Inner Demons: When it’s All in Your Head (from The Ultimate Guide To Male Enhancement)

The following is a chapter taken from the book: The Ultimate Guide To Male Enhancement.

The top cause of impotence today is due to performance anxiety or fear. There are many ways in which fears can originate. These include: inexperience, self-loathing, pressure from a partner, or even a partial physical cause which contributes to the equation.

Why does this seem to be such a growing epidemic- especially among younger men?

According to self-reports, most men have experienced some form of performance anxiety in their lives. How you handle incidents of erectile dysfunction can have a very huge impact on whether or not it sticks around.

One huge contributor of ED among younger men comes from unrealistic expectations obtained by watching porn.  Not only will most men be intimidated by the fantastic dimensions observed in many porn films, but the orchestrated reactions that become expected from these films also interferes with normal expectations.

Another aspect of ED caused by porn use involves detraining. This is discussed in much greater details further in this publication under the section titled “The Detraining Effect – Understanding and Reversing Negative Habits To Improve Erection Quality and Sexual Confidence,” but to summarize here, it’s when you become so accustomed to being an inactive participant in masturbating to porn, such that when real emotions and expectations are encountered (as in a real live sexual scenario), anxiety sets in.

The simplest answer to this is, when the sexual response is replaced by anxiety (or something intensely distracting to arousal), the penis isn’t allowed to function in an unencumbered fashion. The use of direct will in attempting to force an erection often has the opposite results. What becomes necessary in scenarios like this is getting to the root cause of the issue. Anxiety itself is merely a symptom of this.

In most cases, psychological ED is very temporary and has an ephemeral quality. In most cases, a man will shake this off- or if he’s generally very secure with himself, he may learn to laugh it off.

It’s usually when one strings together several worsening episodes does the situation become chronic and in need of professional treatment.

The Ultimate Guide to Male Enhancement

The Opposite of Premature Ejaculation: Delayed Ejaculation (from The Ultimate Guide To Male Enhancement)

The following is a chapter taken from the book: The Ultimate Guide To Male Enhancement.

Our Takeaways:

· Delayed Ejaculation (DE) can be caused by a number of factors

· Poor masturbation habits in conjunction with pornography use appears to be a chief contributing factor to DE

· There are methods for mitigating and even reversing DE- to include exercises

Another less common, less understood but still notable issue is delayed (or impaired) ejaculation. This is a problem on the opposite end of the sexual spectrum from premature ejaculation. Delayed ejaculation is when an inordinate amount of intense stimulation and/or time is required to ejaculate. An extreme version of this problem can manifest itself in a condition known as anorgasmia- or the inability to orgasm. The clinical definition of delayed ejaculation is when you suffer from this condition for six months or greater.

Causes of Delayed Ejaculation

The most common cause of delayed ejaculation among younger men is due to poor masturbation habits. As men age, delayed ejaculation becomes more common. For men over the age of 50, the chance of experiencing delayed
ejaculation increases significantly, even without negative masturbatory conditioning.

A high frequency of ejaculations can also lead to temporary delayed ejaculations, as well as exhaustion and lowered libido. This becomes more notable as men age, as it’s common for the refractory period to lengthen. The remedy for delayed ejaculation caused by ejaculating too frequently is simply to avoid ejaculating for a few days to ensure full recovery.

The causes of age-related delayed ejaculation may be related to lowered androgen levels, though some men with
normal levels of androgens still appear to suffer these effects. If this is the case, specific treatments, as prescribed by a medical professional, or supplementation may be of assistance with this.

Certain medications can induce delayed ejaculation. Most notable among these are anti-anxiety medications, selective serotonin reuptake inhibitors (SSRIs), painkillers, and blood pressure medications. If your delayed ejaculation is caused by medication, please consult with your doctor to see if a change in dosage or medication is possible.

Lifestyle choices can also result in delayed ejaculation. Alcohol can cause a dulling of sensation, which can lead to temporary delayed ejaculation. Drinking daily can result in a chronic case of delayed ejaculation as well as lower your libido. The easiest way to correct this problem is to stop drinking completely. Even one beer can negatively affect your ability to orgasm. Getting daily exercise and eating a healthy diet can also help improve your orgasm responsiveness, as your body will feel better and your cardiac health will improve.

Low testosterone levels and libido may also case delayed ejaculation. This is often accompanied by erectile
dysfunction. To determine if your testosterone levels are abnormally low, your doctor can perform a simple blood test.

How to Combat Delayed Ejaculation

Viagra has been prescribed with good success for the treatment of delayed ejaculation. Some prescription medications may also improve the effect as well, notably those for Parkinson’s and certain anti-allergy drugs. Speak with your doctor about these options, to see if any of them are right for you.

The herb piper auritum kunth (hoja santa) has been promoted as an aphrodisiac in traditional medicine, but it has also been shown to be an effective agent at improving sensory thresholds. It’s also shown to be effective in improving electromyographic activity of pelvic floor. Ensuring you are getting necessary levels of zinc in your diet can go a long way toward minimizing sexual dysfunctions and ensuring optimal genitourinary health and function.

If your delayed ejaculation is due to poor masturbation habits and the desensitization of your penis, a great exercise to alleviate delayed ejaculation and to reset your sensory threshold is the “Reverse” Stop and Starts movement. The Reverse Stop and Starts is very simple to perform.

How to Perform the Reverse Stop and Start

Using an extremely light grip, attempt to ejaculate as quickly as possible.

