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za Its estimated that one man in 10 has a problem related to having sex, such as premature ejaculation or erectile dys unction. !r "ohn #omlinson o #he $exual %dvice %ssociation explains some o the causes, and where to see& help. 'atch a video on premature ejaculation ($exual dys unction in a man is when he)s not able to per orm properly,* says !r #omlinson. (#he main problem is being unable to get an erection. Its much more common than people realise. In the +0, -0 age group it a ects around .,/0 o men, in the -0,10 age group it a ects 110. In the over,20s it a ects -00, and more than hal o men over .0.* It can a ect any man, whether he is straight, gay, bisexual or transgender. 3ead more about erectile dys unction 4impotence5 and premature ejaculation. 6rectile dys unction 4impotence5 #his is when a man cant get, or &eep, an erection. Most men experience it at some time in their li e. (It only becomes a problem when the man or his partner considers it a problem,* says !r #omlinson. 'hat causes erectile dys unction7 (% variety o things cause it. $ome psychological and some physical,* says !r #omlinson. 89sychological issues tend to a ect younger men, such as irst night nerves and so on. : ten, these problems dont persist. ;ut there can be more serious psychological problems about sex that need the help o a psychosexual therapist.* 'orries about wor&, money, your relationship, amily, and even worrying about not getting an erection, can all be actors. 9hysical reasons or erectile dys unction include< Medical conditions that cause erectile dys unction heart disease, diabetes. raised blood pressure, raised cholesterol< this can lead to clogging o arteries, including the arteries in the penis, which are very narrow 41,+mm in diameter compared with around 10mm in the heart artery5 low testosterone< testosterone levels all as men get older, but not all men are a ected by it. #hose who are a ected will have symptoms such as eeling tired and un it, and loss o interest in 4and inability to have5 sex. !rugs that cause erectile dys unction

some prescription drugs< these can include medicines 4such as beta,bloc&ers5 used to treat raised blood pressure, and antidepressants, antipsychotic drugs and anticonvulsant drugs, alcohol, recreational drugs such as cannabis and cocaine, smo&ing< nicotine a ects the blood supply to the areas o the penis that cause erection. 'hat should I do i I have erectile dys unction7 $ee your =9. >e or she can give you a physical examination and carry out blood tests to identi y the cause. 6rectile dys unction can be an important signal to other issues. (It)s associated with raised cholesterol, diabetes and raised blood pressure. %ny o these can be a warning o uture heart disease,* says !r #omlinson. ?our doctor can ensure that you get the treatment you need. 'hat)s the treatment or impotence7 @irst, adjust any li estyle actors that might be causing your problem. (I you stop smo&ing, drin&ing too much or using recreational drugs, the problem should eventually go away. ;ut it can ta&e months,* says !r #omlinson. (#here is no overnight cure.* I you)re prescribed blood pressure tablets or antidepressants, your doctor may be able to put you on a di erent &ind. Aow testosterone can be treated with hormone replacement therapy, which should resolve erectile dys unction as long as it)s used together with erection,helping drugs. :ther conditions, such as diabetes and high blood pressure, can be treated, which may improve erections. #he $exual %dvice %ssociation has use ul actsheets on all o this. $ome men bene it rom psychosexual therapy, which is a orm o relationship therapy where you and your partner can discuss any sexual or emotional issues or concerns. ?ou can contact the $exual %dvice %ssociation, 3elate, sexual health charity @9% or your =9 to as& about psychosexual therapy. $upport options @or help with cutting down on drin&ing, drug use or smo&ing, contact< !rin&aware @ran& =o $mo&e ree 9remature ejaculation

#his is when a man ejaculates 4comes5 sooner than he wants to during sex. It)s only a problem i it bothers him or his partner. ?ou can see your =9 or a psychosexual therapist or help. 'hat causes premature ejaculation7 86ither just being very excited with a new partner, or an acute sensitivity o the local nervous system, which triggers orgasm too suddenly,8 says !r #omlinson. It can also be lin&ed to anxiety about sexual per ormance, stress, unresolved issues in a relationship, or depression. 'hat should I do i I have premature ejaculation7 $ee your =9, or a psychosexual therapist. % therapist can teach you techniBues to try to delay ejaculation. 'hat treatment is there7 (% lot o men and their partners dont worry, and they wor& around it,8 says !r #omlinson. 8;ut i youre very unsatis ied, there are some things you can try.* >ave sex again soon a ter the man ejaculates. #he second time, it will ta&e longer to reach an orgasm. :lder men might ind this di icult as it may ta&e too long to get a second erection. Creams 4available rom sex shops5 can be put on the penis to numb sensation. (;ut this tends to trans er the numbing sensation to the partner, which they don)t always li&e,* warns !r #omlinson. $ome ind using a condom use ul. #he mans partner can sBueeze his penis in a certain way to prevent him ejaculating. (% man needs an extremely willing partner to do this, and some partners dont eel com ortable with it,* says !r #omlinson. %ntidepressants called selective serotonin reupta&e inhibitors 4$$3Is5 can slow ejaculation, but only or a year or so. ('ell try every other treatment irst be ore starting on drugs,* says !r #omlinson. 9sychotherapy might help in terms o relaxing or exploring problems in the relationship. @ind out what a sex therapist does. 6nlargement Creams D pills http<EEwww.enlargementcreamspills.co.za ;reast enlargement creams D pills http<EEwww.enlargementcreamspills.co.zaEbreast,enlargement, creams,pills.html 9enis enlargement creams D pills http<EEwww.enlargementcreamspills.co.zaEpenis,enlargement,creams,

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