known as desensitisation. This allows better control over ejaculation.

In independent clinical trials of the PROLONGTM prototype, the device (used in conjunction with the Start-Stop technique) was found to delay time to ejaculation by an 11fold average in 60% of men, compared to a 3-fold average in 40% of men having the gold-standard treatment (CBT). Over a 6-week training programme, the effects of using PROLONGTM may be noted by week 1 and are maximal by week 6 of the programme. Benefit in those who improved continued for at least 3 months after stopping the programme.

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The training programme should continue for up to 6 weeks. The vibrating device should be disposed of at the end of the treatment. The battery within the device is designed to last for up to one treatment programme. You should have intercourse normally in between training sessions and as the programme progresses. You should note that your time to ejaculation is delayed. You may need to retrain every 3-6 months, but a proportion of individuals, particularly those who have a temporary problem, may need to use this training programme only once. There were no side effects associated with the use of this method when followed as directed. The method may be used in conjunction with other forms of treatment. If you feel comfortable you can use with your partner during foreplay.

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Fig. 1

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Climax Control Programme for Men

Pack Contents: 1 x PROLONGTM vibrating device, 1 x PROLONGTM water-based lubricant (100ml bottle)

Instructions
1) 2) Remove the device from the packaging. Apply a small amount of PROLONGTM waterbased lubricant generously to the under surface of the glans (head) of the penis (see Fig. 1). Turn on the device using the switch (see Fig. 2). Hold the device with the concave studded area facing upwards in your cupped fingers and palm (see see Fig. 3). Hook your thumb around the back of the base of the glans with the vibrating device coming in contact with the under surface of the glans (the neck of the penis) (see Fig. 4). Stimulate the neck of the penis by gently massaging the area, whilst applying gentle pressure. This is the Start component of the Start-Stop technique. This will result in two things; engorgement of the genitals with blood, and a desire to ejaculate (see Fig. 4). When you feel you are about to reach climax, it is essential that you do not allow yourself to ejaculate. This is the opposite of masturbation. To avoid ejaculation, you must remove the vibrating device from the neck of the penis by pivoting it away using your thumb. This is the Stop component of the Start-Stop technique (see Fig. 5). This process should be carried out three times. On the third time, if you do not allow yourself to ejaculate, you may experience testicular discomfort for an hour or so, due to blood congestion in the testicular region. This is normal, as many men experience arousal without necessarily ejaculating, and any discomfort should subside quickly. You will still gain the benefits of the training programme. Should you experience discomfort, it is advisable that you allow yourself to ejaculate on the third time on the next occasion that you undertake the exercise programme. Do not use for more than 30 minutes at a time, and no more than 3 times per week.

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Fig. 2

Fig. 3

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Warnings
If you suffer psychological problems or physical symptoms other than early ejaculation such as passing a lot of urine, you must consult your doctor. Excessive use will not necessarily give better results and can injure your skin. Do not use on inflamed or broken skin. Not for internal use. Keep out of sight and reach of children. Intended for personal use only. Do not share.

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Fig. 4

Fig. 5

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Washing and storage of the device after each use

1) 2) 3) 4) Remove motor from silicone shell (see Fig. 6). Wash using warm water and soap. Dry silicone shell. Replace motor within silicone shell. Do not wash the motor unit wipe clean with a damp tissue. Store in a cool, dry place.

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Fig. 6
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Battery removal instructions

Batteries should be disposed of at a battery collection facility to minimise hazards to health and the environment and to enable materials to be recycled. The silicone shell and motor housing should be disposed of in a waste bin. Auris Medical Ltd. 2009 Patents Pending: Auris Medical Ltd.

Introduction
The Start-Stop technique is a training method devised by Dr James H Semans in 1956 for the treatment of premature ejaculation. The Start-Stop and Squeeze techniques (squeezing around the glans of the penis) incorporated with Cognitive Behavioural Therapy (CBT) is globally considered to be the gold-standard treatment for premature ejaculation. In 1999, Dr Andy Zamar invented the first PROLONGTM prototype and incorporated its use with the Start-Stop technique in a 6-week training programme. When using PROLONGTM, as opposed to the gold-standard treatment (CBT), the delay effect is further improved by providing additional stimulation to the most sensitive parts of the penis, which reduces penile over-sensitivity, a process

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Device voltage is rated at 3V The rated power of this device is 50mA

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IssA/2012-05