Testosterone Replacement Therapy For Metastatic #ProstateCancer | #MarkScholzMD #AlexScholz #PCRI [667f4f]
2025-07-30
Post Time: 2025-07-30
**Premature ejaculation (PE)**, defined as ejaculation occurring sooner than desired, is a common sexual health issue affecting many men. While medical treatments are available, many individuals seek natural remedies to manage this condition. This article explores several effective natural approaches that can help control PE and enhance sexual satisfaction. ## Understanding Premature Ejaculation Premature ejaculation is characterized by an inability to delay ejaculation during sexual intercourse. It can lead to distress, frustration, and impact relationships. The causes of PE can be varied, including psychological factors such as anxiety and stress, and physical factors like hormonal imbalances or nerve sensitivity. Understanding the root cause, whether it be physical or psychological, is vital to selecting appropriate natural remedies. ### Psychological Factors * **Anxiety:** Performance anxiety during sex can heighten arousal and lead to rapid ejaculation. * **Stress:** High levels of stress can disrupt the body's natural rhythms and affect sexual function. * **Depression:** Depression and low self-esteem can contribute to sexual dysfunction, including PE. * **Relationship Issues:** Problems with communication or intimacy can influence sexual performance. ### Physical Factors * **Hormonal Imbalances:** Fluctuations in hormone levels, particularly testosterone, can affect ejaculation control. * **Neurotransmitter Imbalances:** Issues with serotonin and other neurotransmitters in the brain can influence ejaculation. * **Prostate Conditions:** Inflammation or infections of the prostate can contribute to premature ejaculation. * **Nerve Sensitivity:** Increased sensitivity in the penis can lead to overstimulation and rapid ejaculation. ## Effective Natural Remedies for Premature Ejaculation Several natural remedies can help men manage PE and improve their sexual health. These approaches often focus on reducing anxiety, enhancing control, and improving overall sexual function. ### Kegel Exercises **Kegel exercises**, also known as pelvic floor exercises, strengthen the muscles that support the bladder, bowel, and sexual organs. Strengthening these muscles can help improve ejaculatory control. * **How to Perform Kegels:** * Identify the pelvic floor muscles by stopping urination midstream. * Tighten these muscles as if you are holding back urine. * Hold the contraction for 3-5 seconds, then relax for 3-5 seconds. * Repeat this exercise 10-15 times per session, several times a day. **Experimental Data**: Studies suggest regular Kegel exercises significantly improve ejaculatory control and increase sexual satisfaction. For example, research published in the *Journal of Sexual Medicine* found that men practicing Kegel exercises reported a 50% reduction in symptoms of PE within 12 weeks. ### Stop-Start Technique The **stop-start technique**, or edge control, is a behavioral method that helps individuals become more aware of their body’s sensations before ejaculation. This awareness allows for more control during sexual activity. * **How to Practice Stop-Start:** * Begin sexual activity until you feel the urge to ejaculate. * Stop all stimulation and let the urge subside. * Restart stimulation, and repeat this cycle several times. * As you get more comfortable, you can begin to delay ejaculation longer. **Experimental Data**: This technique can significantly increase the time to ejaculation. Research has shown that with consistent practice, men can increase the time to ejaculation from an average of one minute to five or six minutes. ### Squeeze Technique Similar to the stop-start technique, the **squeeze technique** involves applying pressure to the penis just before the point of ejaculation. This can help in delaying the response. * **How to Practice the Squeeze Technique:** * Start sexual activity until you feel the urge to ejaculate. * Firmly squeeze the base of the penis, just below the glans. * Maintain the squeeze for a few seconds until the urge to ejaculate diminishes. * Resume stimulation after a brief pause. * Repeat the process as needed during intercourse. **Experimental Data**: The squeeze technique can be highly effective in managing PE, studies indicate a significant increase in ejaculatory control and overall satisfaction. ### Dietary Adjustments Certain dietary adjustments can contribute to overall sexual health and may assist with managing premature ejaculation: * **Zinc-Rich Foods:** Zinc is vital for testosterone production and sperm health. Include foods like oysters, pumpkin seeds, and beef in your diet. * **Magnesium-Rich Foods:** Magnesium helps in muscle function and hormone balance. Good sources include spinach, almonds, and dark chocolate. * **Antioxidant-Rich Foods:** Foods high in antioxidants can improve blood flow and reduce stress. Berries, leafy greens, and nuts are great options. * **Avoid Processed Foods:** Limiting processed foods, high in sugar, and unhealthy fats can support overall health and reduce potential complications. ### Herbal Remedies Some herbal remedies are