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How to make ejaculation more stimulating 

    page views:1  Publication date:2013-10-02  
Ejaculation is the highlight of male sexual life, and the euphoria experienced at the moment of ejaculation is unparalleled. It is this euphoria that motivates men to exert effort in sexual activity. In a person's life, only a limited number of sexual acts are for procreation; the majority of sexual activity is for the pursuit of sexual pleasure. This is the difference between human "sex" and animal "mating."
In clinical practice, some patients report a lack of sexual pleasure or a reduced level of sexual euphoria during sex, affecting their enthusiasm for participating in sexual activities. On the one hand, long-term stagnation of semen in the prostate gland may further lead to prostatitis (CP); on the other hand, prolonged abstinence from sexual activity may lead to erectile dysfunction (ED), further causing family discord.
Possible causes and mechanisms of weakened or absent ejaculatory pleasure:
1. Central nervous system depressant effects of drugs:
The sedative and hypnotic effects of drugs such as benzodiazepines and barbiturates may inhibit the production of euphoria. Whether neurotransmitters in the brain, such as endorphins, are depleted and cannot be replenished in time remains to be studied.
2. Decreased peripheral nerve sensation:
Prostatitis, seminal vesiculitis, and long-term repeated congestion of the posterior urethra lead to posterior urethral edema, resulting in decreased sensitivity of sensory nerve endings on the urethral mucosa.
3. Weak contraction of related muscles such as the ischiocavernosus and bulbospongiosus muscles:
Prostatitis, seminal vesiculitis, and long-term repeated congestion of the posterior urethra lead to weakness in the contraction of related muscles such as the ischiocavernosus and bulbospongiosus muscles. The pressure within the urethra is insufficient to "ejaculate" semen, causing it to only flow out. This results in the sensation of fullness being released slowly rather than instantly, reducing pleasure.
4. Reduced semen volume:
Repeated ejaculation within a short period leads to insufficient replenishment of semen volume. Removal of organs such as the prostate and seminal vesicles reduces semen volume. The amount of semen accumulating in the posterior urethra before ejaculation is insufficient to create a sufficient feeling of expansion, resulting in weak sexual pleasure during ejaculation or a lowered ejaculation threshold, causing ejaculation before a sufficient amount of semen has accumulated in the posterior urethra.
5. Fatigue, marital discord, etc.:
Fatigue, marital discord, or other reasons can lead to a lack of initiative in sexual activity, resulting in insufficient sexual pleasure during ejaculation.
While ancient Chinese medical texts lack explicit descriptions of sexual pleasure, the *Suwen* (Plain Questions) states, "The kidney governs hibernation. It is the foundation of storage and the abode of essence." The kidney is the foundation of innate constitution, storing essence and vital energy, and is the innate foundation of a man. Male sexual ability is closely related to kidney yang and kidney qi. Weak kidney qi and insufficient vital fire result in weak ejaculation. Kidney essence deficiency leads to two problems: first, insufficient or no sperm to ejaculate; second, dysfunction of the seminal vesicle opening. Kidney yang deficiency weakens the seminal vesicle opening. The liver governs the free flow of qi, its meridian encircling the genitals and passing through the lower abdomen. The essence stored in the kidneys requires the liver's function of free flow to be expelled; otherwise, it becomes stagnant and stagnant in the body. Zhu Danxi said, "The kidney governs storage, the liver governs free flow." Only when the opening and closing of the kidneys and the free flow of the liver are normal can normal ejaculatory function be maintained. Therefore, most practitioners of traditional Chinese medicine attribute this condition to the liver and kidneys. Some scholars classify weak ejaculation into six causes: kidney yang deficiency, kidney essence deficiency, insufficient qi, dampness disturbing the essence, liver qi stagnation, and phlegm obstructing the seminal ducts.
