Secondary Sexual Dysfunction

Symptoms of sexondary sexual dysfunction are:

  • Fatigue – decreased energy level and interest;
  • Spasticity – affects comfort and positioning can be difficult;
  • Bladder/bowel; incontinence – causes anxiety and discomfort;
  • Cognitive changes;
  • Tremors;
  • Pain/sensory changes.

We know fatigue is a big issue. So fatigue is going to be an implication for sexual dysfunction.

Spasticity. We know that in a specific positions the patient is going to have this extensor fastens and they’re going to lock and those legs are not going to move for a while. So we need to avoid those positions, we need to treat a spasticity before sexual activity.


Bowel and bladder incontinence. We have patients that they can have bladder incontinence or bowel incontinence while they are having sexual intercourse. And that becomes very embarrassing,  very stressful; they don’t want to have sex. so we need to talk about all these things and what we can try to do to make it better.

Medications for secondary sexual dysfunction are:

  • Anticholinergics;
  • Antidepressants (SSRI, TCA);
  • Anti-spasticity (baclofen);
  • Anti-fatigue (amantadine, amphetamines: dose dependent);
  • Pain medications.

Patients that have problems with the bladder are probably gonna be on anticholinergics. And this is going to cause a lot of vaginal dryness. So these patients are going to need a lot of lubrication.

ssriAlso, antidepressants, SSRI’s (Paxil, Lexil, Lexa Pro); these are going to affect every type of sexual dysfunction. So there is a very nice study in which it shows that if you give Wellbutrin, and this I think is the drug that we use the most in our clinic, Wellbutrin 150 milligrams daily can counteract the effect of SSRI’s in sexual functioning. Most of my patients are going to be in a combination of Wellbutrin and a SSRI.

Tricyclic antidepressants like Amitriptyline, Nortriptyline, those are not used a lot for depression but they are used for pain, and they can also affect sexual functioning. Baclofen is also a medication used for spasticity that can cause erectile dysfunction. So some of the patients that have this problem I recommend to switch them to tizanidine for example or any other anti-spasticity medication.


Then the anti-fatigue medications, amantadine is not used a lot, but those patients that use it can have any type of sexual dysfunction including erectile dysfunction, decreased libido.

Also amphetamines and this is dose-dependent, usually at a high dose patients can have problems with sexual functioning. But at a low intermediate dose, it will be actually beneficial.

Total 2015 Review of Female Enhancement Creams


It seems like an ordinary thing for a woman to always strive to look as best as they can. They like to wear makeup to make their face prettier. They use creams to get rid some of the fat in their body. And they also wear creams to enhance a particular part of their body. If you want to have a better boobs and butts, you should wear one of those enhancement creams. If you are confused about how to do such thing, we have the answer for you. Here are the top three enhancement creams that we already have reviewed for you.

Zestra Sex Enhancer


Zestra received so many positive comments from its users. Despite so, it is rather costly as you can buy it for seventeen dollars per nine use. Inside the cream, you will find ingredients such as borage seed oil, vitamin c, and also evening primrose oil among others. These ingredients are known to have the high effects for female sexuality. According to, this product is worth to try as it gives a total sexual enhancement in women of many ages. It will boost arousal and orgasm in women and has been proved to work on many occasions.

Reach your Climax with Climatique


Another excellent review has been given to this female enhancement cream called the Climatique. Within the formula, you will find ingredients such as Niacin and menthol which gives such a topical pleasure to women. It also contains L-Arginine, which is known to boost libido in both male and female. If you want to buy it, you can purchase it for just around twenty dollars for twenty use. Therefore, it is cheaper than the previous product being reviewed. Despite so, most reviewers worry about how the niacin might give too much pleasure.

Try Vigel for your V


Finally, our final product is worth to try, and it is called the Vigel. This one is rather cheap compares to other two. The overall price is just twenty dollars for thirty uses which are rather inexpensive. The main ingredients that are encountered in the product are L-Arginine. It means that the cream is focused on increasing libido or sex drive in women. If you are interested, you can definitely try this product out. Despite so, there are some bad reviews regarding the instruction which is not that clear. People are confused whether it is congested or rubbed on your skin.

Premature Ejaculation Treatments Reviews

Premature Ejaculation Treatments Reviews


It is time to learn about premature ejaculation treatments reviews. When you want to solve this problem, there is the specific treatment that you have to do. When you apply the best method of treatment, you will realize that there are good effects that you can obtain later on. Premature ejaculation can happen to all people, especially man. It means that you are so fast in the climax when you make love with your mate. When you are too quick in having a climax, there is a possibility that your partner still not satisfy with you. Due to that reason, you should to make sure that you do something about it. Feel free to apply the best method of treatment for premature ejaculation that you can do from now on.

Herbal Pills Treatment


Many men like to use premature ejaculation treatment like Delay pills, since it is available with good effects in it. As you can see that it is available with 100% herbal ingredient so that you will be able to consume it, anytime you want. It is safe to consume herbal pills due to best ingredient and nutrition available in it. Make sure not to choose the one that has chemical substance in it. If you do so, it will make your body get sick easily. You will not be able to do your activity with the best performance later on. It is a good idea for you to consume herbal pills that have a good appearance in it. You can buy delay formula officially and get a money back guarantee.

Physical Exercise Treatment

You can do physical exercise treatment in order to make your body far from premature ejaculation. It can also solve this problem too. Some men feel that they are fast when climaxed. It is not a right thing for you. Thus, you have to make sure that you do physical exercise so that you can get the solution that you need faster. You need to know what types of physical exercise treatments that you can do. If you do the best option of treatment, you will realize how it can provide you with the things that you need.

Surgery Treatment

It can be said that surgery is the extreme method to solve premature ejaculation problem. This is a final treatment that you must consider is several options above are not making sense. It means that you have to do surgery as last part, not in the start part. As you can see that surgery can give you several side impacts, you have to think twice if you want to do it.

How Natural Penis Enlargement Works?

Indeed, there are several types of penis enlargement product that you can choose. For example Natural Gain Plus penis enlargement pill or penis enlargement cream. It works depend on how you use it. Here, you can find information about how penis enhancement naturally works.

Penis enlargement pills

measuring tape with tablets

It works well immediately after you use it. Therefore, you have to make sure that you take only one pill a day. As long as you use this product well, you will realize how you can get the best benefits like: bigger penis, harder and wider erections, powerful orgasm, delayed ejaculation time, improved libido.

Indeed, penis enlargement pill can provide you with satisfaction that you need in bed. It can make the size of your penis becomes significant in an instant. It is the best thing for you to choose this best option of product from now on. Make sure you consume the safe one. You have to ask the doctor about how much dosage of this pill that you must consume. As long as you follow the recommendations, there is nothing that you need to worry anymore.

Penis enlargement cream


This is another option for a product that you have to consume. If you feel that you want to make the best choice for the cream, here is the best one that you must choose. It works quickly after you apply the cream to your penis. In the end, you will be able to get the best benefits in as little as one month. You can also choose this product if you do not like to take pills on a daily basis. If you choose the cream like Maxoderm, there is a possibility that you can feel as if safer upon using it. You should do best with it. The cream is the solution for those men, who wants to see significant and fast results right before sex.

In conclusion, here us the list of penis enlargement  you can compare easily. You can view the success rate of every cream or pill and also read customer reviews. As long as you use the cream before sexual intercourse, there is nothing that you need to worry anymore. You can feel the best option for a product that can make you fall in love with it. Natural Penis enlargement is the solution for men who have a small size of the penis. This is a great alternative to penis surgery. Natural ingredients inside the formula guarantee fast absorption and bigger erections on demand.