Premature ejaculation (PE) is considered one of the most common sexual function disorders in men with a prevalence of 9-30% (1-5). PE is defined as ejaculation ...Best low cost: Stud 100 Male Genital Desensitizer Spray. Developed in 1970, Stud 100 spray contains the active ingredient lidocaine, 9.6%. It may help delay ejaculation in people experiencing ...Advertising on Reddit can be a great way to reach a large, engaged audience. With millions of active users and page views per month, Reddit is one of the more popular websites for ...Erectile Dysfunction / Premature Ejaculation · Marijuana / Cannabis / CBD. How we reviewed this article: Sources. Medical News Today has strict sourcing ...Premature ejaculation and erectile dysfunction are the two main reasons why men may not last as long as they would like when having sex.Premature ejaculation ( PE) is a male sexual dysfunction that occurs when a male expels semen (and most likely experiences orgasm) soon after beginning sexual activity, and …Premature ejaculation is a type of sexual dysfunction. It’s treatable in many cases. Identifying the underlying cause can help you manage this condition. Talk to a doctor if you regularly ...About community. We are prejacs. We enjoy cumming quick! This sub is dedicated to embracing premature ejaculation (PE), learning new ways to cum faster, and sharing premature loads. We see PE as something to be valued …This finally brings me to the post above, and my own anecdotal evidence. If you want to cure your premature ejaculation, mindset is great and all, but it's not going to undo years of …Alternatives to Reddit, Stumbleupon and Digg include sites like Slashdot, Delicious, Tumblr and 4chan, which provide access to user-generated content. These sites all offer their u... LPT REQUEST: How to NOT prematurely ejaculate. Train the muscle you use for holding a piss in (pelvic floor for guides). When you masturbate you can even go further, keep going while holding it, this can result in you cumming but no ejaculate gets outside. Train it regularly by holding it as strongly as you can, without using the stomach ... Some of these work for some people and not for others, i.e. one particular "pathway" may solve yours: Increase prolactin - progesterone cream. Decrease prolactin - L-DOPA, P5P, vitex, etc. All of those happen to be in a product called SNS Inhibit-P. Increase GABA - GABA, phenibut, theanine. Increase serotonin - Tryptophan, 5-HTP. Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and repeat violators will be banned. Aug 4, 2021 · Clomipramine led to a 4.05 (95% CI 3.26–5.02) fold-increase of the IELT. Paroxetine led to a 1.41 (95% CI 1.22–1.63) fold-increase of the IELT. Average estimated time to ejaculation after vaginal penetration increased to 6.1 min on 25 mg of clomipramine and to 8.4 min on 50 mg of clomipramine. Treatments for premature ejaculation vary depending on the cause and whether it is lifelong or acquired. ‘The stop-start technique’. If you feel close to ejaculating during sexual activity, stop and rest until the feeling has gone, and then start again. ‘The squeeze technique’. If you feel close to ejaculating, squeezing your penis just ...October 11 marks the start of the 2022–2023 National Hockey League (NHL) regular season. While it may seem premature to start wondering who will walk away with the Hart Trophy this...INTRODUCTION. Premature ejaculation (PE) is one of the most common male sexual dysfunction affecting around 30% of a male population [].PE can adversely affect the quality of life of the patients and his partner [].Still, it is one of the common conditions which are under-reported and under treated [].Three domains which define PE include …28 Dec 2023 ... Looking for the best delay spray to last longer during sex? Read our 2024 guide to premature ejaculation sprays.Premature ejaculation was defined as ejaculation that occurred within 2 minutes of vaginal intromission. All patients were asked to complete the AIPE before inclusion in the study. Patients scoring 31 or more were diagnosed as not having PE and were excluded, while patients scoring 30 or less were considered as having PE and were included in ...Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and repeat violators will be banned.You can still get an erection and have an orgasm. But a side effect of this surgery is dry ejaculation. The surgery can make you ejaculate backwards. This is ... Reddit, how can I overcome premature ejaculation? [NSFW] The majority of the time I cum way to quick, generally less than 5 mins of intercourse and its pretty much just start/stop. I pretty much go at it and then have the overwhelming urge to cum. Causes of Premature Ejaculation Physical Problems: Some physical conditions can contribute to PE. Premature ejaculation (PE), a common condition in men, is influenced by a variety of physical factors. Understanding these factors can provide valuable insights for men seeking to manage this condition effectively.Premature ejaculation and erectile dysfunction are the two main reasons why men may not last as long as they would like when having sex.Background: A significant number of men with opiate misuse have sexual problems. Premature ejaculation (PE) occurs predominantly on discontinuation of the ...Premature ejaculation is identified using the following criteria: Ejaculation occurs within one minute of penetration. Ejaculation cannot be controlled or delayed in …I have had this premature ejaculation problem all my life (38yrs). This is with women and I don't even last long when mbing on my own. At times I can last for 1 or 2 mins, other …Premature ejaculation can have a serious effect on both the victim and their partner. PE patients could feel inadequate, worried, or ashamed of their sexual performance. These unfavorable feelings can result in lowered self-esteem and confidence, aggravating the problem. Frustration, unhappiness, and diminished sexual satisfaction in intimate ...This is a lot. First I'd recommend you increase your physical activity and exercise every day. A 30-45-minute workout helps heal & get strong in all aspects, like nothing else. For anxiety, I'd recommend Ashwagandha, and L-theanine, they are good options. For premature ejaculation, there is no pill - you need to calm your mind …Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and …One attorney tells us that Reddit is a great site for lawyers who want to boost their business by offering legal advice to those in need. If you’re a lawyer, were you aware Reddit ...Premature ejaculation and erectile dysfunction are the two main reasons why men may not last as long as they would like when having sex.In contrast, the consistent early ejaculations of lifelong PE suggested an underlying neurobiological functional disturbance, whereas the early ejaculation of ...Premature ejaculation is a common type of sexual dysfunction among males. Benzocaine wipes may help reduce this condition. Benzocaine is a mild, topical anesthetic. Low doses of the substance may ...19 Jul 2023 ... How to prevent premature ejaculation. 6 minutes reading time 04-Mar-19. The ... I would just get in my head and have anxiety over sex cumulating in tops 15-20 strokes. My wife doesnt enjoy oral so i was stock with just poor performance, eating at my mental health. I want to say that all you read on here helps alot: kegel, reverse keagle, pelvic floor exercise... Made incremental progress with talk therapy, stretching, edging, and getting my anxiety under control. After cutting back on coffee significantly, I’ve recently went cold turkey and decided to cut it out completely. I’ve Def noticed that I’m much calmer and my anxiety is very much under control.Premature ejaculation (PE) is considered one of the most common sexual function disorders in men with a prevalence of 9-30% (1-5). PE is defined as ejaculation ...Premature ejaculation is a common complaint among men, and whilst it's nothing to be ashamed of, there are things you can do to treat it. Penis Health How to ...When it comes to HVAC system sizing, accuracy is key. A properly sized HVAC system not only ensures optimal comfort and energy efficiency but also helps prevent costly repairs and ...r/funhaus •. Hims is selling antidepressants as a solution for PE and that's a problem. TLDR:Hims prescribing Sertaline as a solution to premature ejaculation is not only ineffective but is probably dangerous. RT and FH should reconsider having Hims as a sponsor if they wish to keep their own integrity.Best low cost: Stud 100 Male Genital Desensitizer Spray. Developed in 1970, Stud 100 spray contains the active ingredient lidocaine, 9.6%. It may help delay ejaculation in people experiencing ...Sex Med 2022;10:100548. Key Words: Premature Ejaculation, Ejaculatory Control, Ejaculation Latency, Bother/Distress, Diagnosis ... reddit.com forums, or any of ...With premature ejaculation, you might feel that you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and …Edging, Premature Ejaculation, and Hard Flaccid. So around the time I started suffering from hard flaccid, I was doing a lot of edging to combat premature ejaculation I had during a somewhat stressful period. From my understanding edging is widely used method to combat pre e, whether you would do it with a …M28 Needs Advice with premature ejaculation. Pre-ejaculation M28. Hey everyone i have this issue all my life and it makes my life wors everyday and year so here we go i have pre ejaculation problems and i cum under 1 min , because of it i am afraid to have sex did someone have the same issue ? Please for some advice . ️. Vote.Everything you post on Reddit will stay on the internet forever. Sort of. Are you trying to stay anonymous on Reddit? If you’ve already tried creating burner accounts, you should c...Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and …Best low cost: Stud 100 Male Genital Desensitizer Spray. Developed in 1970, Stud 100 spray contains the active ingredient lidocaine, 9.6%. It may help delay ejaculation in people experiencing ...Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and …Feb 27, 2024 · There are many options for treating premature ejaculation (PE), including prescription and over-the-counter (OTC) medications. Examples of pills include sildenafil (Viagra) and tadalafil (Cialis). In contrast, the consistent early ejaculations of lifelong PE suggested an underlying neurobiological functional disturbance, whereas the early ejaculation of ...Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. …15 Mar 2019 ... Excessive masturbation in past may leads to the damage of nerves supplying penis. Which in future leads to quick discharge or premature ...The most important thing is to keep this BC muscle relaxed all the time. Having trained it for years you must conciously feel the muscle and keep it relaxed. Whenever you feel that its tightening or using it, relax it immediatly. Its a bit hard in the beginning, but you can make it.Aug 4, 2021 · Clomipramine led to a 4.05 (95% CI 3.26–5.02) fold-increase of the IELT. Paroxetine led to a 1.41 (95% CI 1.22–1.63) fold-increase of the IELT. Average estimated time to ejaculation after vaginal penetration increased to 6.1 min on 25 mg of clomipramine and to 8.4 min on 50 mg of clomipramine. There are many options for treating premature ejaculation (PE), including prescription and over-the-counter (OTC) medications. Examples of pills include sildenafil (Viagra) and tadalafil (Cialis).May 14, 2018 · Pamela Stephenson Connolly. I am 27 years old and have been battling premature ejaculation since I first had sex at 15. It was one of the main causes of my seven-year relationship breaking up, and ... Home remedies: pause-squeeze technique | stop-start technique | pelvic floor exercises | masturbation | abstinence. Ejaculation happens when semen is released from the penis during an orgasm ...Not so much the P.E, but it gets you hard again faster or keeps you hard after you but so all you need is a minute or two to recover and you're back in the game. 4.1K subscribers in the BluechewReviews community. A place to ask question and find answers about BlueChew. Get inspired, educated and guided to take….May 14, 2018 · Pamela Stephenson Connolly. I am 27 years old and have been battling premature ejaculation since I first had sex at 15. It was one of the main causes of my seven-year relationship breaking up, and ... Hey man, I’ve been on paroxetine on and off (mostly on) for the last 9 years or so for social anxiety and premature ejaculation. It definitely helps with PE. I did notice my erections were not quite as erect, but they were still solid lol. Whenever I get off the drug I go back to cumming too soon so I’ve never had permanent defects. Erectile Dysfunction / Premature Ejaculation · Marijuana / Cannabis / CBD. How we reviewed this article: Sources. Medical News Today has strict sourcing ...Since I spent a lot of time answering the other post on this sub about how I overcame my ED issues I thought I would make a separate post to share what I did/what worked for me: For me, it was totally psychological. I would have to credit my ex for helping me get over it. I didn't have any experience talking to women and we met in a class back ...The Cowper’s glad, also known as the bulbourethral gland is responsible for producing pre-ejaculate fluid in the male reproductive system, as noted by Healthline. The purpose of th...FYI I was prescribed Paroxetine for premature ejaculation, It is the reason why I'm in this forum, while it did help my PE, it caused my libido to be reduced to almost 0, and caused problems with erections. Do not use it. Years ago, I had some success in that department with cordyceps and/or sulbutiamine.Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and repeat violators will be banned.Premature ejaculation (PE) is a common male sexual disorder. Recent normative data suggest that men with an intravaginal ejaculatory latency time (IELT) of ...22 Feb 2023 ... PE is broadly defined as when semen leaves the body (ejaculate) sooner than wanted during sex. The exact prevalence of PE in various populations ... Reddit, how can I overcome premature ejaculation? [NSFW] The majority of the time I cum way to quick, generally less than 5 mins of intercourse and its pretty much just start/stop. I pretty much go at it and then have the overwhelming urge to cum. Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and repeat violators will be banned.Last Updated: May 2, 2023 Approved. Premature ejaculation occurs when a man orgasms during sex sooner than he or his partner would like. Criteria for diagnosing this condition …r/PrematureEjaculation. •. Lehmann87. I finally overcame PE. I'm 21, in my first experience I lasted 20 sec, or much less I would say. The second time, a few months later I lasted like …Premature Ejaculation *Triad* of Symptoms. Premature ejaculation is NOT just ejaculating early. I've been living in this hell for over 3 years, and I believe PE is an underrated problem in the PSSD community. It has 100% completely ruined my sex life, and I had a great sex life beforehand, so I have a lot to compare it to.Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and repeat violators will be banned.Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and …Medications that are swallowed or applied to the skin can delay ejaculation by a few minutes. These treatments are considered if premature ejaculation has become a major problem. Both types of medication can have side effects too. Some men already have an orgasm before penetration or shortly afterwards. If this happens almost all the time … Hey man, I’ve been on paroxetine on and off (mostly on) for the last 9 years or so for social anxiety and premature ejaculation. It definitely helps with PE. I did notice my erections were not quite as erect, but they were still solid lol. Whenever I get off the drug I go back to cumming too soon so I’ve never had permanent defects. The Cowper’s glad, also known as the bulbourethral gland is responsible for producing pre-ejaculate fluid in the male reproductive system, as noted by Healthline. The purpose of th...Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and repeat violators will be banned.1. Biofeedback is a process to retrain your brain and is used in a few different therapeutic areas. When it comes to premature ejaculation, biofeedback involves …Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and …The increase in duration/IELT with Paxil is however more compared to zoloft - an increase of around 8-fold compared to 4-6 fold with zoloft. SSRIs are known to cause "prozac poop-out", where the same medication often stops working over time. Paroxetine should in theory have a bigger effect on increasing how long you last, …Learn about what causes premature ejaculation (PE) and how to get PE treatments. We researched how PE pills work and compared the best treatments.HIMS promote a few things, like desensitising sprays and wipes etc. but they also promote sertraline orally. And that is the only HIMS promoted item that could cause sleepiness. And yes, sertraline is the generic name for ZOLOFT. Woah I had no idea. Yea that’ll help dull your Dick, and entire life.Extremely premature after Sertraline. I had to take Sertraline for a while, but since getting off it, I am extremely premature. I was premature before but now I am ejaculating sometimes even before intercourse (or 10-20 seconds max). Anyone else have similar experiences?Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and …Not a supplement, but if you’re depressed you should look into taking sertraline, it’s an anti depressant but it’s known to make it harder for people to orgasm, so could fix 2 in 1. 2. Share. Green-Ad7694. • 2 yr. ago.17 Feb 2022 ... Condoms for lasting longer and premature ejaculation may be thicker or contain desensitizing ingredients such as benzocaine.This finally brings me to the post above, and my own anecdotal evidence. If you want to cure your premature ejaculation, mindset is great and all, but it's not going to undo years of …Best low cost: Stud 100 Male Genital Desensitizer Spray. Developed in 1970, Stud 100 spray contains the active ingredient lidocaine, 9.6%. It may help delay ejaculation in people experiencing ...
