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Premature ejaculation is the most common sexual problem for men. It is a lack of control over ejaculation so that it always happens sooner than the man or his partner would want. How soon depends on the individual.
Some men ejaculate as soon as foreplay starts. Others lose control when they try to insert their penis, while some ejaculate very quickly after penetration. Whatever the case, premature ejaculation can create tension between a man and his partner. Occasionally losing control is normal Premature ejaculation is only a problem if it happens all the time. It’s important to remember that most men occasionally reach orgasm sooner than they’d like. For instance, it is normal for a man to ejaculate quickly the first time he has sex. It is also normal if a man hasn’t ejaculated for a long time. The occasional loss of control doesn’t mean the man has a sexual problem.
Definition of Premature Ejaculation
The average lasting time of men with PE was 1.8 minutes.
‘Normal’ men lasted an average of 7.3 minutes.
But there were males who claimed to have premature ejaculation, yet who could last up to 25 minutes. This clearly shows people have wildly differing ideas about what is normal. From our own clinical experience, there are plenty of couples who would regard intercourse that lasts under 20 minutes as less than satisfactory, and would feel that any ejaculation in less than 10 minutes or so is decidedly premature.As a working definition, if either you or your partner feels that orgasm is happening too soon, then there probably is some degree of PE.
The key symptoms of premature ejaculation include:
Ejaculation that routinely occurs with little sexual stimulation and with little control.
Decreased sexual pleasure because of poor control over ejaculation.
Feelings of guilt, embarrassment or frustration.
What causes premature ejaculation?
Most men have experienced this sexual problem at some time in their life. Premature ejaculation was once thought to be caused by drugs or certain infections such as urethritis, but popular wisdom suggests it is more psychological in nature. The exact cause of the condition, however, still remains a mystery.
Premature ejaculation often occurs during the first experiences with sex, and in this case is most commonly attributed to anxiety. The majority of men gradually learn to control their orgasm, and have no lasting effect. Some men will develop a longer-term anxiety toward sex, which can cause a prolonged experience with premature ejaculation.
Sexual behavior is also a factor. The longer the period since last ejaculating, the quicker young men typically reach orgasm. Younger men tend to ejaculate more quickly than older men, as experience seems to be associated with ejaculatory control.
There is no known way to prevent premature ejaculation. However, you should consider the following advice:
Maintain a healthy attitude toward sex. If you experience feelings of anxiety, guilt or frustration about your sex life, consider seeking psychotherapy or sexual therapy.
Keep in mind that anyone can experience sexual problems. If you experience premature ejaculation, try not to blame yourself or feel inadequate. Try speaking openly with your partner to avoid miscommunication.
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Erectile dysfunctions (ED) are defined as the persistent inability to attain or maintain penile erection sufficient for sexual intercourse. The 1992 National Institutes of Health Consensus Development Conference recommends use of the term “erectile dysfunctions” rather than “impotence” because it more accurately defines the problem and has fewer disparaging connotations. An estimated 10 to 20 million American men have some degree of erectile dysfunctions.
Increased understanding of the male erectile process and the development of several agents to improve erectile function have generated great public interest among men and their sexual partners. These advances are expanding the treatment options available to primary care physicians in the management of erectile dysfunctions.
Define the causes of erectile dysfunction?
Male Reproductive System
Causes The penis contains two cylindrical, sponge-like structures that run along its length, parallel to the tube that carries semen and urine (urethra). When a man becomes sexually aroused, nerve impulses cause the blood flow to the cylinders to increase about seven times the normal amount. This sudden influx of blood expands the sponge-like structures and produces an erection by straightening and stiffening the penis. Continued sexual arousal or excitation maintains the higher rate of blood flow, keeping the erection firm. After ejaculation, or when the sexual excitation passes, the excess blood drains out of the spongy tissue, and the penis returns to its non-erect size and shape.
Specific steps take place to produce and sustain an erection Arousal The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.
Nervous system response The brain communicates the sexual excitation to the body’s nervous system, which activates increased blood flow to the penis.
Blood vessel response A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection. If something affects any of these factors or the delicate balance among them, erectile dysfunction can result.
Nonphysical causes Nonphysical causes may account for impotence. They may include
Psychological problems The most common nonphysical causes are stress, anxiety and fatigue. Impotence is also an occasional side effect of psychological problems such as depression.
