.4%). Highest frequencies of sexual dysfunction were seen in men above age 60 years and women below age 30 years or above age 50 years. In logistic regression analysis, indicators of economic hardship in the family were positively associated with sexual dysfunctions, notably among women. In conclusion, while a majority of sexually active adults in Denmark experience sexual difficulties with their partner once in a while, approximately one in nine suffer from frequent sexual difficulties that constitute a threat to their well-being. Sexual dysfunctions seem to be more common among persons who experience economic hardship in the family.

Read Full Article

Arch Esp Urol. 2010 Enero-Febrero; 63(1): 53-55
Cardona Maya W

OBJECTIVES: To discuss a concept about the current definition and treatment of premature ejaculation. METHODS: A detailed review was performed on the current definition and treatment of premature ejaculation. RESULTS: Several definitions were found, however a consensus on how to define premature ejaculation is lacking. In addition, there are several treatments: daily, on demand and topical agents. CONCLUSIONS: Premature ejaculation implicated three specific characteristics: short intravaginal ejaculatory latency time, lack of control, and sexual dissatisfaction.

Read Full Article

It is a common knowledge that many men want to have bigger penises. This is because not every one of them is endowed with a large and thick one. A man who has a small penis often feels insecure, embarrassed and inferior. He believes that a large penis can boost his self confidence and self worth. That is why there are different kinds of penis enhancement products in the market today.

Read Full Article

Premature ejaculation is one of the commonest male sexual dysfunctions in men aged forty and below.   Various self-help techniques are available on how to prevent premature ejaculation condition. I have outlined some common techniques that one can adapt to help overcome premature ejaculation.

Self Distraction Technique: If arousal levels are getting very high and you feel that a climax is inevitable take a deep breath and try to divert your mind by thinking something else, even something very boring!

Stop-Start Method: If you feel that a climax is imminent and too early, withdraw from the partner and relax enough to prevent premature ejaculation. It is humanely possible to prolong the sexual act by starting and stopping sexual stimulation.

Squeeze Method: This is one of the most popular methods on how to prevent premature ejaculation. In this method either the man or his partner need to squeeze the tip of the penis (the head) for 10-20 seconds when ejaculation is imminent withholding any stimulation for 30 seconds and then continue with stimulation. This can be repeated until ejaculation is desired.

Desensitizing creams are available and can be used  to help control premature ejaculation. These creams have a local or topical anaesthetic effect and thus reduce the sensations. Thick condoms (or two condoms) an also be used to decrease sensitivity and delay premature ejaculation.

Simple methods like prolonging foreplay can also help people with control premature ejaculation. Stimulation of the partner to a high state of arousal and then insertion of the penis into the partner will lead to an orgasm quickly in the partner while ejaculation takes place in the patient. In this way the partner does not feel unsatisfied over the early ejaculation. More masturbation by using different methods will also help teach the person how to prevent premature ejaculation by knowing what  makes him ejaculate soon and ways on how to avoid premature ejaculation.

Overcoming premature ejaculation and enjoying good sex needs practice and patience. Over time things are bound to improve. Despite these methods if there is still a problem consult your sex therapist for further help.

For more details on the topic of premature ejaculation visit [http://sexproducts4u.blogspot.com/2008/02/beat-premature-ejaculation-and-last.html]

Article Source: http://EzineArticles.com/?expert=Rajgopal_Venkataraman

J Sex Med. 2010 Jan 14;
Gallo L, Perdonà S, Gallo A

ABSTRACT Introduction. The role of short frenulum and the effects of frenulectomy on premature ejaculation (PE) were never investigated. Aims. The aims of this study were to evaluate the prevalence of short frenulum in a population of patients affected by lifelong PE and to investigate the role of frenulectomy as first-line treatment for this condition. Methods. We performed frenulectomy to patients complaining of lifelong PE in which we found the presence of a short frenulum at physical examination. We evaluated intravaginal ejaculatory latency time (IELT) and the score of a validated PE questionnaire at baseline and after frenulectomy. Main Outcome Measures. We evaluated the change in mean IELT and in mean PE questionnaire score. Results. We found the presence of a short frenulum in 59 out of 137 (43%) subjects who came to our center complaining of lifelong PE. Mean age of study population was 38.2 years (+/-5.3 standard deviation). At baseline period, mean IELT was 1.65 minutes (+/-1.15), and mean PE questionnaire score was 15.8 (+/-2.85). No complications related to surgery occurred. Mean follow-up time was 7.3 months (+/-3.18). After frenulectomy, mean IELT was 4.11 minutes (+/-1.77), and mean PE questionnaire score was 9.85 (+/-3.2). An increase in mean IELT of 2.46 minutes (P < 0.0001) and a reduction in mean PE questionnaire symptoms score of 5.95 (P < 0.0001) were noted. Conclusion. Short frenulum is a genital anomaly found in 43% of individuals affected by lifelong PE in our data set. We suggest always ruling out at physical examination the presence of a short frenulum in all patients complaining of PE and to propose frenulectomy as first-line treatment in these cases. Gallo L, Perdonà S, and Gallo A. The role of short frenulum and the effects of frenulectomy on premature ejaculation. J Sex Med **;**:**-**.

Read Full Article

Int J STD AIDS. 2010 Feb; 21(2): 77-81
McCarty EJ, Dinsmore WW

Premature ejaculation (PE) is the most common male sexual problem worldwide affecting 22-38% of men. It has a significant morbidity both on patients and their partners, causing distress, anxiety and relationship difficulties. The mainstay of treatment is a combined approach using behavioural therapies and non-licensed medication such as topical anaesthetic preparations, selective serotonin re-uptake inhibitors and phosphodiesterase-5 inhibitors. In recent years, there has been a greater emphasis placed on researching novel treatments and exploring the on-demand use of current preparations. This review provides an overview of current accepted treatments and emerging agents for the use in PE.

Read Full Article

Harefuah. 2009 Sep; 148(9): 620-4, 656
Galin A, Bronner G, Raviv G

INTRODUCTION: Premature ejaculation (PE) is one of the most common sexual dysfunctions among men. PE is poorly defined and inadequately characterized, therefore, professionals find it difficult to cope with the diagnosis, treatment and research. Men who complain about their PE also describe their problem in different ways. PURPOSE: This article describes the prevalence of PE, presents the different definitions of the problem and provides a model for evaluation and treatment combining medical and psychosexual techniques. METHODS: The proposed model for the diagnosis and treatment of PE was composed by combining information from relevant literature with the multi-professional staff experience in our Sexual Medicine Center. OUTCOMES: Selective serotonin release inhibitors (SSRIs) have been the most promising medication for treatment of PE. Psychosexual therapy, offering cognitive-behavioral techniques contribute to the man’s ability to improve his sexual and couple relationships. CONCLUSIONS: Diagnosis of PE is mainly based on sexual history as described by the male patient. Therefore, it is essential to have a comprehensive medical and sexual history, description of the effect of PE on sexual activity, and the degree of personal and couple distress. It is important to clarify the onset of the problem, as PE may be the result of another sexual dysfunction of the man or his sexual partner.

Read Full Article