Premature Ejaculation FAQ

Question number one is: “What exactly is premature ejaculation and how do I know if I have it?”. Premature ejaculation is commonly defined as an ejaculation within two minutes into intercourse. In fact, some men are prone to ejaculating as soon as penetration occurs or within a few seconds. While two minutes is a common benchmark, the crux of the issue goes beyond just relying on a specific duration. A man has premature ejaculation, if he cannot last long enough to satisfy his partner. Every relationship is unique. So what is long enough for one couple may not be sufficient for another. What you should also understand is this: because it takes women more time to get aroused, your ability to last long enough will increase the chances of you giving her a vaginal orgasm during intercourse.

Between 30 to 40 percent of men suffer from early ejaculation. So if you’re finishing too fast right now, rest assured you are not alone. In fact, most men will experience early ejaculation at least a few times in their lives.

Now let’s move on to question number two: “Why do I ejaculate too quick?”. There are a few factors that cause early ejaculation, but the most common are due to a man’s failure to recognize the sensations that proceed an ejaculation and then associate those sensations with specific benchmarks along his arousal curve, when he still has control. Once you become familiar with your ejaculatory threshold, you can learn when to stop stimulation, or to allow yourself to slide back down the arousal curve, before resuming stimulation again.

Premature ejaculation often takes place in two ways. One, when our partners initiate sexual stimulation, or two when we become overly aroused and any extra friction or movement of our penis pushes us beyond the point of no return.

The key to enhancing your ejaculatory control thus has two facets. First, recognizing and then communicating to your partner, when you are about to ejaculate, so that she can stop stimulation immediately. And second, knowing when your arousal has subsided enough, that you can start penetration again.

There are specific powerful exercises you can practice with your partner, that will train you to consciously recognize two things: when you’re about to climax yet can still stop it from occurring and when you have reached the point of no return. These two benchmarks have particular sensations that you need to learn to recognize. Once you are able to identify both benchmarks, practice moving the first benchmark closer to the second, which is your ejaculatory trigger point. With some practice and awareness, you will be able to place the two benchmarks side-by-side. This will intensify your pleasure while giving you complete control over your orgasm.

You can also try supplements

All right, question number three: “How long should sex last ideally?”. The straight answer – as long as it takes for your partner to reach an orgasm first. Unlike most men, women are biologically wired to respond very slowly to physical sexual stimulation. Many studies have revealed that women find penetrative sex that lasts from 3 to 7 minutes to be satisfactory and  8 to 13 minutes to be the most desirable.

Obstructive Subfertility In Men

The obstructive side is a little bit more plumbing now, which is truly what most of us do as urologists is unblocked pipes. And in the reproductive tract, there are multiple sources of obstruction and it’s important for me to determine where the obstruction is. Now obviously or maybe not so obviously, the most common point of obstruction is a vasectomy. So that’s exactly what we’re doing, essentially don’t change anything else in the reproductive tract when a man decides that he wants to have a vasectomy for birth control. All we’re doing is basically blocking the highway.

So a big part of my practice is to put those back together when a man or a couple change their mind. Knowing exactly where the vasectomy was done, I can go in using a microscope and put those two channels back together, so that he can have continuity and we relieve the obstruction and sperm come back. It’s not always that straightforward. There are things that men can be born with either genetic defects or even blockages from cysts, stones, all kinds of things that can cause obstruction elsewhere in the reproductive tract.

One of the most common genetic abnormalities in at least a European population is cystic fibrosis gene. Up to 1 in 25  men are people who carriers cystic fibrosis gene and so the incidence of the disease is a lot less than that. But if a man has at least one copy of that gene, usually takes two, he may have an absence of the vas deferens, where basically again the sperm production is there, but he’s not actually able to get sperm into the ejaculate.

I’ve also seen obstruction from inguinal hernia repairs, so again, if you’re a male thinking about fertility and you have a hernia, talk to your surgeon about either if he’s going to use mesh take extra caution around the vas deferens, so that area isn’t blocked.

And then lastly infections can also cause a problem with fertility. Epididymitis which is that little tube. It can get so gummed up with infection inflammatory tissue that all the sperm are blocked at that level as well. Most of the time we are able to catch epididymitis and treat it with antibiotics, we don’t see that, but this is certainly something I’ve seen in my career.

So how do I make the diagnosis of obstructive subfertility? With the non-obstructive again we go back to blood work, and we go back to obviously looking at the semen analysis and a physical exam. So on obstructive subfertility, a man’s physical exam should essentially be normal. Now occasionally a man will have some obstruction higher up in the reproductive tract near the prostate, or near the seminal vesicles, where the semen is made. And I may be able to feel that on a rectal exam. But for the most part, you should have normal testicles, maybe I won’t be able to feel that vas deferens and that will lead me down the pathway of thinking about that cystic fibrosis gene we talked about. Maybe I won’t be able to tell anything is wrong at all and we’ll have to use some other diagnostic modalities. I use a lot of ultrasound in my practice to look for those sent areas of obstruction for example.

