What doctors wish patients knew about getting a vasectomy

By Sara Berg, MS

When discussing reproductive health choices, one procedure has been gaining attention—especially since the fall of Roe v. Wade—for its effectiveness: the vasectomy. As individuals and couples explore long-term contraception options, vasectomies have emerged as a popular choice for those seeking a permanent solution—rates have increased by 26% in the past decade. With its relatively low risks and high success rates, this procedure is reshaping conversations about family planning.

The AMA’s What Doctors Wish Patients Knew™ series provides physicians with a platform to share what they want patients to understand about today’s health care headlines.

In this installment, three physicians took time to discuss what patients need to know about getting a vasectomy. These AMA members are:

  • Jason Jameson, MD, a urologist and chief of urology at the Phoenix Veterans Affairs Medical Center, who serves as a delegate for the American Urological Association in the AMA House of Delegates.
  • Amarnath Rambhatla, MD, a urologist at Henry Ford Health and director of men’s health at the Vattikuti Urology Institute in Detroit.
  • Moshe Wald, MD, a urologist at the University of Iowa Hospitals & Clinics and an associate professor in the department of urology at Carver College of Medicine in Iowa City.

Henry Ford Health and University of Iowa Hospitals & Clinics are members of the AMA Health System Program, which provides enterprise solutions to equip leadership, physicians and care teams with resources to help drive the future of medicine.

There are seasonal spikes in vasectomies

“We sometimes see seasonal spikes in vasectomies. We see it in March and then also in November and December before the end of the year,” Dr. Rambhatla said. “We think it spikes at the end of the year because everyone has met their deductible for the year.

“In March, it’s been loosely associated with March Madness, he added, noting “the running joke is that men get their vasectomy around the NCAA basketball tournament and ask their wives for permission to lay on the couch for four straight days so they can watch the basketball tournament.”

“The other interesting thing we’ve seen is with the Roe v. Wade reversal. There are studies showing an increase in Google trends, searches and consultations for vasectomies after that,” Dr. Rambhatla said. “So, it seems like some men are more inclined to be in control of their fertility status after that ruling.”

It’s a minor surgical procedure

“A vasectomy is a minor surgical procedure, which is aimed at eventually achieving permanent birth control,” said Dr. Wald, noting “the procedure is typically performed in a clinic setting under local anesthesia, which means injection of numbing medication into the area.

“However, in some cases, based on anatomy and on the patient’s preference it could also potentially be done in the operating room under sedation or general anesthesia,” he added. “But the vast majority are being performed  in the clinic under local anesthesia.”

“The procedure involves the surgical interruption of a tube called the vas deferens. The vas deferens is the tube that drains sperm from the testicle outwards and a man typically has two of them, one on each side,” Dr. Wald said. “So, the idea is to interrupt these tubes, and then allow enough time for  the sperm that at the time of the vasectomy was already beyond the vasectomy site to wash out.”

The procedure “usually takes about 20–30 minutes. One or two small cuts are made in the scrotum with a scalpel or no-scalpel instrument,” Dr. Jameson said, noting “the vas deferens are cut and tied or sealed with heat. The skin may or may not be closed with sutures.”

But “if the vas deferens are not easy to feel due to body characteristics—obesity, previous scarring—the procedure may be more challenging to perform,” Dr. Jameson noted.

It’s OK to drive yourself home

“Most of the time patients are OK to drive themselves home after the procedure. Occasionally I’ll have some patients who are a little nervous or anxious about getting a vasectomy,” said Dr. Rambhatla. “So, we can prescribe them medication to help calm down their anxiety for the procedure.

“In those situations, they need to have a driver with them because that medicine can alter their ability to drive,” he added. “Otherwise yes, you could drive yourself home.”

Don’t be nervous, it’s straightforward

Patients “should definitely relax. It’s a straightforward, easy procedure,” said Dr. Rambhatla. “The most common feedback I get from men after the procedure is: Oh, I thought it was going to be a lot worse than that.”

“Sometimes their friends will mess with them before the procedure and say it’s going to be a terrible experience and it is just good old fun,” he said. “But most of the time, people say it wasn’t so bad and they had nothing to worry about.”