Time yourself on this, and attempt to bring yourself to the 10-minute mark. From here, you should have reset your sensory threshold and can revert to the standard Stop and Starts for training. It won’t take many of these sessions to reset your sensory threshold!

The Emotional Component of Delayed Ejaculation

As with all stamina and other male enhancement exercises, it’s important to cultivate an emotional backdrop of confidence and a feeling of being unencumbered. Some cases of delayed ejaculation may have an emotional
component to it. In cases like these, repeated use of emotional visualizations during training can be effective at improving the timing of your ejaculations.

Stress and anxiety are huge factors in emotional delayed ejaculation. Worrying about other aspects of your life can result in a difficulty in orgasming. This then increases stress and anxiety while having sex, which exponentially can compound the problem and even lead to other sexual dysfunctions, like erectile dysfunction.
Speaking to a mental health professional can help if there’s an emotional component to your delayed ejaculation. They can help you address the underlying issues affecting you. They can also give you cognitive behavior exercises.

Communication is the Key When Dealing with Delayed Ejaculation

It’s important to note open communication with your partner when contending with any type of sexual dysfunction or less than satisfactory performance is vital. Communication and understanding can go a very long way in helping to resolve many of these issues, as emotional stress can often make them worse.

Delayed ejaculation can be just as devastating to a relationship as any other sexual dysfunction. For the man, it can be an ego crusher, when he can’t orgasm. It can also be physically frustrating and tiring. This often results in a reduced libido.

For their partner, it can also be equally ego-crushing. Your partner may worry they are doing something wrong. They may worry you’re no longer physically attracted to them. Perhaps the most destructive worry is the concern you’re being unfaithful. Be 100% up front with your partner about what’s going on, no matter how embarrassing and uncomfortable it may be. Reassure your partner the problem isn’t with them, and continue this reassurance, while you work on your delayed ejaculation.

Vaginal Laxity as a Contributor to Delayed Ejaculation

Communication becomes really important in cases where you may not have negative conditioning or even any
functional problems with ejaculation but are still experiencing delayed orgasm due to vaginal looseness in their sexual partner. The Kegel exercise is recommended for toning the vaginal walls and can also improve the intensity of orgasms for women. In extreme cases, surgery may be required or preferred to Kegels as a solution for vaginal laxity.

Broaching this sensitive subject can be difficult and requires great tact. One effective way of introducing the Kegel to women in cases of vaginal looseness is for the man to suggest vaginal contractions to his partner during penis-in- vagina (PIV) sexual contact. Repeated sessions of this type of activity should lead to increased tone and vaginal response in just a few weeks.

Another version of conditional delayed ejaculation is when your sexual partner can’t withstand long bouts of sexual activity due to health-related issues. As with the above, communication and alternate arrangements during sexual activity can go a long way toward creating better sexual harmony.


The Ultimate Guide to Male Enhancement

I Put a Giant Red Light on My Balls to Triple My Testosterone Levels

I Put a Giant Red Light on My Balls to Triple My Testosterone Levels

I tried red light therapy, a radical (and expensive) alternative treatment, on my testicles— and honestly, I’ve never felt better

By Ben Greenfield
Oct 26, 2017

This article is a repost which originally appeared on Men’s Health

Edited for content.

I’m not really a nudist kind of guy. The last nudist beach I visited primarily featured lots of curly hair, very unattractive gonads, and a disturbing volleyball game spectacle, so ever since, I’ve tended to stay away from nudist beaches and bars. But three months ago, while on a camping trip, I decided to sunbathe nude in the forest. I lay out in my hammock with my drawers tossed to the forest floor, my crotch proudly displayed to the bright, blue sky, basking in the glorious feeling of warmth on my balls. I pondered whether this was some kind of little-known biohack I was tapping into. After all, enough people expose their crotch to the warm rays of the sun that there must be some benefit to it, right? I had to find out.

As a man on a constant quest to optimize my brain and body (including my own balls), I decided to actually look into the health effects of UV light on the genitals. To my surprise, some studies have actually demonstrated that exposing the torso or the testes to light can potentially increase testosterone. In fact, studies on the effects of light on the testes go way back to 1939, when researchers exposed various parts of men’s bodies to UV light. They found that men’s testosterone levels went up by 120% when the participants’ chests were exposed to UV light, and they went up by 200% with UV exposure to the genital area. (This was the same study former professional baseball player Gabe Kapler cited back in 2015, when he advocated for tanning your testicles in a blog post that later went viral.)

To be fair, the results of the 1939 study are nearly 80 years old, so it’s possible that the effects of sunlight on your nuts have been overstated. But assuming it is good for you, there’s one major problem with it: most dudes don’t have the time, desire, or year-round exposure to sunlight to step out into the backyard buck-naked. (Not to mention that most guys have something called “neighbors,” many of whom have access to phones and can call the police.) Ultimately, moseying through the neighborhood on a sunny day with your pants jacked down isn’t a practical way of getting your daily dose of testosterone.

So I delved back into the research, and messaged the one guy I consider to be an expert in all things testosterone and sperm-count related: my Finnish friend and physician Dr. Olli Sovijarvi, who studied at the University of Helsinki. I originally met Dr. Sovijarvi when speaking at a biohacking conference he hosts in Finland. Turns out that since those initial sunshine studies, many more studies have investigated the effects of direct sunlight exposure to the torso, which increases a human male’s testosterone levels by anywhere from 25% to 160%, depending on the individual.

