The incidence of hypertension in a relatively large community. These conditions (high blood pressure) and the type of drugs consumed may also affect one’s sexual potency.

High blood pressure (hypertension) can damage the blood vessel walls in, called endothelial. In fact, it produces substances endothelial nitric oxide (NO) that serves to open blood vessels (vasodilatation).

If damaged by hypertension, including endothelial vessels that drain the blood into the penis, blood flow to the organ was not optimal. Impact, not maximum erection.

High blood pressure medication of certain types, including beta-blocker groups, suspected to affect the less well to a man’s erectile function. Therefore, there is no harm in people with hypertension who experience erectile problems doctors prescribe requested that does not interfere with erectile function.

Patients with hypertension also need to consider the risk of other problems because of sex. Because sexual activity engaged in physical and psychological factors, as well as the potential function of increasing exercise blood pressure.

Well, if the blood pressure of about 200 mmHg, increased blood pressure as risk sexual activity raises other problems, such as stroke.

Fatal cases usually occur when couples have sex far apart in age, too young, or not the couple remain. Coronary heart problems experiencing acute attacks can also be a trigger.

There is no direct influence between the hypertension and aspects of sperm quality. Sperm quality seed production quality is determined testis. Testes large and have good elasticity generally comparable to good sperm quality too.

So far, there are two factors known to most potentially interfere with sperm quality. Namely, Varicocele and infection of the reproductive organs. Varicocele can be reduced by avoiding abdominal obesity, exercise with jumping movement, and movement for increasing the pressure causes the abdomen. Infection of reproductive organs can be avoided by safe sex, sexual abstinence before marriage, use condoms, and only have sex with the couple remain healthy.

1. Position “Woman on Top” (the position of women over men) or the position of “Side”. This position is a comfortable position during pregnancy
2. Penetration in making flexibility and comfort for the mother
3. During pregnancy in sexual intercourse is not recommended to use water or air components or other components into the vagina. (Everything that is sprayed is not recommended during pregnancy)
4. Understanding, empathy, creativity and humor to make an important capital in intercourse during pregnancy
5. As a woman should be able to say ‘no’ to the couple if not willing to do things you do not want in your understanding by having sex
6. If you are a woman with a high risk pregnancy conditions is a good idea to avoid orgasm and intercourse until your doctor or midwife says is safe to touch. Similarly, stimulating the nipples milk to avoid the things that are not desirable.
7. Avoid having sex (or sexual activity) if required by the Consultant / Your Doctor
8. Immediate intercourse avoided if existing signs of rupture of membranes or the little things that indicate it is
9. Immediately to avoid having sex, if your partner has tested positive for HIV virus. It is better to use condoms or contraceptives like sex if the activities can not be avoided
10. Begin initial talks with your partner to use contraception is comfortable for you and your spouse

So, pregnant do not necessarily stop having sex again. Couples can still have sex, unless there are medical reasons and on the advice of doctors to not do it.

However, when the pregnancy is getting bigger then the stomach will be greater, so it is recommended that pregnant women need to do and find a comfortable sexual positions.

Some health experts assert, at the young age of pregnancy of three months or first trimester, couples still need to be alert and should not have intercourse before. This is based on the reasons for the first three months of a vulnerable period in which the fetus begins to form. If an impact a little, abortion-prone fetuses.

However, having sex during pregnancy is not harmful if done with great caution. In fact, some experts say that the content of intercourse is highly recommended to facilitate the birth process.

Here is a position safe sex during pregnancy trimester II:

1. Woman on Top; position is most comfortable for many pregnant women, especially because it can avoid excessive pressure on the abdomen and both can control the depth of penetration.

2. Sitting Style; position is usually in middle or advanced pregnancy which do not require much movement. Men and women sit on it sat facing each other or back to the man, when the stomach is very big. This position also allows women to control the depth of penetration.

