Treatment and home therapy for anejaculation: behavioral training and massage techniques
How to treat anejaculation
Learning about sex science can be beneficial for those lacking sexual knowledge or using improper sexual techniques, such as not knowing how to thrust the penis back and forth after penetration. With proper intercourse, ejaculation can often be achieved. Secondly, electric massage, under the guidance of a doctor, can stimulate sensitive areas such as the glans and frenulum using an electric massager, or by moving it up and down along the penis shaft. This often yields good results in inducing ejaculation. Studies show that about 50% of patients recover on their first treatment, while the rest usually recover after more than ten treatments. Initially, continuous stimulation for 10-15 minutes is needed, but later only 5 minutes is required to achieve ejaculation. Various commercially available massagers can be used. Ephedrine can also be used as an adjunct therapy, which can improve the efficacy in some stubborn cases, but it has many adverse reactions. In addition, circumcision, quitting smoking and alcohol, and improving the living environment can help with treatment. Traditional fitness therapies such as Qigong and Tai Chi can also be used. Thiazide tranquilizers and certain antihypertensive drugs should be avoided during treatment. For patients with excessive central nervous system inhibition, in addition to learning about sex in detail, it is advisable to temporarily separate from their spouses for a period of time to allow the cerebral cortex to rest and adjust fully. The novelty of reunion can help break through the existing inhibitory state. For patients who are temporarily incurable but eager to conceive, masturbation or collecting semen during nocturnal emission and injecting it into the vagina or uterine cavity can sometimes lead to an unexpected cure as the woman becomes pregnant and the mental depression gradually disappears.
Traditional Chinese medicine has significant advantages in treating anejaculation. You can go to a regular hospital to find a traditional Chinese medicine andrologist for treatment with traditional Chinese medicine therapies.
Home remedies for ejaculatory dysfunction
Generally speaking, functional ejaculatory dysfunction can often be cured by adopting effective methods of sexual intercourse. When the husband experiences ejaculation difficulties, the wife's cooperation, care, and understanding are crucial. This helps the husband relax and eliminates psychological pressure during intercourse. It is essential to avoid resentment, showing any aversion, or demanding ejaculation from the husband, as aversion often evolves into hostility or distrust, worsening the condition. Generally, once a patient with functional ejaculatory dysfunction experiences ejaculation inside the wife's vagina, this sexual dysfunction can be permanently eliminated. Several successful sexual encounters, where both partners firmly establish confidence in successful ejaculation, can lead to a cure for ejaculatory dysfunction.
Appropriately increasing sexual stimulation can help. Before intercourse, the wife can use her hand to stimulate the penis more strongly. Specifically, before intercourse, the wife can actively use the "sensate focus method," gently caressing the husband to arouse his sexual excitement, bringing his sexual impulse to a very strong state before genital contact. At the start of intercourse, the man lies on his back, focusing his attention on the sensations he is experiencing. The woman sits beside the man or between his legs, using her index and thumb to form a ring around the penis shaft, rubbing it up and down to stimulate the penis, gradually increasing the frequency. This stimulation method often brings the husband to a high level of sexual arousal. When he feels he is about to ejaculate, the wife quickly adopts the woman-on-top position, inserting the penis into the vagina and moving her vagina up and down. If the husband still cannot ejaculate within a short time, the wife actively stops intercourse, continuing to stimulate the penis with her hand. When he is about to ejaculate again, she resumes the woman-on-top position. This practice is repeated 3-5 times per session, 10 times for one course of treatment. After 1-2 courses of treatment, ejaculation within the vagina is usually achieved. During intercourse, both partners should be fully immersed in love, and their language should primarily focus on romantic feelings.
If the above exercises still fail to achieve vaginal ejaculation, the following method can be used: the wife uses her hand to stroke the penis, causing the husband to ejaculate outside the vagina, allowing the semen to be ejaculated onto the wife's external genitalia. When the husband sees his semen coming into contact with his wife's genitals, he often experiences an immense sense of euphoria. After achieving several ejaculations, vaginal ejaculation becomes easier.
Wives can also help their husbands use an electric massager to treat functional ejaculatory dysfunction. Before massaging, empty the bladder. Couples should engage in mutual foreplay to induce sexual arousal. Place the massager above the pubic symphysis or on the perineum, turn it on to a slow setting, and gradually increase the intensity to a low-to-medium level of stimulation. Massage for 10-15 minutes each time. When sexual pleasure reaches a certain level and ejaculation is imminent, stop the massage and immediately engage in intercourse. If there is still no ejaculation sensation after intercourse, continue the massage until ejaculation is felt before engaging in intercourse again, aiming to ejaculate inside the vagina. With repeated massage practice, normal ejaculation can often be achieved. Alternatively, after sufficient foreplay, the wife can hold the penis with her left hand and the massager with her right, placing the massager head on the coronal sulcus of the penis, focusing on massaging the frenulum. If ejaculation occurs after one massage, continue the massage for three consecutive days, once daily, to gradually establish the ejaculatory reflex. After successful ejaculation through massage, gradually transition to normal ejaculation during intercourse.
Patients with a history of masturbation often cannot ejaculate because the friction and stimulation inside the vagina during intercourse is not as strong as during masturbation. The use of electric massagers has a better clinical effect.
For those who lack sexual knowledge and support their upper body vertically with both arms during intercourse, changing their position and bending their elbows to support their upper body at a 90-degree angle, while increasing the speed of thrusting, can generally restore ejaculation. Using a hot water bottle or taking a hot bath before intercourse can stimulate the genitals with warmth, which helps with penile erection, increases libido, and promotes ejaculation.
Couples should be gentle during intercourse to prevent penile injury.
In summary, the above methods can only treat functional anejaculation, and are ineffective for organic anejaculation.