Sunlight exposure directly to the testes reportedly has an even more profound effect, boosting production in Leydig cells (the cells that produce testosterone) by an average of 200%. Olli went on to inform me that some animal studies have linked light, particularly a special form of light called “red light”, to increased testicular function. (It’s important to note, however, that this is not exactly proven science: one red light study conducted on rams, for instance, was inconclusive.)

If you haven’t heard of red light, or if your only experience with red light is a streetlight or strip bar, you’re not alone. But basically the theory is this: while sunlight has many beneficial effects, such as vitamin D production and improved mood, it is not without its downsides. Too much exposure to sunlight, particularly to sensitive areas like the skin around your precious ball sac, can create sunburn, excess radiation, inflammation and damage. And let’s face it: you don’t want a shrunken, shriveled, dehydrated dick, no matter how impressive the tan.

Red light, however, is different than sunlight. Red light is comprised of light wavelengths in the range of 600-950 nanometers (nm). According to red light therapy proponents, red light works to stimulate ATP production, increase energy available to the cell and in particular, increase the activity of the Leydig cells in your testes, which are the cells responsible for testosterone production.

It’s important to note that there are currently no light therapy devices on the market cleared by FDA for the enhanced production of testosterone LED-based therapy. That said, the treatment is generally considered low-risk, so the products like the one I tried do not require FDA clearance. (A few treatments like LED red-light beds, however, have been approved by the FDA for very narrow indications, like wrinkle reduction, etc.) It also should be noted that most (but not all) of the existing clinical research related to testosterone production and sperm mobility stems from animal studies, not studies involving humans.

There is also another caveat to this — and this is the part where Olli just about scared my pants off (or more appropriately, back on). Many types of lamps and bulbs sold for red light therapy (such as incandescents, heat lamps, infrared lamps that generate red light at greater than 1000nm) give off a significant amount of heat and can actually fry your testicles. So apparently, you have to be careful when you use red light therapy, unless self-castration with a red heating lamp from Home Depot is on your wishlist.

The good Dr. Olli then went on to inform me that each night he lays down on his couch, pulls down his pants, and hugs a big long panel of red infrared light from an LED source at 600-950nm. It sounded just like hugging a giant, warm teddy bear (a very hard and uncomfortable teddy bear, plugged into a wall outlet and generating enough red light to turn the entire room into a video arcade).

I was convinced. The morning after my conversation with Olli, I ordered something called a “JOOVV” (pronounced “Joove”) light. This was the red light he personally recommended and used himself, and I didn’t want to play around with frying my balls to a crisp with a cheapo knockoff, so I spent the big bucks (a grand total of $995) for what the website described as a “full body LED red light therapy device”.

When my JOOVV arrived the next week, I hoisted it downstairs to my office, leaned it against my stand-up desk, pulled down my pants and flipped it on.

I jumped back as best I could with my underwear wrapped around my ankles. Holy hell. Not only was the red light panel itself as wide as my torso and nearly five feet high, but the light coming out of this thing was freaking blinding. I fumbled for the little sunglasses that were included with the light panel and slapped them on. There, much better.

No longer feeling like I was staring into the depths of a semi-truck’s red brake lights, I simply stood there, naked. I replied to a few emails, then checked my watch. Five minutes. That should be good. After all, according to good ol’ Dr. Olli, five to 20 minutes is the sweet spot for red light exposure to your gonads, and I didn’t want to overtrain or excessively fry my little fellas on their first foray into the wonderful world of red light.

The rest of the morning, my crotch felt warm. Alive. So I did it again. Glancing out my office window to make sure the lawnmower guy wasn’t tooling around in the grass, I pulled down my drawers and bathed myself in the heavenly, warm, tingly glow, this time for eight minutes.

That night, my wife and I made love. Admittedly, I felt – well – a unique heavenly, warm, tingly glow in my crotch. Nice.

Two days later, I waited until the evening, then wandered downstairs. I rubbed my hands together, took a deep breath, and flipped my JOOVV on. I called my mom to see how her day was going mom (she had no clue what was going on below the phone). Ten minutes. I read a blog post. Fifteen minutes. My crotch grew more and more warm, but in a pleasant, day-at-the-beach sort of way. I finished an email. Twenty minutes. Mission complete.

That night was date night, and I was a rock star.

I sat at dinner, horny, my penis pulsing, staring across the table at my wife and feeling as though I’d popped a couple Viagra. Later, I blew the biggest load I could recall in recent memory.

And from that point on, for nearly the past seven months, I’ve stuck with twenty minutes of red light exposure on my crotch each day. Actually, I’m afraid to do more. I suspect there must be a law of diminishing returns, and I don’t desire to wind up with my dick looking like a leather handbag. But in the meantime, it is now a daily habit to pull down my pants at my desk, flip on my JOOVV and get my red light on.

How Common Is Erectile Dysfunction?

How Common Is Erectile Dysfunction?

By Katie Wilkinson, MPH, MCHES

Published on September 28, 2021
Medically reviewed by Matthew Wosnitzer, MD

This article is a repost which originally appeared on verywell health

Edited for content.

Erectile dysfunction (ED), or impotence, is the inability to achieve and maintain an erection for sexual activity. While the occasional failure to get an erection is not uncommon, if it happens consistently, or more than 50% of the time, it may be ED. It can be a temporary experience, or develop into a long-term condition that requires treatment.


On a global scale, ED affects 3% to 76.5% of all men. The wide range is due to the different measures used in studies to evaluate ED.