3. The position of the man on top but just lie sepatuh body.

4. Standing Style.

Of ’strategy’ selection during sex position is very diverse, all depending on the physical and psychological readiness concerned. For some women, pregnancy actually increase sexual drive, but for some others no effect. As for other women, pregnancy just press or decrease sexual drive.

Meanwhile, sex during pregnancy is influenced by several things different. The things that affect one’s sexual activity while pregnant, namely:

* Trust that has owned about sex
* Belief that couples have about sex
* The physical condition during pregnancy
* Emotional condition during pregnancy

Outside of these factors, actual sex during pregnancy could be more delicious. More increased vaginal fluids and changes in the genital area to make some people feel even better orgasm.

Just to remind, any type of position, make that the most important of all sex positions during pregnancy should NOT give pressure to the pregnant woman’s stomach.

It is estimated that there are> 5 million Indonesian women who had entered menopause per year (data from BPS, 2008) where approximately 68% of them experienced symptoms of the climacteric (menopausal complaints) but only 62% of those who ignore these symptoms. Menopause itself is defined as a period after 12 months without menstruation (amenorrhoea). Menopause usually occurs at the age of 50 years and over. At this time the body has some biological changes that cause a sharp decline in ovarian function (ovarian) of which is decreased production of sex hormones, especially estrogen significantly. Declining levels of estrogen in the body greatly affects quality of life of women, although symptoms can vary in every woman.

Hormonal changes result in the emergence of this body symptoms such as joint pain & pain in his back, drying of the vagina (so ill during sexual intercourse), difficult to hold urine, mood disorders & high emotions so stressful, but it decreased estrogen levels also cause trend of increased blood pressure, weight gain & increased cholesterol levels. In the long-term decline in complaints due to estrogen levels can cause osteoporosis, coronary heart disease, Alzheimer type dementia, stroke, colon cancer, tooth loss & cataracts.

For most women these complaints, especially that intersect with everyday life can have negative impacts on the quality of life & self-confidence. For that we need appropriate treatment of menopausal deal. Currently the most effective medications to treat the symptoms of menopause & well as the prevention of osteoporosis is the estrogen hormone-based therapies that aim to replace the decline in estrogen that occurs at menopause. And for menopausal women who still have a uterus (womb) then the combined therapy with progestogen.

In addition it is important to remember that our lifestyles are affecting youth menopausal symptoms will be felt later. Here are some tips to stay healthy when entering menopause later, namely:

1. no smoking (if they try to quit smoking),
2. do not drink alcohol,
3. frequent exercise regularly,
4. eating healthy foods (especially those derived from soya beans as a source of phytoestrogens) &
5. enough sunlight.

Finally we can say that menopause is a natural thing that will happen to every woman. His arrival is not scary as long as we can sensibly event of complaints, visit the doctor to get treatment.

However, sexual relations are not always running as you wish. There are times when her husband exposed the problem of sexual dysfunction such as arousal disorder, erectile dysfunction, premature ejaculation and more.

According to Prof. DR. Dr. Wimpie Pangkahila, Sp. And, a medical expert and Seksologi Andrology, “sexual health problems often experienced by men is a sexual dysfunction and sexually transmitted diseases. Sexual dysfunction is common with premature ejaculation and erectile dysfunction.”

Premature ejaculation is very common. Recent research shows that 1 in 3 men who are sexually active (33%) suffering from premature ejaculation. Premature ejaculation can occur in men in all ages, although more common in young men with various backgrounds of life.

Sexual harassment is also against Mr S. Mr. S (29) have been married for a year with his wife (28). Since a year ago, Mr. S suffered premature ejaculation sexual harassment. This is known in the first months of marriage. Mr. S admitted difficulties in having sex because the sperm ‘trigger’ out.

Sexual dysfunction is a terrible scourge for men. Which man would say no “mighty”? If the problem occurs not addressed could result in disruption of domestic harmony. Remember the saying goes, “Sex is not everything, but without sex, everything will be nothing.”