Negative feelings Feelings that you express toward your sexual partner — or that are expressed by your sexual partner such as resentment, hostility or lack of interest also can be a factor in erectile dysfunction.
Physical causes account for many cases of erectile dysfunction and may include:
Nerve damage from longstanding diabetes (diabetic neuropathy)
Cardiovascular disorders affecting the blood supply to the pelvis
Certain prescription medications
Operations for cancer of the prostate
Fractures that injure the spinal cord
Alcoholism and other forms of drug abuse
In fact, erectile dysfunction may be one of the first signs of an underlying medical problem. The physical and nonphysical causes of erectile dysfunction commonly interact. For instance, a minor physical problem that slows sexual response may cause anxiety about attaining an erection. Then the anxiety can worsen your erectile dysfunction.
How can erectile dysfunction be detected?
There are certain symptoms that can help us to judge that weather a person is suffering from erectile dysfunction or not
Shortening of penis length and girth
Loss of sexual desire
Loss of self confidence
Weakness in body
How can erectile dysfunction be diagnosed? The amount dysfunction may vary from an individual to an individual. More over the time factor may also be a consolidation factor. Erectile dysfunction may last from few days to months and years. There are three main diagnosing techniques that are applied for diagnosing the impotence or erectile dysfunction.
Physical examination– This is the most primary diagnostic method that is also the preference. In this few methods are judged like the sensitivity of the penis to the sexual arousal or examining the factor that may be caused by any injury to penis or erectile tissue. History of patient – It is also a very important factor to determine the extent of ED (erectile dysfunction). In this the past sexual behavior and other physical as well as well as medical history is considered. It has been seen that people might suffer from erectile dysfunction due to some chronic ailments like diabetes etc. Psychological examination – This is also an important factor that is to be considered while diagnosing the erectile dysfunction. In this the psyche of a person is judged and a relation is being established between is ailments and mental sate of mind.
Are there any prevention erectile dysfunction?
Avoid unhealthy life style
Do not eat junk food
Prevent daily sexual indulgence
Avoid over usage medicines
Avoid wearing tight underpants and under wears
What diet is recommended for person suffering from erectile dysfunction?
Dairy products are recommended but should be taken in limits
Reduce salt content in your diet
Avoid eating junk food
Eat fruits and vegetables
Avoid eating non-vegetarian food at night
Avoid fatty diet.
Is there any treatment for erectile dysfunction?
Yes, as per herbal treatment two types of treatments are undertaken. One is psychotherapy and other is the medication. Depending upon the cause of erectile dysfunction, the treatment path of the patient is planned and then it is applied on the patient.
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Premature ejaculation (PE) refers to the persistent or recurrent discharge of semen with minimal sexual stimulation before, on, or shortly after penetration, before the person wishes it, and earlier than he expects it. In making the diagnosis of PE, the clinician must take into account factors that affect the length of time that the man feels sexually excited. These factors include the age of the patient and his partner, the newness of the sexual partner, and the location and recent frequency of sexual activity.Premature ejaculation is the most common sexual problem facing men today. The condition is most often described as being an inability to delay ejaculation to a point when it is mutually desirable for both partners.
In short, it is when a man orgasms before he wishes to do so.
CausesExperts are still trying to determine exactly what causes premature ejaculation. While it was once thought to be only psychological, we now know premature ejaculation is more complicated and involves a complex interaction of both psychological and biological factors.
Some doctors believe that early sexual experiences may establish a pattern that can be difficult to change later in life such as:
Situations in which you may have hurried to reach climax in order to avoid being discovered
Guilty feelings that increase your tendency to rush through sexual encounters
Other factors that can play a role in causing premature ejaculation include:
Erectile dysfunction. Men who are anxious about obtaining or maintaining their erection during sexual intercourse may form a pattern of rushing to ejaculate which can be difficult to change.
Anxiety. Many men with premature ejaculation also have problems with anxiety either specifically about sexual performance, or caused by other issues.
