How to look at “shooting” powerlessness

  During clinic visits, some men will complain that their semen no longer ejaculates as forcefully as it used to, but instead spills or flows slowly and feebly. This causes them distress and makes their spouse nervous, thinking they have some kind of difficult disease.  There are many such cases, take a patient surnamed Wang, he is a man in his 40s, has two children, life is okay, he himself is also a slightly successful person with assets, but what makes him feel anxious is that he has no pleasure during sex, because semen is not ejaculated, but slowly overflowing. He at first thought it was because he was under too much mental stress and not concentrating on his sex life, but when he tried to relax, it was still the case, so he came to the clinic. Zhang Wenwei, Reproductive Health Department, Shaoxing Maternal and Child Health Hospital What causes weak ejaculation in men like him?  From the surface cause, there are two possibilities, one is because of the decrease in semen volume, and the other is because of the weakening of ejaculatory force. The author has met patients who have been married for more than ten years and have repeated their conjugal life night after night, as well as people who have had sex several times a night, and these people’s excessive sexual behavior must end up with reduced semen and weak ejaculation, even to the point of no semen to ejaculate; such as incomplete bladder closure, so that part of the The amount of semen ejaculated is reduced by the backflow of semen into the bladder, but the orgasm of such patients is not much affected; there are also people whose semen volume is significantly reduced because of the congenital deficiency of the gonads, and some of them have less than 1 ml of semen.  And the reason for the weakened ejaculatory power are neurological problems, and also spinal cord injury, so that the inner urethral sphincter can not contract as in normal ejaculation, there are also some men whose weakened ejaculatory power is due to the weakness and incompetence of the related muscles, especially the pubococcygeal muscle, and here there are the effects of age factors, and also the effects of weakened physique, and the consequences of excessive obesity. Of course, there are some people in the clinic who have difficulty finding the cause, and I can only call them unexplained ejaculatory weakness.  ” In the clinic, some men will complain that their semen no longer ejaculates as forcefully as it used to, but instead spills or flows out slowly and feebly. This causes them distress and makes their spouse nervous, thinking they have some kind of difficult disease.  There are many such cases, take a patient surnamed Wang, he is a man in his 40s, has two children, life is okay, he himself is also a slightly successful person with assets, but what makes him feel anxious is that he has no pleasure during sex, because semen is not ejaculated, but slowly overflowing. He at first thought it was because he was under too much mental stress and not concentrating on his sex life, but when he tried to relax, it was still the case, so he came to the clinic. Zhang Wenwei, Reproductive Health Department, Shaoxing Maternal and Child Health Hospital What causes weak ejaculation in men like him?  From the surface cause, there are two possibilities, one is because of the decrease in semen volume, and the other is because of the weakening of ejaculatory force. The author has met patients who have been married for more than ten years and have repeated their conjugal life night after night, as well as people who have had sex several times a night, and these people’s excessive sexual behavior must end up with reduced semen and weak ejaculation, even to the point of no semen to ejaculate; such as incomplete bladder closure, so that part of the The amount of semen ejaculated is reduced by the backflow of semen into the bladder, but the orgasm of such patients is not much affected; there are also people whose semen volume is significantly reduced because of the congenital deficiency of the gonads, and some of them have less than 1 ml of semen.  And the reason for the weakened ejaculatory power are neurological problems, and also spinal cord injury, so that the inner urethral sphincter can not contract as in normal ejaculation, there are also some men whose weakened ejaculatory power is due to the weakness and incompetence of the related muscles, especially the pubococcygeal muscle, and here there are the effects of age factors, and also the effects of weakened physique, and the consequences of excessive obesity. Of course, there are some people in the clinic who have difficulty finding the cause, and I can only call them unexplained weakness of ejaculation.  ”What can be done to improve it?”  Patients often ask this question. It seems to them that it would be better to have medication for treatment, or better yet, to take some kind of medication and then be as good as ever, however, I often don’t have much medication to offer them, and what prescriptions I can offer seem a bit disappointing to them.  ”Exercise”, this is my prescription, I very much emphasize is that exercise should be frequent and regular, can be arranged twice a day for about 10 minutes each refining exercises. Exercise can be contracted anus for 3 seconds, then relaxed for 3 seconds, so as once, repeated 10 times as a group, when the muscle strength increased can be extended to 10 seconds or more each contraction and relaxation time.  This exercise should be noted is consistent, do not fish for three days and two days. Learning to relax is as important as learning to contract. After the endurance exercises you can change the exercises and practice short twitches of the pubococcygeus tailbone muscle. To repeatedly contract and relax the muscle as fast as possible, it is appropriate to contract 300 times a day, so that the training effect can be guaranteed. Exercise can be done on any occasion, such as waiting for the car, playing cards, typing, meetings, watching TV and other opportunities can be used. Just stick to it for a month or two to observe the obvious signs of progress.  The funny thing is that many people don’t know how to do such exercises, and when I give counseling on the spot, they often don’t know what to do, and frankly, how can a doctor expect such a patient to do the exercises? The results of the treatment are, of course, a big disappointment.  The above is for those who have weak ejaculation, but for those who have less sperm due to too frequent ejaculation, I have only one thing to say: semen is not tap water, it does not come out as soon as you turn on the faucet, semen has its own process of accumulation, you want to have a long-term balanced, you can not overconsume. You can’t even think about using a “tonic” to fill your consumption, even if it works for a while, it’s not a long-term solution.  To sum up, the key to the phenomenon I described is not to take medication, but to be regular and practice, which is a prescription for not worrying about the cost of treatment.  Patients often ask such questions. It seems to them that it is better to have medication for treatment, and then it is better to take a certain medication and then it will be the same as always, however, I often do not have much medication to offer them, and the prescription that I can offer seems to them a little disappointing.  ”Exercise”, this is my prescription, I very much emphasize is that exercise should be frequent and regular, can be arranged twice a day for about 10 minutes each refining exercises. Exercise can be contracted anus for 3 seconds, then relaxed for 3 seconds, so as once, repeated 10 times as a group, when the muscle strength increased can be extended to 10 seconds or more each contraction and relaxation time.  This exercise should be noted is consistent, do not fish for three days and two days. Learning to relax is as important as learning to contract. After the endurance exercises you can change the exercises and practice short twitches of the pubococcygeus tailbone muscle. To repeatedly contract and relax the muscle as fast as possible, it is appropriate to contract 300 times a day, so that the training effect can be guaranteed. Exercise can be done on any occasion, such as waiting for the car, playing cards, typing, meetings, watching TV and other opportunities can be used. Just stick to it for a month or two to observe the obvious signs of progress.  The funny thing is that many people don’t know how to do such exercises, and when I give counseling on the spot, they are often overwhelmed. Of course, the results of the treatment will be very disappointing.  The above is for those who have weak ejaculation, but for those who have less sperm due to too frequent ejaculation, I only have one thing to say: semen is not tap water, it does not come out as soon as you turn on the faucet, semen has its own process of accumulation, you want to have a long-term balanced, you can not overconsume. You can’t even think about using a “tonic” to fill your consumption, even if it works for a while, it’s not a long-term solution.  To sum up, the key to the phenomenon I described is not to take medication, but to be regular and practice, which is a prescription without worrying about the cost of treatment.