Follow up requires a semen test

A vasectomy is “not immediately effective. If you can imagine a tube through which sperm is passing, the vasectomy is basically occluding that tube so sperm isn’t passing through anymore, but there’s still sperm on the other side of that tube we’ve occluded,” said Dr. Rambhatla. “And so, all that old sperm needs to be cleared out for men to become sterile.”

“We check a post-vasectomy semen analysis about three months after the procedure to make sure all that old sperm has been cleared out,” he said. “And sometimes some men may take longer, so it can take up to six months or so to clear out all the old sperm.”

Vasectomy is very effective

It is important to note that a “vasectomy would never provide a 100% guarantee. The only way to reach a 100% guarantee of no pregnancy is simply to avoid sexual intercourse altogether,” said Dr. Wald. “Even after a man gets a vasectomy and later gets a semen test that will show no sperm cells in the semen, there is still a very small risk for an unwanted pregnancy in the future.

“That risk is estimated in many studies at one in 2,000, which is, for example, much better than condoms. But it’s not zero and never will be,” he added. “That risk of roughly one in 2,000 by most series is after a man has a post-vasectomy semen test that showed no sperm. If somebody had unprotected sexual intercourse after a vasectomy before having such semen test at all, his chances for pregnancy could be close to 100%.”

This is meant to be permanent

“The best candidates for a vasectomy are couples who are done having kids or men who may be single and know that for sure they do not want any kids in the future,” said Dr. Rambhatla. That is “because we do consider it a permanent form of sterilization. It can be reversed, but really we want people going into it with the idea of permanent sterilization.”

Dr. Wald agreed, emphasizing that “If there’s any question about that, then I would advise against the vasectomy at that particular time.”

Vasectomies don’t always work

“There is a risk of failure. Even if done by an experienced physician, vasectomies could fail. Not necessarily due to surgical error—which is a possibility,” Dr. Wald said, noting “there have been multiple studies that showed the potential reconnection that can happen.”

“Sometimes there could be microscopic channels that can sprout from one end of the interrupted tube and at least in a transient manner allow for some sperm to sneak into the other side,” he said. “The risk varies a lot depending on if the patient had or did not have a semen test following the vasectomy that was negative for sperm. If he did that, his risk for such failure is very small.”

It may be covered by insurance

“Most private insurers cover some or all of the cost of vasectomies,” Dr. Jameson said. “For men without coverage, various self-pay options may be available in certain local facilities.”

“It’s a lot cheaper for insurance to pay for men to have a vasectomy than pay for them to have another child,” noted Dr. Rambhatla, emphasizing “most insurance companies are happy to cover a vasectomy.”

Vasectomy reversals are complicated

“Vasectomies are theoretically surgically reversible. The problem is that vasectomy reversals are a very different thing,” Dr. Wald said, noting that “vasectomy reversals are true surgery performed in the operating room. It is very expensive if not covered by insurance and it does not always work, even if done by an expert.”

The success of a vasectomy reversal “depends on various factors such as how long it’s been since the vasectomy, what your fertility status was prior to the vasectomy and what your partner’s fertility status is,” said Dr. Rambhatla. “Because sometimes we see men with new partners who may have different fertility potential than their previous partner or now their same partner is older, and her fertility potential has changed.”

“And the closer you are to the vasectomy period, the better success rates with the reversal,” he said. “Generally, if this is done within 10 years, there’s a good chance that we can get sperm back in the ejaculate. But sperm in the ejaculate doesn’t necessarily translate to a pregnancy.”

There is a risk of bleeding

“From the surgical standpoint, this is a fairly small procedure, so the risks are not to the magnitude of anything life threatening, but there are certainly risks that are worth mentioning,” Dr. Wald said. “There are the most obvious risks of bleeding and infection. Bleeding, if it happens, is not even close to being anything life threatening.

“Such bleeding happens not externally, but rather internally into the scrotal sac and it could cause bruising, swelling and patient discomfort, and it can take a few weeks to gradually absorb,” he added. “It typically involves the surgical wound or the skin, but sometimes can be deeper and even involve the testicle. These are almost always managed by antibiotics, but it’s a risk.”

