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Merced, California: Should You Try Botox for Premature Ejaculation?

John T. Melvin 4966 Freed Drive Merced, CA 95340

If premature ejaculation (PE) is haunting your sex life, you may be searching for any solution science can offer — but are you ready to inject Botox down there? Bottom line: It's probably not safe.

Yes, studies are showing that injecting Botox — the same stuff people use for their wrinkles and frown lines — may help with PE. “Studies have found that injecting Botox in the bulbospongiosus muscle of the penis can help delay ejaculation. The bulbospongiosus muscle is a superficial muscle which normally helps with erections, organism, and ejaculation,” says plastic surgeon Dr. David Shafer.

The mechanism of Botox is to temporarily relax muscles by disrupting the signaling between nerves and muscles where it is injected. When you use Botox on your forehead or the area around your eyes, it works to reduce surface wrinkles caused by contractions of underlying muscles. “The use of Botox for the treatment of PE would work by the same mechanism of relaxing contractions of the muscle and thus delay ejaculation,” says Dr. Shafer.

“Botox is frequently used in urology for injection into the bladder. This treats a variety of problems with bladder control, urinary frequency, and urinary incontinence," says Jonathan L. Masel, M.D., F.A.C.S., a Board Certified Urologist at the Masel Urology Center in Hollywood, Florida. (This treatment is most commonly used for older patients and those with neurological issues.)

“Premature Ejaculation is a specific sexual problem defined as reaching ejaculation quickly after vaginal penetration, usually in less than one to three minutes," says Dr. Masel. PE could stem from a variety of causes (its origins aren't completely understood) and variety of accepted treatments currently include medications, behavioral therapy, and sex counseling.

Dr. Masel cautions that as of yet, Botox is not an accepted treatment for PE at this time. “There are two published studies investigating the use of Botox to possibly treat PE by injecting it into rats and assessing their ejaculatory function. Botox does appear to prolong the time to ejaculation in rats,” says Dr. Masel.

Of course these rats were not complaining of PE, says Dr. Masel, so this isn’t the same quite yet as using the injection to treat humans. “There is one research study ongoing to accrue human subjects to investigate the use of Botox to impact ejaculatory function. There is no established treatment technique or dosage for using Botox to treat PE in humans in 2016,” says Dr. Masel who is of the opinion it would be unwise for a man to have a Botox injection to treat PE outside of a research study at this point in time. “Men should also be careful that advertised centers offering Botox injections for PE may actually be injecting something other than real Botox,” says Dr. Masel.

This isn’t the first time that Botox has been used for sexual, rather than aesthetic, reasons. Women who have issues with painful sex have been known to inject Botox into the walls of their vagina.

Still, this likely won't be a legit treatment for PE anytime soon as it's not yet an authorized on-label use for Botox. Besides, would you really want a needle stuck into your groin?

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Sinai, South Dakota: How men from Africa and Asia can easily migrate to Europe - Western Balkan route

Marcus B. Allison 4443 Hartway Street Sinai, SD 57061

The record number of migrants arriving in Greece had a direct knock-on effect on the Western Balkan route, as the people who entered the EU in Greece tried to make their way via the former Yugoslav Republic of Macedonia, Serbia into Hungary and Croatia and then towards western Europe. This led to unprecedented numbers of migrants seeking to re-enter the EU through Hungary’s borders with Serbia. After Hungary completed the construction of a fence on its border with Serbia in September, the flow of migrants shifted to Croatia. In all of 2015, the region recorded 764 000 detections of illegal border crossings by migrants, a 16-fold rise from 2014. The top-ranking nationality was Syrian, followed by Iraqis and Afghans. Earlier in the year, unprecedented numbers of Kosovo* nationals crossed the Serbian-Hungarian border illegally.

*This designation is without prejudice to positions on status, and is in line with UNSCR 1244 and the ICJ Opinion on the Kosovo declaration of independence.

Trends prior to 2015 The route became a popular passageway into the EU in 2012 when Schengen visa restrictions were relaxed for five Balkan countries – Albania, Bosnia and Herzegovina, Montenegro, Serbia and former Yugoslav Republic of Macedonia.

In 2013, some 20,000 people crossed the Hungarian border illegally. Nearly all of them applied for asylum after crossing. They were encouraged by a change to Hungarian law that allowed asylum seekers to be transferred to open holding centres, which they absconded soon after. In July, the Hungarian authorities further amended asylum legislation and strengthened their border controls. Migrant flows from Greece tailed off, but overall numbers rose dramatically again in 2014.

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