Addyi – A Pill To Boost Sex Interest In Women

Let’s talk about Addyi. Addyi is a new drug available for treatment of hypoactive sexual desire disorder. The condition means what it says; it is premenopausal women who have a decrease in their desire for sex that causes some significant distress and causes and interpersonal relationship problems. As with anything else in medicine, we have to exclude certain other causes. So it’s not associated in this case with either depression, anxiety, other medical conditions (for instance cancer, heart disease, lung disease); it’s not associated with having major problems in your relationship; and it’s not associated with taking other medicines that might interfere with your interest in having sex.

Overall it seems that sexual disorders are occurring anywhere between maybe about 10 and 40 percent of women. And if we look at hypoactive sexual desire disorder in premenopausal women, maybe about 10% of all women or 5 million to 6  million women here in the United States.

The pill Addyi or flibanserin is a pink pill. A lot of people call it the pink Viagra or the female Viagra but it’s not. Viagra, the blue pill is for men. It increases the blood flow to the penis and can be taken whenever one wants to have sexual relations as opposed to the Addyi that has to be taken on a daily basis. And it works on the brain; it works to increase certain neurotransmitters, certain chemicals in the brain (dopamine and norepinephrine), and it decreases the amount of serotonin, supposedly that’s what makes it work. But we really don’t know that would be correct.

The drug was originally developed by a German pharmaceutical manufacturer. They tried it for depression, and it didn’t seem to work. So they tried it for hypoactive sexual desire disorder, ran into some problems with food and drug administration. So they gave up on the pill. Then the pill was sold to a company known as Sprout Pharmaceuticals. Sprout Pharmaceuticals tried to get the FDA to approve it, ran into some roadblocks. So they mounted a major campaign called even the score, they claimed that there was sexism at the Food and Drug Administration. They claimed that there were 26 medicines available for men who had difficulty with sex, but that’s Viagra and testosterone and the related compounds. They have lots of women’s groups that were actively militating for approval of this medication. They even had people going out and tweeted, some of them were doctors who were even being paid by the company. That was unknown to the people who were reading all of the tweets.

So in the end result, they presented the evidence to the food and drug administration, and they said that they could increase the number of sexually satisfying experiences by one a month. That’s right. Not a major improvement. One a month. That’s barely scientifically meaningful.

So the food and drug administration considered the evidence an advisory committee in June of 2015 and said: “Well, okay, you can approve it.” They voted 18 to 6  in favor of approval. That went on to the full food and drug administration that in August of 2015  approved the drug and within 48  hours after they approved the drug, guess what? The company was sold to Valeant Pharmaceuticals for 1 billion dollars.

Now Valiant has had lots of problems recently with some ethics, with some price raises, price increases. They are being investigated by the Senate, they’re being investigated by the SEC, they have lots of problems with some of the other medicines, they have problems with their marketing approach. The company said that they would pay 500 million dollars cash right it’s signing, another 500 million dollars in early  2016 and then some extra money depending on whether the drug met its milestones. But unfortunately, it isn’t meeting its milestone.

Breast Enhancement Creams vs. Pills. What to Choose?

A lot of ladies dream about the larger bust. But it is not simple to increase your breast size. The quickest and easiest solution is to undergo breast enhancement surgery. But these operations are very expensive and have a lot of side effects like pain after surgery. You will also have to do some manipulations during your life in order to support the beauty of your curves.

The alternatives

Fortunately, there are alternatives you can choose. It is a natural option for breast enhancement. You can do them at home for free. Some of these options are breast massage and exercises for breast enlargement. But these methods do require time and may not give you the results that you want.

Don’t be discouraged, though. There are still other alternatives that are more efficient. Namely, breast enhancement creams and pills.

Now, the question is, which is one to choose?

Which one to choose?

If you don’t know what breast enhancement method to choose, you need to study how each method works and how exactly does it enlarge your bust.

Pills for breast enlargement have a lot of useful ingredients like herbs that contain phytoestrogens. These herbal phytoestrogens allow your body to make more female hormone – estrogen. Estrogen is responsible for breast growth, and so if you increase the amount of estrogen in your body, your breast size will increase. Don’t be afraid; breast pills don’t act like hormone replacement therapy. You won’t get any adverse reactions. As a bonus, you may feel that your PMS symptoms have decreased.

You can also use breast enhancement creams. You should put them to your chest area. They are soaked through the skin. The cream acts directly to your breast, unlike the tablets which can affect your whole body as you take them orally. The cream will make your breasts perkier and skin smoother and softer.