Experts believe a number of biological factors may contribute to premature ejaculation, including:
Abnormal hormone levels
Abnormal levels of brain chemicals called neurotransmitters
Abnormal reflex activity of the ejaculatory system
Certain thyroid problems
Inflammation and infection of the prostate or urethra
Rarely, premature ejaculation is caused by:
Nervous system damage resulting from surgery or trauma
Withdrawal from narcotics or a drug called trifluoperazine (Stelazine), used to treat anxiety and other mental health problems
Although both biological and psychological factors likely play a role in most cases of premature ejaculation, experts think a primarily biological cause is more likely if it has been a lifelong problem (primary premature ejaculation).
What are the effects of premature ejaculation?
The negative effects of premature ejaculation will vary depending on the individual, but an un-fulfilling sex life can put a tremendous burden on a relationship with your partner.
Premature ejaculation diminishes your sexual self-confidence, causing you to become an even worse lover in the process. Furthermore, an disappointing sexual relationship may force your partner to seek sexual fulfillment elsewhere. Cheating, extra-marital affairs, break-ups or even divorces – often stem from an un-fulfilling sex life.
A good sex life is very important!
A satisfying and equally gratifying sexual relationship is important for any healthy, sexually active couple. Premature ejaculation can greatly impact relationships on both a physical and an emotional level, leading to dissatisfaction, disappointment and other problems. These adverse effects of premature ejaculation can be temporary, or they may lead to painful, long-term problems.
What are the Symptoms of premature ejaculation?
In PE, ejaculation occurs earlier than the patient and/or the couple would like, thus preventing full satisfaction from intercourse, especially on the part of the sexual partner, who frequently fails to attain orgasm. PE is almost invariably accompanied by marked emotional upset and interpersonal difficulties that may add frustration to an already tense situation, which makes the loss of sexual fulfillment even worse. It is also important to differentiate male orgasm from ejaculation. Some men are able to distinguish between the two events and enjoy the pleasurable sensations associated with orgasm apart from the emission of semen, which usually ends the moment of orgasm. In these cases, the partner is capable of achieving orgasm and sexual satisfaction.
What can be done to prevent premature ejaculation?
There are a variety of pills, desensitizing creams, penis rings and other strange gadgets on the market designed to help control premature ejaculation. Some of these products are totally worthless in my opinion, while others can be very helpful.
Let’s take a closer look at each type of product and discuss the pros and cons:
Premature ejaculation is a very common and a very serious problem for men. Virtually all men will experience premature ejaculation at some point during their lives, and for many it will remain an ongoing problem.
But luckily, there is something you can do about it. As I have found, you can safely and naturally stop premature ejaculation forever with a little help. With the right combination of quality products, you will find that premature ejaculation can be quickly and easily cured. I can tell you that all of the products and sites listed above have provided excellent results for both myself and my readers.
The physical examination of a patient who is having problems with PE usually results in normal findings. Abnormal findings are unusual. The best source of information for diagnosing the nature of the problem is the patient’s sexual history. On taking the patient’s history, the clinician should concentrate on the sexual history, making sure that both partners have adequate and accurate sexual information. Ideally, the sexual partner should participate in the history and is often able to contribute valuable information that the patient himself may be unaware of or unwilling to relate. The female partner should also be examined by a gynecologist in order to ascertain her sexual capabilities and to eliminate the possibility that the size or structure of her genitals is part of the reason for the male’s premature ejaculation.
Various factors can increase your risk of premature ejaculation, including:
Impotence. You may be at increased risk of premature ejaculation if you occasionally or consistently have trouble getting or maintaining an erection. Fear of losing your erection may cause you to rush through sexual encounters. As many as one in three men with premature ejaculation also have trouble maintaining an erection.
Health problems. If you have a medical concern that causes you to feel anxious during sex, such as a heart problem, you may have an increased likelihood of hurrying to ejaculate.
Stress. Emotional or mental strain in any area of your life can play a role in premature ejaculation, often limiting your ability to relax and focus during sexual encounters.
Certain medications. Rarely, drugs that influence the action of chemical messengers in the brain (psychotropics) may cause premature ejaculation.
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Infertility is defined as a couple’s inability to become pregnant after one year of regular, unprotected sex. Male infertility means the male is unable to impregnate the female because of male factors.
