What is premature ejaculation?

The condition of premature ejaculation is most often described an inability to delay ejaculation to a point when it is mutually desirable for both partners. The definition of when ejaculation is premature is subjective. While some men have trouble controlling their orgasm upon entry, others consider 3-6 minutes of copulation too little time. How long a man is able to participate in intercourse is not the most important issue in diagnosing premature ejaculation. The crucial issue is if a man is satisfied with his performance and if his partner was able to climax. According to the American Psychiatric Association's "Diagnostic and Statistical Manual", premature ejaculation is "the persistent or recurrent ejaculation with minimal sexual stimulation, or, before, upon, or shortly after penetration and before the person wishes it to occur."

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What is the etiology of premature ejaculation?

General causes of premature ejaculation are often related to some of the following situations:

• Degree of sexual experience i.e. less experienced males will ejaculate quicker than a sexual experienced male.
• The more exciting the situation i.e. a new partner, intercourse in a not so private place, etc.
• Certain infections i.e. urethritis, prostitis, or other infections that effect the erectile bodies in the shaft of the penis.
• Time since the last climax i.e. the longer the time period since the last ejaculation, the less control a man with have on his ejaculatory response
• The more forceful or aggressive the thrusting, the sooner the male is likely to ejaculate.
• Performance anxiety i.e. the more concerned or anxious the man is in satisfying his partner the more likely he will ejaculate at a quicker rate.
• Fear associated with concerns i.e. getting discovered or caught in a sexual situation can also result in rapid ejaculatory response.
• Guilt secondary to parental or religious beliefs i.e. premarital or extramarital sex contributes to the condition.
• Concerns i.e. sexually transmitted diseases or potential pregnancy.
• Unresolved relationship issues.
• Hyperactivity of the erectile bodies surrounding the penis and increased sensitivity to vibration in the penis.

Recent research has also linked several biological causes to premature ejaculation including hyperactivity of the erectile bodies surrounding the penis and increased sensitivity to vibration in the penis. Sexual behavior is also a contributing factor. The longer the period since last ejaculating, the quicker men typically reach orgasm. Younger men tend to ejaculate more quickly than older men, suggesting that experience seems to be associated with better ejaculatory control.


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How common is premature ejaculation?

Premature ejaculation is one of the most common sexual problems affecting men. The condition affects some 37 million men, approximately 25% of men under the age of 25 and 10% of men older than 25, making it one of the most common forms of male sexual dysfunction.

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How can I prevent premature ejaculation?

Physicians' Select Climax Control Gel reduces a man's penile sensation during intercourse while increasing his ejaculatory control. The gel contains a mild topical anesthetic (5.0 percent benzocaine) that provides a temporary numbing affect on the penis. The medication may be applied to the corona or head of the penis or to the entire penis depending on the degree of ejaculatory control that is needed.

Physicians' Select Climax Control Gel  is carefully formulated to contain just enough topical anesthetic to decrease the sensitivity of the region while allowing an individual to enjoy the normal sensations of intercourse. Individuals can also control the degree of treatment or sensitivity by using the following protocol:

• Varying the amount of ointment applied: thicker application for severe cases and a lighter application for milder cases.

• Varying the regions where the ointment is applied: for severe cases the gel should be applied to the entire shaft and head of the penis, milder cases should limit the application to just the head of the penis.

• Application time: for severe cases individuals should apply the medication within five minutes of intercourse; milder case can apply the ointment up to an hour before intercourse.

Physicians' Select Climax Control Gel is specifically designed with an Aloe Vera gel base to allow the numbing effect to gradually decrease as intercourse progresses. This allows you to experience normal sensations once you have engaged in intercourse for a varying amount of time based on your application of the ointment. Physicians' Select Climax Control Gel is water based making it completely safe to use in conjunction with condoms.

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Will I become dependent on the Physicians' Select Climax Control Gel?

This is a very common question, particularly after men have used the Physicians' Select Climax Control Gel several times. After you experience the ability to sustain an erection for as long as you desire, you will most likely want to continue using the product. Secondary to the consumption of the herb, there are no ingredients in the product that would result in a physical dependence.

Most men only have to use the Physicians' Select Climax Control Gel for a brief period. The gel desensitizes the corona of the penis just enough for a man to control his ejaculatory response. Once he becomes accustomed to controlling this response he can use less of the ointment until finally it is no longer needed.


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Is Physicians' Select Climax Control  Gel safe?

The Physicians' Select Climax Control Gel is concentrated in a local region via the transdermal application process. Only a very small fraction of the gel is absorbed into the systemic system making the gel one of safest treatment options for premature ejaculation.

