Is it a blessing or a curse to hold on for an hour without ejaculating?

Andrology experts point out that the true manifestation of strong sexual ability should be the ability to control ejaculation "freely", rather than simply measuring it by the length of time. In fact, for men, prolonged sexual intercourse can not only cause damage to the reproductive organs, but may also be a manifestation of ejaculation disorder; and for women, their partner's delayed orgasm can also cause them physical and mental burdens. Is it a blessing or a curse to have sex for an hour without ejaculating?

Typical cases:

Ajie (pseudonym) and Awen are a young couple who have been married for four years. At the beginning of last year, Awen, who had outstanding work performance, was sent abroad by the company to study for one year. After returning home, Awen found that compared with before she went abroad, every time they had sex, Ajie seemed to have a particularly hard time, and it often took more than an hour before they could barely "deliver".

"Did he have another woman during the time I was away from home?" Awen became suspicious, but her husband was an honest man, so this possibility should be ruled out. Awen began to worry about whether her husband had any health problems and urged him to go to a andrologist.

When facing the doctor alone, Ajie finally told the truth. It turned out that during the time when Awen was abroad, Ajie developed a habit of masturbating, almost once every one or two days. When his wife came back and they resumed their normal married life, Ajie always felt "not enough". In fact, he tried very hard to hold it back every time, but he just couldn't reach orgasm.

Expert analysis

A medical doctor in Guangzhou pointed out that Ajie's case is actually a secondary ejaculation disorder caused by excessive masturbation. He can ejaculate during masturbation and has nocturnal emissions, but he will experience ejaculation disorders during normal sexual life.

He explained that when men masturbate, the stimulation to their penis is often greater because they can control the technique, strength, and speed as they please. Long-term and frequent masturbation will "cultivate" the nerve center in the brain that controls ejaculation to be accustomed to high-intensity stimulation. "When the couple has normal sex, if the woman is a little more passive, the man's sexual excitement will not reach the 'point' that triggers ejaculation, and he will feel like he 'can't shoot'."

Deng Junhong said that in this situation, doctors generally recommend increasing the time of foreplay. The woman can learn more about sex skills and try to stimulate the man's genitals with her hands and mouth. In addition, men can also receive vacuum negative pressure therapy in the hospital, which stimulates the penis through changes in water flow and temperature to increase sensitivity.

In addition, nerve damage caused by late-stage diabetes, nerve damage caused by prostate pelvic surgery, heart disease, malnutrition, etc. can also cause secondary ejaculation disorders, which are relatively difficult to treat.

Primary ejaculation disorder is difficult to treat

Patients with secondary ejaculation disorder are not unable to ejaculate every time they have sex, but there is another type of patients who not only have never ejaculated, but have never even had a wet dream. They have primary ejaculation disorder.

Deng Junhong said that before a man ejaculates, his body has to go through a series of specific "procedures": under sufficient sexual stimulation, the nerve center in the brain that is responsible for ejaculation becomes excited and transmits signals downward, causing the vas deferens to contract, compressing the semen, sperm, and epididymal fluid into the posterior urethra. At the same time, the bladder neck closes to form high pressure, and the external sphincter relaxes to complete ejaculation.

The cause of primary ejaculation disorder is not very clear. It may be because there is a problem in a certain step in this series of procedures, which prevents the patient from reaching the highest point of excitement, "just like unable to pull the trigger of a gun and unable to trigger ejaculation." Deng Junhong introduced that the more effective treatment method at present is to use biofeedback therapy, which stimulates the brain nerves by stimulating the sexual response nerves in the perineum. "Primary ejaculation disorder is more difficult to treat, but once you successfully ejaculate once, the path is cleared and the disease is cured."

Doctor's reminder:

Sex life is about "matching", not the longer the better

Doctors say that some men have misunderstandings about the criteria for measuring sexual ability, thinking that "the longer the better." In fact, strong male sexual ability means being able to control the timing of ejaculation at will, and it is not based solely on the length of time. On the contrary, if you are unable to reach orgasm (i.e. ejaculation) within an hour after starting sexual intercourse without taking any topical delayed ejaculation drugs, it may indicate that you have problems with ejaculation.

In addition, prolonged congestion of the penis can cause prostatitis, which itself has adverse effects on the male body.

Women may feel guilty

On the other hand, although women can reach multiple orgasms in a short period of time, if the man is still happy to "fight" after the woman has been extremely satisfied, it will cause physical fatigue to the woman, and she may also feel guilty that "she cannot satisfy her lover", and even develop a dislike or fear of sex.

Experts remind that sex life should adhere to the principle of "matching", that is, the time when men and women feel satisfied should not be too far apart. The quality of sex life is not directly proportional to its duration. When both parties are satisfied and reach climax together, it is the highest level of harmonious sex life.