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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Dumb question regarding ejaculation
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<blockquote data-quote="madman" data-source="post: 221242" data-attributes="member: 13851"><p>Although having healthy T/DHT levels is critical there is much more going on when it comes to reduced semen volume/weak ejaculation.</p><p></p><p>Aging, weakened pelvic floor muscles, ED, BPH/LUTS.</p><p></p><p><strong><em>*With aging, there is a decline in sensory nerve function, weakening of pelvic floor muscles, and diminished reproductive gland fluid production</em></strong><em><strong>.</strong></em></p><p></p><p><strong><em>*The pelvic floor muscles play a key role in ejaculation</em></strong></p><p><strong><em></em></strong></p><p><strong><em></em></strong></p><p><strong><em></em></strong></p><p><strong><em></em></strong></p><p><strong><em>This entry is a long-overdue response to a request that I cover the topics of absent ejaculation and inability to orgasm.</em></strong></p><p></p><p><em>It is important to make the distinction between ejaculation and orgasm: <strong>Ejaculation is the physical act of <u>contraction of the pelvic floor muscles and expulsion of semen</u>,</strong> whereas orgasm is the associated feeling of pleasure that usually accompanies ejaculation. The two are not the same, although the terms are often used synonymously. Ejaculation takes place in the genitals, orgasm in the mind. It is entirely possible to ejaculate without experiencing an orgasm and to orgasm without ejaculating. The ideal situation is when the two components are perfectly aligned when they go “hand in hand.” (Cute, right?)</em></p><p></p><p></p><p><strong>Just Right</strong></p><p></p><p><em>In the perfect world, ejaculation and orgasm are “just right,” meaning occurring on a timely basis (not too rapidly nor too slowly), nor too meekly, nor absent.</em> <em><strong><u> Problems with ejaculation and orgasm include the following</u>:</strong></em><strong><em> rapid ejaculation, delayed ejaculation, absent ejaculation, skimpy ejaculation, weak ejaculation, diminished ejaculatory sensation, lack of orgasm, and post-orgasmic illness syndrome (POIS). Some would refer to these issues as “jizasters.”</em></strong></p><p></p><p><em>Although rapid ejaculation is typically a problem of younger men, <strong>many of the other ejaculation issues correlate with aging, weight gain, the presence of lower urinary tract symptoms due to prostate enlargement, and erectile dysfunction. <u>With aging, there is a decline in sensory nerve function, weakening of pelvic floor muscles, and diminished reproductive gland fluid production</u>. </strong>Furthermore, medications and surgery used to treat prostate issues may profoundly affect ejaculation.</em></p><p></p><p></p><p><strong>*Rapid ejaculation</strong></p><p><strong></strong></p><p><strong>*Delayed ejaculation</strong></p><p><strong></strong></p><p><strong>*Skimpy ejaculation</strong></p><p></p><p><em><strong>Skimpy ejaculatory volume is common with aging as the reproductive organs “dry out” to some extent. <u>It also occurs commonly with prostate medications that either reduce reproductive gland secretions (Finasteride and Dutasteride)</u> and/or cause the semen to be ejaculated backward (retrograde ejaculation–I like to use the term “injaculation”) into the urinary bladder (Flomax, Uroxatral, Rapaflo, etc.).</strong> Even though ejaculation is backward, sensation tends to be unchanged. Surgery for benign enlargement of the prostate (Greenlight laser, transurethral prostatectomy, etc.) often gives rise to retrograde ejaculation. This is not harmful to one’s health and whatever semen is released will be urinated out. Radiation therapy to the prostate can also cause diminished ejaculation.</em></p><p></p><p></p><p><strong>*Weak ejaculation</strong></p><p></p><p><em>Young men can often forcefully ejaculate a substantial volume of semen in an arc that may be several feet in length, associated with an intense orgasm. <strong><em>The aging male typically has a more lackluster experience with a smaller volume of semen weakly dribbling out of the penis. <u>Weak ejaculation clearly correlates with aging, weakened pelvic floor muscles, and erectile dysfunction</u>.</em></strong></em></p><p></p><p><strong>*Absent ejaculation</strong></p><p><strong></strong></p><p><strong>*Anorgasmia</strong></p><p><strong></strong></p><p><strong>*Post-orgasmic illness syndrome</strong> <strong>(POIS)</strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong>Optimizing Ejaculation and Orgasm</strong></p><p></p><ol> <li data-xf-list-type="ol"><strong>Healthy lifestyle:</strong> <em>Wholesome and nutritious eating habits and maintaining a healthy weight, regular exercise, adequate sleep, alcohol in moderation, avoidance of tobacco, and stress management will help keep all organs and tissues functioning well, including one’s ejaculatory “apparatus.” </em></li> <li data-xf-list-type="ol"><strong><u>Pelvic floor muscle training</u>:</strong> <em> <strong>The pelvic floor muscles play a key role in ejaculation. </strong>The bulbocavernosus muscle engages when one has an erection and becomes maximally active at the time of ejaculation.<strong> It is a compressor muscle that surrounds the spongy erectile tissue that envelops the urethra and contracts rhythmically at the time of ejaculation, sending wave-like pulsations rippling down the urethra to forcibly propel semen, providing the power behind ejaculation.</strong> Pelvic floor muscle training can help one control the timing of ejaculation as well as enable forceful ejaculation. Readers are directed to the Male Pelvic Fitness book and PelvicRx DVD as excellent resources for learning how to properly pursue pelvic floor muscle training.</em></li> <li data-xf-list-type="ol"><strong>Breathe deeply and slowly:</strong><em> During sexual activity, there is a tendency for shallow and rapid breathing and breath-holding because of excitement and increasing sexual tension. Depth and rhythm of breathing may affect ejaculation with deep, full breaths optimal.</em></li> <li data-xf-list-type="ol"><strong>Stay sexually active:</strong> <em>All body parts need to be used on a regular basis, including our reproductive organs. Keep the erectile and ejaculatory muscles fit by using them as nature intended. Use it or lose it!</em></li> </ol></blockquote><p></p>
