General measures
- Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program or program for underweight.
- Review of permanent medication due topossible effect on the existing disease!
Operative therapy
- Capping the penile foreskin significantly prolongs intravaginal ejaculation latency time (IELT; insertion of the penis into the vagina/vagina (penetration) to intravaginal (inside the vagina) ejaculation) (preoperatively: 1.1 minutes to 2.5 minutes one year after surgery), according to one study. It is stated that men were more sexually satisfied after surgery.
Conventional non-surgical therapy methods
To strengthen body image, the following methods are the main ones that help:
- Stop-start method – in this method, the man should learn to delay the time of ejaculation; in doing so, he should stop stimulation (first during masturbation) just before the so-called “inevitability point” in order to resume it after the arousal has receded; this method should enable the man to control ejaculation
- Squeeze method – this method represents a modification of the stop-start method; in this case, the reflex of ejaculation is interrupted by applying pressure to the area of the frenulum (foreskin frenulum)
Nutritional medicine
- Nutritional counseling based on nutritional analysis
- Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- High-fiber diet (whole grains, vegetables).
- Selection of appropriate food based on the nutritional analysis
- See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
- Detailed information on nutritional medicine you will receive from us.
Sports Medicine
- Endurance training (cardio training).
- Preparation of a fitness or training plan with suitable sports disciplines based on a medical check (health check or athlete check).
- Detailed information on sports medicine you will receive from us.
Psychotherapy
- If necessary, psychotherapy to strengthen body image.
- Detailed information on psychosomatics (including stress management) can be obtained from us.
