Case: I have been unable to ejaculate since my marriage. After examination, my foreskin was longer, which affected the friction and irritation during sexual intercourse, so I went to have a circumcision. After the operation, I felt a little relaxed in the sexual intercourse. But I still can't; Ejaculate at one stroke. My condition probably does not belong to the primary non-ejaculation, because I had a dream before. But why can't I do it in my dream?
Expert answers:
Although the prepuce is too long is the main reason for ejaculation failure, the role of the wife in sex cannot be ignored. When getting married, the wife is often shy and passive and cannot give her husband enough sexual stimulation. Ejaculation is a complex physiological process, and nerve endings and central excitation are two important links. If the nerve endings are not excited enough, the stimulation threshold is too high and the stimulation intensity is too low, it will cause ejaculation failure.
Therefore, you must strengthen local sexual stimulation, and let your wife induce ejaculation. The wife should take the most appropriate position and hug her husband tightly, or consciously contract the vaginal sphincter to strengthen the stimulation of the penis.
If the wife's induction fails, use an electric massager to induce ejaculation under the guidance of a doctor. At the beginning, it needs continuous stimulation for 10-15 minutes, and then it only takes 5 minutes to achieve ejaculation. The stimulation site is mainly the glans and frenulum, and can also move up and down along the penis.
Ejaculation failure has a great relationship with mental factors, especially secondary ejaculation failure. Therefore, your treatment should focus on eliminating the inhibition of ejaculation by the nerve center and receiving necessary sexual counseling. The key is to dispel worries, build confidence, and use correct sexual intercourse techniques. In your case, a successful vaginal ejaculation (not a dream emission) will permanently change the situation of ejaculation failure.
Some drugs have no certain therapeutic effect on ejaculation. For example, levodopa, 0.25 g once a day, three times a day, can excite the cerebral cortex. Oral administration of 50-70 mg ephedrine hydrochloride 90 minutes before sexual intercourse can increase muscle strength and excite the central nervous system, which makes ejaculation easier. However, the above drugs are forbidden for patients with hypertension and coronary heart disease.