Physicians Select Climax Control Gel is manufactured with strict guidelines. Our facility has been in operation some seventeen plus years with the manufacturing of dietary supplements, natural foods, personal health care products and over the counter medications. We are one of the few manufacturing facilities that adhere to the following criteria:our facility adheres to the following:

• Registered by the Federal Drug Administration (FDA).

• Fully licensed by the State of Florida Agricultural department

• Manufacturer policies and quality assurance/quality assessment protocols strictly adhered to the good manufacturing (GMP) guidelines set forth by the FDA.

• All raw materials are tested for authenticity by our in-house laboratory prior to the use in any of our products

• The manufacturing area is designed to facilitate the operation from the time of receipt of raw materials to the time of shipping of the finished product. The areas are organized in a manner to prevent confusion, mis-labeling or contamination of raw materials.

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Can I use Physicians' Select Climax Control Gel as a lubricant for sexual intercourse?

The gel should only be applied to the penis per the instructions. Our physicians do no recommend using the product as a lubricant.

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Should Physicians' Select Climax Control Gel cause a burning sensation?

No, there is such a small percentage of the active ingredient, 5.0 percent benzocaine, that there should be no burning or irritation associated with the use of the product. Yet, if there is any compromise to the skin where the ointment is being applied, an individual may experience a burning sensation.


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Can a condom be used with Physicians' Select Climax Control Gel?

Physicians Select Climax Control Gel is water based making it completely safe to use in conjunction with condoms. Complications with condoms are usually secondary to petroleum based products.

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How should the Physicians' Select Climax Control Gel be applied?

Physicians' Select Climax Control Gel is carefully formulated to contain just enough topical anesthetic to decrease the sensitivity of the region while allowing an individual to enjoy the normal sensations of intercourse. Individuals can also control the degree of treatment or sensitivity by using the following protocol:

• Varying the amount of ointment applied - thicker application for severe cases and a lighter application for milder cases.

• Varying the regions where the ointment is applied - for severe cases the ointment should be applied to the entire shaft and head of the penis, milder cases should limit the application to just the head of the penis.

• Application time - for severe cases individuals should apply the medication within five minutes of intercourse; milder case can apply the ointment up to an hour before intercourse.

Physicians' Select Climax Control Gel is specifically designed with an Aloe Vera gel base to allow the numbing effect to gradually decrease as intercourse progresses. This allows you to experience normal sensations once you have engaged in intercourse for a varying amount of time based on your application of the ointment.

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Are there other methods to prevent premature ejaculation?

Yes, there are several alternative treatment options to treating premature ejaculation including the following:

• Squeeze technique - involves stimulating yourself until the the near point of no return and then squeezing the penis just below the glans for 20-30 seconds until the feeling subsides. This exercise is repeated either by oneself or with a partner until an individual learns to control his ejaculatory response.

• Sexual position - sexual positions can affect a man's ability to control his ejaculation. Men should be positioned on their back with little or no movement to allow their partner to control the intercourse from the top. In this position the male is more relaxed, and he can guide his partner with less stress.

• Biofeedback treatment - biofeedback treatment enables a man to become aware of the muscles that control ejaculation and relax them. Biofeedback uses a device that is placed in the rectum in conjunction with a home teaching monitor that allows individuals to learn how to better control their ejaculatory response.

• Drug therapy - low dose antidepressants including selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac), paroxetine (Paxil) or sertraline (Zoloft); and tricyclic antidepressants, such as clomipramine (Anafranil) have shown to improve premature ejaculation control. Though, another side effect of the medication is impotence. Thus, delay in the ejaculatory response is not going to be beneficial if an individual cannot achieve an erection. It should also be mentioned that these medications are not approved by the FDA for treatment of premature ejaculation.

• Viagra - the medication can dramatically shorten the recovery stage, the period of time between erections. Following climax each male has a certain amount of time before he can achieve another erection; therefore, individuals taking Viagra can achieve a second erection quicker. The second erection is usually firmer secondary to the mechanism of action of Viagra, which allows more blood to engorge the penis.

• Condoms - many individuals report some success when applying 1-2 condoms to decrease sensitivity. Condoms may help (and should be worn to promote safe sex), but, often in a long-term monogamous relationship, condoms may prove to be a nuisance unless being worn for contraceptive purposes.

• Sexual therapist - treatments for rapid ejaculation or any other sexual problem may need to be addressed by a trained sexual therapist, psychologist, and/or psychiatrist. Certified sex therapists are available to help men and/or couples work on this problem. You can call AASECT, the American Association of Sex Educators, Counselors and Therapists, at (319) 895-8407 for a referral to someone in your area, or visit their web site: www.aasect.org

  (for more detailed information concerning the treatment of premature ejaculation (click here) 

Please Note: Our physicians and staff recommend for the best results to combine the Masters and Johnson Squeeze Technique with the Physicians Select Climax Control Gel. Clinical studies have shown a success rate between 96-98% when men follow the instructions and guidelines presented with the gel.