“The risk of bleeding with vasectomy increases with blood pressure,” Dr. Jameson said. That’s why it is important to have blood pressure controlled before getting a vasectomy.

Watch out for abnormal pain

“What is not that obvious is the risk of chronic testicular pain. I’m not referring to the obvious post-procedural pain, but a chronic condition that can last months, years or even be there for life,” Dr. Wald said.

According to the American Urological Association, about 1% to 2% of men may experience ongoing pain or discomfort, explained Dr. Jameson. The pain is often treated with anti-inflammatory medications such as ibuprofen.

“This chronic type of pain is a treatable condition, but in some men such treatment could involve surgery that could be bigger in its magnitude than the original vasectomy,” Dr. Wald said.

Men can develop antibodies to sperm

“Not all, but most men who undergo a vasectomy do develop antibodies to sperm. This is because sperm is typically separated from the immune system,” Dr. Wald said. “However, a vasectomy is one of the most common causes where sperm is exposed to blood  and the immune system, and that could lead to the formation of anti-sperm antibodies.”

“This is not something that is posing a general health concern and patients will not feel it,” he said. “But the problem is that if somebody does seek fertility later in life and undergoes a vasectomy reversal, even if the vasectomy reversal works, these antibodies do not go away and can coat sperm, slow sperm down and impair its function.”

It should not affect sex

“A vasectomy does not change sexual function. It does not protect against sexually transmitted infections,” said Dr. Rambhatla. “It’s simply a way to prevent sperm from coming out in the ejaculate.”

Additionally, Dr. Jameson noted, according to the Urological Care Foundation, that a vasectomy should also not cause any erection problems—ejaculations and orgasms should feel the same. And while there is no sperm, the amount of semen does not decrease more than 5%.

Avoid extensive activity

“Typically, if the procedure is done towards the end of the week, then the patient can simply take a long weekend and then plan to go back to work Monday,” Dr. Wald said. “It’s not something that requires you to be in bed, but definitely avoid extensive physical activity.”

That means “no heavy lifting, running. Any gym type activities should be refrained from,” said Dr. Rambhatla, noting that “walking is OK. Just no strenuous activity.”

Additionally, “men with more activity and heavy lifting at work may need more time off as you should avoid heavy lifting for a week,” Dr. Jameson said.

Address pain control

“In terms of pain control, usually most people do well with alternating between Tylenol and ibuprofen as needed,” said Dr. Rambhatla, adding that icing for the first couple days also helps.

Patients can “resume sexual activity once the pain and swelling have resolved,” he explained.

Wear snug underwear and ice area

After a vasectomy, it is common to have swelling and minor pain in the scrotum for a few days, Dr. Jameson said, noting that “wearing snug underwear or a jockstrap can help ease discomfort and support the area.”

Additionally, “patients are typically asked to wear a jock strap with a pretty bulky dressing for 48 hours, and also to ice the area intermittently for 48 hours,” Dr. Wald said.

There are other forms of contraception

“Other birth control methods include condoms or birth control pills for females,” Dr. Jameson said, noting “both of these methods are effective but must be consistently used, and the one-time cost of a vasectomy may be cheaper over time than the cost of other birth control methods.”

Additionally, “tubal ligation in females is another surgical option for birth control and is performed by gynecologists,” he said.

Complete Article HERE!

What Happens During an Orgasm?

— Here’s what science says about what your body goes through during the big moment.

By Izzie Price

Orgasms form a fundamental part of the human experience. They’re a natural biological process and are likely to take up a fair amount of time in our heads—whether we love them or fret about them.

How often have you worried that the sex was terrible because you or your partner didn’t orgasm? If you’re a woman, how many times have you worried that it “didn’t count” as an orgasm because you didn’t ejaculate?

More importantly, though, do you even know what’s going on in your body when you orgasm? Do you know about the many health benefits orgasms offer? Do you even know what an orgasm is?

What follows is a look into the science behind an orgasm, including the physicality of what’s happening. In addition, experts debunk some common orgasm myths.