Approximately 15% of couples attempting their first pregnancy meet with failure. Most authorities define these patients as primarily infertile if they have been unable to achieve a pregnancy after one year of unprotected intercourse. Conception normally is achieved within twelve months in 80-85% of couples who use no contraceptive measures, and persons presenting after this time should therefore be regarded as possibly infertile and should be evaluated. Data available over the past twenty years reveal that in approximately 30% of cases pathology is found in the man alone, and in another 20% both the man and woman are abnormal. Therefore, the male factor is at least partly responsible in about 50% of infertile couples.The most common causes of male infertility include
Varicocele is a dilation (enlargement) of the veins along the spermatic cord (vas deferens) in the scrotum. It is caused by incompetent or inadequate valves within the veins along the spermatic cord. The abnormal valves obstruct normal blood flow causing a backup of blood, resulting in dilation of the veins. This condition is the most common reversible cause of male factor infertility.
Abnormalities in the seminal fluid If the seminal fluid is very thick it may be difficult for the sperm to move through it and into the woman’s reproductive tract. Often the semen can be processed to separate the moving sperm from the surrounding debris, dead sperm and seminal fluid. The processed sperm is usually placed directly inside the uterus with a small tube (catheter). This is called intrauterine insemination (IUI).
Oligospermia (Low sperm count) Most cases of male infertility are due to low sperm count. The normal range of sperm count is between 20 million/ml and 200 million/ml. That sperm count is below 20 million/ml indicates oligospermia. There are many biologic and environmental factors that can lead to low sperm count. For instance, abnormalities in production or obstruction of the tubes that carry sperm can reduce sperm levels.
Necrospermia (Dead sperm) is a condition in which sperm are produced and found in the semen but are not alive and are unable to fertilize eggs. That over 40% sperms are dead in the semen analysis indicates necrospermia.
Azoospermia(Lack of sperm) is the complete absence of sperm in the semen. The diagnosis of azoospermia is sometimes still made even though as many as 500,000 sperm per ml of semen may have been seen because it is extremely unlikely that the man will be able to father a child naturally.
Positive anti-sperm antibody There is much scientific evidence that sperm antibodies in males and females cause infertility. Sperm antibodies are chemical substances in the semen, cervical mucus, blood and other body fluids that neutralize the purpose of sperm. which is to fertilize an egg.
Symptoms of Male Infertility
Male infertility occurs when the man’s partner does not conceive after one year of attempting to become pregnant. Other signs and symptoms depend on the underlying cause of the man’s infertility.irritability. Patient may also feel drowsiness. A rapid, deep breathing, known as “kussmaul breathing” may also be noted. There may be smell of acetone in the patient’s breath (a sign of ketoacidosis), a severely dangerous condition.
Fluctuations in blood glucose levels can lead to altered vision. In them prolonged high blood glucose causes changes in the shape of the lens in the eye, leading to blurred vision. So regular visit to ophalmologist is necessary. All unexplained quick changes in eyesight should force as fasting blood glucose test. There are nowadays quick inexpensive and can be safely performed.
Some untreated diabetes patients also complain of Nausea and vomiting.
The Male Reproductive System
Although women have the chance to get pregnant only once a month (when they ovulate), men seem to have the ability to fertilize an egg at any time. However, the production of sperm is not a simple one. In fact, it takes about 74 days for sperm to be produced and readied for ejaculation. It is important to understand just how the male reproductive system works in order to fully appreciate just how difficult it is for a child to be conceived.
Composed of the same material that ovaries are formed from, a man’s testicles originally develop in his abdomen. About two months before his birth, though, the two testes descend from the abdomen into the scrotum, which acts as a support sac to the testicles. The main function of testicles is two-fold: they are responsible for producing sperm as well as the hormone testosterone. The testicles are made up of seminiferous tubules (hundreds of tiny tubes), Leydig cells (which is where testosterone is produced), and Sertoli cells (which are responsible for nurturing immature sperm cells).
Because the testicles need to remain about 1°C cooler than normal body temperature, the scrotum helps to regulate the temperature of the testes. When exposed to cold air, the scrotum contracts to keep the testes warm but hangs lower when it is hot outside.
Found at the top of the testes, the epididymus is a set of tightly coiled tubes. How tightly coiled? Well, if you stretched it out, the epididymus would reach 20 feet long. The epididymus acts as a temporary storing place for sperm as they continue to mature. It is within these tubes that sperm gain the ability to move.
