For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Too fast? Overcoming a common complaint of heterosexual men
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In print
Sexual health
Too fast? Overcoming a common complaint of heterosexual men
Wednesday 11 October 2023, 12:45 AM

For cavemen, getting done with sex quickly may have increased the probability of survival [Image: Charles Knight (1920)]
Sexual health specialist Massimo Giola discusses premature ejaculation, including its investigation and management
Key points, Premature ejaculation is the most prevalent sexual dysfunction.
The majority of men self-identifying as having PE actually have a normal intravagina, Pract Green w Pale Yellow
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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References
- Salonia A, Bettocchi C, Capogrosso P. EAU Guidelines on Sexual and Reproductive Health. Arnhem, The Netherlands: European Association of Urology; 2023. tinyurl.com/EAU-sexual-health
- Sansone A, Romanelli F, Jannini EA, Lenzi A. Hormonal correlations of premature ejaculation. Endocrine 2015;49(2):333–38.
- Sansone A, Aversa A, Corona G, et al. Management of premature ejaculation: a clinical guideline from the Italian Society of Andrology and Sexual Medicine (SIAMS). J Endocrinol Invest 2021;44(5):1103–18.