Guidelines for Pharmacotherapy of Rapid Ejaculation
1. Etiology is indicative of biological origin. ⢠A. First sexual relation was not in a hurried condition or the fear of being caught. Typical background Masters &.
• THE QUESTION IS: • Pharmacotherapy • Psychological Therapy • Combined Therapy
Guidelines for Pharmacotherapy of Rapid Ejaculation
Pierre Assalian, M.D.
Guidelines for Pharmacotherapy of Rapid Ejaculation 1. Etiology is indicative of Biological Origin 2. Loss of beneficial effect of behavior therapy or any psychotherapy 3. Life saving measures “suicidal patients” 4. In failing relations where Rapid Ejaculation is an important factor 5. When the partner refuses participation 6. In certain cultures or religions 7. The “Exciting Vagina’
1. Etiology is indicative of biological origin •
A. First sexual relation was not in a hurried condition or the fear of being caught. Typical background Masters & Johnson
•
B. Family history of Rapid Ejaculation in fathers or brothers
2. Loss of beneficial effects of behaviour therapy or psychotherapy • Initial positive effect of Behaviour Therapy dissappear after 3 years (De Amicis & Hawton) • Failure of Psychological Therapy immediately or after a period of better control
3. Life Saving Measures • Suicidal Men Quick action is needed
4. In failing relations where Rapid Ejaculation is a factor • Dissatisfaction of the partner especially when Erectile Dysfunction or Hypoactive Sexual Desire occurs as a reaction to Rapid Ejaculation
5. When the partner refuses to participate
6. In certain cultures or religions • Masturbation is a sin • Unacceptable
7. The Exciting Vagina • The patient has the control over his ejaculation using his hands or his partner’s hands (1st part of behaviour therapy). His IEL can even last for 15-20 minutes. Yet as soon as he penetrates his partner’s vagina, he loses the control and ejaculates within few seconds - “Magic Effect”
fed people spend a lot of money on vitamin pills, and the companies who sell ...... Improvements in survival rates and quality of life among cancer patients. The.
Nov 22, 2002 - III. 3.00. 2.50. IV. 3.50. 3.10. When selected from the flashover voltage, wet polluted strings of 6 to 750 kV overhead lines, external insulation of.
Un système de santé se compose de toutes les organisations, les personnes et ... Le renforcement des systèmes communautaires (RSC) est une approche qui ...
Attach a bibliography â a comprehensive overview of the used sources â at the end. IV. Final provisions. 1. Only the main text counts towards the word limit. 2.
Jun 1, 2007 - then mixed with the original query model (Zhai and Lafferty, 2001b) or they ..... the vocabulary of dataset, we extract its synonym, hypernym and ...
Mar 4, 2002 - neurotoxic cyanobacteria in drinking water, and pro- ... as a powerful tool for assaying the occurrence and dynamics of microalgal blooms, ...
Test of a hypothesis or of a theory, experimental or laboratory measurements to ... answer or not your above scientific questions, how they may validate or not ...
is now established, and future technology may ... through an AED programme than with manual defib- .... determined in prospective studies, it should be pos-.
systems. This allowed documenting the loss of photoreceptors in diseases such as retinitis pigmentosa. A precise counting of residual photoreceptors may be an.
However, created from the experiences of the post-WWII period, they continue today to reflect the ... In the United States of America, country of origin is the ... The following guidelines recognize that the greater part of persecution experienced by
graphics representations of shapes as point sets or meshes? ... quickly devise machines and systems able to manufacture products customized according to.
There are a number of procedures for rapid analysis of large earthquakes ... P-wave radiation pattern to obtain scalar moments at each station. Application ...... 9.1. ) /1.5,. (6) where MED. 0 has units of N-m. We estimate an uncertainty for MED. 0
The problem of reliable and accurate real-time seismic event location is a key issue in seismic event monitoring. Solutions of automatic earthquake locations and ...
May 24, 2005 - of energy from the kinetic energy of the ring to magnetic energy. ... good effect in the teaching of freshman elec- tromagnetism at ... transference.
Jan 5, 2005 - termination of rupture is contained in the last P-wave energy radiated from the source. ... To build the pdf NLL uses a likelihood function based on the ... IRIS Data Management Center a set of BHZ component recordings at ...
AbstractâThis paper reports a methodology for the multi- face modeling of ... still designed commonly in an ad hoc and intuitive manner, and however the tools ...
rapid, automatic earthquake location. V. Pinsky1, S. Husen2, A. Lomax3. (1) Geophysical Institute of Israel ([email protected] ),. (2) Swiss Seismological ...
Quantitative. â Qualitative. ⢠Automated, high throughput analysis with continuous processing capability. ⢠Reagents stable at room temperature for 7 days.
group should be ready to provide as much information about itself as possible. ... If necessary, the name and telephone number of someone in the group who speaks .... arrangements, eg. the exact amount of pocket money/expenses, and the ...
able in drug discovery, pharmaceutical process research and formulation design. To over- come the ... early stages of drug development, as well as to increase sample analysis throughput, a .... organic cosolvent CE buffers containing. 30, 40 ...
(Particle Agglutination) and two rapid tests (Re- ... Immunoassays, such as particle agglutination assays, rapid ..... The panel representative of primate lentiviral.
