At Home with Dr Christian Jessen - 223

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'A THIRD OF MEN EXPERIENCE PREMATURE
EJACULATION AT SOME POINT IN THEIR LIVES'
A man's
sexual
health
problem
can cause
distress
between
a couple

of great help if the cause is psychological.
If you can't face your GP, it is far better to
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without consulting a doctor first. To begin a
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Low testosterone

The most important male hormone is testosterone
which in men is produced mainly in the testicles.
In certain circumstances, the body is unable to
produce and sustain sufficient levels of testosterone.
As a result, the man can experience unwanted
effects, including reduced sexual performance;
a feeling of irritability and depression; low
motivation and energy levels; a loss of muscle
strength and mass; and weight gain. Over a
longer period of time, low testosterone can also
produce a reduction in bone density, increasing
the risk of developing osteoporosis.
It is true that testosterone levels fall steadily
as men age. This is normal but as the levels
fall it may not be desirable - especially if the
levels of testosterone were not high in the first
place. Low testosterone can be caused by a
number of factors including physical damage
to the testicles; the mumps virus; obesity; and
cancer therapy. Brain tumours, anabolic
steroid abuse and certain infections such as
tuberculosis or HIV can also affect parts of the
brain that stimulate the production of testosterone
in the testicles. If you're experiencing symptoms
of low testosterone then it's worth exploring the
matter further. The Pharmacy2U Online Doctor
service provides a low testosterone consultation,

Discreet advice
will save any
embarrassment

blood tests to measure your testosterone levels
and, if the doctor decides it's appropriate,
effective treatments for low testosterone via
testosterone replacement therapy. Visit www.
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to find out more information about consultation
and the different treatment options available.

Premature ejaculation

This condition has three main elements:
*Quick ejaculation before or after penetration
(less than two minutes)
*Feeling that your ejaculation is out of control
*Distress or unhappiness which is caused
by premature ejaculation
The exact cause of premature ejaculation
is not known, however it can be caused by
genetic differences and physical problems
associated with serotonin signals in the brain
that control ejaculation. It can be a highly
embarrassing problem, and many men will
ignore it or try to cope on their own.
This can result in relationship and self esteem
problems, or even depression and anxiety.
However it's not an uncommon problem; some
studies have estimated that as many as a third
of men experience premature ejaculation at
some point in their lives. It's also important to
get help as effective treatments do exist, such as:
*Behavioural techniques - Normally taught by
sexual therapists, these usually involve stopping
stimulation just before ejaculation or squeezing
the head of the penis to lessen arousal
*Reduced penis sensitivity - Local anaesthetics
can be used to remove sensation from the penis
and can be effective in delaying ejaculation.
Condoms with lidocaine inside them are
available, as are sprays to apply to the

penis. EMLA cream is highly effective at
reducing penile sensitivity
*Counselling sessions - These can help
some men to learn to gain control over their
ejaculation, and can help depression or anxiety
caused by premature ejaculation
*Priligy - This drug, licensed specifically
to treat premature ejaculation, is an excellent,
effective treatment option
A Pharmacy2U Online Doctor premature
ejaculation consultation, available at www.
pharmacy2u.co.uk/onlinedoctor/premature
-ejaculation.html offers you an embarrassmentfree assessment of your problem, plus Priligy and
EMLA cream as prescription-only treatments.

Sexually transmitted
infections (STIs)

Many STIs can be passed from one person to
another during sex when a condom is not worn.
It is not always necessary to have penetrative
sexual intercourse to catch or pass on an STI
- any form of genital contact can be enough.
Some of the most common STIs can be symptom
-free for both men and women, and so you may
not know you have an STI, but they can still be
harmful and passed onto sexual partners, too.
For this reason, if you are sexually active
with multiple partners then you should be
tested for common STIs, especially if you are
contemplating having unprotected sex. If you
test positive, the most common STIs - such as
chlamydia and gonorrhoea - can usually be
treated with a simple course of antibiotics.
If you think you should be tested, or you
have been tested and have a positive result,
Pharmacy2U can discreetly help you. Visit
www.pharmacy2u.co.uk/onlinedoctor/STI.html

FOR MORE INFORMATION
Visit www.pharmacy2u.co.uk/
onlinedoctor

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At Home with Dr Christian Jessen

Table of Contents for the Digital Edition of At Home with Dr Christian Jessen