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Tenutia does not give medical advice. All the content is based on the references below: recommendations from health bodies, learned societies and published studies. Each chapter shows exactly which source supports which statement.

  1. Serefoglu E.C. et al. Unified definition of premature ejaculation, 2nd International Society for Sexual Medicine (ISSM) committee. Journal of Sexual Medicine, 2014. Review: Translational Andrology and Urology. View
  2. Waldinger M.D. et al. A multinational population survey of intravaginal ejaculation latency time. Journal of Sexual Medicine, 2005 (500 couples, 5 countries). Summary: Sexual Medicine Society of North America. View
  3. European Association of Urology (EAU). "Smartphone app can help men last longer in bed", EAU26 congress press release, March 2026 (CLIMACS study, preliminary results). View
  4. Pastore A.L. et al. Pelvic floor rehabilitation for lifelong premature ejaculation. Presented by the European Association of Urology, 2014. View
  5. Dorey G. et al. Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction. British Journal of General Practice, 2004. View
  6. NHS, North Tees and Hartlepool NHS Foundation Trust. Pelvic floor exercises for men (patient leaflet). View
  7. NHS (UK National Health Service). Ejaculation problems. View
  8. NHS (UK National Health Service). Erectile dysfunction (impotence). View
  9. NHS. Find NHS talking therapies for anxiety and depression (England). View
  10. MSD Manual, Consumer Version. Premature ejaculation. View
  11. Assurance Maladie, France's national health insurance (ameli.fr). Erection problems: definition, frequency and causes (in French). View
  12. Assurance Maladie, France's national health insurance (ameli.fr). Erection problems: what to do and when to see a doctor (in French). View
  13. Feldman H.A. et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. Journal of Urology, 1994. View
  14. Billups K.L. How to evaluate cardiovascular risk in a patient with erectile dysfunction. American College of Cardiology, 2014. View
  15. Esposito K. et al. Effect of lifestyle changes on erectile dysfunction in obese men: a randomized controlled trial. JAMA, 2004 (110 men, 2 years). View
  16. Leproult R., Van Cauter E. Effect of 1 week of sleep restriction on testosterone levels in young healthy men. JAMA, 2011. Summary: University of Chicago Medicine. View
  17. Zaccaro A. et al. How breath-control can change your life: a systematic review on psycho-physiological correlates of slow breathing. Frontiers in Human Neuroscience, 2018. View
  18. International Society for Sexual Medicine (ISSM). What is the sensate focus technique? View

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