To learn more about premature ejaculation, consider the following explanation:

* What is premature ejaculation?
* Causes Early Ejaculation
* Different Types of Early Ejaculation
* Impact of Early Ejaculation?
* Early Ejaculation Infertile make?
* How to Overcome Early Ejaculation?
* Try Sex Therapy
* Men Kegel exercises can also
* Early Ejaculation, Realize & End
* Profile Prof. DR. Dr. Wimpie Pangkahila, Sp. And

Early Ejaculation What?

The term premature ejaculation might not be as well known as erectile dysfunction. Men who experience ejaku! Ation early still able to achieve an erection and have intercourse while ejaculation occurs too quickly.

Prof. Wimpie Pangkahila explained that in fact there is some sense shared by the experts about premature ejaculation, namely:

1. Limitation of premature ejaculation is based on a certain time during ejaculation.
2. Premature ejaculation is determined by how many times a man can make a move when sexual intercourse before ejaculation occurs.
3. Premature ejaculation is defined as the inability to hold ejaculation until his partner reaches orgasm.
4. Premature ejaculation can be determined by whether or not the man to control ejaculation to occur in accordance with her wishes.

Based on the understanding that the fourth, then the premature ejaculation is the inability to control ejaculation so that happens in a short time, which is not the way they want, while his own ejaculation is semen ejection events out of the blue that marks the climax for men. It seems that now the fourth terms more acceptable.

Some Causes Early Ejaculation

Premature ejaculation does not come naturally to men, but there is cause. “There are psychological causes such as prolonged stress, habit to get it over while performing a sexual relationship,” said Prof. Wimpie Pangkahila.

Not only that, further Wimpie Prof. Pangkahila which is Professor of Faculty of Medicine Udayana University explains, “There are physical causes, especially the poorly functioning inhibit serotonin functioning.”

Disturbance controls that regulate nerve ejaculation event is also expected to be the cause of premature ejaculation. Unfortunately, men with erectile dysfunction generally experience premature ejaculation. Conversely, men with premature ejaculation may eventually experience erectile dysfunction.
Light weight Early Ejaculation

Premature ejaculation proved different. Premature ejaculation can be divided into three types based on severity, namely mild premature ejaculation, premature ejaculation is, and severe premature ejaculation Whatever type of premature ejaculation is experienced, both men and women will be dissatisfied because the ejaculation occurred within a very short time outside the will so that sexual relationship must end.

Impact of premature ejaculation

Want to heavy or light, which would cause premature ejaculation sexual intercourse took place not in harmony. In premature ejaculation, disharmony and even caused dissatisfaction on both sides. Men who experience premature ejaculation are not satisfied because the sexual relationship lasted a very short in spite of himself.

Although able to achieve orgasm, men experience premature ejaculation also feel very disappointed at not being able to give sexual satisfaction to their partners. Especially if their partner expresses disappointment in the form of blaming the patient’s reaction.

“Men who experience premature ejaculation is often stressed, insecure, inferior, and ashamed of her partner. In the long erectile dysfunction can occur. Spouse of course disappointed, dissatisfied, annoyed, angry, and finally experiencing sexual dysfunction such as loss of sexual desire , “explained Prof. Wimpie Pangkahila.

Furthermore, a reaction that appears is a feeling of fear or worry each will have sex. This feeling will only worsen the condition of premature ejaculation. If this situation continues, then eventually he was able to experience erectile dysfunction.

Women who have experienced premature ejaculation couples generally can not reach orgasm because of a sexual relationship soon ended. The disappointment that comes later can be turned into irritation with fear each will have sex. Further result could be loss of sexual desire and dyspareunia (pain that happens during intercourse).
Early ejaculation make Infertile?

Circulating in the community have the wrong assumption that if ejaculation occurs too quickly, means that sperm can not be bothered so impregnated. Barriers pregnant again become a new problem that worsened the problems arising from premature ejaculation.