In the United States, it’s estimated that 30 million men experience ED.2 Worldwide, there are about 150 million men living with ED, and by the year 2025, it’s predicted that over 300 million men will have ED.

Common Causes

ED can be caused by a number of factors relating to physical and mental health, including:

  • Physical and health conditions that involve different systems in the body, such as the vascular, neurological, or endocrine systems; can include issues with nerve signals or blood flow to the penis
  • Side effects from medication, which can include antidepressants, medication to manage blood pressure, tranquilizers, sedatives, ulcer medication, and prostate cancer therapy
  • Psychological or emotional causes such as depression, anxiety, fear associated with sexual performance, general stress, or low self-esteem
  • Lifestyle behaviors and health-related factors that are associated with ED include smoking, being overweight, lack of exercise, and substance (alcohol or drug) use

Risk Factors

Certain risk factors have been found to increase the likelihood of experiencing ED. They can include:

    • Age: The chances of developing ED increases with age, particularly in men over 60 years old.
    • Tobacco use: Research has found that smokers are 1.5 times more likely to experience ED than nonsmokers.
    • High blood pressure (hypertension): About 30% to 50% of people living with hypertension also experience ED.
    • Type 2 diabetes: Between 35% and 90% of diabetic men will develop ED.
    • High cholesterol: Statins used to treat high cholesterol showed improved erectile function.
    • Hypogonadism: This is a condition where the body doesn’t produce enough sex hormones, including testosterone. Since testosterone is necessary for the ability to maintain an erection, people with hypogonadism who are treated with testosterone replacement therapy can see improved erectile function.
    • Obesity: Several studies have indicated that men with a body mass index (BMI) greater than 25 begin to experience a 1.5 to three times greater risk of ED than those with lower BMIs.
    • Depression: Men living with depression are two times more likely to experience ED. Treating depression with selective serotonin uptake inhibitors (SSRIs) can also increase risk of ED.

Stress and anxiety, particularly performance-related anxiety, can also cause issues with sexual activity and erectile function.

Associated Conditions

In addition to diabetes, hypertension, and hypogonadism, the National Institute for Diabetes and Digestive and Kidney Diseases also lists the following conditions and diseases as associated with ED:

  • Heart and blood vessel conditions, including atherosclerosis
  • Injuries of the spinal cord, penis, prostate gland, bladder, or pelvic area
  • Prostate or bladder surgery
  • Chronic kidney disease
  • Multiple sclerosis
  • Peyronie’s disease, a condition where scar tissue develops and creates a bend in the penis


Treatment for ED can take many forms and depends on the root cause of the individual’s ED. Because of ED’s impact on sexual relationships, it’s worth discussing treatment options with your sexual partner.


Avoiding or stopping the use of tobacco, alcohol, and other drugs may help with ED.

Increasing physical activity and maintaining a healthy weight can also be a way to improve erectile function.

Mental Health Counseling

Because emotional and psychological concerns can play a role in ED, speaking with a mental health professional can be beneficial. They can help identify ways to manage anxiety and work through stress that may be impacting sexual performance.


Oral (PDE5 inhibitors), injectable, or suppository medications can be prescribed to help achieve and maintain an erection. For those with low testosterone (hypogonadism), testosterone replacement therapy may be prescribed.

Treatment may also involve adjusting or changing current medications that hinder the ability to get an erection.

Devices and Procedures

The following devices and procedures can be used to treat ED:

  • Penis pump: This device uses vacuum action to pull blood into the penis to create an erection. It has a tube where the penis is placed and a pump that draws air out of the tube and creates suction. Once the blood is pulled into the penis, an elastic band is placed at the base of the penis to prevent the blood from going back into the body and to keep the erection for about 30 minutes.
  • Arterial repair surgery: Procedures to repair clogged blood vessels in the penis may increase blood flow to allow for erections. This treatment is usually reserved for patients under the age of 30.
  • Implantable devices: These include surgically placed devices that either inflate or include semi-rigid rods to help a person achieve an erection.

A Word From Verywell

While many men might feel embarrassed by their erectile dysfunction, it should be a comfort to know that it is a very common condition, affecting at least 150 million men worldwide. It is also a very treatable condition.

Talk to your healthcare provider if you experience issues achieving and maintaining an erection. Even though it may be uncomfortable to talk about, proper sexual functioning is a key part of your overall health and well-being.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Cleveland Clinic. Erectile dysfunction. Updated October 14, 2019.
  2. National Institute of Diabetes and Digestive and Kidney Diseases. Definition & facts for erectile dysfunction. Updated July 2017.
  3. Kessler A, Sollie S, Challacombe B, Briggs K, Van Hemelrijck M. The global prevalence of erectile dysfunction: a review. BJU International. 2019;124(4):587-599. doi:10.1111/bju.14813
  4. Kalsi J, Muneer A. Erectile dysfunction – an update of current practice and future strategies. J Clinic Urol. 2013;6(4):210-219. doi:10.1177/2051415813491862
  5. National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & causes of erectile dysfunction. Updated July 2017.
  6. DeLay KJ, Haney N, Hellstrom WJ. Modifying risk factors in the management of erectile dysfunction: a review. World J Mens Health. 2016;34(2):89-100. doi:10.5534/wjmh.2016.34.2.89
  7. Mourikis I, Antoniou M, Matsouka E, et al. Anxiety and depression among Greek men with primary erectile dysfunction and premature ejaculation. Ann Gen Psychiatry. 2015;14(1):34. doi:10.1186/s12991-015-0074-y
  8. National Institute of Diabetes and Digestive and Kidney Diseases. Treatment for erectile dysfunction. Updated July 2017.
  9. Urology Care Foundation. What is erectile dysfunction? Updated June 2018.
  10. Nguyen HM, Gabrielson AT, Hellstrom WJG. Erectile dysfunction in young men—a review of the prevalence and risk factors. Sexual Medicine Reviews. 2017;5(4):508-520. doi:10.1016/j.sxmr.2017.05.004
  11. International Society for Sexual Medicine. Can a vasectomy cause erectile dysfunction (ED)?
  12. Ssentongo AE, Kwon EG, Zhou S, Ssentongo P, Soybel DI. Pain and dysfunction with sexual activity after inguinal hernia repair: systematic review and meta-analysis. J Am Coll Surg. 2020;230(2). doi:10.1016/j.jamcollsurg.2019.10.010