Treatment strategies for weakened or absent ejaculatory pleasure:
1. Treat the primary disease .
As mentioned above, chronic prostatitis, seminal vesiculitis, and posterior urethral edema caused by irregular and recurrent erections can all lead to reduced ejaculatory pleasure. In such cases, treating the primary disease is the main focus. Traditional Chinese medicine (TCM) believes that the pathogenesis of chronic prostatitis is related to factors such as excessive fire, damp-heat accumulation, seminal vesicle obstruction, qi stagnation and blood stasis, and imbalance of cold and heat. Treatment may involve modifications of formulas like Huanglian Qingxin Yin, Bixie Fenqing Yin, and Shaofu Zhuyu Tang. TCM enemas can also be used to treat chronic prostatitis, accelerate local blood circulation, and promote the reduction of local edema. Besides regular, full-course treatment, maintaining a healthy lifestyle, avoiding spicy foods, alcohol, and tobacco, and keeping warm are also important. Recurrent erections leading to posterior urethral congestion are common in young, unmarried, divorced, or widowed men. For these patients, it is recommended to participate in more physical activities, avoid being alone, and use regular masturbation to relieve sexual tension.
2. Improving the function of the perineal neuromuscular system:
Prolonged sitting and prostatitis can cause the perineal neuromuscular system 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 found that intramuscular injection of neostigmine combined with oral pyridostigmine is effective in treating weak ejaculation. Ephedra contains alkaloids such as pseudoephedrine, which are adrenergic receptor agonists that can excite the smooth muscle of the seminal ducts and have a strong central excitatory effect, increasing the excitability of the ejaculation center. Acupuncture at points such as Guanyuan and Huiyin can significantly relieve local muscle spasms and accelerate local blood circulation, and also has good effects on prostatitis.
3. Increasing Semen Volume
: Modern medicine believes that semen is mainly composed of epididymal fluid, seminal vesicle fluid, prostatic fluid, and bulbourethral gland fluid, with seminal vesicle fluid and prostatic fluid being the main components. Semen volume gradually decreases with age. It is highest in the twenties and thirties, decreases in the forties and fifties, and is even lower after the age of sixty. Traditional Chinese medicine believes that semen production is closely related to kidney yin and yang. Taking yin-nourishing and yang-strengthening drugs such as wolfberry, morinda root, and epimedium can increase semen volume. Acupuncture at the Guanyuan point can also increase semen volume.
Semen volume is related to the frequency of sexual activity. The more frequent the sexual activity, the less semen is likely to be ejaculated. If sexual activity occurs once or several times a day, the ejaculation volume will be significantly reduced, even less than 2 ml. If there is no sexual activity for more than a week or no semen is ejaculated for a long time, the ejaculation volume will increase, possibly approaching or exceeding 6 ml. Regarding the frequency of sexual activity, Sun Simiao suggested that men should ejaculate "once every two days at age 20; once every three days at age 30; once every four days at age 40; once every five days at age 50," which can be used as a reference.
4. Delaying ejaculation and improving premature
ejaculation: Patients with premature ejaculation have a lower ejaculation threshold. Before a sufficient amount of semen has accumulated in the posterior urethra, the central nervous system has already issued the urge to ejaculate. Increasing the patient's plateau phase, allowing the patient to ejaculate only after sufficient semen volume and physical preparation, may increase the patient's pleasure. Currently, the commonly used treatment for premature ejaculation is the stop-start method, which requires cooperation from both partners. Oral medications mainly consist of sedatives to reduce tension, such as low-dose diazepam, prozac, and acetaminophen. Topical medications mainly consist of anesthetics to reduce local sensation, such as lidocaine gel. Overdose of these oral or topical medications may lead to erectile dysfunction and impaired sexual pleasure. Condoms can also be used to reduce penile stimulation.
5. Enhancing physical strength and energy
: Sexual activity is energy-consuming, and a strong physique is necessary to withstand high-intensity sexual activity. Most people's work and lives lack exercise, and those experiencing weak ejaculation are often those who work in offices for long periods. Strengthening exercise can improve physical strength and relieve tension and depression, both of which are beneficial for enhancing sexual pleasure and improving the quality of sexual life. Traditional Chinese medicine formulas such as Buzhong Yiqi Tang and Shenqi Wan can also improve physical strength and energy. Furthermore, psychological intervention should be integrated throughout the treatment of premature ejaculation.

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