Loss of Sex Stamina

[Bill-NJ]

The last few times me and the wife have gone at it I last about as long as I did @ 15? Could this be from my TRT I am so happy to have a sex drive most of the time and able to go at it w/o any meds but this lasting for a few minutes has to end ... any advice?

[bgnb]

do what we did at 15 and have a solo session a couple hours
before you get frisky with the wife.

[RugbyHooligan]

don't think it is the TRT.... could be a lot of other factors.

stress plays a part in lasting power, try to analyze if you have any stress in your life and see how to alleviate it.

[hardasnails1973]

As we already have gone over Bill. The slight modifications through diet, supplementation and hormonal manipulation allowed you to explosive sessions with the wife. Over time this probably got you excited and caused you to premature ejaculate because you got over stimulated because of the brain over stimulation. So next time just try to relax alittle more and things should be fine ..

[pmgamer18]

Wait until he gets my age then it takes for ever. I would love to get off like I did when I was 15 these were the best of times.

[hardasnails1973]

U stud banging girls when u where 15 or you meant 15 minutes LOL

[pmgamer18]

Older Girls life was great.
U stud banging girls when u where 15 or you meant 15 minutes LOL

[hardasnails1973]

Remembering the good old days

[Bill-NJ]

don't think it is the TRT.... could be a lot of other factors.

stress plays a part in lasting power, try to analyze if you have any stress in your life and see how to alleviate it.


Life has actually been stress free the last few weeks and more and more I last 2 minutes ... maybe I am excited that I can get everything working w/o any meds? don't know I guess a solo session in the afternoon will be needed

[Bill-NJ]

Remembering the good old days

Ah yes the good old days .... and HAN I sent you the pics to prove it

[T800]

What's your regimen look like Bill and how long have you been on it?

I wouldn't mess or worry about it too much unless it becomes problematic. Some things I have noticed over the years...

1. SSRIs do exactly the opposite. When I've been on them, it can sometimes take forrrrever to make it happen.

2. When I went on Selegeline, it boosted my drive, but killed my stamina. Selegeline can raise dopamine (which can lower serotonin).

I think serotonin plays a role somewhere. This problem used to plague me a lot during periods of depression.

BTW, HAN...can you post up some of your suggestions? I hope it wasn't "wear 3 jimmies". ;)

Sonny

[Bill-NJ]

What's your regimen look like Bill and how long have you been on it?

I wouldn't mess or worry about it too much unless it becomes problematic. Some things I have noticed over the years...

1. SSRIs do exactly the opposite. When I've been on them, it can sometimes take forrrrever to make it happen.

2. When I went on Selegeline, it boosted my drive, but killed my stamina. Selegeline can raise dopamine (which can lower serotonin).

I think serotonin plays a role somewhere. This problem used to plague me a lot during periods of depression.

BTW, HAN...can you post up some of your suggestions? I hope it wasn't "wear 3 jimmies". ;)

Sonny

HAn seems to think its the excitement of having the drive and function back stong and I am over excited .... I guess its not a bad thing I was no drive and function a yer ago

I thnk after thinking about it I have to agree

[hardasnails1973]

Bill I have been spot on with you and your wife and I have not even gotten to actually do a consulation with you yet to get into the nitty gritty of your eating patterns. i can only imagine what happens when I do HAHA.

[Bill-NJ]

Bill I have been spot on with you and your wife and I have not even gotten to actually do a consulation with you yet to get into the nitty gritty of your eating patterns. i can only imagine what happens when I do HAHA.


Yes you have, we are leaving for FL for the holidays Friday morning so it looks like we'll get together in January

[chipdouglas]

Premature ejaculation also has to do with Norepinephrine, thus the use of SSRI's to help overcome Premature ejaculation. That being said, the reverse is also true ; excess serotonin inhibits orgasm--thus the important in dosing properly.

I guess you could try some 5HTP and that should make you last longer--I however *do not* know all of what you currently take (drugs, supps.) so though the 5HTP makes sense to fend off PE, do so only after you've made sure there's no contraindications or interractions.