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Does Physicians' Select Herbal Supplements come with any type of guarantee?

All our products are 100% guaranteed to meet all of your expectations.

"You can buy with confidence, knowing that if you're not completely satisfied with your order when it arrives, you can return it for a prompt exchange or refund of the product price. Consider it our way of saying thank you for your support."

We have based our business on the belief that the measure of a company is the way they treat their customers combined with the product they deliver. So with every order, we make this promise to you - the best quality, the best value, the best service. Guaranteed.

Physicians' Select Herbal Supplements are developed by a team of healthcare professionals including physicians, pharmacists, nutritionists, PhD's, chemists and herbal specialist who are very proud of their products. Careful research and development was put forth so each herbal supplement would contain the ingredients that would be most beneficial to the large diversity of individuals who consume our products. Our staff realizes that each individual is unique and a host of other factors can contribute to the effectiveness of our supplements i.e. preexisting medical conditions, psychological issues, individual metabolism, etc. Therefore, it would be unrealistic to think that our supplements are going to improve the quality of life for 100% of our clients. This is why we offer our guarantee to you the consumer who has entrusted us with your health.

If the product does not provide the results you anticipated please feel free to return the unused portion of the product for a full refund of the purchase price. Please include a brief note regarding why the product was not beneficial. Our staff reviews the data from all returned items so we can continue to develop and improve our herbal supplement line.


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Can I Purchase Physicians' Select Climax Control Gel in the local retail stores?

Currently, Physicians' Select Climax Control Gel is only available online or via our toll free number. In the near future as the product generates more excitement, it should be available in your local GNC nutrition stores.

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Once I order how long before I receive the Physicians' Select Climax Control Gel?

All orders are shipped the same day they are received, most orders arrive within 2-3 business days (U.S. orders). International orders please allow 5-7 business days.

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Are the orders shipped in a discreet packaging?

Yes, all orders are shipped in discreet packaging with no hint of the contents.

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How will my credit card be billed, under what company name?

All purchases are billed under the corporate name Physicians' Select Herbal Supplements.

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I do not have a credit card may I pay with a check or money order?

Yes, we welcome payment via check or money order. The instructions are listed on the order form.

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How secure is it to order online, will my personal information be protected?

We use the utmost precautions to protect our users' personal information and to store it securely. Sensitive information is encrypted and transmitted to us securely online. Physicians' Select has the latest technology to ensure a secure ordering process. All information provided during the order process is routed behind a secure "firewall". The information is encrypted at your browser and sent via the Hyper Text Transport Protocol to ensure security.

When an individual places an order on the secure pages the website address changes from the normal http://www.physiciansselect.co.uk protocol to the https://www.physiciansselect.co.uk signifying that all information provided on the page is protected by the Secure Locket Layer (SSL).

In addition, access to all of our users' information, not just the sensitive information mentioned previously, is restricted. Only employees who need the information to perform a specific job i.e. a billing representative would be granted access to your credit card information to process the order. Finally, the servers on which we store personally identifiable information are kept in a secure environment to prevent misuse of the information.

We guarantee that you can use your credit card securely while shopping at www.physiciansselect.co.uk  In the unlikely event of an unauthorized use of your credit card at our website we will reimburse you if you properly notify your bank or credit card company and they do not cover all charges. Under the Fair Credit Billing Act, your bank cannot hold you liable for any charges over $50.00 accrued because of unauthorized use of your credit card. If your bank does hold you liable for any portion of the $50.00, www.physiciansselect.co.uk. will reimburse you up to $50.00, provided that the unauthorized use of your credit card resulted through no fault of your own while ordering from www.physiciansselect.co.uk and using our secure ordering pages.

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How should Physicians' Select Climax Control Gel be stored?

The product should be stored out of the reach of children and at room temperature away from direct sunlight. Do not store prescription medications or herbal supplements in or near your bathroom. The humidity generated by the shower can often decrease the shelf life of the medication or supplement. Remember, the most common cause of any supplement not meeting the expectations of the user is noncompliance or failure to take the supplement as prescribed. Hence, individuals should strive to have the supplement in a place or places where they will remember to take the supplement.

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Please note: The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist, or other healthcare professional. The information should not be construed to indicate that the use of the product is appropriate, safe, or effective for each individual's use. Individuals should consult their healthcare professional prior taking any new product.