Behavioral therapy, dietary therapy, and psychological and environmental therapy for ejaculatory dysfunction

127.

Behavioral therapy for ejaculatory dysfunction

Treatment for functional ejaculatory dysfunction requires cooperation and coordination from both partners, including training the wife to assist in sexual behavior therapy.

For those with a history of masturbation, local stimulation can be used to induce ejaculation.

The sexual position can be changed, or an electric massager can be used to stimulate the penis. When the woman feels the urge to ejaculate, she inserts the penis into her vagina and continues to stimulate it until ejaculation occurs.

128.

Dietary therapy for ejaculatory dysfunction

(1) Tongcao Pig Trotter Soup: 15 grams each of Tongcao and Wangbuliuxing, wrapped in cloth, 2 pig trotters, add water and stew until the meat is tender, add a little salt, drink the soup and eat the pig trotters.

(2) Cistanche porridge: 30 grams of Cistanche deserticola and an appropriate amount of rice, cook into porridge and consume.

(3) Cordyceps stewed duck: Clean one male duck by removing its feathers and internal organs, add 10 pieces of Cordyceps, a little salt, green onion, ginger and other seasonings, put it in a casserole with water and stew until tender before serving.

(4) Fried sparrows: Remove the feathers and internal organs of 3 sparrows, fry them in peanut oil, and fry salt into powder. Dip the sparrows in the powder.

Alternatively, sparrows can be cooked into porridge with rice and seasoned before serving.

(5) Eucommia and pork kidney soup: 30 grams of Eucommia and 1 pork kidney, cleaned and cut open, boiled into soup and taken orally.

129.

Psychotherapy for Ejaculatory Dysfunction

Patients are educated on sex, and sensory concentration training is used to enhance bodily sensitivity, arouse sexual response, and strengthen local stimulation in order to achieve ejaculation.

Mobilize the patient's positive factors, provide reassurance and guidance, eliminate the influence of adverse factors, reduce their anxiety, and enhance their confidence in treatment.

130.

Environmental therapy for ejaculatory dysfunction

Some men don't ejaculate because they are dissatisfied with the current situation or feel guilty. These negative feelings affect their excitement and orgasm.

For the reasons mentioned above, sexual fantasies can be fully developed during sexual intercourse; appropriate artificial adjustments can also be made, that is, if ejaculation cannot be achieved through vaginal intercourse, the wife can rub or stimulate the penis with her hand, or use other sexual behaviors to stimulate the sensitive parts of the penis to achieve the purpose of ejaculation.

131.

Qigong therapy for ejaculatory dysfunction

Lie on your back with your head and shoulders slightly elevated, legs naturally straight and together, arms naturally straight and placed at your sides with palms down, eyes slightly closed or slightly open, focus your mind on your lower abdomen (Dantian), and breathe silently 100-300 times.

132.

Prevention and prognosis of anejaculation

To prevent anejaculation, the most important thing is to maintain a healthy lifestyle.

In terms of sexual life, both partners should understand and be considerate of each other, prevent excessive mental tension during intercourse, and try to avoid overly frequent sexual activity and masturbation.

Regular physical exercise such as Tai Chi, walking, and swimming is beneficial for self-care and can assist in treatment.

Men with phimosis should undergo circumcision as soon as possible.

133.

Preventing retrograde ejaculation

It is important to strengthen the learning of sex education, correctly understand the methods of sexual intercourse, and try to avoid using the method of ejaculation by pressing the urethra to prevent retrograde ejaculation over time.

During medication, use adrenergic blockers such as guanethidine and reserpine with caution to avoid retrograde ejaculation caused by drug factors.

When there is urethral stricture, urethral stones, or urethritis, timely and correct treatment should be given to avoid damage to the urethra, especially the posterior urethra.

In addition, standing intercourse can be frequently chosen, as the increased pressure inside the bladder at the bladder opening can cause semen to be expelled.

134.