Dealing with Premature Ejaculation & Causes of Premature Ejaculation (from The Ultimate Guide To Male Enhancement)

Dealing with Premature Ejaculation & Causes of Premature Ejaculation

The following are two chapters taken from the book: The Ultimate Guide To Male Enhancement.

Edited for content

Chapter 12: Dealing with Premature Ejaculation

What is Premature Ejaculation?

The definition of what constitutes premature ejaculation may vary depending on the source, but it’s commonly accepted as a scenario where the length of time for sexual performance on the part of the male is unsatisfactory, by either the man or his partner. That being said, what constitutes premature ejaculation can be arbitrary. There is no set time that if you orgasm before it then you have premature ejaculation.

Consider this – the average time between arousal and ejaculation is typically three minutes for a man. Considering the
average time for a woman to orgasm is typically 13 minutes after arousal it can be seen how many men may think they have premature ejaculation, but really they are simply normal. With this in mind, you can see why foreplay is so important to satisfying a woman.

Phases of Ejaculation

There are two phases of ejaculation.

● The Emission Phase and

● The Ejaculatory Phase

Emission Phase:

Here are the physical processes which occur during the emission phase of ejaculation:

● The vas deferens begins to contract to move sperm from the testes toward the urethra and prostate gland.

● The seminal vesicles secrete fluids into the urethra

● Chemical messages activate the sympathetic nervous system and begin what’s known as the ‘point of no return’
(PONR). Ejaculation is inevitable at this point.

Ejaculatory Phase:

During the ejaculatory phase, the posterior portion of the urethra senses the sperm and secretions and sends a signal
to the spinal cord. This then sends messages to the muscles at the base of your penis. This causes said muscles to contract, which results in ejaculation.

Chapter 13: Causes of Premature Ejaculation

Premature ejaculation can be caused by any number of factors. These can be separated into two categories:

● Physical (which can include chemical side effects) and

● Mental (or psychological) causes.

It’s not uncommon for both some mental component to be present in physical cases of premature ejaculation. Worry
about the experience of premature ejaculation often compounds any physical components.

Physical Premature Ejaculation

The most common form of premature ejaculation is due to physical causes. The most common among these is negative conditioning. This is usually because most men masturbate in a hurried and furtive manner. Doing this repeatedly trains the body into ejaculating quickly, so it shouldn’t be surprising to understand how this can lead to issues.

If added stimuli like porn is used, it can further skew what you can expect from real sexual encounters. This then adds to anxiety, which further increases the possibility of premature ejaculation. The easiest way to correct this is to train in a manner contrary to negative conditioning. This will be discussed in detail further in the section.

Hormonal Issues

If you have low testosterone or abnormal levels of catabolic hormones this can have a drastic effect on your ability to maintain an erection. This can turn into premature ejaculation if you have to strive to get erect. It can be further compounded if your hormone imbalances induce negative emotions like anxiety. Diet and exercise is often recommended as a treatment for issues related to hormone imbalances; however, if do-it-yourself treatments aren’t effective, then a full blood work up is necessary to determine the cause of these imbalances.

Chronic and/or acute stress can lower levels of dopamine in the system. This can create a scenario where you can find it difficult just to get aroused even in the absence of anxiety. Stress management is key to helping treat this issue. The amino acid L-Tyrosine has been shown to be effective at helping to restore natural dopamine levels.


It’s been shown infections of the prostate and urethra may contribute to premature ejaculation. Infections usually require medical attention and antibiotics for treatment.

Pelvic Floor Issues

Pelvic floor spasms may contribute to premature ejaculation. If these symptoms are minor, rest and targeted stretching of the area should help to alleviate the issue. If the problem is more severe, this might require the services of a physical therapist for relief.

A strain in the pelvic floor may cause pain upon Kegeling and symptoms such as “hard flaccid”. Certain muscles like the ischiocavernosus can become perpetually strained. This leads to a difficult to resolve issue, as these muscles are involved in many different bodily functions. Due to this, it’s not easy to allow them to recover as you would if you immobilized an arm or even a leg. A strain may require targeted massage and heat. Specific yoga poses which specifically target the pelvic floor may help to speed healing as well.

A common cause of pelvic floor issues is due to abusing the Kegel. This includes the Reverse Kegel (contractile) exercise. It’s vital you start Kegeling by using only as much contractile force as is needed during any of the Kegel type movements. A limited number of reps should be performed as well and then slowly increased each session.

