24 thoughts on “¡Hola mundo!

  • Impotence. The phrase by some means seems like failure, weakness.
    If you are feeling that you’re impotent, you may
    additionally really feel that you’ve someway misplaced
    a part of your dignity, your masculinity, your wholeness.

    There are lots of levels of erectile difficulties. Some males
    could also be in a position to attain an erection, however usually are not ready to take
    care of it. Others change into erect, however not extraordinarily inflexible.

    Nonetheless others solely have issues when they’re with a brand new associate or with a
    protracted-time accomplice. And naturally, there are those that can’t obtain an erection in any respect.

    Don’t despair. You could also be affected by
    a bodily or emotional downside (or each) for which there are particular options.
    In case your downside is of an emotional nature, the next suggestions might assist.
    In case your erectile issues come up from a medical situation (see «May Or not it’s a Medical Downside?»), there are actually many new surgeries
    and therapies that may help restore your sexual well being.

    Whatever the character of your downside, remember that nearly each man has difficulties with erection in some
    unspecified time in the future in his life. You aren’t abnormal, nor are you alone.
    There isn’t any have to undergo in silence. Do not let embarrassment
    keep you from sexual well being and happiness.

    Remove the efficiency demand.
    It isn’t unusual for a man to have an occasional episode of impotence, after drinking alcohol or after a
    very irritating day, for instance. Nevertheless, if he
    locations an excessive amount of emphasis on the incident
    and harbors concern that it could occur once more, the anxiety itself might change into a trigger of erectile difficulties, says Michael B.
    Geisser, Ph.D., an assistant professor within the Division of Clinical and Well
    being Psychology on the College of Florida in Gainesville.
    «Some males have interaction in considering that distracts them or takes away from their sexual efficiency,» he says.

    «Typically, we train them behavioral workout routines that take the efficiency demand out of the scenario and relieve the anxiety about having to get an erection.» One technique that intercourse therapists
    typically use is to have couples abstain from intercourse altogether, telling them as a substitute to have interaction in cuddling and nonsexual contact.
    Step by step, over a interval of weeks or months, relying on the couple, the companions work towards
    extra sexual touching, then intercourse. The thought is to make intercourse a much less-threatening expertise, Geisser says.

    Break out of a rut.
    «One drawback in individuals’s intercourse lives is that they get into sure ruts and routines and so they do not have a lot novelty,» says William O’Donohue, Ph.D.,
    an assistant professor of psychology at Northern Illinois College in De Kalb.

    «For instance, they at all times have intercourse at eleven:00 at evening with the lights off, with the identical foreplay, and so forth. Their intercourse lives are comparatively invariant. Quickly, their accomplice turns into about as thrilling to them as a flounder.» His
    suggestions? Incorporate some selection-go to a lodge or a distinct setting.

    Range the routine. Purchase your spouse some new lingerie.
    In brief, spice up your intercourse life.

    Learn to loosen up.
    Stress, arising both from efficiency anxiety or from different life conditions, may also be a perpetrator in erectile issues, in keeping with Geisser.

    Whatever the trigger, it is troublesome to take pleasure
    in your self when you’ve got acquired a lot in your thoughts.
    «Relaxation workouts are useful,» Geisser says. He recommends deep respiration or
    progressive muscle relaxation, the place the individual consciously tenses and relaxes every a part of the
    physique in sequence. «In and of itself, as a remedy for impotence, relaxation is just not efficient,» Geisser says, «nevertheless it could also be a great first step for somebody making an attempt to enhance their very own functioning.»

    Express your emotions.
    Marital or relationship difficulties are infamous contributors to
    sexual issues, in response to Raul C. Schiavi, M.D., professor of psychiatry and director of the Human Sexuality Program at
    Mount Sinai College of Drugs in New York. Anger, resentment, and harm emotions typically spill into the couple’s
    intercourse life, turning the bedroom right into a battlefield.
    This case is particularly more likely to develop if companions are noncommunicative,
    therapists agree. «You want, to verbalize your emotions,» Schiavi says.
    «Not when it comes to accusations, equivalent to ‘you probably did this,’ or, ‘you probably did that,’ however extra like ‘I felt upset or damage if you stated that.»‘
    In different phrases, use «I» statements, and keep the main focus in your emotions, as an alternative of in your accomplice’s actions.
    Doing a radical housecleaning of the connection, as an alternative of storing up emotional
    debris, could very properly clear the way in which for a healthier sexual union.

    Talk about intercourse.
    Generally, erectile issues can come proper right down to not feeling aroused.
    In these circumstances, intercourse therapists typically work to assist patients talk extra overtly about
    their sexual relationship, in line with Geisser. «This may be an embarrassing space, one that individuals do not discuss,» he says.

    «Not speaking contributes to the issue. We encourage individuals to speak about what they like in sexual conditions, to allow them to get extra pleasure and stimulation out of it.» Once more, to keep away from defensiveness and
    damage emotions, «I» statements are key,
    Geisser says. Select to make assertive, moderately than aggressive, statements.

    Don’t drink earlier than intercourse.
    Drinking alcohol or being drunk can considerably impair your sexual functioning,
    says Schiavi. His recommendation is straightforward intercourse and booze do not combine.

    Remember your profitable experiences.
    If efficiency anxiety has undermined your confidence,
    fascinated by optimistic sexual relationships or experiences you will have had
    up to now could assist enhance your vanity, says Geisser.

