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Case Study - Male midlife crisis and female golden age for sexual orgasm - the dopamine and testosterone drives
Reader: 11/15/2001>
Me: I am a forty year old man, married, still with great love, to Rachel, age 35. I am VERY into sex, women, nudity, and have it on my mind all the time (too much). Also I have moderate to severe depression which destroys my sexual drive, and I MUST take antidepressants (without which I would sink into a truly hellish abyss -- been there). These medications, although keeping mwe from depression-related agony also detroy the sensations in my penis (a numbing), and make reaching orgasm a huge struggle, even in vigorous masterbation. I've strengthened my PCs, take Omega-3 oils, and am now testing the use of a Testosterone patch. 

My wife: Cares for me deeply, but gets a bit more out of sex than I do. She usually wants me to gently massage her lubricated clit for 10 minutes during which she comes about 6 times, then to lie next to her and to hold a vibrator on her pussy while she melts in endless hard, long -- sometimes screaming loudly -- pure sexual exstacy that can go on for an hour (sometimes she has peaks that seem to last for minutes!!). In comparison my inability to even get to orgasm -- or even worse to get to orgasm and have it be weak, short and unrelieving and unfulfilling is a problem. I remain frustrated after sex.

My wife sees that I am not fulfilled by sex anymore and this makes her sad. I see that she is EXTREMELY fulfilled from sex everytime, and although I wish this blessed pleasure for her, I can't help compare it to mine, and be jealous. She says she wouldn't be upset like I am, that coming isn't that important to her, she just likes it. She thinks I should just accept it and be happy witht he pitiful, in comparison, pleasure I receive. 

Is there any guidance you can give me to improve the many layers of the long-standing problem?

Thank you so much

take pleasure, and
major urgency need, on my mind all the time

Dr. Lin: 11/16/2001>
Generally, there are two nervous causes for depression: serotonin deficiency or dopamine/norepinephrine deficiency. Due to the neuro-endocrine link between the testosterone and dopamine levels, testosterone and Dopamine generally magnify each other, but the liver enzymes play key roles for the biosyntheses of dopamine and testosterone from theirs precursors. Testosterone patch or injection will generally disable the testicular function and shrink the testicles and penis due to the action of of the Testosterone Negative Feedback Controller (TNFC) in the hypothalamus-pituitary-testicular axis. The safe ways to elevate testosterone is to take a low dose of DHEA and androstenedione with a low dose of the Dopamine precurors L-Dopa, L-Tyrosine and/or L-Phenylalanine. We have found that L-Dopa (from mucuna bean) and L-Tyrosine can very effectively solve the dopamine deficiency and hypothyroidism, in conjunction with a dose of DHEA and androstenedione. The dopamine nervous functions and thyroid functions will drive the testicular functions high for the conversion of DHEA/androstenedione to testosterone. This will rejuvenate the testicular function as well. It is not only help grow the penis but also testicles. The only way to prevent the TNFC from locking up is to power the dopamine nervous system.
Fortunately, there is no negative feedback controller for the DHEA level in the brain hormone receptors. That is, the brain-adrenal axis is a open hormone loop. Some extreme tests loaded 1000 mg DHEA to the patients with prostate cancers. There is no signal for promote the cancer development. It is very safe to use DHEA. Our optimal dose for DHEA alone is 25-30 mg a day.
As for the solution of serotonin deficiency, we have found that 5-HTP (from Griffonia Seed), B-6 and Kava Kava are can do a good job. 
Our products ViaGrowth-IV, MoodMax, DopaFibra and Kava Plus cover all the ingredients for your problems. That is why our senior and middle-aged customers have enjoyed ViaPal-hGH-P (3-010) and ViaPal-hGH-E (3-011) very much,
ViaPal-hGH-P is a dopamine fire formula with a serotonin modulation, and an extreme hard driver for libido, orgasm and erection.
Loving couples like this packages for one reason that they feel loving and beloved when they take this package. The action of Viapal-hGH-P on the brain nervous system is persistent. ViaPal-hGH-P will give you a boost.
Warning: ViaPal-hGH-P can turn men and women to sexual mania. We are not responsible for your sexual manic behaviors after taking this package.
Viapal-hGH-E is a formula to combat with anxiety and stress that kills libido and erection. If you want to knock down your work stress, you should include Kava Plus into Viapal-hGH-P.
We have a fast-action package called Viapal-hGH-D (3-012) where Fibra and Ginseng 4x tea can trigger a hard erection in 30 minutes, in conjuction with taking ViaGrowth-IV daily. For young people, Fibra and Ginseng will promote a hard erection in a very short time. The version of ViaPal-hGH-D for young lovers is Endura (3-006).
Generally speaking, the Ginseng Tea can double the power of herbal effectiveness in a short time. 
Healthy women generally reach their sexual peaks at age 30-40 due to the optimal testosterone-estrogen and estrogen-progesterone ratios in their bodies for sexual and orgasm responses. They become more sexual and orgasmic. You should and can enjoy more orgasms with her. Don't let  her golden age of sexual life slip way in silence! She wants a lot of orgasmic cries and moans for celebration of love and passion.  Life is an orchestra of love, orgasm and health.
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