Prescription Medications

Some prescription drugs may cause premature ejaculation as one of their side effects. If this is the case, contact your physician or pharmacist to see if there are alternative medications.

Mental Premature Ejaculation

Premature ejaculation may be placed on the spectrum of erectile dysfunction, especially if the case is so severe that penetration becomes difficult or impossible. This is often the case if performance anxiety is involve. A common scenario will involve difficulty in obtaining an erection, with almost immediate ejaculation upon or even before penetration. This stage most commonly precedes impotence.

Anxiety, depression and stress are three of the leading mental causes of premature ejaculation. Sometimes, it’s a matter
of which came first though – the chicken or the egg – the premature ejaculation or the anxiety/depression/stress. It’s
not uncommon for men to suffer from these three common challenges without even realizing. It’s even more common for these challenges to surface, when there’s a concern about premature ejaculation.

The Ultimate Guide to Male Enhancement

Aloe for Male Enhancement: Is It Safe and Does It Work?

Aloe for Male Enhancement: Is It Safe and Does It Work?

Medically reviewed by Joseph Brito III, MD — Written by Rachael Zimlich on June 7, 2021

This article is a repost which originally appeared on Healthline

Edited for content.

Aloe vera can be found in many products. It can help boost the moisture content of your skin and even help heal burns and other wounds.

While it may seem like something of a miracle product, it can’t help with everything. In fact, you may want to be cautious before applying it everywhere — including your genitalia.

Keep reading to find out how aloe vera can be used for sexual health and when to avoid it.

What is male enhancement?

Male enhancement is a general phrase used to describe any efforts to improve the appearance, size, or function of genitalia — specifically the penis.

Some common enhancement strategies include:

  • stretches and exercises
  • topical or oral medications and herbal remedies
  • pumps
  • clamps and rings
  • surgery
  • grooming techniques

The goal of these strategies is to increase the size or appearance of the penis, improve erection strength and duration, or resolve ejaculation issues.

In some cases, male enhancement aims to treat erectile dysfunction (ED). This term typically refers to the inability to have or maintain an erection, but there can be varying levels of ED. In many cases, there’s another root issue, like cardiovascular disease or a medication side effect.

Improvement of ED is commonly pursued either for sexual pleasure or fertility purposes. Treatments should be designed based on the goal in mind.

Talk with a doctor about your specific symptoms and goals before beginning any new therapies or medications.

Does research support the use of topical aloe vera for male enhancement?

The use of aloe vera for general health and skin care is fairly common. However, you may be wondering if it could be used for male enhancement.

Most herbal or plant remedies are based in cultural practices, but there’s not a lot of clinical research on some claims of aloe vera benefits, like male enhancement.

Some studies have been done with animals, but the results were generally inconclusive. If anything, some of these studies raised concern about the use of aloe vera for sexual health benefits.

Here’s a breakdown of some relevant research in this area:

  • In a 2011 animal study, topical aloe vera reduced sperm concentration and quality.
  • A 2014 study showed possible benefits to sperm health and hormone levels in mice that received injections of an aloe vera compound.
  • A 2015 study showed that that aloe vera may potentially harm fertility in male rats.
  • There have been reports of libido enhancement with aloe use, but results may vary based on the specific form of aloe.

If you’re concerned about ED or another sexual health issue, talk with a healthcare professional. They can help guide you toward the right treatment for your situation.

Other natural treatments for male enhancement

There are many natural remedies you can try if you’re interested in male enhancement. However, you should always discuss any supplements you’re considering with a doctor first.

Several herbal remedies that have shown promising effects on male sexual health and performance include:

  • L-arginine
  • panax ginseng
  • L-citrulline
  • L-carnitine
  • gingko biloba

Other ways to improve your sexual health and performance include focusing on an overall healthy lifestyle, including:

  • staying active and exercising
  • eating a healthy diet
  • reducing stress
  • avoiding alcohol and other drugs
  • spending time outdoors

While regular exercise and a healthy diet are always good choices, talk with your doctor before starting any new therapies or supplements for male enhancement.

How is aloe vera used?

Aloe vera has been used on the skin and in the body for thousands of years. It can be found in all kinds of products — from juices to lotions.

Oral use of aloe vera usually comes in a pill form or as liquid extract or juice that you can drink. It’s thought to help with the following conditions:

  • obesity
  • diabetes
  • hepatitis
  • inflammatory bowel disease

However, there isn’t enough data to determine if oral aloe is effective for improving these conditions.

Evidence on the benefits of topical use — such as a gel, ointment, or lotion — is clearer, demonstrating that aloe can be helpful in treating:

  • acne
  • lichen planus
  • oral submucous fibrosis
  • burning mouth syndrome
  • burns
  • scabies
  • skin toxicity due to radiation

While aloe vera is generally considered safe, be sure to check the ingredients of the specific product you’re using.

Some oral aloe products may contain additional compounds that could result in side effects or interact with other medications. Even topical products may be mixed with alcohol compounds or other ingredients that can cause irritation.

Are there any possible side effects?

Aloe vera is widely used as both a topical and oral supplement. However, there have been some side effects linked to aloe vera use — either orally or topically — including:

  • liver problems
  • skin irritation
  • stomach pain or cramps
  • diarrhea
  • electrolyte imbalances

To avoid side effects, read the label of the product you’re using to understand all the ingredients it contains. You should also check for safety statements on the label.

For topical uses, it’s also a good idea to do a patch test by applying a small amount of product to an area of skin to test for sensitivity or irritation before applying liberally. This is particularly important when it comes to applying topicals, like aloe vera, to sensitive skin areas, like your genitalia.

