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New Zealand Men’s Clinic concentrates in the successful treatment for Erectile Dysfunction (ED), Premature Ejaculation (PE), Low Sex Drive, and any performance anxiety related to these problems. Our staff are approachable and knowledgeable and will go out of their way to make sure that you feel comfortable and at ease when discussing your situation.
Our patients are from all walks of life and all ends of the age spectrum, 18 years old and the oldest being 93 years old. We have builders, lawyers, teachers, IT managers, doctors and taxi drivers just to name a few. While working at Men's Clinic, Dr Paltridge has volunteered for the North Shore Hospice assessing and managing patients. Dr Paltridge has had special interest in Men's Health since 1999, and has trained all our medical staff. New Zealand Men's Clinic is located in in Auckland, Wellington and Christchurch and has assisted over 40,000 New Zealand males since 1995. Most men will experience some form of erectile dysfunction at some point during their lives, whether it's achieving or maintaining an erection: international data shows that more than 50% of men over the age of 40 do. New Zealand Men's Clinic concentrates in helping men regain sexual satisfaction with a comprehensive range of highly effective treatments. Read on and browse for information about erectile dysfunction and how New Zealand Men's Clinic can help. By doctors checking your blood levels and symptoms for testosterone deficiency and treating it, this may eliminate many of your problems. The most significant hormone imbalance in ageing men is a decrease in free testosterone while estrogen levels remain the same or precipitously increase. In some men, the testes lose their ability to produce testosterone, no matter how much LH is being produced. If serum (blood) testosterone levels are very low, it is important to diagnose the cause, but no matter what the underlying problem, therapies exist today to safely restore testosterone levels in men once they have had a medical check.
Patients on testosterone replacement therapy should be monitored to ensure that testosterone levels are within normal ranges. We prescribe the shorter acting testosterones such as Sustanon, Enantiate, Cypionate along with the longer lasting (+-10 weeks) Reandron.
Testosterone cream contains 10% testosterone, and provides continuous transdermal delivery of testosterone for 24 hour following a single application. The recommended starting dose of testosterone cream 10% is one gram (to deliver 100 mg of testosterone) applied once daily (preferably in the morning) to clean, dry, intact skin. After a few weeks of daily application, a relatively steady state blood testosterone level is generally attained.
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Online Test Erectile DysfunctionThis is a validated questionnaire to help identify men who have a problem with Erectile Dysfunction.
The IIEF-5 (International Index of Erectile Function-5) is an international questionnaire for identifying Erectile Dysfunction. 27 May 2012 by Heiko Lade 8 Comments Forward by Heiko Lade May 2012: Will Maclean has written a number of books on TCM including the 3 volume series Clinical Handbook of Internal Medicine and has presented at many seminars throughout the world. As may be judged by the success of Viagra and the increasingly numerous advertisements for various pills, potions and lotions designed to enhance male sexual performance, all is not well in the bedchambers of the world. In TCM terms, the ability to get and sustain an erection (and reproduce and desire to reproduce) is primarily the responsibility of the Kidney and the Liver. Male sexual function depends not only on sound physiological health but also on the psychological state.
There are five major patterns of male sexual dysfunction, each with characteristic etiology and clinical features.
When Damp Heat accumulates in the pelvic basin, it ‘steams and softens’ the local structures, here the penis.
Damp Heat pathogens may occasionally be latent, that is, their manifestations are so muted as to be un-noticed.
This type of male sexual dysfunction is typically found in men stressed by overwork or facing the emotional conflicts of a midlife crisis.
The solution is to alleviate stress levels with relaxation, exercise, meditation or a change of circumstance.
Kidney deficiency is an important cause of erectile dysfunction, loss of libido and male infertility, and can involve jing, yang, yin or a combination thereof.
Of the two main types of Kidney weakness, yang and yin, a tendency to yang deficiency is generally more common.
Kidney yang is the basis of the ‘Fire of desire’ and the mechanical power to lift an erection in the first place. An additional feature to consider in patients with yang deficiency is the impact on the digestive process. Patients tending to yin deficiency often go off ‘half cocked’, and tend to suffer premature ejaculation. Kidney yin is damaged through overwork (especially while under stress), repeated late nights, shift work and insufficient sleep.
