How to ejaculate more pleasurably

Ejaculation is the highlight of male sexual life, and the euphoria brought by the moment of ejaculation is incomparable. It is this euphoria that makes men willing to "put in the effort" to have sex. In a person's life, only a limited number of sexual behaviors are for reproduction. Most sexual behaviors are for the pursuit of sexual pleasure. This is also the difference between human "sex" and animal "mating".

In clinical work, some patients complain that they cannot get sexual pleasure or their sexual euphoria is reduced during sex, which affects their enthusiasm for participating in sexual activities. On the one hand, semen is blocked in the prostate for a long time and cannot be excreted, which may further lead to the occurrence of prostatitis (CP); on the other hand, long-term non-participation in sexual life may lead to the occurrence of erectile dysfunction (ED), further leading to family disharmony.

Ejaculation is divided into two parts: sperm secretion and ejaculation .

The first step is semen secretion: when sexual stimulation accumulates to a certain intensity, the reflex center located in the lumbar 1-2 segments of the spinal cord sends out sympathetic nerve impulses, which reach the reproductive organs, causing the epididymis and the ampulla of the vas deferens to contract, moving the semen to the posterior urethra. Then the smooth muscles around the prostate contract, and then the seminal vesicles also contract, expelling the prostatic fluid and seminal vesicle fluid, and pushing the semen forward to the posterior urethra. The second step is ejaculation: When sexual stimulation reaches a sufficient intensity, the posterior urethra is stimulated and sends a signal, which is transmitted to the sacral segment of the spinal cord through the pudendal nerve. The spinal cord then sends rhythmic impulses to the sciatic cavernous muscles and bulbospongiosus muscles, causing them to contract, resulting in a rhythmic wave-like increase in the internal pressure of the erectile tissue, and ejaculates semen out of the body through the external urethra. At the same time, the bladder sphincter contracts, closing the passage between the bladder and the urethra to prevent semen from entering the bladder or urine from entering the urethra, further increasing the pressure in the urethra and making ejaculation more powerful.

The tissues and organs related to ejaculation include the testicles, epididymis, vas deferens, seminal vesicles, prostate, and related ducts such as the ejaculatory duct and urethra. Ejaculation is a complex physiological process. The neuromuscular organs most closely related to it include: (1) the central nervous system, the brain and the spinal cord (S2-4). The brain controls the entire process of sexual intercourse and may be the ultimate source of euphoria. The spinal cord (S2-4) integrates the tactile stimulation of the penis and sends out the urge to ejaculate. (2) Peripheral nerves, mainly branches of the spinal cord (S2-4) segments. The sensory nerves are mainly the dorsal nerve of the penis and the cavernous nerve. The endings distributed in the glans penis and foreskin are mainly used for sensory stimulation. The endings distributed in the urethral mucosa are mainly used for sensing the flow of fluid in the urethra. The motor nerves are mainly the perineal nerves that control the contraction of the sciatic cavernous and bulbospongiosus muscles, as well as the autonomic nerves that control the smooth muscles of related glands. (3) Muscles, mainly the ischiocavernosus and bulbospongiosus muscles. These two muscles are the main source of increased intraurethral pressure during ejaculation. The urethral smooth muscle also plays a certain role (patients who use the "buried leather strip method" to correct proximal hypospadias often have weak ejaculation in adulthood).

Possible causes and pathogenesis of weakened or absent ejaculation pleasure:

1. Drugs’ inhibitory effects on the central nervous system

The sedative and hypnotic effects of drugs such as benzodiazepines and barbiturates may inhibit the production of euphoria. Whether there are mediators in the brain such as endorphins that are not replenished in time after consumption remains to be studied.

2. Decreased sensation in peripheral nerves

Prostatitis, seminal vesiculitis, long-term and repeated congestion of the posterior urethra and other reasons lead to posterior urethral edema and decreased sensitivity of the sensory nerve endings on the urethral mucosa.

3. Weak contraction of related muscles such as the sciatic cavernous muscle and the bulbospongiosus muscle

Prostatitis, seminal vesiculitis, long-term repeated congestion of the posterior urethra and other reasons lead to weak contraction of related muscles such as the ischiocavernosus muscle and the bulbospongiosus muscle. The pressure in the urethra is not enough to make the semen "ejaculate" but only flow out, causing the feeling of expansion to be released slowly instead of instantly, and the pleasure is reduced.

4. Decrease in semen volume

Repeated ejaculation in a short period of time results in the failure to replenish the semen volume in a timely manner. The removal of organs such as the prostate and seminal vesicles reduces the semen volume. The amount of semen accumulated in the posterior urethra before ejaculation is not enough to make the posterior urethra have enough expansion, so that the sexual euphoria during ejaculation is not strong, or the ejaculation threshold is reduced, and ejaculation occurs before the semen volume in the posterior urethra accumulates to a certain amount.

5. Due to fatigue, marital discord, etc.

The patient's lack of initiative in participating in sexual life due to fatigue, marital discord or other reasons may also lead to the patient's lack of sufficient sexual pleasure during ejaculation.