The bottom line

There isn’t much evidence showing that aloe vera helps improve the size of your penis or your sexual performance.

However, if you decide to try it as a topical or oral supplement for enhancement, be sure to check the product’s safety, like performing a skin patch test before widespread application.

Always talk with your doctor or another healthcare professional about any supplements you plan on taking and your reason for taking them. They may be able to help treat the source of any sexual health problems you’re facing.

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Take Control of Your Health During Men’s Health Month

Take Control of Your Health During Men’s Health Month

This article is a repost which originally appeared on U HEALTH

Edited for content.

Jun 07, 2021 8:30 AM

Author: Men’s Health Services

Schedule Preventive Health Care

June is Men’s Health Month, making it a great time for men to get schedule preventive health checkups. Only three out of five men get an annual physical and more than 40 percent of men only go to the doctor when they have a serious medical condition.

We’d like to see a change in those statistics. The majority of health issues men face are more treatable and more manageable in the early stages. Preventive care and checkups are important. I encourage men to take control of their overall health, including their sexual health, which is frequently linked to other, sometimes serious, health issues.

Checking every box on your health care list can seem overwhelming, especially if you’re entering the stage of life in which you need to start screening for different possible health issues.

Where to Start

Start with a couple of easy steps.

1. Find a primary health care provider if you don’t already have one. If you do, schedule an appointment.

2. Make small lifestyle changes.

A. Start exercising regularly, if you don’t already. Even a short walk once a day is a great start.

B. Eat a healthy diet. If you aren’t sure where to start, ask your provider for a referral to a registered dietitian, who can help you set realistic goals.

Do You Need a Men’s Health Provider?

If you’re experiencing any of the following conditions, schedule an appointment with one of our men’s health providers, while you’re at it.

  • Erectile Dysfunction. ED is a common condition that can affect quality of life. It’s common in men after prostate cancer treatment and those with diabetes or cardiovascular disease. ED is treatable with medication and with surgery.
  • Peyronie’s Disease. This condition usually happens to older men. If you’ve got a bent penis, and it is affecting your ability to have an erection or to have sex, you shouldn’t live with it. Several treatment options are available to straighten the penis.
  • Infertility. Men are the cause of infertility in a couple about 50 percent of the time.
  • Low Testosterone. Testosterone can decrease as men age, starting at age 30. If you’re feeling tired or like you’ve lost your edge, low T treatment could help you feel better.
  • Testicular Pain. Many men have testicular pain at some point in their lives, but it’s treatable. If you have aching or pain in your testicles, contact one of our men’s health providers.

Men’s health month is a great reason to think about what’s important to you. Taking care of health issues may seem inconvenient, but it’s more convenient now than it will be if you let them continue for longer! Don’t be afraid to talk to a men’s health provider.

We are here for you.

Two Phase Approach To Eliminating Fear/Hesitation And Developing Efficiency

Two Phase Approach To Eliminating Fear/Hesitation And Developing Efficiency

A Jimmy Bond article

A good amount of credit goes to Al for this article. He worked with me on putting this together.

* * *

There are two very powerful methods to help master fears. These methods are desensitization and counterconditioning.

Desensitization deals with the negative phase where the main goal is to reduce anxiety. During this phase, exposure is attempted. This is where to you attempt to approach the scenario of your anxieties in a progressive manner.

Here’s a good example of this at work: If you have performance anxiety for certain sexual acts (for example: penetration) you would engage in nonthreatening foreplay activities only for the time being. As you get more comfortable and allow your libido to build to the point to where it begins to effectively counteract potential anxieties, then attempts are made to engage in activities which have previously caused anxiety.

It’s important during this phase to work with a trusted partner so you have confidence with the process.

An effective tactic to use when you begin to feel anxiety is to reroute your mind to focus on your breathing. This will allow you to center yourself emotionally. A great exercise which incorporates this is the Emotional Visualizations movement.

Counterconditioning deals with the positive phase where the goal is maximizing efficiency. For this phase, more challenging movements/activities are undertaking to increase sexual ability. These include targets of greater hardness, stamina and ejaculatory control. At this stage, Emotional Visualizations are used only as needed (for when you feel distracted or begin to get pangs of anxiety).

The focus of this phase should be on deepening the level of emotional comfort to the point to where you become completely uninhibited and are able to fully enjoy the experience with all of your senses. This also allows a deep connection with your sexual partner, resulting in a much more intense experience.

The essence of how both of these phases are done can apply for a lot of life’s activities where you might feel inhibited due to anxiety.

Erectile Dysfunction: Signs & Ways To Eliminate Its Risk

How To Detect The Early Signs Of Erectile Dysfunction & Eliminate The Risk Once And For All

Updated on May 04, 2021, 18:00 IST · 4 min read

By Snehal Sharma

This article is a repost which originally appeared on MENSXP

Edited for content.

It’s not easy to talk about sex, especially if you’re grappling with insecurities.

For the longest time, erectile dysfunction was ascribed to psychological origins. Most ancient cultures, including Ayurveda, believed that ED can be treated with the help of natural herbs such as Indian ginseng, sesame powder, Safed Musli and more.

Today, we know more about its causes and have treatments to address the issue. But before we talk about eliminating the condition, we need to dispel the stigma associated with ED.

