https://willbeheal.com/iron-slim-keto/
Alpha
blockers are used in men, generally speaking, for urinary symptoms. Guys who
have bigger prostates have difficulty peeing at night, for example. But we do
know that these medications work by reducing sort of that emission threshold, or
raising the emission threshold and reducing the amount of actual fluid that
gets kicked out into the ejaculate, and so by doing that, there's some theory
that it can affect you, can affect or help with premature ejaculation. I don't
often use this for premature ejaculation. I use it mainly for men with urinary
symptoms or prostatitis who may also have premature ejaculation, and sometimes
it will have an effect on the sexual aspect of things as well. In terms of
alternative options and experimental therapies, a lot of patients will ask me
about Iron Slim Keto physical therapy, pelvic floor physical therapy, and I love pelvic floor
physical therapy. I really like to prescribe it to patients who have history of
pelvic floor dysfunction, trauma, urinary symptoms, prostatitis, pelvic pain.
All those things respond really well to PFPT, or pelvic floor physical therapy.
Premature ejaculation--the data is still out on that. But if you have one of
those other conditions and premature ejaculation, this is a great option for
you to start out with. In terms of acupuncture, there's emerging data on its
effectiveness for different conditions, including premature ejaculation. I'm
very interested in seeing what that data will show eventually. It can't hurt.
It certainly might help. So if that's something you want to try, absolutely. Yoga--yoga
is excellent for physical fitness. Good for stretching of the pelvic floor. We
do know that men who perform yoga on a regular basis have very strong, relaxed
pelvic floors, and that might help with the ejaculatory response, although I
don't have the data on that. In terms of surgical or procedural options like
circumcision or Botox or penile nerve surgery, for circumcision, there's no
conclusion that circumcision helps with premature ejaculation. So if you're
interested in circumcision, that's mainly for medical reasons or cosmetic
reasons, not so much for premature ejaculation. Botox--it's only been studied
in animals for this purpose--for premature ejaculation.
There's some good evidence that it might help, but it hasn't been used in humans yet. So stay tuned, we'll see. In terms of penile nerve surgery, again, not a whole lot of conclusive evidence one way or the other. It's not something I offer to patients unless there's some sort of trauma or something in the history that requires a surgical intervention. In summary, premature ejaculation has a very specific definition. It's common. It's under-recognized. The diagnosis involves a thorough discussion of both a medical history and a sexual history, and there are a wide variety of treatments, as I described, and a urologist can really help to come up with an individualized plan for you. So, thank you for listening. And at this point, I'll take any questions on Twitter at the #UCLAMDChat hashtag. So, we already have a couple of questions here. First question is "What is the contribution of low T--low testosterone?" So we do know that there is, in addition to the serotonin or nervous system component or reflex component of ejaculation, there is also a hormonal component. So, low testosterone can impact the ejaculatory response. In some men, low testosterone will delay orgasm, and in other men, low testosterone will contribute to premature ejaculation.
There's some good evidence that it might help, but it hasn't been used in humans yet. So stay tuned, we'll see. In terms of penile nerve surgery, again, not a whole lot of conclusive evidence one way or the other. It's not something I offer to patients unless there's some sort of trauma or something in the history that requires a surgical intervention. In summary, premature ejaculation has a very specific definition. It's common. It's under-recognized. The diagnosis involves a thorough discussion of both a medical history and a sexual history, and there are a wide variety of treatments, as I described, and a urologist can really help to come up with an individualized plan for you. So, thank you for listening. And at this point, I'll take any questions on Twitter at the #UCLAMDChat hashtag. So, we already have a couple of questions here. First question is "What is the contribution of low T--low testosterone?" So we do know that there is, in addition to the serotonin or nervous system component or reflex component of ejaculation, there is also a hormonal component. So, low testosterone can impact the ejaculatory response. In some men, low testosterone will delay orgasm, and in other men, low testosterone will contribute to premature ejaculation.
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