Prof. Pangkahila Wimpie deplores the wrong myths about premature ejaculation, “Premature ejaculation is often considered a disorder of fertility, but not so. Premature ejaculation is considered a dilute sperm, but it is not clear what the term meant” weak ”
“Premature ejaculation has nothing to do with fertility. So pregnancy can occur from the sperm into the vagina. But in severe premature ejaculation, the ejaculation occurs outside the vagina, pregnancy does not occur,” explained Prof. Pangkahila Wimpie.

If it turns out men who suffer from premature ejaculation of sperm is also impaired, that means there are two separate disorders, rather than a cause and effect.

Sperm disorders may be caused by many things, partly because of an infection in the testicles or other reproductive system, testosterone deficiency, enlargement of the vessel wall around the testicles, and vitamin deficiency.

How to overcome premature ejaculation?

First recommended to do sex therapy. If sex therapy does not work, then do the second way of using the drug. Drugs to cope with premature ejaculation is a potent drug to control ejaculation. There are several types of drugs that can control ejaculation.

“It depends on the cause. Because many of the causes associated with serotonin function, it is necessary to regulate drug serotonin function, said Prof. Wimpie Pangkahila.

Furthermore, Prof. Wimpie explains, “Drugs such as SSRI class (selective serotonin reuptake inhibitors). However, notice the side effects, because these drugs are not counter medicines.” But given the drug has side effects, so its use should be under the supervision of a doctor.

As explained above, there are medications to control ejaculation. If premature ejaculation erection disorders caused by, then by improving erectile function, ejaculation can be slowed. So erectile dysfunction drug benefit if premature ejaculation is caused by erection problems.

Another treatment is by way of operations against the nerve that controls the occurrence of ejaculation. But the third way, although never done in a particular country, until now it was not popular and not widely used.

“As for supplements, many of which claim to cure premature ejaculation but without any clinical test results,” said Prof Wimpie Pangkahila. So if you want to try taking supplements, make sure that the supplements provided evidence based on clinical trials that have been made.

“If there are tests with significant results, the analysis of what needs to be done inside the womb. And they must know whether the investigators were competent to do. If only supplement it, such as vitamins, may not be able to overcome premature ejaculation,” said Prof. Pangkahila Wimpie.
Try Sex Therapy

Sex therapy, which is done to control ejaculation with the help of his wife. Basically the way this is done through several steps.

1. Masturbating wife to the husband who suffered from premature ejaculation with the husband’s position lying on your back, until the husband feels like orgasm and ejaculation.
2. At the time my husband felt like orgasm and ejaculation, the wife did the penis with an emphasis on using your thumb, forefinger and middle finger, for a few seconds to prevent the occurrence of ejaculation.
3. Masturbating wife to the husband until there is sufficient erection, and then immediately put into the vagina of the wife’s position at the top without making any movement. When her husband was going to ejaculate, the wife immediately raised himself and make emphasis on the penis as the second step. Further stimulation with repeated masturbation, and continued with the sexual relationship as above.
4. Carried out after a few days to do the above exercise. In this step, the husband allowed to do under pressure to maintain the erection during sexual intercourse with the wife’s position at the top.
5. Done when the husband was better able to control ejaculation. In this step the couple can have intercourse with the side position. If this position be able to hold ejaculation husband, then sex can be done in the husband’s position at the top.

The exercise is expected to remain to be done for 6-12 months after that, and whenever needed. But this way is not always easy to do for several reasons. First, the closure of the man to his wife. Second, the lack of communication and cooperation husband and wife in sexual problems. Third, feeling reluctant or lazy to do exercise because they have to waste time and are considered impractical.

Men also can Kegel exercises

For those who avoid the drug, Professor Wimpie suggested that Kegel exercises or try to do sex therapy with couples. Calisthenics or exercises known as Kegel exercises the pelvic muscles to improve the quality of sexual relationships.

