Dr. Adel Serag, consultant Psychiatrist, in a full lecture about steps taken to be hard and to enhance men’s hardness factor.
The lecture is presented in 2012, specified for psychiatrists, the lecture is focusing on the hardness factor and how to compete for softness and enhance male hardness.
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Here is a brief borrowed cartooning clarifies the how SSRIs delays ejaculation through serotonin , while paroxetine inhibits nitric oxide synthesis so one should keep the dose low to avoid anorgasmia or decline of libido, However, this is not the rule as several patients never report this after use.