DECEMBER 13, 2011 EJACUALTION

The success of love is in the loving--it is not in the result of loving -

Mother Theresa

We all should know more about the 4 letter word - love. We all have said it too many times in life. Maybe when we shouldn't have always said it when we did and maybe we have not said it enough at other times. It is how you love that counts! Is your love compassionate? Does it involve discussion? Does it involve touch? Think about when you use the word ' LOVE'... Think it over.

For men, an orgasm is usually accompanied by ejaculation. As men get older the ejaculate becomes less if at all. It is not as thick as it used to be. It almost can be like water. How many sperm do you think is in a single ejaculate ? The answer is 300 million. Of course the amount of sperm gets less as you get older.

Ejaculation is a two step process. I 'love' saying that! In the emission phase, the seminal fluid accumulates in the bulb of the prostate. Depending on the type of sex men are having this can be felt as a swelling of the prostate. The the expulsion phase the neck of the urinary bladder closes to ensure that no urine will mix with the semen. At the same time the muscles of the penis and penile urethra contract to force the semen out. This phase can be quite 'verbal' for the man depending on the force of the ejaculation (and the age of the man).

As you get older you might experience a dry ejaculation where you feel as though you are having an organism, but no semen is forced out. This can be due to medications, stress and illness. This is commonly observed in my practice in patients on anti-depressants especially celexa, zoloft and paxil.

Most of the cases of ejaculatory problems are psycho-social in origin. Usually there is no physical problem. The psycho social problem is that the man could feel sexual failure with his partner, male or female, but has no problem with another sexual partner. This is commonly the case with gay men. Sometimes after years of being together, the sex is too stagnant. I sometimes deal with men that have premature ejaculation. This often happens when there is initial penetration or very soon after.

The question is would you prefer a dry ejaculation or a premature ejaculation?

Premature ejaculation is usually the sign of performance anxiety. I commonly see this in younger men. There are rare occurrences of no ejaculation. This can occur in men who overindulge (constant or daily masturbation), inadequate stimulation of the penis or age.

Remedies can be varied. I believe that a psychologist should be involved. The male should try to avoid caffeine or stimulants in any form. There should be an increase in the intake of B vitamins. I usually suggest a B50 or B100 multivitamin. Eat oatmeal (always steel cut) as all oatmeal contains thiamine, an essential B vitamin. For the male who loves aromatherapy - mix bergamot in sweet almond oil and refresh the air with a vaporizer. There are three herbs which I recommend to drink two to there times a day. There should be a blend of Valerian, lime blossom, and skullcap. These are the herbs which will calm the nerves. For the men with premature ejaculation, there is a flower essence called Gentian which I find useful for those with a sense of failure.

Until tomorrow...