Other sexual dysfunctions such as low desire and erectile dysfunction may also accompany the ejaculatory problem and need to be addressed. In addition, a medical history is obtained paying particular attention to any previous neurologic injury or trauma to the penis. In such cases, penile sensitivity may be evaluated using various instruments that produce vibration. From a medical perspective, ejaculatory dysfunction is often considered to be a nerve related issue. In this manner, any medical considerations that contribute to the problem can to be understood from the onset. Regardless of the psychological issues, a good medical or urologic work-up is always encouraged before embarking on a behavioral treatment program. Issues such as depression, anxiety, past sexual experiences, psychological trauma and relationship history are important considerations that need to be discussed early in the evaluation. From an emotional standpoint, it is important to understand the history and background of the individual. In this way, both the emotional and physical aspects of the problem can be addressed. In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. ![]() This column will explore some of the psychological factors and treatment options related to these two distinct male dysfunctions. These are: delayed ejaculation and early ejaculation. Typically, ejaculatory disorders fall into two categories. What may be a problem for one man may be acceptable to another. This time period is called the ejaculatory latency. The time from initiating sexual activity to ejaculation varies from one individual to another. When does an ejaculation problem become a disorder? This is a subjective question and is based on the level of distress that is experienced by the man or his partner. In contrast, ejaculatory problems continue to be commonplace among men and often create feelings of shame and embarrassment for those men who struggle with this difficulty. With the introduction of Viagra however, problems of erectile dysfunction are much less frequent and more easily treated. Early and Delayed Ejaculation: Psychological Considerationsįor men, erectile dysfunction and ejaculatory problems are the most common sexual difficulties. Ricardo Munarriz, a sexual medicine physician. Stanley Ducharme, a sex therapist, and one by Dr. ![]() Please be advised there are two sections on this topic, one by Dr. Stellar agrees that for people wanting relief from excess gas, probiotics containing Bifidobacterium are likely to be the most effective.Ejaculation Problems: Too Fast, Too Slow or Not at All? Results showed that after four weeks of the probiotic food, participants had a much less severe reaction to the high-fiber diet, feeling less bloated and passing gas fewer times during the day. They then ingested the same high-fiber diet for three days at the end of the study. Then for the next 28 days, they added a half cup of probiotic milk product containing Bifidobacterium animalis twice per day with their regular diet. In a small 2020 study, participants consumed a high-fiber diet to induce gas for the first three days. However, research indicates that the strain Bifidobacterium could be useful. ![]() "There are so many different types of probiotics that it can be difficult to identify the right product for the right person," Staller says. Though not all probiotics are created equal. Probiotics can help reduce gas and relieve stomach discomfort from excess gas. In some cases, gas may pass out of your system with no issue, but if you are struggling with bloating or gas pain, you can try one of the science-backed methods below for relief. "Part of the milk sugar doesn't get completely absorbed so it is happily used by bacteria to make gas." "A good example of this is when people have lactose intolerance," Staller says. Food intolerance: You may also have more trouble with gas if you have any type of food intolerance, says Kyle Staller, MD, MPH, Director of the Gastrointestinal (GI) Motility Laboratory at Massachusetts General Hospital and Harvard Medical School.You may swallow even more air than normal while chewing gum, drinking carbonated drinks like soda, or smoking. Swallowing air: Gas can also get into your digestive tract when you swallow air while eating and drinking.These partially digested foods sit in your large intestine and go through a fermentation process that produces air bubbles, which come out as gas. Carbohydrates, in particular, take longer to break down and can reach your large intestine without being fully digested. Basic digestion: Gas is created when the bacteria that live in your large intestine break down certain foods.There are three main ways that gas enters your digestive system:
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