Ancient Chinese medical books lack clear descriptions of sexual pleasure, but "Suwen Liujie Zangxiang Lun" says: "The kidney is responsible for hibernation. It is the basis of storage and the place of essence." The kidney is the innate basis, responsible for storing essence and vital energy. It is the innate basis of men. Men's sexual ability is closely related to kidney yang and kidney qi. If the kidney qi is weak and the vital fire is insufficient, ejaculation will be weak. When kidney essence is deficient, firstly, no sperm can be ejaculated or the sperm is too little to be ejaculated; secondly, the sperm gate fails to open properly. Kidney Yang is insufficient and the sperm gate cannot open. The liver is responsible for the regulation of qi and blood, and its meridians go around the genitals and through the lower abdomen. The essence stored in the kidneys must rely on the regulation of qi and blood by the liver to be discharged from the body, otherwise it will become bad essence and accumulate in the body. Zhu Danxi said: "The kidney is responsible for closing and storing, and the liver is responsible for releasing." Only when the opening and closing of the kidney and the release of the liver are normal can normal ejaculation function be maintained. Therefore, most people in the traditional Chinese medicine community attribute this disease to the liver and kidneys. Some scholars attribute weak ejaculation to six causes: weak kidney yang, kidney essence deficiency, insufficient qi in the middle, dampness disturbing the essence, liver depression and qi stagnation, and phlegm blocking the sperm path.

Treatment ideas for decreased or absent ejaculation pleasure:

1. Treat the primary disease

As mentioned above, diseases such as chronic prostatitis, seminal vesiculitis, and posterior urethral edema caused by irregular and repeated erections can all lead to reduced ejaculation pleasure. In this case, treatment of the primary disease is the main focus. Traditional Chinese medicine believes that the etiology and pathogenesis of chronic prostatitis are related to the disorder of yang fire, the downward flow of damp heat, the obstruction of semen turbidity, the stagnation of qi and blood stasis, and the imbalance of cold and heat. It can be treated with Huanglian Qingxin Decoction, Bixie Fenqing Decoction, Shaofu Zhuyu Decoction, etc., or with Chinese medicine enema, which can not only treat CP, but also speed up local blood circulation and promote the disappearance of local edema. In addition to regular and adequate treatment for chronic prostatitis, it is also important to avoid spicy food, tobacco, alcohol, and keep warm, etc. Repeated erections leading to posterior urethral congestion are more common in young and middle-aged unmarried, divorced or widowed people. For these patients, it is recommended to participate in more physical activities, avoid being alone, and use regular masturbation to ejaculate and relieve sexual tension.

2. Improve the function of pudendal nerve muscles

Sitting for a long time, prostatitis, etc. can cause the perineum nerve muscles to be in a state of tension and spasm for a long time, resulting in the inability of the relevant muscles to contract strongly during ejaculation. Some scholars have used intramuscular injection of neostigmine + oral pyridostigmine to treat ejaculation dysfunction with good results. Ephedra contains biological alkaloids such as pseudoephedrine, which is an adrenergic receptor stimulant that can excite the smooth muscles of the seminal tract and has a strong central nervous system excitatory effect, which can increase the excitability of the ejaculation center. Acupuncture at Guanyuan, Huiyin and other acupoints can significantly relieve local muscle spasms, accelerate local blood circulation, and has a good effect on prostatitis.

3. Increase semen volume

Modern medicine believes that semen is mainly composed of epitesticular fluid, seminal vesicle fluid, prostatic fluid and bulbourethral gland fluid, among which seminal vesicle fluid and prostatic fluid are the main parts. The amount of semen decreases gradually with age. The amount of semen is highest in people's twenties and thirties, decreases in people's forties and fifties, and even less after people's sixties. Traditional Chinese medicine believes that the production of semen is closely related to kidney yin and kidney yang. Taking yin-nourishing and yang-strengthening medicines such as wolfberry, Morinda officinalis, epimedium, etc. can increase the amount of semen. In addition, acupuncture at the Guanyuan acupoint can also increase the amount of semen.

The amount of semen is related to the frequency of sexual life. The more frequent the sexual life, the less the amount of ejaculation. If it is once or several times a day, the amount of ejaculation will be significantly reduced, even less than 2 ml. If there is no sexual life for more than a week or no semen overflows for a long time, the amount of ejaculation will increase, and may be close to or exceed 6 ml. Regarding the frequency of sexual life, Sun Simiao has a saying: For men, "at 20, ejaculate once every 2 days; at 30, ejaculate once every 3 days; at 40, ejaculate once every 4 days; at 50, ejaculate once every 5 days...", which can be used as a reference.

4. Delay ejaculation and improve premature ejaculation

The ejaculation threshold of patients with premature ejaculation is low. When the amount of semen in the posterior urethra has not yet accumulated to a sufficient amount, the central nervous system has already issued an urge to ejaculate. Increasing the patient's plateau period and allowing the patient to ejaculate after the semen volume is sufficient and the whole body is ready for ejaculation may increase the patient's pleasure. Currently, the commonly used method for treating premature ejaculation is the combination of move-stop method, which requires cooperation from both husband and wife; oral medications are mainly sedatives that relieve patient tension, such as low-dose diazepam, Prozac, and Methotrexate, while topical medications are mainly topical anesthetics that relieve local sensations, such as lidocaine gel. Overdose of such oral or topical medications may cause side effects such as erectile dysfunction and affect sexual pleasure; condoms can also be used to reduce stimulation to the penis.

5. Enhance physical strength and energy

Sexual activity is an energy-consuming exercise and without a strong physique one cannot withstand high-intensity sexual activity. Nowadays, most people lack exercise in their work and life, and those who suffer from weak ejaculation are mostly those who work in offices for a long time. On the one hand, increasing exercise can enhance physical strength, and on the other hand, it can relieve tension and depressed emotions. These two aspects are very beneficial for enhancing sexual pleasure and improving the quality of sex life. Traditional Chinese medicine such as Buzhong Yiqi Decoction and Shenqi Pills are also beneficial for improving patients' physical strength and energy. In addition, psychological intervention should be integrated throughout the treatment to improve ejaculation.