traditionally used to treat sexual dysfunction, but consult with a healthcare provider before starting any herbal treatments, as effectiveness and safety may vary. * **Ashwagandha:** This adaptogenic herb may help reduce stress and improve sexual function. It may also improve testosterone levels in some men. * **Ginseng:** This herb is traditionally used for boosting energy and vitality, which could improve overall sexual performance. * **Shilajit:** Known for its potential aphrodisiac properties, it is thought to improve stamina, reduce fatigue, and may help with sexual performance. **Experimental Data**: While anecdotal evidence exists for these herbal remedies, scientific research is ongoing and more data is required to understand the true efficacy of these treatments. ## Other Natural Tips for Managing Premature Ejaculation Besides the above remedies, several additional natural strategies can contribute to managing PE: * **Reduce Stress:** Engage in relaxation techniques such as yoga, meditation, or deep breathing exercises to reduce overall stress and anxiety. * **Communication with Partner:** Open and honest communication with your partner can ease performance anxiety and improve sexual intimacy. * **Mindful Sex:** Focusing on the sensations during sex, rather than performance, can enhance pleasure and decrease the likelihood of PE. * **Regular Exercise:** Maintaining regular physical activity can boost overall health and reduce stress, potentially improving sexual health. * **Limit Alcohol & Nicotine:** Reducing the use of alcohol and nicotine can contribute to improved physical and sexual health. ## Conclusion **Premature ejaculation** can be a distressing condition, but several natural remedies offer effective solutions. **Kegel exercises**, the **stop-start** and **squeeze** techniques, along with a healthy diet, herbal remedies, and lifestyle changes can help enhance sexual control and satisfaction. However, it is crucial to remember that every individual is different, and what works for one may not work for another. Consulting a healthcare professional is essential for personalized guidance and to rule out any underlying medical conditions. With patience, practice, and a holistic approach, individuals can successfully manage **PE** and lead more fulfilling sexual lives. Phase III clinical trials have demonstrated the viability of intermittent hormone therapy in many patients with advanced prostate cancer -- this means that patients with undetectable PSAs who, in the past, would have been treated with hormone therapy for the rest of their lives can now consider allowing their testosterone to return, monitoring the PSA until it reaches a certain threshold, and then resuming hormone therapy at least until an undetectable PSA is again achieved. But what if a man's testosterone does not recover naturally? In this video, PCRI's Alex and medical oncologist Mark Scholz, MD, discuss whether it is safe for a man on intermittent hormone therapy to use testosterone replacement if his testosterone does not return to eugonadal levels naturally. Dr. Scholz also explains how the advent of the PSMA PET scan has made intermittent hormone therapy (combined with testosterone replacement therapy if the testosterone does not recover naturally) even more attractive because it offers an opportunity to see whether the lesions are treatable with spot radiation or some other treatment, which could delay or completely negate the need to resume hormone therapy. Finally, they discuss "bipolar androgen therapy," which is a treatment for men with very advanced prostate cancer that has shown anti-cancer benefits in a certain percentage of men; however, its use is limited to best male enhancement for erectile dysfunction some of the most advanced cases. 0:07 In which situations could a man with advanced prostate cancer consider testosterone is it safe to take viagra with afib replacement therapy? 3:26 If someone with advanced prostate cancer ends testosterone deprivation therapy and allows their testosterone to return (or initiates testosterone replacement therapy if it does not recover naturally) how soon do you expect their PSA to rise? Is there a safe or unsafe PSA velocity? 5:20 Can someone with extensive metastatic disease consider temporarily discontinuing testosterone deprivation therapy, or is it only a consideration for men with oligometastatic disease (fewer than five metastatic lesions). 7:51 How does age factor into whether a patient with advanced prostate cancer can temporarily discontinue hormone therapy? 8:32 How often should men on intermittent hormone therapy monitor their PSA and testosterone? 10:02 What are the risks and side effects of testosterone replacement therapy? 10:42 What is bipolar androgen therapy? Who is it for? -- Don’t know your stage? Take the quiz: Visit To learn more about prostate cancer visit Sign up for our newsletter here to receive the latest updates on prostate cancer and the PCRI: Who we are: The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors. The information on the Prostate Cancer Research Institute's viagra jerk off YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs. #ProstateCancer #MarkScholzMD #PCRI