Prevention of ejaculatory dysfunction, sex education and psychotherapy, and methods for wife's assistance.
119.
Prevention of anejaculation
For men in my country who have anejaculation, more than 90% of cases are due to functional causes, making prevention more important than treatment.
Strictly speaking, as long as we vigorously promote premarital sex education, popularize sex knowledge, eliminate the mystery, break down all kinds of taboos and regulations, and completely overturn the various "obscene" and "unclean" accusations imposed on sex, we can prevent the emergence of various undesirable functional sexual dysfunctions among young people.
The establishment of premarital schools and sex education classes in various regions is undoubtedly a positive and essential measure that will bring benefits to young people and families and promote the development of socialist spiritual civilization.
120.
Sex education and psychotherapy for patients with ejaculatory dysfunction
More than 90% of patients with anejaculation have functional anejaculation, and their sex education should be strengthened.
In terms of lifestyle, it is important to develop good living habits, go to bed early and get up early, and quit bad habits such as smoking and drinking. Regular physical exercise is also important to improve physical fitness, maintain abundant energy, eliminate various stress or negative factors, keep a happy mind and body, and have confidence in the treatment. It is also important to improve the living environment as much as possible and avoid noisy environments.
In terms of sex education, a comprehensive survey of sexual life should be conducted, and sex knowledge education should be provided to address the existing problems, including sexual anatomy, ejaculation physiology, and sexual intercourse methods.
Couples are encouraged to work closely together and take appropriate measures to enhance sexual arousal.
There should be no words or actions that could affect sexual desire during intercourse.
Adopting appropriate sexual positions, such as the male-on-top position, and with the female partner's cooperation, the entire sexual intercourse process can be completed together. Supporting the testicles with the hands can promote ejaculation and sexual climax during periods of high arousal.
In recent years, in the field of mental and psychological treatment, the Symptom Checklist 90 Revision (SCL-90-R) has been introduced. It includes nine mental and psychological syndromes, such as somatization, obsessive-compulsive disorder, hostility, depression, anxiety, phobias, suspicion of others, paranoia, and psychosis, with 90 questions, each representing a mental and psychological symptom.
Based on their sexual experiences from the previous week, the examinees marked the questionnaire in sequence.
The results were statistically analyzed and plotted in charts, following standard evaluation methods.
Then, based on the patient's mental state and psychological characteristics, provide compassionate guidance, explanation, and encouragement to eliminate the cause of the illness and relieve anxiety, worries, fears, and various mental stresses.
121.
Methods for wives to help their husbands ejaculate
More than 90% of male anejaculation is functional. Some women feel very disgusted because their husbands cannot reach orgasm due to their inability to ejaculate, and this may even gradually develop into hostility or distrust.
In the treatment of functional ejaculatory dysfunction, the female partner plays a major role, and the patient's wife is mainly responsible for inducing ejaculation.
However, what methods should the wife use and how should they implement them? Currently, the main method used is sensate focus training to induce ejaculation.
The specific method is as follows: Choose a warm and comfortable room with soft, slightly dim lighting, accompanied by relaxing and pleasant music. Both parties should be enthusiastic and relaxed, creating an atmosphere of mutual understanding and warmth.
It is best to be completely naked during training, and the position should be such that both parties can see each other's entire body while still allowing for easy manipulation.
Training time can vary, but it's generally half an hour a day.
During genital sensate focus training, the man lies on his back and focuses his attention on the sensations he is experiencing. The woman sits beside the man or between his legs, first gently stimulating his penis, gradually increasing the intensity of the stimulation, and intermittently using gentle caressing and flirtatious movements.
Both partners can use lubricants to enhance male sexual arousal and also for lubrication.
If ejaculation occurs, the man will feel a sense of accomplishment when ejaculating near the vaginal opening in the future.
Then, just before ejaculation, the man should immediately insert his penis into the vagina and continue thrusting forcefully until ejaculation occurs.
If the penis softens before ejaculation, the procedure should be repeated.
Using the male-on-top position during intercourse can promote ejaculation.
Generally speaking, functional anejaculation can be cured by adopting effective methods of sexual intercourse between couples.
122.
Treatment of ejaculatory dysfunction with a penile vibrator
This method is mainly applicable to patients who have not been successful with sensate focus training and masturbation techniques. It has been reported that about half of patients with functional ejaculatory dysfunction can recover to normal after the first electro-vibration treatment, while the rest can be cured after more than ten treatments.
