Amenorrhea usually refers to a condition in which the penis can erect and have sexual intercourse normally, but cannot achieve orgasm and obtain sexual pleasure, and usually has nocturnal emission or ejaculation during masturbation, accounting for about 3% of male sexual dysfunction patients. %, with farmers and workers having the highest incidence rate. The reason may be related to the lack of popularization of sex education in China and the prejudice or misunderstanding of sex issues.
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Causes of Amenorrhea
- Lack of sexual knowledge is the main cause of the disease, ejaculation is a complex physiological process, and peripheral excitation and central excitation are two important links. The occurrence of non-ejaculation is due to the inhibition of sexual center excitation, leading to ejaculation. Insufficient process. During sexual intercourse, the penis does not move in the vagina or the sliding range and frequency are too small, resulting in weak stimulation of the head of the penis, and insufficient excitement to prevent ejaculation.
- Forbearance of ejaculation or delay of ejaculation: In order to prevent ejaculation, maintain health or prolong the time of sexual intercourse, try to endure ejaculation or delay ejaculation during sexual intercourse, so that the central excitation is repeatedly strongly suppressed, resulting in non-ejaculation. Delayed ejaculation is a common behavioral therapy for the treatment of premature ejaculation.
- Uncoordinated sexual life: Worry about pain during sexual intercourse, limited housing environment, and frigidity of women, etc., which lead to obstacles to sexual intercourse or decreased sexual excitement.
- The foreskin is too long or phimosis: the incarcerated foreskin causes pain during intercourse, the intercourse is forced to be interrupted, and the glans cannot be exposed to produce sufficient stimulation, which in turn affects ejaculation.
Symptoms of Amenorrhea
- Functional amenorrhea: The sexual intercourse can be maintained for a long time without being weak, the orgasm or ejaculation cannot be achieved during sexual intercourse, there is no ejaculation movement, and no semen is discharged from the body, or even if there is a feeling of erotic orgasm, but neither ejaculation movement and no semen is excreted. And usually have nocturnal emission or nocturnal emission during non-sexual life.
- Organic amenorrhea: There is no ejaculation during sex, no ejaculation under any circumstances, and symptoms and signs corresponding to the primary disease, such as prostatitis, seminal vesicle tuberculosis or seminal tract caused by tumors obstruction.
Medical Treatment of Amenorrhea
- Psychotherapy is mainly used for functional non-ejaculation. It is very important to carry out sexual knowledge education, popularize sexual knowledge and eliminate sexual ignorance. It is also necessary to strive for the patient’s spouse to cooperate with the treatment, correct its incorrect psychology, and provide the man with active cooperation, comfort, and encouragement to promote his successful ejaculation.
- Physical therapy mainly includes electrical vibration and stimulation. For functional non-ejaculation patients, half of the patients can achieve ejaculation with one electrical shock, and most of them can be cured after about ten treatments to achieve successful sexual intercourse and ejaculation.
- Drug therapy Ephedrine and levodopa are often used, and sedatives are avoided.
Ephedrine: Take orally 1 hour before sexual intercourse to help restore ejaculation.
L-dopa: It can improve the excitability of the ejaculation center, 0.25g, 3/d orally, and has a good promoting effect on the recovery of ejaculation.
- The surgical method is mainly aimed at the diseases of the penis itself, such as excessive foreskin, narrow foreskin, and phimosis. Patients can be treated surgically, removing the foreskin and exposing the glans to increase their sensitivity to stimulation and facilitate ejaculation.
Prognosis: The secondary amenorrhea of this disease is mostly caused by mental and psychological factors and is functional. As long as the psychological shadow of the patient is eliminated, the prognosis will be good. Primary infertility is mostly considered to be organic and mostly due to the primary disease, and the prognosis is usually worse than that of secondary.
Prevention
Knowing more about healthy sexual knowledge is helpful to eliminate sexual tension and sexual shyness, establish a correct sexual concept, and asking a doctor for guidance when necessary. Moderate sexual intercourse to nourish kidney essence. Normal sexual life can make the relationship between husband and wife happy and enhance emotional integration, but frequent sexual life or long-term masturbation can make the ejaculation center over-stimulated and exhausted, resulting in difficulty in ejaculation. Pay attention to strengthening physical exercise and increasing physical fitness. Avoid taking drugs that are harmful to sexual function, such as ethidium, perphenazine, phenothrin, etc., which can cause amenorrhea.
Patients who do not ejaculate often have a heavy mental burden, and their self-confidence is greatly frustrated. Doctors and family members should patiently guide and comfort the patient. The wife should encourage the patient to build confidence, influence him with care, and improve the quality of sexual life. You can often take medicines to nourish the kidney and nourish the essence. At the same time, you can strengthen your physique and prevent this disease by following Doctor’s advice, and self-health massage.
