Coitus Interruptus - 3
Hello, Dr.
Hsu.
I sincerely appreciate your response.
I would like to ask about my training for endurance.
I noticed that even though semen is not fully expelled and only remains at the urethral opening, my body still experiences fatigue similar to that after ejaculation.
Therefore, I would like to inquire whether the act of masturbating to the point of near ejaculation, even if not fully ejaculated, can be considered as having ejaculated.
Thank you for your patient response.
A De, 30~39 year old female. Ask Date: 2009/06/24
Dr. Xu Weikai reply Urology
Ader: Hello, I am not sure about your definition of ejaculation.
Perhaps your question should be directed to a Traditional Chinese Medicine (TCM) practitioner, as there are significant differences in perspectives between TCM and Western medicine on this matter.
TCM believes that the frequency of ejaculation can affect the body, while Western medicine holds that as long as ejaculation is possible, the frequency and rate do not harm physical health.
However, TCM strongly opposes this view.
Strictly speaking, during an erection, semen may flow out from the seminal vesicles.
If there are any unclear points, feel free to ask again, and we can further discuss and research this together.
Response from Dr.
Hsu Wei-kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2009/06/24
More Info
Premature ejaculation (PE) is a common concern among men, and it can have various psychological and physiological implications, including feelings of fatigue. Your question touches on an interesting aspect of sexual health and the body's response to sexual activity, even when ejaculation does not fully occur.
When engaging in sexual activity, whether through intercourse or masturbation, the body undergoes a series of physiological changes. These include increased heart rate, elevated blood pressure, and heightened muscle tension, all of which can lead to a feeling of fatigue post-activity. This fatigue can occur even if ejaculation does not fully happen, as the body still goes through the arousal and plateau phases of the sexual response cycle.
1. Physiological Response: During sexual arousal, the body prepares for potential ejaculation. This preparation involves the release of various hormones and neurotransmitters, including dopamine and oxytocin, which can create a sense of pleasure and satisfaction. Even if ejaculation does not occur, the body may still experience a release of tension and a subsequent feeling of fatigue, similar to what one might feel after a complete ejaculation.
2. Psychological Factors: The psychological aspect of sexual activity can also contribute to feelings of fatigue. If you are training for endurance and focusing on delaying ejaculation, the mental effort involved can be taxing. The anticipation and control required to manage the timing of ejaculation can lead to mental fatigue, which may be perceived as physical fatigue afterward.
3. The Role of Semen Retention: Some individuals practice techniques aimed at retaining semen during sexual activity, believing it may enhance sexual pleasure or energy levels. However, the body’s response to sexual stimulation is complex, and even partial ejaculation (where semen does not fully exit the body) can still trigger the same physiological responses that lead to fatigue.
4. Fatigue and Recovery: It's important to recognize that fatigue is a normal response to any physical exertion, including sexual activity. If you find that you are consistently feeling fatigued after these experiences, it may be beneficial to evaluate your overall health, including factors such as hydration, nutrition, sleep quality, and stress levels. These elements can significantly impact your energy levels and recovery.
5. Consultation with a Healthcare Provider: If you are concerned about the fatigue you experience or if it interferes with your daily life, it may be helpful to consult with a healthcare provider. They can provide personalized advice and explore any underlying issues that may be contributing to your symptoms.
In summary, engaging in sexual activity, even without complete ejaculation, can lead to feelings of fatigue due to the body's physiological and psychological responses. It's essential to listen to your body and ensure you are taking care of your overall health to manage these feelings effectively. If fatigue persists or worsens, seeking medical advice would be a prudent step.
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