Author: fitness-expert
Q. I have suffered from premature ejaculation for years. Recently, I have even had orgasm and ejaculated without any direct penile stimulation, just heavy kissing and nipple play. Is this normal? I didn’t think it was possible. It’s quite embarrassing! How can I overcome this? A. Orgasm is a learned response. In a man who suffers from premature ejaculation, the trigger mechanism for orgasm is very sensitive. The stimuli to climax can be visual, auditory or physical (direct penile stimulation). Regardless of which form of stimulus is involved, the man’s brain learns to interpret it in such a way that…
Q. I have no problem with erection, but no semen comes out from either masturbation or even intercourse. A doctor has checked for prostate problems and it is negative. I used to be able to produce semen. I am diabetic. A. You probably have a common condition called retrograde ejaculation, which is frequently seen in people with diabetes. The semen enters the penis via the ejaculatory ducts, which pass through the prostate. At the time of ejaculation, a muscle at the opening to the bladder squeezes shut. With each muscle contraction, the semen is propelled down the urethra and out…
Q. When I am fortunate enough to have an orgasm, very little ejaculate comes out. The problem is that after an orgasm, the ejaculate oozes out over the next five to 10 minutes. Without the discharge of semen, this reduces the intensity of the orgasm as well. I know that jumping up and urinating will solve most of the problem, but on occasion it will continue to ooze even after urination (though not in the same quantity). Can you offer any advice? A. I have only seen one patient with the problem of orgasm without ejaculation (squirting of semen), followed…
Q. My husband does not ejaculate when we have intercourse. He says he starts to feel it, but then the feeling disappears. He does ejaculate with manual stimulation. He has no problem obtaining and maintaining an erection. What do you think? A. Your situation is not uncommon, and I can assure you there is nothing wrong with you or your husband. In general, ejaculation and orgasm are learned responses. This means that the body gets used to certain types of stimulation required for climax. So, if his penis is used to getting manual stimulation, that’s what he is going to…
Q. I’ve never been able to ejaculate or orgasm while awake. Every few months, I have a wet dream. I get strong erections, but they are almost “boring.” I’m not numb, but I don’t get a lot of feeling. Occasionally I get a fleeting twitch on the tip of my penis, with a lot of feeling, but that’s all. Sometimes I feel pain on the head of my penis and behind my pubic bone after an erection. Otherwise I’m a healthy 20-year-old. I’ve never had sex. My doctors have ruled out prostate cancer, prostatitis and testicular cancer. Can you suggest…
Q. After ejaculation I seem to have a clear, jelly-like substance in my semen. What is this? Should I be worried? A. Your semen contains sperm, fluid and numerous proteins and enzymes whose whole purpose is to keep sperm alive in the woman’s vagina. After the semen leaves your body with ejaculation, it undergoes a complex series of changes. The first step is what we call coagulation, during which it tends to separate into protein and water, forming a somewhat jellylike substance. In the vagina, the elevated temperature keeps the semen liquid for some time, but outside the body, it…
Q. During arousal, what is the clear fluid that flows from my penis prior to ejaculation? Is this normal? A. The clear fluid that is present before you ejaculate comes from the prostate and periurethral glands. That fluid serves to lubricate the urethra before ejaculation. All men have it, some more than others. You should know that since this fluid comes from the prostate, it can have sperm in it. That is why men always need to wear protection during arousal if they wish to avoid making their partners pregnant. Some men believe that if they pull out of the…
Q. I’m 28 years old. About six years ago I was in an accident and suffered spinal cord injury. I’m numb with little feeling from the waist down. I have no problem getting an erection, but I do not ejaculate during intercourse. I do ejaculate during oral sex, but only in a certain position. Help! A. You are not alone. Most men after spinal cord damage suffer some degree of ejaculatory dysfunction. That means that depending on the level of injury, you get different degrees of dysfunction. If you have little feeling from the waist down, your level of injury…
Q. I am a 50-year-old man. Is it natural for my ejaculation volume to diminish with age? Will this have any effect on my fertility? A. The majority of the ejaculate volume is fluid from the prostate and the seminal vesicles. Occasionally, a dramatic decrease in ejaculate volume may indicate blockage of one of the ejaculatory ducts. Duct obstruction is diagnosed by prostate ultrasound. Other possible causes of decreased volume include retrograde ejaculation or a long-term infection of the prostate (chronic prostatitis). Decreased semen volume may simply be a normal part of aging and may not necessarily result in decreased…
Q. My penis is so small that only the head can be seen when it is soft. When erect it looks normal. Somehow or other, the fatty tissue at the base of the shaft is quite pronounced, and it envelops the shaft, leaving only the head to be seen. Walking around the men’s shower is really embarrassing. I’m 45, and I’ve had this problem all my life. Can anything be done to correct this affliction? A. The situation you describe may be what is called a “buried penis.” This means that when you were born, the shaft skin did not…