This pattern is typically found in patients with anxiety states, performance anxiety and a general tendency to nervousness and timidity.
Patients of this type will sometimes be on restrictive diets, or be consuming insufficient protein to replenish Blood. About Heiko LadeHi, I'm Heiko Lade - qualified acupuncturist at The Acupuncture Clinic in Hastings, New Zealand. During my course of treatment for ED, I have just been prescribed Zuo Jin Wan as the next phase of treatment. I suggest you consult with a registered practitioner of Chinese herbal medicine and have a thorough diagnosis and treatment course. Our staff are trained to provide patients with the best and latest treatment options available.
Paltridge has considerable experience in the treatment of Erectile Dysfunction and Premature Ejaculation, he devotes most of his time to this type of medicine. Paltridge see a large number of male patients weekly and while each case is treated individually the patient benefits from knowledge of over 12 years in this area of medicine that has helped prior patients to regain a sex life. Paltridge worked as an army doctor prior to joining Men's Clinic therefore he understands issues surrounding men. Periodically work has also been completed in Accident and Emergency at both the North Shore Hospital and private clinics. He is available to discuss any concerns you might have about your condition, and all our treatments are available immediately once they are prescribed. What’s more, most men can easily and successfully regain sexual fulfillment in a short space of time with the right treatment. As men age past thirty-five, hormonal changes occur that perceptibly inhibit physical, sexual, and cognitive function. Through a variety of mechanisms, as men grow older, they suffer from the dual effects of having too little testosterone and excess estrogen. When the hypothalamus detects a deficiency of testosterone in the blood, it secretes a hormone called gonadotrophin which releases hormone to the pituitary gland. This type of testosterone deficiency is diagnosed when blood tests show high levels of LH and low levels of testosterone. There are testosterone receptor sites in cells throughout the body, most notably in the brain and heart. The physician prescribing testosterone replacement should evaluate any changes in the clinical symptoms and signs of testosterone deficiency.
It provides a non-invasive method of application along with a consistent level of testosterone absorption.
Though twice-a-day application offers more consistent testosterone blood levels, many feel that using it once a day delivers a more natural effect. An occasional failed erection is a normal occurrence and usually does not require treatment.

The company completed its initial public offering in July, and it does not have any approved drugs.
Please select the response that best represents your answer for each of the questions below. These questions ask about the effects your erection problems have had on your sex life, over the past 4 weeks. When you had erections with sexual stimulation, how often were your erections hard enough for penetration (entering your partner)? During sexual intercourse, how often were you able to maintain your erection after you had penetrated your partner? During sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
Male sexual dysfunction incorporates a variety of performance and erectile difficulties, from premature ejaculation, loss of libido, inability to sustain an erection to complete inability to get an erection at all. Kidney yang controls the functional aspect of an erection and Kidney jing the ability to reproduce, while the Liver channel passes through the external genitals.
Thus, the emotional aspects of the Heart, Liver and Kidney systems can all influence sexual ability. Damp Heat tends occur as a result of diet, typically an excess of rich food and especially alcohol, or may follow an unresolved or sub acute direct transmission of Damp Heat from a sexual partner. In addition to appropriate changes in diet, there are a couple of formulae that will assist.
This commonly occurs in sexually active men who are in repeated contact with a low level pathogen.
The best formula to achieve this is Xue Fu Zhu Yu Wan, an excellent broad acting general Blood stagnation eliminator. Depending on the tendency to yin or yang deficiency the manifestations and solutions are quite different. Because yin and yang are so intimately associated however, deficiency of one invariable involves a degree of deficiency of the other.
My favorite, and one suitable for most mild and relatively uncomplicated cases is You Gui Wan. In many cases Spleen yang will be weakened and the patient may find the Kidney tonic formulae difficult to digest leading to poor compliance.
This is because of the general over stimulation that occurs as a result of the deficient Heat in the system. Yin is also consumed by severe febrile diseases, insufficient hydration and, significantly, drug use.