Vas deferensThis long tube extends from the epididymus in the testicle, up, over the bladder and finally ending at the seminal vesicles. The vas deferens acts as both a passageway for the sperm as they exit the body and as another storing place as the sperm wait to be ejaculated.
These two pouch-like sacs are found behind the bladder. The seminal vesicles add an alkaline fluid that makes up 30% of the total semen volume. This secretion helps give the sperm energy, thereby giving their motility a boost.
This gland sits just below the bladder and contributes about 60% of the total semen volume. This alkaline secretion is similar to the fluid produced in the seminal vesicles and is necessary to the sperms’ survival by helping neutralize the naturally occurring acids in the urethra and the vagina.
Positioned just below the prostate, these are two small glands that produce about 5% of the alkaline secretions that make up semen.
These are two short ducts that connect the prostate gland to the urethra. The joining of the two vas deferens makes up the ejaculatory ducts.
Used as the final passageway for both semen and urine, this tube starts at the bladder, goes through the prostate and extends to the tip of the penis. When a man climaxes, the prostate closes off the bladder to prevent any urine from joining the semen.
The method of delivery for sperm, this organ is made up of veins, arteries and spongy tissue. When a man becomes sexually aroused, the arteries dilate allowing the tissue to become engorged with blood. This causes the penis to stiffen and become erect.
Gonadotropin Releasing Hormone (GnRH): Originating in the hypothalamus in the brain, GnRH is responsible for signaling the pituitary gland to start production of follicle stimulating hormone (FSH) and lutenizing hormone (LH).
FSH: This hormone is responsible for stimulating and maintaining sperm production. LH: This hormone is responsible for getting the production of testosterone started. Testosterone:Produced in the Leydig cells in the testes, this hormone helps with sperm production but it is mainly responsible for male maturation (the deepening of the voice, sex drive, growth and development of the sex organs).
Making It All Work
At birth, males have simple round cells contained within their seminiferous tubules. This is the most primitive form of sperm. During puberty, stimulation by testosterone and other hormones cause the cells to divide, thereby beginning the maturation process of sperm. The sperm cells will divide and mature until they begin to resemble tadpoles, with an oval head and long, thin tail. Contained within the sperm head is all of the genetic information that a man contributes to his child. The tail is used to propel the sperm along its journey.
Once the sperm has developed its head and tail, it is shuttled along to the epididymus. Here it will enjoy a three-week stay by the end of which it will have gained the ability to move. Next, the sperm move through the vas deferens to the seminal vesicles where they stay until they are ejaculated. All along this trip, the sperm will be provided with fructose, a type of sugar, to give it energy as it travels along.
During ejaculation, fluid from the prostate, seminal vesicles, and Cowper’s gland combine with the sperm to make semen. This will be expelled from the body during orgasm. For fertilization of the female egg to occur, it is necessary to ejaculate inside the vagina.
Anywhere from 250 million to 1 billion sperm are produced and ejaculated at one time in a healthy male. However, only about 200 of these will actually make it up through the vagina, cervix and uterus and into the correct fallopian tube. From this drastically reduced group, only one sperm will actually be able to fuse together with the egg to create a child. In total, it takes a few days for sperm to make the trip through the female reproductive system to the egg.
Sometimes called impotence, refers to a man’s consistent inability to get or maintain an erection sufficient to have satisfactory sex. It does not mean a lack of sexual interest or desire or the occasional difficulty achieving or maintaining an erection that affects all men at some time in their life.
Normally, an erection occurs when your imagination or one or more senses (vision, hearing, touch, smell, taste) are stimulated and you become aroused. Your central nervous system sends nerve impulses that increase blood flow to your penis. Four requirements for a normal erection are:
A properly functioning nervous system that sends the necessary signals to the penis.
An intact system of blood vessels to allow blood to flow into and out of the penis.
Normal smooth muscle in the penis, which must relax so the penis can fill with blood and enlarge.
The ability to trap the blood in the penis so that it stays firm.
Erectile dysfunction can occur at any age but is more common in older men, who often have additional health problems or who may be taking medications that may interfere with normal erectile function. Treatment of erection problems in older men can be as effective as in younger men.