Acupuncture treatment for retrograde ejaculation

(1) Zhongji, Taixi, Guanyuan;

(2) Shenshu and Mingmen.

The two sets of acupoints are used alternately. First, use tonifying acupuncture, and then perform moxibustion with ginger slices after obtaining the Qi sensation.

135.

Moxibustion therapy for retrograde ejaculation

(1) Acupoints: Guilai, Sanyinjiao, Taichong, Dadun. Apply vinegar to the acupoints and perform moxibustion with ginger for 5-10 cones, twice a day. Alternatively, suspended moxibustion can be performed.

(2) Acupoints: Shenmen, Xinshu, Zusanli, Taixi, Baihui, Shenshu. Moxibustion with moxa sticks for 15 minutes, once a day. Treatment before bedtime is more effective.

136.

Auricular acupuncture for retrograde ejaculation

Acupoints: testicle, external genitalia, endocrine system, Shenmen, subcortex. Acupuncture once every 5 days until the ear feels warm. Then press the ear acupoints with beans or embed needles, pressing 4-5 times a day.

137.

Plum blossom needle therapy for retrograde ejaculation

Acupoints: Zhongji, Neiguan, Sanyinjiao, Qihai, Zusanli. After local disinfection, tap with a plum blossom needle until local redness or slight bleeding occurs. Once a day.

138.

Massage therapy for retrograde ejaculation

(1) Rubbing Guanyuan: First, place the tip of one thumb on Guanyuan, inhale while pressing, and return to the starting position while exhaling. After 5 to 7 times, rub Guanyuan with the hypothenar eminence of one hand, 16 times clockwise and 16 times counterclockwise. Then rub both palms together to warm them up and rub Guanyuan horizontally 16 times.

(2) Massage the perineum and rub the kidneys: First, rub the base of the testicles on both sides with both hands several dozen times. Then, rub the kidneys with one hand and rub the perineum with the other hand, alternating between left and right, 81 times each.

The force should be applied evenly and symmetrically, and the movements should be slow and gentle.

139.

Dietary therapy for retrograde ejaculation

(1) Yangqi Astragalus Glutinous Rice Porridge: 60g of Yangqi stone, 20g of raw astragalus, decoct in water to obtain 50ml of soup, add 50g of glutinous rice, cook until done and eat.

(2) Morinda officinalis and Cistanche deserticola pork kidney porridge: 10 grams of Morinda officinalis, 12 grams of Cistanche deserticola, 1 pork kidney (washed and cut into pieces), and an appropriate amount of rice. Cook into porridge and serve.

(3) Pangolin and Vaccaria Soup with Tremella: 20g of pangolin, 20g of Vaccaria segetalis (in a cloth bag), 10g of tremella, add water and simmer until the tremella is tender. Remove the herbs, drink the soup and eat the tremella.

140.

Overcome premature ejaculation

(1) Psychotherapy: Strengthen sex education and learning, overcome anxiety and tension, and eliminate fear.

It is perfectly normal for some men to experience premature ejaculation or even quick ejaculation once or twice due to excessive excitement during their honeymoon or after a long separation. There is no need to worry or seek treatment.

As long as you approach sex correctly and master the rules of sexual life and sexual intercourse techniques, you will naturally adjust to a normal level.

(2) Premature ejaculation is a problem involving both husband and wife, and the pain it causes is felt by both men and women.

For the woman, it's important to recognize that this inability to control ejaculation is caused by psychological factors and other illnesses. She should offer comfort, consideration, and encouragement, rather than belittle or even be hostile towards him. Full cooperation between the two is the key to successful treatment of premature ejaculation. For example, changing sexual positions, such as the woman-on-top position, where the woman rubs her genitals from above, allows the man to reach orgasm simultaneously due to his passive position, relaxed muscles, and low arousal.