If you want to have overall body effect, your best option will be the breast enhancement pills. However, if you want to have a perkier bustline, your best option will be the breast enhancement creams.

What if I use both?

Well, you can use both if you want. Using both will increase the effect, allowing you to get the highest rate of breast enhancement in a matter of weeks. As a matter of fact, many herbal breast enhancement treatments are two part solutions which include both creams and pills.

So, which one is the best option? There is no definite answer. You can use creams. You can use tablets. Or even both. That being said, it is always a good idea to talk to your doctor first before you start using them.

What Penis Enlargement Products Have Been Approved by Medical Specialists?

There are 3 penis enlargement products that have been approved by medical specialists. The first is…

Male enhancement pills

Male enhancement pills lean to accept several approaches. This depends on the ingredients type which the producer have added.

While the ingredients may vary from one manufacturer to the other, there is a common way that they revolve around. What is it? Well, they revolve around the idea of increasing the blood amount which goes to the penis. One of the manners in which male enhancement pills work is by using L-arginine.

Male enhancement pills also work indirectly. How? They relax the muscles at the penis base. This too is aimed to stimulate a harder erection. Pills relax muscles at the penis base and allow more blood to flow.

The result?

A larger penis size.

Penis extender device

The next penis enlargement product is the penis extender. How does penis extender device work? The penis extender device works just as many penis enlargement products work. That is, it works by basic science. Do you know how powerful the effect of weightlifting is for our muscles. When we weightlifting, our muscles are broken down, repaired and then return to be bigger.

The same science applies to penis extender device, too. The “workout” using a penis extender device is nowhere as strenuous, though.

To use the extender device, all you need to do is to insert your penis into the device. These devices tend to come with comfort point, and they can be adjusted easily, allowing it to be used with any size of the penis. The goal for you here is to find a stretching point. That is the point where you can put your penis so that it is being stretched to the smallest extent but not too uncomfortable for you and may cause injury.

Penis enlargement pump

Last but not least, the penis enlargement pump. Don’t be mistaken by their appearance, though. They may seem to appear and look uncomfortable. Yet, they work really well.

All you need to do is to place the pump device over your penis. Then, pump the air out of the cylinder that your penis is now put in. This, in turn, will create a vacuum. This vacuum is critical. This vacuum is what starts to draw blood into your penis shaft. As a result, an erection happens.

If you want to make the result permanent, you have to use this device for a prolonged time. Using it, your penis will become larger over time. Keep this in mind: prolonged use of the device will increase the chance of increasing the size of your penis, just don’t overdo it. In this list of top rated penis enlargement pumps you can find the best one for yourslef

What Is The Key Success Ingredient in VigRX Plus Formula?

VigRX Plus has steadily and consistently become popular recently. In fact, the product has received a lot of loyal fans. That being said, we do realize that it is okay to be incredulous about this kind of product. Because a lot of supplements for penis enlargement on the market are nothing more than complete garbage. Some even are dangerous and harmful for your health. You will find more information on this VigRx Plus review

The question now is, how can you be confident that you but an original and useful product? And what is the key success ingredient in this product?


First and foremost, what it contains? What presumably makes this product work so well? Well, it is ingredients. These are some ingredients of VigRX Plus:

  • Tribulus Terrestris
  • Red Ginseng
  • Horny Goat Weed
  • Catuaba
  • Saw Palmetto
  • Cuscuta Seed Extract
  • Gingko Biloba
  • Damiana
  • Muira Pauma
  • Bioperine
  • Hawthorn Berry

Don’t worry; we are not going to explain each ingredient. A lot of these ingredients have been known for hundreds of years. They are vindicated regarding their efficiency at enhancing sex desire, penis length, as well as stamina. This powerful mixture of elements makes a potent formula that will renew and invigorate men’s sexual health

One of the most useful ingredients in VigRX Plus formula is Bioperine. It is a substance which is received from black pepper. It was proved that Bioperine improves the efficiency of a yet potent mix of ingredients. How? By increasing the imbibition level by 30%.

That’s why we can put the product on many other enhancement pills available on the market when it comes to efficiency.


If you use VigRX Plus, you can saw a noticeable increase in fullness, both in erect and flaccid states after only one month of use. You will have hard, full erection which in turn cause the expansion of all penis tissues over a relatively short period of time.

You will also experience a longer sexual intercourse as well. Not to mention the increase in penis size which you (and your partner) will likely to notice.

Final thoughts

As we have said earlier, there are a lot of penis enhancement pills on the market. If you want to buy, make sure that you buy one that is already proven in terms of effectiveness and safety. You don’t want to waste your money on something that will not work or even worse, something that may even harm you. If you are looking for a penis enhancement pill, look no further than VigRX Plus. This is a useful product that will show you results, thanks to its powerful ingredients.