As a subgroup of qi and Blood deficiency, patients with this pattern tend to be run down, pale and prone to physical and mental fatigue. These patients usually benefit from some type of psychotherapy as there is often a relevant event or history that needs to be explored and untangled. They may need to eat more high quality protein (best in meat), in addition to the above-mentioned therapies. If you would like to make an appointment for a consultation and treatment, please contact me. All people are individuals and hence different and therefore require different personalized herbal prescriptions. He qualified at Auckland Medical School with a post-graduate diploma in Occupational Medicine.
The average male in his forty’s has only 33% to 50% of the level of androgen (testosterone) he had in his twenties. This prompts the pituitary to secrete luteinizing hormone (LH) which then prompts the leydig cells in the testes to produce testosterone. In other words, the pituitary gland is telling the testes (by secreting LH) to produce testosterone, but the testes have lost their functional ability, so the pituitary gland vainly continues to secrete LH because there is not enough testosterone in the blood to provide a feedback mechanism that would tell the pituitary to shut down. Youthful protein synthesis for maintaining muscle mass and bone formation requires testosterone. A daily application of Testosterone Cream delivers 100mg of testosterone per gram, per day, to the skin's surface.
This application occurs first thing in the morning to mimic the body's normal early morning rise in testosterone.
Erectile dysfunction may develop with increasing age and occurs in a number of medical conditions, such as hypertension, heart disease and diabetes. The modern thinking on these issues tends to focus on the mechanical and hydraulic aspects of the erection process, in particular the integrity of penile macro and microcirculation. Weakness of the Kidney reduces the physiological ‘Fire of desire’, while stagnation of Liver qi reduces the physical ability.
Specifically, mental stress can obstruct the flow of Liver qi, which can have a very direct and dismal affect on the functioning of the ‘ancestral Tendon of the Liver’ (as the penis is sometimes known). In young men with sexual dysfunction, anxiety states, directly transmitted Damp Heat and the negative effects of drug use or abuse predominate.
In both cases the features are similar and include an inability to get or maintain a full erection, excessive sweating around the scrotum and groin, and itching or pain in the genitals, heaviness and aching in the lower limbs, lethargy and afternoon fatigue, a greasy yellow posterior tongue coat and a slippery or soft pulse. The Damp Heat goes unrecognized, but its prolonged presence in the pelvic basin causes a gradual change in the tissues of this area, in this case the prostate gland. It is also seen in younger men or adolescents overwrought with sexual anxiety or frustration. This is especially useful when there is a degree of Blood deficiency, a common complicating feature.
In almost all cases where Blood stagnation is the main cause, the Blood stagnation is a systemic problem, not simply isolated in the penis.
Treatment is lengthy, with a minimum of 6-9 months required to effect change, and often longer for a solid result.
The Kidneys, being the basis of constitutional health and the ability to reproduce have received a great deal of attention over the centuries. This well-balanced formula is also suitable for general maintenance of healthy Kidney function for otherwise healthy men over forty. In such cases, a small dose (half to one third) of Li Zhong Wan in addition to the primary formula, will usually overcome this problem.
They may also find erections relatively easy to achieve but difficult to maintain, as there is little in the way of a foundation of Kidney energy for a persistent erection.
Stimulant drugs, such as cannabis, amphetamines, ecstasy and cocaine, seriously plunder and exhaust the yin. The most important changes are more sleep, a yin nourishing diet, changes to work practice and less ejaculation. The first sign the practitioner notes is often the clammy palm observed upon shaking hands. Chinese medicine provided an invaluable physiological support to this process by supplementing the foundations of a healthy mental and physical response, the qi and Blood. We treat each patient with care and confidentiality - you can relax in our clinic and enjoy your one-on-one consultation in a comfortable private setting. This decline in testosterone plays an important role in a series of signs and symptoms that accompany the ageing process, such as a decline in virility, libido, sexual activity, muscle mass, strength and bone mass (osteoporosis) as well as an increase in abdominal fat. In other cases, the hypothalamus or pituitary gland fail to produce sufficient amounts of LH, thus preventing a healthy pair of testes from secreting testosterone.