Studies have clarified that ED is not just “in your head”. According to a 2017 study by the Department of Urology Tulane University School of Medicine, New Orleans, 20% of men across all age groups battle ED in India and 30% of them are younger than 40.

Most of the times, it is experienced due to an underlying cause that can be treated.

But no cure is possible until men accept the problem and stop shying away from asking for help.

What Is Erectile Dysfunction?

Erectile Dysfunction (ED), also known as impotence, is a condition in which a man experiences difficulty in getting or maintaining an erection during sexual performance.

The symptoms may also include reduced sexual desire or libido. If the condition lasts for more than a few weeks or months, your doctor is likely to diagnose you with ED.

Signs Of Erectile Dysfunction

Every piece of the body—including your emotions, hormones, brain, nerves, muscles and blood vessels—plays an intricate role in male arousal. When any of these isn’t aligned, it results in some kind of dysfunction.

Your mental health impacts your sexual ability equally. Stress, anxiety and other mental health concerns can worsen erectile dysfunction.

Experiencing minor or occasional sexual problems don’t necessarily mean you’re dealing with erectile dysfunction. But lookout for the consistency of these symptoms.

● Reduced or no desire for sex.

● Inability to get an erection.

● Inability to maintain an erection.

Who Is At The Risk?

The risk of ED increases as you age, especially if you have lived a sedentary lifestyle. It can worsen if you:

● Have a psychological condition like anxiety, depression or stress.

● Have an injury that might damage the nerves and arteries that contribute to erections.

● Use tobacco, drugs or alcohol.

● Are overweight.

● Are undergoing radiation treatment for cancer.

● Are taking antidepressants or high blood pressure medications.

● Have heart disease or diabetes.

How To Prevent Erectile Dysfunction

The healthier you are, the easier it’ll be to fight erectile dysfunction. There’s no one-size-fits-all way to prevent ED but you can avoid persistent problems by taking care of its causes and yourself. The following measures may help:

● Reduce stress.

● Take care of your mental health.

● Exercise daily.

● Limit alcohol consumption.

● Quit smoking and stop using recreational drugs.

● Manage diabetes and heart disease.

How Can You Treat Erectile Dysfunction

The causes of ED vary and so does the treatment. Work with your doctor to create a plan that’s best for you.

1. Counselling

If you feel anxious, depressed or have any other mental health concern, seek therapy. Along with consulting a professional, indulge in relaxing activities such as music, painting, poetry or aromatherapy. Geranium oil helps those with low libido.

2. Ayurveda to the rescue

It’s not feasible for everyone to collect and consume the recommended herbs for sexual wellness. But you can always rely on natural supplements that provide men with the right nutrients optimised for better and stronger erections.

3. Lifestyle changes

Manage weight, exercise or do yoga consistently, stop smoking, avoid alcohol and illicit drugs and manage your health with the help of a doctor.

4. Prescribed medication

If the above treatments don’t work, your doctor may prescribe oral medications—like Viagra, Levitra, Aronix, Tadalafil, Stendra and Cialis, self-injection such as an Alprostadil or testosterone replacement.

5. Physical treatments

Penis pump or penile implants. However, these aren’t generally considered until every other treatment has failed.

Final Thoughts

Recognise the symptoms and consult a professional. If you’re diagnosed with erectile dysfunction, your doctor will help you figure out the cause of ED.

Work on the treatment options and before you know it, you’ll start seeing the results.

Living With ED: How To Take Back Your Life

Living With ED: How To Take Back Your Life

Dealing with erectile dysfunction (ED) can be incredibly difficult for men at any age. Men often feel ashamed of their condition and convince themselves that they’re “less of a man” because of it. When left untreated, the effects can spiral into other areas of their life. Self confidence, intimate relationships, and overall health can decline quickly. If you are struggling with ED, it’s important to realize that it doesn’t have to control your life. With these few tips you can get back to being your best self!

Talk To A Doctor

The first step to taking back control of your life is to talk to a doctor. With the shame or embarrassment that a lot of men feel about ED, it’s normal to even be embarrassed to tell your doctor. Remember that your physician will simply want to help you. Don’t let a mental block stop you from reaching out for help. They might help you explore options for ED medications to give you some short term relief or suggest other lifestyle changes. They also might want to make sure you don’t have any other undiagnosed illnesses. ED can be a symptom of another illness like heart disease, diabetes, or metabolic syndrome to name a few.


Being proactive about your overall health will help you feel more in control of your ED symptoms. Working out can help tackle ED symptoms from many angles as your overall health generally improves. Since obesity increases the risk of ED, working out can get you on track to being a healthier weight and potentially reducing your symptoms. Another way that exercise can impact ED is through body positivity. Perhaps you’re not confident in your body and it’s causing some performance anxiety. If that’s the case, working out can improve your self esteem over time and potentially relieve your ED symptoms.


Incorporating a healthy diet into your routine is another great way to help alleviate ED symptoms. Being selective about what you eat and noticing the effects on your mood and mental state and your body will help you feel in control of your body. Aside from your basic “healthy balanced diet” there are some specific nutrients to help fight ED that you’ll want to be sure to incorporate. Many of these nutrients are linked to improving circulation, which is necessary for improving ED symptoms.

Remember, having erectile dysfunction does NOT diminish you as a man, or as a person. You may feel alone, defeated, betrayed by your body and unable to do the things you want when you want to. You can’t control what happens to you, but you can control how you react. Find solace in controlling other aspects of your life that you are able to control. Your mental and physical health will improve and you’ll be well on your way to getting your confidence back.

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