    It may additionally persuade you you could have a fulfilling intercourse life sooner or later.
    «We have now patients assume about previous profitable sexual experiences, to attempt to shift the main focus from worrying about the present scenario and to assist them expertise it in a extra pleasurable vogue,» Geisser says.
    Contain your companion. Though erectile difficulties originate with
    the man, they’re a couples’ drawback and have couples options, in keeping with Kenneth R.
    Fineman, Ph.D., a clinical psychologist and affiliate clinical professor
    of medical psychology on the College of California at Irvine
    Faculty of Medication. If the issue just isn’t a medical one,
    there are a lot of methods that may also help.
    Nevertheless, your probabilities for enchancment are a lot better in case your sexual companion is concerned in the answer, Fineman says.
    «In case you are in a dedicated relationship, it’s essential to develop a technique to get your companion in there. Persuade her that she is probably the most logical resolution to the issue.»

    Know that you’re not abnormal.
    It could by no means be acknowledged sufficient: Having issues
    with erection doesn’t imply that you’re physiologically or psychologically abnormal in any
    manner. It’s not your fault. «Individuals are likely to really feel responsible about their sexual issues,» says Geisser.
    «Males typically really feel that, to a sure extent, they’ve misplaced their masculinity. It might carry on a big decline in vanity. However the reality is, most males, for one motive or one other, expertise erectile failure. Even when periodic failure happens, strive to not get too upset about it. Oftentimes, individuals actually come down onerous on themselves or have a associate that will get very distressed and feels that it’s as a result of they’re unattractive or undesirable. Getting too upset can result in efficiency anxiety. Do your finest to be open and understanding about the issue.»

    Read, then discuss.
    Lots of the intercourse therapists interviewed for this part stated that they had been typically stunned by their patients’ lack of data concerning
    the intercourse act itself. There’s a plethora of useful written sources on the market–books that may make
    it easier to and your mate clear up your issues and work
    towards a extra mutually satisfying intercourse life, says Fineman.
    «Learn the varied manuals, those which can be applicable, not X-rated materials,» he says.
    «Then dialogue about it. One particular person says ‘I believe that is foolish,’ and the opposite would possibly say, ‘Nicely, why not? I would wish to attempt that.’ Learn books about intercourse, even when you do not select to go on to strive the workouts.»

    Develop coping methods.
    Simply as penis measurement is not the measure of sexual prowess,
    neither is the rigidity of the penis, says Schiavi.
    «In a examine of one hundred wholesome, aging couples, there was a lower in sexual drive as age progressed,»
    he says. «There was additionally a lower within the rigidity of the penis and within the frequency of intercourse. Nevertheless, couples who developed coping methods to bypass these difficulties, by aiding insertion manually or by growing other ways of reaching orgasm, nonetheless rated themselves as sexually and maritally happy.» The ethical of the story is:
    Creativity pays off.

    Skip the aphrodisiacs.
    Spanish fly and different so-referred to as aphrodisiacs are
    often little greater than placebos sugar pills that do nothing however increase
    your confidence, says Geisser. Actually, he provides, no drug has ever been proven to spice up sexual efficiency with any diploma of reliability.
    What’s extra, Spanish fly could be very harmful to make use of and
    may even be fatal.

    Employ fantasy.
    Many males with erectile issues have interaction in «spectatoring,» or continually observing their very own sexual efficiency, says
    Schiavi. This takes the person out of the second and results in being overly essential, he says.
    «We attempt to arrange a scenario the place the eye is concentrated someplace else on experiencing pleasure as one is being caressed or on experiencing the pleasure of caressing another person. We additionally could advise using fantasy specializing in a sexual fantasy that will contain the associate. This helps to attenuate spectatoring and improve sexual arousal.»

    Try masturbation.
    Efficiency anxiety is simply that-anxiety over performing.
    However intercourse between loving companions was by
    no means meant to be an off-Broadway manufacturing. Do not forget
    that whereas it is vital to please your associate, you are
    additionally there to please your self. Masturbation bringing your
    self to orgasm when you are alone-could also be useful by reteaching
    you ways to attain your personal pleasure (so long as it isn’t overdone).
    The following step is to convey that capacity right into a sexual state of
    affairs together with your accomplice altering the main target from efficiency to
    mutually pleasurable interplay, says Fineman.

    Don’t be afraid to hunt assist.
    When you have tried every little thing, to no avail, it is time to hunt medical consideration, says Geisser.
    Research have proven that therapy can considerably
    enhance a pair’s intercourse life. The place you go is as much as you, however do your homework
    and store round. Many states have certifications in intercourse therapy.
    Licensed psychologists will even be in a position that can assist
    you (and could also be higher regulated, in line with Geisser).
    Get referrals if you possibly can. An important factor
    is to discover a certified or licensed skilled who has helped others with issues much like your personal.

  • Ellanse洢蓮絲(依戀詩)是一款荷蘭與英國共同研發的的新型真皮填充劑,是由30的25-50微米(µm)的聚己內酯(polycaprolactone, PCL)完美微型正圓晶球,以及70的PBS-生物降解材料(carboxymethylcellulose, CMC)製成的凝膠體,這些成分都是通過FDA(美國食品藥品監督管理局)和歐洲CE認證的安全成分,在人體內水分和二氧化碳作用下可以完全被分解吸收和排出的安全物質,對人體不會產生過敏反應,因此治療前不需經過敏檢測,在使用上幾乎不產生副作用。

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