15 Mar 2019 ... Excessive masturbation in past may leads to the damage of nerves supplying penis. Which in future leads to quick discharge or premature ...This finally brings me to the post above, and my own anecdotal evidence. If you want to cure your premature ejaculation, mindset is great and all, but it's not going to undo years of …Real estate is often portrayed as a glamorous profession. Real estate agents, clients and colleagues have posted some hilarious stories on Reddit filled with all the juicy details ...9 practical tips on how to cure PE for real. Conditioning. Accept that you can't fix it today. It will take 3 - 12 months minimum. Stretch your pelvic floor. It's too tight and you need to get rid of the tension. The extended child's pose is effective. Also, download the app "Splits Training" and do the program every morning.Overview. What is premature ejaculation? Premature ejaculation is a type of sexual dysfunction that occurs when a man has an orgasm and releases (ejaculates) …Premature ejaculation (PE) is a common male sexual disorder. Recent normative data suggest that men with an intravaginal ejaculatory latency time (IELT) of ...
Overview. What is premature ejaculation? Premature ejaculation is a type of sexual dysfunction that occurs when a man has an orgasm and releases (ejaculates) …There are various techniques that men can use to try to gain more control over ejaculation. But there's no good-quality research on how effective these techniques are. Many people develop their own techniques as well. Some men reach orgasm before penetration – or right afterwards. If that happens almost every time and it becomes a …Sex Med 2022;10:100548. Key Words: Premature Ejaculation, Ejaculatory Control, Ejaculation Latency, Bother/Distress, Diagnosis ... reddit.com forums, or any of ...When it comes to HVAC system sizing, accuracy is key. A properly sized HVAC system not only ensures optimal comfort and energy efficiency but also helps prevent costly repairs and ...This feels like if you are dropping your pelvic muscle down. Before jacking off, try to relax yourself, listen to a music that you like so much and try to enjoy the music so your body feels relaxed. Try to get hard and rub your tip of dick and glans for 5 minutes, if you reach PONR before 5 minutes, then stop stimulating your dick and …Cum increased like reddit said with the bonus of firmness before and after ejaculation. Reviewed in the United States on May 8, 2016. Size: 120 Count (Pack of ... Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and repeat violators will be banned. After 2-4 weeks you will feel the full effects. Since you said that your sexual activity is infrequent i think you should try to take it on demand 3 hours before sex. To find the perfect dosage take it before masturbation and try a few times. Also if sertraline doesn’t work for you search for escitalopram or paroxetine.Premature ejaculation is a common complaint among men, and whilst it's nothing to be ashamed of, there are things you can do to treat it. Penis Health How to ...14 Jan 2024 ... Sexologists in Chennai treating ...
Mkyqqfny – “Premature ejaculation reddit”
Gold chain necklace for menIn contrast, the consistent early ejaculations of lifelong PE suggested an underlying neurobiological functional disturbance, whereas the early ejaculation of ...Everything you post on Reddit will stay on the internet forever. Sort of. Are you trying to stay anonymous on Reddit? If you’ve already tried creating burner accounts, you should c...