Kegel is a pelvic floor muscle exercises Puboccoccygeus (PC) or Pelvic Floor Muscle originally used for therapy in women who are unable to control urine. Muscle PC muscle is also called ’sexual’ for supporting the vagina, penis, uterus, rectum and other body parts related sexual functions such as orgasm and ejaculation both in women and men.

To find the location of the PC muscles, you can stop the urine when you urinate. Try to stop urinating or three times so that you can determine the position of the PC muscle is.

Kegel exercises are introduced by Dr. Arnold Kegel, a gynecologist, since 1945. This exercise is a series of movements that served to train the PC muscle contractions multiple times with the aim of increasing muscle tone and contraction. This exercise was only a minimal benefit after six weeks.

While for men it was Kegel exercises have been developed since 1978 by Zilberger. But the main principle remains the strengthening exercises the pelvic muscles. This exercise is useful to strengthen the pelvic floor including the penis and increase sexual potency capabilities. And the result was satisfactory.

How to tighten these muscles and 10 times, 10 times each day, within one to one and a half months, you will automatically be used to delay ejaculation so that orgasms can be experienced repeatedly.
Early ejaculation, Realize & End

Be aware that premature ejaculation is a sexual dysfunction, not a natural thing. However, not many men who realized that he was experiencing premature ejaculation. Besides not realize, there are many who do not want to admit.

Faced with the many men who suffer premature ejaculation, there are certain parties who offer healing when they do not understand exactly what and how to premature ejaculation.

Whereas earlier unknown origin, premature ejaculation can be cured. But remember, not a cure to the “smart people” but with treatment to the doctor. Before the divorce became the only solution, it is better to consult with an expert immediately to end the misery of premature ejaculation.

Contributor:

Prof. Dr. Dr. Wimpie Pangkahila, SpAnd, FAACS
Prof. Dr. Dr. Wimpie Pangkahila, SpAnd, FAACS is Professor of the Faculty of Medicine Udayana University. Now he served as Head of Section of Andrology and Seksologi and also Chairman of the Center for Study of Anti-Aging Medicine (Anti-Aging Medicine). In addition he also became Chairman of the Master Program in Reproductive Medicine and Master Program Anti-Aging Medicine at that institution.

He completed general medical training at the University of Udayana. Then follow the education of Andrology at the University of Airlangga, Surabaya and the University of Washington, USA. He also deepen Seksologi at the University of Washington, USA. Education Ph.D. (stratum 3) completed at the University of Airlangga. His name was recorded as a Diplomat American Board of Sexology and Fellow of the American Academy of Clinical Sexologists.

Along with the development of science and technology, especially in the field of Anti-Aging Medicine one of the new discipline in medical science’s most rapidly growing today.

He has written 15 books on sexuality, including sex Sex Beautiful and happy, and 1 book on the basic principles of Anti-Aging Medicine. He became one of the contributors in the International Encyclopedia of Sexuality, published in the United States.

Until now he still made time as a nanny rubric of sexual problems in the Healthy Lifestyles Tabloid. In addition he also wrote columns and opinion on social issues in some national media.

source: http://www.medicastore.com/ejakulasi_dini

most_sex

Reproductive age, usually make an active sex life, too. Typically, 20-30 years of age, sex lives of every relationship is hot.

So far, many studies also revealed that the more you have sex, it will be less likely to get prostate cancer.

However, a recent study conducted in England says the opposite. According to the study, most sex in the reproductive age will only cause prostate cancer.

The study was conducted at the University of Nottingham, England. Quoted detikhot from FOXNews, Tuesday (27/1/2009), 800 male respondents in the study. They are active sexual intercourse since the age of 20-30 years and make frequent contact with many who have had prostate cancer.

According to Drs. Polyxeni, who led the study, sex life also trigger cancer cells. According to him, too often to have sex also make hormones in the body are not balanced.

So do in a healthy and balanced!

Source:detikcom