The principle is the same as that of masturbation stimulation. The vibrator treatment head is placed on the glans, frenulum, coronal sulcus and other areas rich in terminal receptors, and is moved rhythmically from front to back to apply pressure and massage to the sensitive areas (which vary from person to person). The stimulation intensity usually used is 30 to 60 Hz.
Because the mechanical stimulation of vibration produces a stronger sexual sensation than sexual intercourse, it can induce ejaculation, allowing patients to experience ejaculation and enhancing their self-confidence.
Some patients ejaculate after just a few minutes of massage, while others can only ejaculate after several massages (each lasting 10 to 30 minutes).
After induced ejaculation, most patients are able to transition to spontaneous ejaculation during intercourse.
The effect of tremor therapy will be better if pilocarpine is injected first.
Because the penile threshold for vibration stimulation increases with age, older adults need to appropriately increase the intensity of stimulation.
Although this method is a non-invasive treatment, it can raise blood pressure. During the treatment, attention should be paid to changes in blood pressure. If necessary, 10-60 mg of nifedipine can be taken sublingually 15-20 minutes before treatment to prevent a sudden increase in blood pressure.
There are many types of massagers on the market, and you can choose to use them selectively.
123.
Acupuncture treatment for ejaculation
(1) Acupoints: Liver Shu, Sanjiao Shu, Large Intestine Shu, Kidney Shu, Qugu.
Indications: Inability to ejaculate during intercourse, nocturnal emission or ejaculation during masturbation, emotional distress, depression, chest tightness and rib pain.
(2) Acupoints: Dadun, Sanyinjiao, Taichong, Juegu.
Indications: Inability to ejaculate, penile inability to erect, lower abdominal pain radiating to the testicles, cold limbs, preference for warmth and aversion to cold.
(3) Acupoints: Guanyuan, Jimai, Sanyinjiao.
Indications: Inability to ejaculate, discomfort or fullness in the lower abdomen, groin, or scrotum after intercourse or at other times, lower back pain, dizziness, and forgetfulness.
124.
Moxibustion treatment for ejaculatory dysfunction
Acupoints: Qihai, Guilai, Baihui, Weidao, Sanyinjiao, Taichong, Ganshu, Shenshu, Guanyuan, Taixi, Zusanli.
Moxibustion with moxa sticks, once a day, 3-5 cones each time.
125.
Ear acupuncture treatment for ejaculatory dysfunction
Acupuncture points: Testis, external genitalia, Shenmen, endocrine, subcortex, seminal vesicle, excitation point, kidney, liver, etc. Select 4-5 points each time, and retain the needles for 30 minutes each time. Needle embedding or ear acupressure can also be used.
126.
Massage therapy for ejaculatory dysfunction
(1) Massage therapy for early marriage without ejaculation: ① Rubbing Shenque: Gently and slowly rub Shenque acupoint with the palm for 5-8 minutes to stimulate deep muscle movement.
② Abdominal massage: Place your palms on your lower abdomen and massage in clockwise and counterclockwise directions for 5 to 8 minutes until you feel warmth.
③ Press Qugu acupoint: Press the Qugu acupoint with the tip of your index or middle finger for 1 to 3 minutes.
④ Squeeze the glans penis: Squeeze the glans penis with your thumb and forefinger for 3-5 minutes, and relax after each squeeze.
⑤ Rub the Du Meridian: Place your palm on the lumbosacral region and rub up and down along the spine to the Dazhui acupoint 20 times, until it feels warm.
⑥ Patting the Eight Acupoints: Make loose palms with both hands and alternately pat the Eight Acupoints for 5-8 minutes, until a vibration is felt in the lumbosacral region and the perineum.
⑦ Press and knead the Achilles tendon: Use your thumb and index finger to press and knead the Achilles tendon on both sides, from the ankle joint to the heel for 5 to 8 minutes, with moderate force.
⑧ Rub the soles of your feet: Place your palms firmly against the soles of your feet and rub back and forth for 8 to 10 minutes until you feel a noticeable warmth in the area.
(2) Massage therapy for post-illness weakness and ejaculation: ① Separate the upper abdomen: Place both palms flat on the xiphoid process and push along the costal arches on both sides towards the ribs for 5 to 8 minutes. The movements should be coordinated and the force should be even.
② Kneading Zhongwan: Use your index, middle, and ring fingers to knead Zhongwan in clockwise and counterclockwise directions 50 to 100 times.
③ Rub Tianshu: Rub the Tianshu acupoints on both sides with your index or middle finger for 3-5 minutes.