Doctors prefer to use the term erectile dysfunction instead of impotence. A man’s sexual function involves more than an erection, and the term impotence often carries negative implications. For ease of reading, this topic uses the term erection problems to refer to erectile dysfunction.
Erection problems can affect your sexual life and your relationship. Discussing the issue with your partner and exploring other forms of intimacy can help improve your relationship and the erection problem.
What causes erection problems?
The cause of erection problems may be physical (such as injury to nerves or loss of blood supply to the penis or psychological (such as anxiety or depression. Medications you are taking for other conditions, alcohol consumption, smoking, or illegal drug use also can cause erection problems.
What are the symptoms?
How are erection problems diagnosed?
A health professional can diagnose an erection problem using a medical and sexual history and a physical examination. Your health professional will want to know whether the erection problem occurs all the time or occasionally. The initial exam, laboratory tests, and possibly psychological tests can help determine whether the problem is physical, psychological, or a combination of the two.
Can I prevent erection problems?
To reduce your risk of developing an erection problem, avoid smoking, drinking too much alcohol, and using illegal drugs. Because erection difficulties are most often caused by a physical problem, maintaining good health through diet and exercise is very important. A relaxed approach to lovemaking and good communication with your partner can help prevent erection problems caused by psychological factors.
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In the 18th and 19th century, if a patient had involuntary orgasms frequently or released more semen than is typical, then he was diagnosed with a disease called spermatorrhoea or seminal weakness. A variety of drugs and other treatments, including circumcision and castration, were advised to treat this “disease”, which was in reality completely harmless biologically. Some modern doctors, especially herb healers, continue to diagnose and advise treatments for cases of spermatorrhoea, but as noted above these treatments are neither validated by thorough experimentation nor even generally necessary.
What is the seminal emissions- spermatorrhoea?
Seminal Emissions – Spermatorrhoea: This affection is the greatest bugbear of young men. It is the source of immense revenue to self-styled “ specialists “ and others who advertise in the daily press their ability to cure the disease, and present a most appalling and gloomy picture of the present condition and future misery of individuals who suffer from seminal emissions. There are probably comparatively few young men who have not at some time been alarmed by reading the newspaper advertisements, pamphlets and handbills with which the country is flooded, offering relief in the name of pure philanthropy and humanity to the thousands of young men who must otherwise go down to a wretched and early grave. These pamphlets and circulars emanate generally from “ victims of self-abuse,” who have after long years of unsuccessful treatment at the hands of physicians discovered accidentally a sure cure for the affection, which they are willing to impart — for a consideration.
The business of these men would be destroyed, and much unhappiness, misery and despondency would be avoided by young men generally, if the actual facts with regard to seminal emissions were known to the public.
The fact is that seminal emissions occur naturally in men in good health who do not indulge in sexual intercourse. Within a certain limit it is perfectly natural and healthy for the fluid to escape without the usual provocation. The question then arises, what is the limit at which these emissions cease to be healthy and become injurious ? It would be a source of much satisfaction to the writer, as well as to other physicians, if there were some fixed law by which this question could be answered. But there is no such law ; indeed, when we consider the matter, it is evident that there can be no rule which shall apply to all individuals. It is impossible to state definitely just how much beefsteak a man should eat or can eat without injury; he can easily ascertain for himself by experiment. So it is with regard to the frequency of seminal emissions ; the interval which elapses between them varies extremely in individuals who remain nevertheless in equally good health. Some men suffer such an emission once in two weeks, while others have several in a week, and yet maintain perfect health.
What are the Causes of spermatorrhoea?
Spermatorrhoea is not usually a separate disease by itself, but is a symptom of several affections which may be located in the genital organs or may affect other parts of the body, especially the nervous system. In most cases it is simply a nervous disease, and is accompanied by numerous other symptoms which indicate feebleness of the nervous system. The subject of it is commonly of a nervous, excitable temperament; and as first pointed out by an eminent French physician; he has usually suffered in earlier life from some manifestation of weakness in the genital or urinary organs, such as inability to retain the urine. It has been noted that children afflicted in this way often suffer in later life from weakness of the genital organs.
Among the causes which predispose to this affection is constant indulgence of the imagination in licentious thoughts. This especially when combined with unsatisfied sexual excitement, in duces an irritability of the organs which finally results in the escape of the seminal fluid upon slight provocation.