HIMS promote a few things, like desensitising sprays and wipes etc. but they also promote sertraline orally. And that is the only HIMS promoted item that could cause sleepiness. And yes, sertraline is the generic name for ZOLOFT. Woah I had no idea. Yea that’ll help dull your Dick, and entire life.HIMS promote a few things, like desensitising sprays and wipes etc. but they also promote sertraline orally. And that is the only HIMS promoted item that could cause sleepiness. And yes, sertraline is the generic name for ZOLOFT. Woah I had no idea. Yea that’ll help dull your Dick, and entire life.Premature ejaculation was defined as ejaculation that occurred within 2 minutes of vaginal intromission. All patients were asked to complete the AIPE before inclusion in the study. Patients scoring 31 or more were diagnosed as not having PE and were excluded, while patients scoring 30 or less were considered as having PE and were included in ...To perform penis-root masturbation, place both thumbs near the base of your penis and rub both in a circular motion or up and down. You need to continue the motion until you are just about to ...Home remedies: pause-squeeze technique | stop-start technique | pelvic floor exercises | masturbation | abstinence. Ejaculation happens when semen is released from the penis during an orgasm ... LPT REQUEST: How to NOT prematurely ejaculate. Train the muscle you use for holding a piss in (pelvic floor for guides). When you masturbate you can even go further, keep going while holding it, this can result in you cumming but no ejaculate gets outside. Train it regularly by holding it as strongly as you can, without using the stomach ... Develop awareness of psychological and behavioral techniques to manage premature ejaculation and to reprogram your subconscious mind for lasting control. You are also … r/funhaus •. Hims is selling antidepressants as a solution for PE and that's a problem. TLDR:Hims prescribing Sertaline as a solution to premature ejaculation is not only ineffective but is probably dangerous. RT and FH should reconsider having Hims as a sponsor if they wish to keep their own integrity. INTRODUCTION. Premature ejaculation (PE) is one of the most common male sexual dysfunction affecting around 30% of a male population [].PE can adversely affect the quality of life of the patients and his partner [].Still, it is one of the common conditions which are under-reported and under treated [].Three domains which define PE include …Dec 22, 2023 · Certain minerals may help with premature ejaculation. These include: 1. Zinc. There may be a link between supplements such as zinc and sexual dysfunction. Zinc may play a role in male fertility.
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Things to do new braunfelsLearn about what causes premature ejaculation (PE) and how to get PE treatments. We researched how PE pills work and compared the best treatments.I have had this premature ejaculation problem all my life (38yrs). This is with women and I don't even last long when mbing on my own. At times I can last for 1 or 2 mins, other …With premature ejaculation, you might feel that you lose some of the closeness shared with a sexual partner. You might feel angry, ashamed and upset, and …Cum increased like reddit said with the bonus of firmness before and after ejaculation. Reviewed in the United States on May 8, 2016. Size: 120 Count (Pack of ...There are various techniques that men can use to try to gain more control over ejaculation. But there's no good-quality research on how effective these techniques are. Many people develop their own techniques as well. Some men reach orgasm before penetration – or right afterwards. If that happens almost every time and it becomes a …Pamela Stephenson Connolly. Mon 14 May 2018 03.00 EDT. I am 27 years old and have been battling premature ejaculation since I first had sex at 15. It was one …Sort by: Add a Comment. The__Primordial. • 3 mo. ago. Go on hard mode nofap, cold turkey for 30 days. You will be able to control ejaculation for atleast 10-15 mins. r/NoFap.Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and …Feb 27, 2024 · To perform penis-root masturbation, place both thumbs near the base of your penis and rub both in a circular motion or up and down. You need to continue the motion until you are just about to ... 1. Biofeedback is a process to retrain your brain and is used in a few different therapeutic areas. When it comes to premature ejaculation, biofeedback involves …Posts in this sub should be related to Premature Ejaculation for any gender including treatment, user experiences, questions, and advice. No soliciting or personal ads. Violating posts will be deleted without notification and repeat violators will be banned.Best low cost: Stud 100 Male Genital Desensitizer Spray. Developed in 1970, Stud 100 spray contains the active ingredient lidocaine, 9.6%. It may help delay ejaculation in people experiencing ...Erectile dysfunction and premature ejaculation frequently co-exist, as men with erectile dysfunction might try to ejaculate early, before loss of erection. Thus ...Dec 22, 2023 · Certain minerals may help with premature ejaculation. These include: 1. Zinc. There may be a link between supplements such as zinc and sexual dysfunction. Zinc may play a role in male fertility. .