(3) After premature ejaculation occurs, the couple should live separately for a period of time, consciously avoid sexual stimulation, maintain a regular lifestyle, ensure sufficient sleep, increase nutrition appropriately, and engage in cultural and sports activities to enhance physical fitness. At the same time, they should quit smoking and drinking alcohol.

Taking hot and cold sitz baths can improve the posterior urethra's ability to inhibit ejaculation.

(4) Using a condom during intercourse can reduce the friction between the penis and the vaginal wall, as well as reduce the level of stimulation and the sensitivity of the glans penis during sexual arousal, thus prolonging the duration of intercourse.

(5) Actively treat the underlying diseases that induce premature ejaculation.

141.

Sexual positions for men with mild premature ejaculation

Sexual positions refer to the positions that can be used when the genitals of both men and women come into contact. Using different positions in daily life can promote and control the occurrence of orgasm, making sexual life more harmonious.

Mild premature ejaculation is a common sexual problem that troubles many couples. In terms of choosing sexual positions, the woman-on-top position often helps improve some cases of premature ejaculation. Because the man is in a passive position, it can, to some extent, affect the speed at which his orgasm (ejaculation) occurs.

In addition, the supine position for women and the side-lying position for men can also help improve premature ejaculation in some people.

The method involves the woman lying on her back with one leg bent and the other extended, while the man lies on his side next to the woman with her leg bent, and they engage in side-entry intercourse. In this position, the man can complete the sexual act by penile penetration even when his penis is not fully erect, thereby prolonging the time the penis remains inside the vagina.

142.

Correctly using the "stop-start" technique to treat premature ejaculation

Premature ejaculation is fundamentally caused by a low stimulation threshold required for the ejaculation reflex. Therefore, the treatment for premature ejaculation is simply to try to raise the ejaculation stimulation threshold and enhance the man's tolerance to sexual stimulation.

In recent years, behavioral training therapy has brought a turning point to the treatment of premature ejaculation, greatly improving the cure rate.

In 1956, renowned sex therapist James Thames proposed a "stop-start" behavioral therapy technique, also known as intermittent penile stimulation. This method is performed by the patient's wife, so both partners must come for treatment at the same time and cooperate.

This method involves the wife stroking the glans and shaft of the penis with her hand until ejaculation is imminent, then stopping and stimulating the penis again after the ejaculation sensation subsides. Repeating this process can enhance the penis's tolerance to frictional stimulation, thereby increasing the man's ejaculation threshold and thus prolonging and controlling ejaculation time.

143.

"Squeeze therapy" for treating premature ejaculation

In 1970, Masters and Johnson introduced a technique for treating premature ejaculation called squeeze therapy. It was an improvement on the "action-stop" technique and a form of behavioral therapy, which is part of sensate focus training.

The specific procedure is as follows: the husband lies naked on his back with his legs apart, and the wife sits between his legs facing him.

Then, the wife continuously stimulates the penis with her hands. When the man feels an urge to ejaculate, the woman places her thumb on the frenulum of the penis, and her index and middle fingers on the back of the glans, above and below the coronal sulcus. She pinches it tightly for a few seconds and then releases it, and the penis will gradually become flaccid.

The pressure should be applied in a forward-backward direction, not a left-right direction. The woman should use her fingertips, not her nails, to pinch and squeeze. This technique can increase the stimulation threshold for male ejaculation, thereby relieving the urgency of ejaculation. If used consistently for 15 to 30 times, it can significantly enhance the ability to inhibit ejaculation and prolong ejaculation time. It is also important that the man's attention be focused on the sensation produced by penile stimulation, rather than paying too much attention to when he will ejaculate.

Therefore, there is no need to feel anxious or guilty once ejaculation occurs.

The procedure must be performed by the woman to be effective.

After a few days of squeezing training, if the husband's confidence increases and his symptoms improve, this method should be applied to female-superior intercourse.

When ejaculation control improves with this method, they are advised to switch to a squeezing technique at the base of the penis, thus eliminating the need to interrupt intercourse by squeezing up and down.