It requires stimulating deep tissue movement.
④ Massage Qihai and Guanyuan acupoints: Place your index, middle, and ring fingers together between the Qihai and Guanyuan acupoints, and gently massage in clockwise and counterclockwise directions for 5 to 10 minutes.
⑤ Rub the testicles: Hold the testicles with both hands and gently squeeze and rub them back and forth until they feel warm, for 3 to 5 minutes.
The movements should be gentle and slow.
⑥ Press and rub Zusanli: Gently press and rub the Zusanli acupoint with your thumb or index finger for 5 to 8 minutes.
⑦ Pressing Sanyinjiao: Press the Sanyinjiao acupoint on both sides with your index finger or middle finger for 3-5 minutes, until you feel soreness and distension.
(3) Massage therapy for non-ejaculation due to mental tension: ① Press Fengchi: Press the Fengchi acupoints on both sides with your thumb for 1 to 3 minutes, until you feel soreness.
②Pinch Jianjing: Use the thumbs and index, middle and ring fingers of both hands to pinch and lift the Jianjing acupoint for 3 to 5 minutes, until the shoulder, back and upper limbs feel sore or numb.
③ Press and rub the Yuanye acupoint: Press and rub the Yuanye acupoint on both sides with your index or middle finger for 5 to 8 minutes with moderate pressure.
④ Rub the groin: Use the hypothenar eminence of both hands to rub back and forth from the navel to the pubic symphysis and groin 50-100 times.
⑤ Squeeze the glans: Hold the glans with your thumb and forefinger and squeeze it forcefully every few seconds for 3 to 5 minutes until you feel the urge to ejaculate.
⑥ Pinch and rub Hegu: Pinch and rub the Hegu acupoints on both sides with your thumbs for 3-5 minutes each. Pinch with heavy force and rub with light force.
⑦ Press and rub Taichong: Press and rub the Taichong acupoints on both sides with your thumb or index finger for 3-5 minutes, until you feel a distending sensation.
(4) Massage therapy for non-ejaculation caused by excessive consumption of fatty and sweet foods: ① Rubbing the Tanzhong acupoint: Press and rub the Tanzhong acupoint with the palm heel for 3-5 minutes, press with slightly more force, and rub in clockwise and counterclockwise directions.
② Massage the breasts and the Rugen acupoint: Use the tips of your index, middle, and ring fingers together to massage the Rugen acupoints for 3-5 minutes, alternating between both sides. Apply slightly more pressure, aiming for a slight soreness and distension.
③ Abdominal muscle shaking: Pinch your abdominal muscles firmly with both hands and shake them for about 3 to 5 minutes, moving from the sides towards the middle.
④ Press Zhongji acupoint: Press the Zhongji acupoint with your index or middle finger for 1 to 3 minutes, applying slightly more pressure.
⑤ Press and rub Huantiao: Hold your hands together, bend your elbows, and press and rub the Huantiao acupoints on both sides with the tips of your elbows.
⑥ Rub the Zhibian acupoint: Press and rub the Zhibian acupoint on both sides with your thumb for 5 to 8 minutes to produce a strong soreness or numbness in the local area.
⑦ Press Fenglong: Press the Fenglong acupoints on both sides with your thumb or index finger for 1 to 3 minutes, using a slightly heavier touch and gradually increasing the pressure.
(5) Massage therapy for non-ejaculation due to traumatic blood stasis: ① Rub the ribs: After rubbing the palms together to warm them, rub back and forth from the armpits to the groin for 5 to 8 minutes. Use symmetrical and coordinated force with both hands.
②Pinch the penis: Use your thumb and index, middle and ring fingers to pinch the penis firmly from the base to the glans, repeating for 3 to 5 minutes.
③ Press the perineum: Press the perineum acupoint with the tip of your middle finger for 1 to 3 minutes, and gently vibrate the fingertip to make the force penetrate deeply.
④ Press Xuehai: Press the Xuehai acupoint on both sides with the tip of your thumb or index finger for 1 to 3 minutes. You can use strong stimulation.
⑤ Press and rub Weizhong: Press and rub the Weizhong acupoint on both lower limbs with your thumb for 3-5 minutes, with a slightly stronger force, until you feel a slight soreness and pain.
⑥ Pinch and rub Chengshan: Pinch and rub the Chengshan acupoint on both lower limbs with the tip of your thumb for about 3 to 5 minutes, applying strong stimulation to produce a noticeable distending and numb sensation in the local area.