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Russian teen fucked at oprn casting 45 min Petersburg 6 min 2. Petersburg, my girlfriend,teensex,very hot pussy 2 min Greeley - Petersburg 5 min 21 Sextury - Worshipping and orally massaging my st petersburg goddess Stephanie 4 min 1. Retrograde ejaculation is the process whereby the semen is passed in Adult searching orgasm St Petersburg retrograde fashion into the bladder as opposed to out the urethra.

There are 3 potential causes to Adult searching orgasm St Petersburg problem; anatomic following bladder neck surgery or from a congenital processneurologic due to disorders that interfere with the ability of the bladder neck to close during emission, such as diabetes mellitus, retroperitoneal surgery and pharmacologic due to paralysis of the bladder neck by certain medications.

The treatment of retrograde ejaculation depends Adulg some extent on the cause.

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Anatomic causes are rarely curable and sperm harvesting from the bladder is required for those patients wishing to initiate a pregnancy. Pharmacologic causes are generally reversible by withdrawal of the offending medication. Neurologic causes are difficult to treat if there is complete nerve damage such as may occur in spinal cord injured patients. In those patients with a partial neural injury diabetesthe Adult searching orgasm St Petersburg of certain medications pseudoepohedrine for example may convert the patient to an antegrade ejaculator.

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Premature ejaculation, also known as rapid ejaculation, lacks a definition that is agreed upon by all practitioners but essentially is tS condition whereby a patient ejaculates with minimal sexual stimulation and before he wishes it to occur.

It can be life-long primary or secondary.

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There are numerous theories as to the cause but most cases are probably multi-factorial with a contribution from both psychological and physical factors. Interestingly however, the quality of life of these patients is not negatively affected by their condition.

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The management of this problem is best handled in a combined psycho-pharmacologic fashion. The use of medications to increase ejaculation time is useful in permitting the patients to practice senate focus exercises to recondition the ejaculatory reflex.

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