Spermatorrhoea is most frequently induced by the habit of self-abuse. When this habit is stopped the individual usually suffers from involuntary emissions instead of those which he had formerly excited voluntarily.
It must not, however, be supposed that every individual who has once indulged in this habit must suffer from incontinence of semen afterward. In many cases the habit is practiced to only a limited extent and is not followed, to any particular degree, by seminal emissions ; that is, these emissions do not occur with more frequency than is natural for individuals who have not practiced self-abuse.
There are several causes which may act in exciting seminal emissions in cases where no disease of the sexual organs exists. Sometimes an unusual formation of the organ is a source of constant irritation which provokes seminal emissions. One of the most frequent of these is an unnatural tightness of the foreskin, whereby the secretion formed beneath it cannot escape, and being retained irritates the inner surface. An unnatural narrowness of the urethral opening may also cause constant irritation and seminal losses.
Cases have been known in which spermatorrhoea has followed several ordinary derangements of the rectum ; thus piles, fissures, worms and skin eruptions in these parts have all been known to cause seminal losses, which disappeared when the original affection was removed. Habitual constipation may also cause the same effect by constant pressure pon the parts.
They cannot be accused of any injurious effect unless they are followed by headache, backache, sleeplessness, mental depression, and bodily lassitude. Even in these cases it is quite possible that other causes, such as excessive devotion to business or pleasure, are largely responsible for the symptoms just mentioned; in every case the patient should take a calm and reasonable view of the matter, and not jump to the conclusion that his health is being undermined by seminal emissions when there are actually other causes which are in themselves sufficient to account for his difficulties. It is a fact that seminal emissions may be a result as well as a cause of general debility ; and much effort is sometimes wasted in attempts to cure seminal emissions, which should be directed to improvement of the general health.
Most cases in which the patients believe themselves to be afflicted with seminal emissions by day, are really not cases of spermatorrhoea at all. Unless the discharge be accompanied by the usual symptoms, it is highly probable that the fluid which escapes is not the seminal fluid at all, but merely an increased secretion from the urethra and from the prostate gland. The question can be decided at once by submitting the fluid to microscopical examination ; until this is done the patient should remember that the probabilities are against the supposition that this fluid is the true seminal discharge. It should also be remembered that in certain conditions of the general system seminal emissions occur as a rule, and have no other significance than that of a symptom of the disease. It is not uncommon for patients who are recovering from exhausting diseases — such as the infectious fevers, smallpox, typhoid fever, etc.These may occur at short intervals for several weeks and yet disappear permanently when the patient finally recovers his health.
What are the Symptoms of spermatorrhoea?
Although the symptoms of true spermatorrhoea vary according to the general condition, disposition and age of the patient, yet the general course is somewhat as follows.Among the earlier symptoms which indicate that the pollutions are becoming more frequent than is compatible with perfect health, are pain in the small of the back, pain in the head, a sense of fatigue and inability for exertion, and a certain incapacity for mental effort. As the emissions increase in frequency, the patient observes a diminished capacity for sexual enjoyment; the general symptoms are made worse, and include dizziness, weakness of sight, trembling in the limbs, a sense of weight in the chest, palpitation of the heart, and signs of dyspepsia. After a time he begins to have emissions by day also, and he now usually becomes the prey of despondency.
His mental depression may be so great that his thoughts are con stantly directed to the one subject — a condition which aggravates the difficulty. His gait becomes unsteady ; he feels wandering pains in various parts of the body ; his rest is disturbed by frightful dreams ; he shuns society, because he imagines that others see and recognize the cause of his difficulty. In fact, his mental condition approaches finally a mild type of insanity. It must be said, however, that there but few, if any, cases in which insanity can be traced to excessive seminal losses. There are numerous instances in which an individual suffering from seminal emissions has become insane, and such cases are commonly ascribed to the seminal losses. A closer scrutiny of the case usually shows that the patient had a tendency to insanity, and that the seminal losses are to be regarded rather as one of the symptoms of the general nervous depression which resulted in insanity — as an effect, therefore, rather than as the cause of his mental derangement. Certain it is that those who have inherited a disposition to certain nervous diseases — epilepsy and insanity for instance—are far more frequently affected with seminal emissions than others.
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