Testosterone improves oxygen uptake throughout the body, helps control blood sugar, regulate cholesterol, and maintain immune surveillance. Testosterone Cream is designed to release testosterone in a varying level, over a 24 hours period. Application to areas of the skin that have a layer of fat under them will slow the release of the testosterone so that blood levels are maintained longer.
After prostate, bladder and bowel surgery it is not uncommon to develop erectile dysfunction and the sooner it is treated, the better the outcome. While your experiences may change from time to time, what we need to know is your general experience with intercourse.
While unquestionably important and effective for many men, the pharmacological focus on the penis neglects the systemic aspects of erectile dysfunction. Anxiety and extremes of emotion, which destabilize the Heart and the shen, can also play havoc with the ability to achieve and maintain an erection.
In the thirties and forties, the stresses of life and mortgage payments contribute to Liver dysfunction and qi stagnation.
When direct transmission of Damp Heat is responsible, there may be an occasional mucopurulent discharge from the urethra, or a history of genital herpes. When the Heat is predominant, there will be clear signs of Heat and inflammation, such as redness in the genital area, red complexion, deep yellow tongue coat, irritability and restlessness at night. Eventually there may be a vague perineal discomfort or urinary disturbance, or erectile difficulties.

The poor distribution of qi and Blood is especially notes in the extremities, here the penis, which does not receive its necessary share.
For younger or more robust patients with little or no deficiency, Chai Hu Shu Gan Wan works well.
Modern pharmacological support may be used to enhance erections in the short term, but gradually patients find they begin to have spontaneous erections, have firmer erections or wake with erections in the morning. In China many men, especially over the age of forty, routinely take a Kidney supplementing formula of some type to maintain health and longevity.
Chinese medicine provides excellent solutions to all of these weaknesses, when combined with appropriate lifestyle measures. This is often the first sign of incipient yang deficiency, in the absence of other contributing factors, such as boredom. There may be frequent desire for sex but an inability to initiate or maintain an erection, or there may be erotic dreams with spontaneous emission. Inappropriate use of hot natured yang tonic herbs to improve sexual performance, such as red ginseng and deer horn, can also damage Kidney yin.
There are several variations of herbal support for Kidney yin, and these are based on the accompanying signs and symptoms. The patient may complain of inability to get or maintain an erection or to quickly lose an erection upon encounter with a sexual partner. Partners are welcome to attend the consultation, although we won't phone you or leave any messages if you specifically request that you are the only one to be contacted. A decrease in the feeling of general well-being sometimes manifests as depression, a common psychological complication of hormonal imbalance. Blood testing can determine if sufficient amounts of LH are being secreted by the pituitary gland and help determine the proper therapeutic approach. The body requires testosterone to maintain youthful cardiac output and neurological function. This is to mimic the natural (uneven) pattern of a healthy young man, with peaks and lows throughout the duration producing circulating testosterone concentrations that approximate normal levels. It is also recommended that the sites of application around the body be rotated so that optimal absorption is maintained. No fewer words can be used to best describe the man best known for his one liners; Arnold Schwarzenegger.
Over time, the effectiveness of modern pharmacological treatments diminishes, or becomes inconvenient, and the patients underlying condition continues to deteriorate.
As the forties progress into the fifties and beyond, Kidney deficiency states and Blood stagnation begin to become the main aspects.
Because of the chronicity of this problem and the congesting nature of Damp Heat, the Damp Heat is eventually complicated by Blood stagnation.
This approach must be used with caution however, in patients on anti-coagulant therapy, especially coumarin (Warfarin) but also aspirin and other NSAIDs. It is quite a warming formula, and contains the specific impotence herb Epimedium (‘horny goat weed’). There may also be increased numbers of abnormal sperm or low sperm count, a scanty ejaculate or insufficient liquefaction. Kidney yin deficiency type sexual dysfunction is relatively common (and becoming more common) in younger men (20s to 40s), as a result of such drug use. Paltridge's hospital training was done in Auckland however he also worked in surgical out patients in a Thai hospital.