I want to provide as accurate information as I can, but also want not to cause any harm doing so. Here are a few Pubmed hits on PE :


Premature ejaculation: state of the art.Waldinger MD.
Department of Psychiatry and Neurosexology, HagaHospital Leyenburg, The Hague, The Netherlands; Section of Psychopharmacology, Department of Pharmaceutical Sciences, Utrecht University, Utrecht, The Netherlands.

Premature ejaculation (PE) is a frequent male sexual complaint.This occurrence does not automatically imply the existence of a male sexual disorder. The current DSM definition of PE has a low positive predictive value with a high associated risk for false-positive diagnoses of PE. A new classification in four well-defined PE syndromes has recently been proposed for the pending DSM-V. According to this new classification there are different pathophysiologies and treatments of PE, dependent on the underlying PE syndrome. Some types are particularly neurobiologically or medically determined and need drug treatment; other types, which are mainly psychologically determined, need psychotherapy or both drug treatment and psychotherapy. A meta-analysis of all selective serotonin reuptake inhibitors (SSRIs) and clomipramine studies, which were performed according to current standards of evidence-based medicine, demonstrated a similar efficacy for the daily treatment with the serotonergic antidepressants paroxetine hemihydrate, clomipramine, sertraline, and fluoxetine, with paroxetine hemihydrate exerting the strongest effect on ejaculation. On-demand treatment with SSRIs generally exerts much less ejaculation delay than daily SSRI treatment. Other on-demand treatment options are the topical use of anesthetics, tramadol, and phosphodiesterase type 5 inhibitors. Caution is needed with tramadol with regard to its potential addictive properties. There is insufficient evidence for the ejaculation delaying effects of phosphodiesterase type 5 inhibitors and intracavernous injection of vasoactive drugs.

PMID: 17983899 [PubMed - in process]



[Progress in the studies of premature ejaculation][Article in Chinese]


Xue J, Wang JY, Chen LS, Ding XG.
Department of Urology, Nanjing Jinling Andrology Hospital, Nanjing, Jiangsu 210029, China. xuejun7826@126.com

Premature ejaculation is a common but incompletely understood male sexual dysfunction. Recent years have witnessed fruitful researches on NO in the mechanism of male ejaculation and successful application of selective PDE5 inhibitor in the treatment of male sexual dysfunction. And now the researches on the etiopathogenesis, mechanism, diagnosis and therapy of premature ejaculation have achieved great development. Selective serotonin re-uptake inhibitors (SSRIs) have been widely applied to clinical practice, but with increasing adverse effects. The purpose of the review is to introduce the updated development of the epidemiology, definition, etiopathogenesis, mechanism and therapy of premature ejaculation, and to provide some reference for the diagnosis and management of the problem.

PMID: 17302040 [PubMed - indexed for MEDLINE]



1: Rev Urol. 2006;8 Suppl 4:S18-25. Links
Current concepts in ejaculatory dysfunction.Wolters JP, Hellstrom WJ.
Section of Andrology, Department of Urology, Tulane University Medical Center New Orleans, LA.

Although erectile dysfunction has recently become the most well-known aspect of male sexual dysfunction, the most prevalent male sexual disorders are ejaculatory dysfunctions. Ejaculatory disorders are divided into 4 categories: premature ejaculation (PE), delayed ejaculation, retrograde ejaculation, and anejaculation/anorgasmia. Pharmacologic treatment for certain ejaculatory disorders exists, for example the off-label use of selective serotonin reuptake inhibitors for PE. Unfortunately, the other ejaculatory disorders are less studied and not as well understood. This review revisits the physiology of the normal ejaculatory response, specifically explores the mechanisms of anejaculation, and presents emerging data. The neurophysiology of the ejaculatory reflex is complex, making classification of the role of individual neurotransmitters extremely difficult. However, recent research has elucidated more about the role of serotonin and dopamine at the central level in the physiology of both arousal and orgasm. Other recent studies that look at differing pharmacokinetic profiles and binding affinities of the alpha(1)-antagonists serve as an indication of the centrally mediated role of ejaculation and orgasm. As our understanding of the interaction between central and peripheral modulations and regulation of the process of ejaculation increases, the probability of developing centrally acting pharmaceutical agents for the treatment of sexual dysfunction approaches reality.

PMID: 17215997 [PubMed - in process]