[QUOTE="madman, post: 221242, member: 13851"] Although having healthy T/DHT levels is critical there is much more going on when it comes to reduced semen volume/weak ejaculation. Aging, weakened pelvic floor muscles, ED, BPH/LUTS. [B][I]*With aging, there is a decline in sensory nerve function, weakening of pelvic floor muscles, and diminished reproductive gland fluid production[/I][/B][I][B].[/B][/I] [B][I]*The pelvic floor muscles play a key role in ejaculation This entry is a long-overdue response to a request that I cover the topics of absent ejaculation and inability to orgasm.[/I][/B] [I]It is important to make the distinction between ejaculation and orgasm: [B]Ejaculation is the physical act of [U]contraction of the pelvic floor muscles and expulsion of semen[/U],[/B] whereas orgasm is the associated feeling of pleasure that usually accompanies ejaculation. The two are not the same, although the terms are often used synonymously. Ejaculation takes place in the genitals, orgasm in the mind. It is entirely possible to ejaculate without experiencing an orgasm and to orgasm without ejaculating. The ideal situation is when the two components are perfectly aligned when they go “hand in hand.” (Cute, right?)[/I] [B]Just Right[/B] [I]In the perfect world, ejaculation and orgasm are “just right,” meaning occurring on a timely basis (not too rapidly nor too slowly), nor too meekly, nor absent.[/I] [I][B][U] Problems with ejaculation and orgasm include the following[/U]:[/B][/I][B][I] rapid ejaculation, delayed ejaculation, absent ejaculation, skimpy ejaculation, weak ejaculation, diminished ejaculatory sensation, lack of orgasm, and post-orgasmic illness syndrome (POIS). Some would refer to these issues as “jizasters.”[/I][/B] [I]Although rapid ejaculation is typically a problem of younger men, [B]many of the other ejaculation issues correlate with aging, weight gain, the presence of lower urinary tract symptoms due to prostate enlargement, and erectile dysfunction. [U]With aging, there is a decline in sensory nerve function, weakening of pelvic floor muscles, and diminished reproductive gland fluid production[/U]. [/B]Furthermore, medications and surgery used to treat prostate issues may profoundly affect ejaculation.[/I] [B]*Rapid ejaculation *Delayed ejaculation *Skimpy ejaculation[/B] [I][B]Skimpy ejaculatory volume is common with aging as the reproductive organs “dry out” to some extent. [U]It also occurs commonly with prostate medications that either reduce reproductive gland secretions (Finasteride and Dutasteride)[/U] and/or cause the semen to be ejaculated backward (retrograde ejaculation–I like to use the term “injaculation”) into the urinary bladder (Flomax, Uroxatral, Rapaflo, etc.).[/B] Even though ejaculation is backward, sensation tends to be unchanged. Surgery for benign enlargement of the prostate (Greenlight laser, transurethral prostatectomy, etc.) often gives rise to retrograde ejaculation. This is not harmful to one’s health and whatever semen is released will be urinated out. Radiation therapy to the prostate can also cause diminished ejaculation.[/I] [B]*Weak ejaculation[/B] [I]Young men can often forcefully ejaculate a substantial volume of semen in an arc that may be several feet in length, associated with an intense orgasm. [B][I]The aging male typically has a more lackluster experience with a smaller volume of semen weakly dribbling out of the penis. [U]Weak ejaculation clearly correlates with aging, weakened pelvic floor muscles, and erectile dysfunction[/U].[/I][/B][/I] [B]*Absent ejaculation *Anorgasmia *Post-orgasmic illness syndrome[/B] [B](POIS) Optimizing Ejaculation and Orgasm[/B] [LIST=1] [*][B]Healthy lifestyle:[/B] [I]Wholesome and nutritious eating habits and maintaining a healthy weight, regular exercise, adequate sleep, alcohol in moderation, avoidance of tobacco, and stress management will help keep all organs and tissues functioning well, including one’s ejaculatory “apparatus.” [/I] [*][B][U]Pelvic floor muscle training[/U]:[/B] [I] [B]The pelvic floor muscles play a key role in ejaculation. [/B]The bulbocavernosus muscle engages when one has an erection and becomes maximally active at the time of ejaculation.[B] It is a compressor muscle that surrounds the spongy erectile tissue that envelops the urethra and contracts rhythmically at the time of ejaculation, sending wave-like pulsations rippling down the urethra to forcibly propel semen, providing the power behind ejaculation.[/B] Pelvic floor muscle training can help one control the timing of ejaculation as well as enable forceful ejaculation. Readers are directed to the Male Pelvic Fitness book and PelvicRx DVD as excellent resources for learning how to properly pursue pelvic floor muscle training.[/I] [*][B]Breathe deeply and slowly:[/B][I] During sexual activity, there is a tendency for shallow and rapid breathing and breath-holding because of excitement and increasing sexual tension. Depth and rhythm of breathing may affect ejaculation with deep, full breaths optimal.[/I] [*][B]Stay sexually active:[/B] [I]All body parts need to be used on a regular basis, including our reproductive organs. Keep the erectile and ejaculatory muscles fit by using them as nature intended. Use it or lose it![/I] [/LIST] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
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Dumb question regarding ejaculation
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