Treatment of male infertility using segmented ejaculation

　　male Top 10 causes of infertility

　　Medical research shows that men and women each account for 1/3 of the causes of infertility, and the remaining 1/3 is caused by abnormalities in both men and women. The reasons are as follows:

　　1. Testicular abnormalities: There are three types of testicular abnormalities: ① Cryptorchidism, which not only causes infertility, but also induces malignant transformation； ② fetus The embryonic primordium is damaged by adverse environmental factors during the early stage.； ③Early testicular damage can be caused by birth trauma during childbirth.

　　2. Chromosomal abnormalities: such as hermaphroditism, abnormal reproductive organs, etc.

　　3. Acquired testicular damage: such as hernia repair, hydrocele surgery, testicular fixation surgery, etc., damage the testicular blood vessels, hinder the blood supply and cause testicular atrophy.

　　4. Hydrocele: Hydrocele compresses the testicular blood circulation and can lead to testicular infection or atrophy. The incidence rate of this disease after puberty is 16%-19%.

　　5. Influence of gravity: When men bear excessive weight, sperm production in the testicles can be reduced, leading to infertility.

　　6. Mental factors: Those who are overly stressed often cause infertility due to erection decline and infertility.

　　7. Blood supply disorder: patients with arteriosclerosis and patients with diabetes are often accompanied by testicular arterioles disease , causing sperm decline in ability leading to infertility.

　　8. Effects of drugs and drugs: Excessive amounts of nicotine, alcohol, opium, etc. can affect sperm production. anti- epilepsy The medicine has a direct impact on spermatogenesis.

　　9. Environmental impact: overheated miners, boiler workers, etc. in the tunnel； Underwear is too tight ； Excessive smoking and drinking ； Hypoxia can affect fertility.

　　10. Reproductive organ infection: Bacteria, viruses, protozoa and other infections can directly damage the testicles, seriously affect spermatogenesis and reduce sperm activity, leading to infertility. For example, 20% of cases of mumps in early puberty may be complicated by orchitis, causing infertility.

　　Case

　　Jiang: I haven’t been able to ejaculation . After examination, it was found that my foreskin was long, which affected the friction and irritation during sexual intercourse, so I went for circumcision. After the surgery, I felt a little more relaxed during sexual intercourse. But I still couldn't "ejaculate" in one fell swoop. My situation probably does not belong to primary anejaculation, because I have had it before Dream legacy. But why can't I do it if I'm not in a dream?

　　analyze

　　What is the segmented ejaculation method?

　　During sexual intercourse, men first excite the central nervous system, causing the corpus cavernosum to become congested and erect. When a certain level of stimulation is reached through friction, ejaculation occurs.

　　Ejaculation is a reflex process. The first is the contraction of the efferent tubules of the testis, then the head and body of the epididymis, and then the tail of the epididymis. The sperm pass through the vas deferens and are driven into the ampulla of the vas deferens. Finally, the prostate seminal vesicles are emptied, and the sperm and seminal plasma are driven into the urethra. As the bulbocavernosus and ischiocavernosus muscles contract, and at the same time the bladder neck is closed, the semen is prevented from being ejected retrogradely into the bladder, and the semen is ejected from the urethra rhythmically.

　　It is generally believed that the ejaculation process consists of seven powerful, rhythmic contractions. We can artificially divide the ejaculation process into two stages. The first three are one stage. This part of semen mainly comes from the prostate. ； The remaining ones are one segment, mainly from the seminal vesicles. Generally speaking, the sperm in the first part are much higher than those in the second part in terms of density, activity rate, mobility, survival rate, and membrane stability. According to statistics, 89% of men have higher sperm count in the first part than in the second part, 5% have the same sperm count, and 6% have the second part greater than the first.

　　The significance of segmented ejaculation in the treatment of male infertility

　　The segmented ejaculation method has great potential in treating male infertility. clinical significance. If the patient's sperm count and motility rate are low, or if the semen is too viscous and the amount of semen is excessive, the segmented ejaculation method can be used during sexual intercourse during the woman's ovulation period. When the first section of semen is ejaculated, immediately pull the penis out of the vagina so that the rest of the semen can be ejected outside. This can prevent the seminal vesicle secretions from diluting the semen, thereby ensuring that high-density, high-quality, and high-motility sperm remain in the vagina and improve the ability to conceive.

　　Inability to ejaculate due to excessive foreskin

　　Although excessive foreskin is the main reason for inability to ejaculate, the role of the wife in sexual intercourse cannot be ignored. When newly married, wives are often shy and passive, and cannot give their husbands enough sexual stimulation. Ejaculation is a complex physiological process. nerve Peripheral and central excitement 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 inability to ejaculate.

　　Therefore, you must strengthen local sexual stimulation, and it is best to let your wife induce ejaculation. The wife should adopt the most appropriate posture and hug her husband tightly, or consciously contract the vaginal sphincter to enhance stimulation of the penis.

　　If your wife's induction fails, you can use an electric massager to induce ejaculation under the guidance of a doctor. At the beginning, continuous stimulation is required for 10-15 minutes. In the future, ejaculation can be achieved in only 5 minutes. The stimulation parts are mainly the glans and frenulum, but can also move up and down along the penis body.

　　Inability to ejaculate is closely related to mental factors, especially secondary inability to ejaculate. Therefore, your treatment should focus on eliminating the inhibition of ejaculation by the nerve center and receive necessary sexual consultation. The key is to eliminate worries and build confidence, coupled with correct intercourse techniques. In situations like yours, a successful intravaginal ejaculation (rather than a wet dream) often permanently changes the condition of inability to ejaculate.

　　Certain drugs cannot have a certain therapeutic effect on ejaculation. For example, levodopa, 0.25 grams once, three times a day, can excite the cerebral cortex. Taking 50-70 mg of ephedrine hydrochloride orally 90 minutes before sexual intercourse can increase muscle strength and excite the central nervous system, making ejaculation easier. However, high blood pressure and coronary heart disease The above drugs are prohibited for patients.