Testosterone is a critical hormone in the maintenance of healthy bone density, muscle mass, and red blood cell production. An excellent solution for long term prostatic swelling and erectile dysfunction from prostate swelling (chronic prostatitis) is Kai Kit Wan, also known as Prostate Gland Pills. The patient appears stressed and irritable or depressed and complains of various vague aches and pains. The most common etiology of this type of erectile dysfunction is chronic stress and thus Liver qi stagnation.
The ability to maintain an active sex life is taken as a sign that Kidney function is basically sound. Patients with yang deficiency are often infertile as well, with low sperm counts and poor sperm motility. When cold intolerance and cold extremities is a main feature, the very warm Fu Gui Ba Wei Wan is suitable to rekindle Kidney Fire. In contrast to the yang deficiency type, these patients are characterised systemically by heat and dryness.
If the patient is quite hot, with night sweats, restlessness at night, vivid dreams, flushing and a tendency to easily overheat, Zhi Bai Ba Wei Wan is suitable. These patients are often physiologically sound, that is they are able to get erections during sleep or masturbation. If there are signs of cold though, (cold intolerance, cold hands and feet, cold glans penis), Shi Quan Da Bu Wan may be more suitable. Of concern to psychiatrists are studies showing that men suffering from depression have lower levels of testosterone than control subjects. The ability to reproduce and have an active sexual life is a function of general health and vitality.
When the Heat elements are muted, as commonly occurs in chronic cases, a formula that focuses on leaching out the Dampness is selected. This problem generally requires 3-9 months of therapy (best with prostatic massage) for satisfactory results. There will often be digestive complaints and a general feeling of fatigue and lethargy that are improved with exercise or activity.
The main features are inability to get an erection, or if an erection is achieved, it is rather feeble or flaccid. When the sperm count is low or sperm motility an issue, combining one of the above formula with a daily dose of deer horn often works wonders.
When insomnia, palpitations and anxiety are a feature, possible with occasional mouth ulcers, Tian Wang Bu Xin Dan is excellent.
Typically other shen disturbances are present – insomnia, palpitations, possibly panic attacks, nervousness, social awkwardness etc. Ba Zhen Wan, while not often considered for men, is also useful as a general qi and Blood supplementing medicine.
For some men, elevating free testosterone levels could prove to be an effective anti-depressant therapy.
Chinese medicines aim in the treatment of male sexual dysfunction is to focus on promoting the systemic elements of health that enable a healthy sexual response. Many signs and symptoms are possible, but the ones that point to Blood stagnation as the main feature are vascular abnormalities on the lower extremities or genitals (varicosities, spider naevii, purple congested veins around the medial malleolus and medial knees), skin discoloration of the lower limbs and genitals (brown or purple patches), pressure pain on the acupoint Stomach 27 (left side), a history of cardiovascular disease and a purple of blotchy tongue with dark and distended sublingual veins.
Depending on the longevity of the condition, 6-9 months of therapy is usually required to warm and bolster Kidney yang.
These patients often suffer from insomnia, tinnitus that is worse after sex, a tendency to dry skin, throat and mouth, possible constipation and in some cases night sweats. When the Liver is involved (dry eyes, irritability, hot temper) Qi Ju Di Huang Wan is the solution.
There is a basis for free testosterone levels being measured in men suffering from depression and replacement therapy initiated if free testosterone levels are low normal or below normal.
As the patients’ health improves overall, all functions, including sexual function, improve. This formula will not damage the Spleen (a potential iatrogenic complication of Long Dan Xie Gan Wan) and is very effective in eliminating deeply lodged Damp Heat from the genitals.
They are easily fatigued, cold intolerant, and tend to retain fluid, or have urinary disturbances of some kind.
Depending on the age of the patient and the longevity of the problem, 2-6 months of treatment is usually necessary. The most common are nocturia or frequent urination, however if there is a tendency to edema the urine may be scant and infrequent.
Remember that there are many degrees of deficiency, and in the early stages, the sexual dysfunction may be the only clue as to the nature of the problem, especially in younger men. As the condition progresses, and commonly in older men, the more classical features appear.

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