Q: Sometimes premature ejaculation is a symptom of another underlying problem that needs to be treated. Possibilities include:  Diabetes High blood pressure Alcohol or drug abuse Multiple sclerosis Prostate disease Depression A hormonal imbalance Problems with your neurotransmitters. Neurotransmitters are the chemicals that convey signals in your brain. Abnormal reflexes in your ejaculatory system A thyroid condition An infection in your prostate or urethra Damage from surgery or trauma. This is not common. An inherited condition. This medication is similar to selective serotonin-reuptake inhibitor (SSRI) antidepressants, but it was created to treat premature ejaculation. It is a relatively new drug and is usually the first thing your doctor will try to treat this issue. If you are prescribed this medication, you will take it one to three hours before sex.  Do not take it more than one time per day. It may cause side effects including headaches, dizziness, and feeling unwell. It is not suitable for men with heart, liver, or kidney conditions. It may also interact with other medications, including other antidepressants. Other options include the SSRI's paroxetine, sertraline, fluoxetine, and citalopram. The typical full effects of SSRIs (which are taken every day, not on-demand like Dapoxetine) are not seen until about two weeks after you begin use. These drugs have not been approved by the Food and Drug Administration for use in treating premature ejaculation, they are known to delay orgasms. Your doctor may prescribe them for you to take as needed or daily.  Other antidepressants. Possibilities include other SSRIs such as sertraline (Zoloft), paroxetine (Paxil), fluoxetine (Prozac, Sarafem) or the tricyclic clomipramine (Anafranil). Side effects may include nausea, dry mouth, dizziness, and reduced interest in sex. Tramadol (Ultram). This medication is used to combat pain. One of its side effects is that it can delay ejaculation. Other side effects include nausea, headaches, and lightheadedness. Phosphodiesterase-5 inhibitors. These medications are often used to treat erectile dysfunction. They include sildenafil (Viagra, Revatio), tadalafil (Cialis, Adcirca), and vardenafil (Levitra, Staxyn).  Side effects include headaches, flushing, vision changes and a stuffy nose.
A: Go to a doctor if self help techniques didn’t work. Ask your doctor about Dapoxetine (Priligy). Talk to your doctor about other medications that delay orgasms.

Article: Start any Timberland cleaning session by brushing off the boot. Start at the top of the ankle and brush back and forth all the way down the whole surface of the boot.  If you just have a small amount of debris stuck to your boots, this light brushing will typically remove it. If there are deeper scuffs or lots of debris, you should use the brush to remove as much debris as possible before moving on to other cleaning methods. You can use any clean, soft brush for cleaning your Timberland boots. However, the Timberland company does sell a kit that is made specifically for cleaning Timberland boots. You can also get a brush that is specifically made for brushing suede or nubuck, which is usually called a "suede brush." Use a simple pencil eraser, a generic suede eraser, or a Timberland cleaning bar to remove scuff marks on the surface of the boots. Rub the eraser or cleaning bar lightly over the marks until they disappear. The eraser or cleaning bar can take care of most day-to-day scuffs and light marks. They do not work well for removing ground-in dirt or mud that has covered your whole boot. Once you have erased all marks on the boot, use the brush to smooth out the surface of the nubuck. The brush will also remove any eraser debris that might remain. Move the brush lightly across the surface of the boot, making sure to move it in 1 direction. This will ensure that the surface has a uniform look when you are done cleaning it. Keep your Timberland boots clean by removing dirt once per week. This is especially important if they are worn on a daily basis, as dirt and grime can really build up. With some weekly maintenance you can keep your boots looking fresh and new for a long time.
Question: What is a summary of what this article is about?
Remove small debris with a soft brush. Remove scuff marks with an eraser. Brush the boot once again. Do spot cleaning on a regular basis.

Q: Before hanging the garland, string lights around the boughs to create a lighted focal point on the stairs. If you’ve already hung the garland, you can drape the lights over and around the boughs for a more casual look. If you don’t want to bother with hiding the wires of the lights, use battery-operated fairy lights, which tend to come on a thin, metal wire that’s easy to conceal in the branches. around the zip ties to conceal them. This is a great and festive way to hide zip ties. Use ribbon to tie large bows on the places where the garland is secured to the banister.  Your bows can be as small or as large as you’d like. Larger bows tend to look more dramatic and will complement garland that has large dips. Choose colors like silver, gold, red, blue, or white to complement the season and stick out from green garland. Most craft stores sell fake snow in spray cans during the holidays. Take the garland outside and spray the entire length with the “snow,” focusing mostly on the ends of the branches. Let the flocking powder dry for an hour before hanging the garland on the stairs.  Never spray the garland in the house! The wet flocking will get everywhere and can stain the banister or your floors. You might have some shedding from the garland as people brush against them. If you’re worried about shedding, spray any brand of extra-strength hairspray over the garland to seal the “snow” in place. Use ornament hooks to secure the ornaments in clusters of 3 or 4 bulbs of varying sizes. Simply thread the hook through the top of the bulb and then hook the bulb onto a piece the garland. Wrap the hook around the garland a few times for added security.   Pick bulbs of a similar color scheme to coordinate with the rest of your decorations! You could also decorate the garland with pine cones. Wrap wire or twine around the pine cone, then tie it to the garland or banister. Make sure the bulbs or pine cones are attached to the garland well, as they can fall when bumped. It might be helpful to wrap the hooks around the garland a few times to make sure they won’t fall.
A:
Wrap lights around the garland for a festive look. Tie bows Spray flocking powder on the garland to give the appearance of snowfall. Hang ornaments on the garland to coordinate with your tree.