Dear Dr. Richards …

I hope you are in the best of your health . I have read the contents regarding sexual exhaustion on this site and some other sites as well. Now regarding myself, i have certain queries. I am 25 and I have been masturbating for 9 years once everyday. I have stopped doing it recently over a month now and will try to abandon it completely. But i feel different changes in my body for example my knees crackle and i have lower back pain. I also suffer from fatigue when i walk up the stairs or run. i also have some concentration problems and i feel my erection is not as hard as it was a few years before. I noticed that i do have nocturnal erections still. But sir i have stopped doing masturbation and wont continue it. Now they say that stop doing it and these symptoms will disappear … is it so ? it feels very awkward often when i sit among the people and my knees crackle every time i sit and stand.. so i need a little help …

How should i get rid of these symptoms ?
Anything for harder erections ?
Anything for long lasting erections ?
Another problem is that most of the remedies that are mentioned on different websites are not available in my country ( Pakistan ) .. so tell me something that could help me here.
And i don’t know that i suffer from premature ejaculation but how should i check it ? what is the treatment preferably natural ? ?

awaiting your reply ..
regards
Qaisar

ANSWER
There are usually several issues that have to be addressed at once. Chronic inflammation will promote a never ending cycle of inflammation through:
-Lowered acetylcholine, serotonin, dopamine, and GABA levels, which will eventually lead to internal stress and inflammatory response.
-Adrenal gland adjustments to chronically create more stress and inflammatory hormones, such as cortisol and epinephrine, at the expense of DHEA.
-Artery constriction for decreased blood flow and increased local inflammation.
-The increased levels of cortisol, prostaglandin E2, norepinephrine, epinephrine, and especially prolactin will negatively affect the levels of GnRH, LH and FSH, and together with the arterial inflammation and constriction will kill testicular function as well as hypothalamic-pituitary-adrenal-testicular axis’ proper functioning. Less androgens to modulate inflammatory response, testicular tissue health, insulin resistance, energy levels, tissue and testicular health, proper nts. and hormonal conversions, and neurotransmitters homeostasis will result in even a vicious cycle of inflammation to suppress them even further through low dopamine and chronically high prolactin levels. The over-active sexual activities will slowly drain the organism of its potential for rejuvenation.

You must transform your neuroplasticity to a positive one. The inter neuronal connections have been developed and ordered to process information in a specific manner. You may experience severe difficulties in rewriting their work to induce proper (by what you consider a proper response) responses in certain situations.
That is why just sexual activities discontinuation may not prove to be effective as far as ending the cycle of inflammation goes.

Every problem must be addressed simultaneously to avoid any negative feedback reactions. That’s why it must be a combination of products, other approach won’t be as or effective at all.
You may try positive lifestyle alterations, such as: exercise, negative ion exposure, proper diet, massages, positive attitude, and sexual activity discontinuation for 2 to 4 weeks.