What happens to your body during an orgasm?

“Orgasm, or sexual climax, is the peak of sexual excitement,” said Alyssa Dweck, M.D., a gynecologist in Westchester County, New York, and a sexual health and reproductive expert for Intimina, a brand of products focused on women’s intimate health. “Orgasm results in rhythmic muscular contractions in the pelvis—that is the uterus, vagina and anus. There are also elevated pulse and blood pressure, and rapid breathing.”

Dweck emphasized the psychological implications of orgasm related to the brain, including its release of the following:

  • Dopamine, which is the pleasure hormone
  • Oxytocin, which is the cuddling and bonding hormone
  • Serotonin, which is involved with mood, cognition, reward and memory
  • Endorphins, which influence pain perception, relaxation and mood enhancement

Sounds pretty good, right? What happens in your body that results in this physical and psychological burst of pleasure and excitement?

The process of orgasm can be broken down into four separate phases—arousal, plateau, orgasm and resolution—according to Masters and Johnson’s Human Sexual Response Cycle course.

“The excitement or arousal phase can last minutes or hours,” said Rachel Wright, M.A., L.M.F.T., a New York-based psychotherapist and host of “The Wright Conversations Podcast.” “Muscles get a little tense, your vagina may get wet, your skin may get flushed, your heart rate and breathing accelerating, your nipples may become hard and the breasts are becoming fuller.

“A penis will become erect and the vaginal walls will swell. The testes swell, the scrotum tightens and often the penis will secrete a lubricating liquid.”

It’s safe to say, then, that there’s a lot going on in the body when we get aroused. Things don’t slow down when we reach the plateau phase, either. Wright described it as “the excitement intensifying right up to orgasm in which the vagina swells from blood flow.”

The vaginal walls turn dark purple during this stage, Wright added. Then there’s the main event, which is the shortest phase of all.

“Some indicators of orgasm include involuntary muscle contractions, a rash or ‘sex flush,’ muscles in your feet may spasm, and you might feel a sudden or forceful release of sexual tension,” she said. “Your blood pressure and heart rate are at their highest rate at this point.”

For men, an orgasm triggers similar rhythmic contractions at the base of the penis. They result in the semen being released.

Are orgasms good for you?

The sheer amount of physiology associated with orgasms and the number of feel-good chemicals produced in the brain as a result seem to indicate orgasms are a biological necessity. Are they?

Dweck pointed to one study that indicated orgasms are perceived to improve sleep outcomes. Other health benefits include improved mood and increased life expectancy. This is all good but it has to be said: Orgasms are not essential.

“We don’t need orgasms, but they sure do feel good to have,” said Lyndsey Murray, a licensed professional counselor and certified sex therapist in Hurst, Texas. “I don’t like to put any pressure on having an orgasm because a lot of people feel like they are doing something wrong when orgasm isn’t achieved. When we take the pressure off having one, our bodies can respond naturally and lead to orgasms all on their own without us overthinking it.”

Orgasm myths and misconceptions

The orgasm gap—the high rate of male orgasms as compared to female orgasms—is real. But there are all kinds of myths and misconceptions about why those numbers aren’t closer together. Mostly, this is because of a lack of basic understanding of the female body and, subsequently, how it can reach and experience orgasm.

“The biggest misconception I note in clinical practice is the myth that vaginal penetration/intercourse always leads to orgasm when, in fact, clitoral stimulation is typically needed, and upwards of 70 percent of women won’t achieve orgasm through intercourse alone,” Dweck said.

The misconception that vaginal penetration always results in a female orgasm takes us to another common myth: “If an orgasm isn’t happening, there must be something wrong,” Murray said.

Not so. There could also be a technique issue at play, such as there being no clitoral stimulation.

“There may be sexual dysfunction that requires professional help. But it could also be performance anxiety getting in the way or maybe you just haven’t explored enough yet to figure out your own body,” she said. “I never like to use terms like ‘wrong’ or ‘failure,’ but instead, disappointment. If you’re disappointed with your sexual activity, focus on fun, pleasure and exploration.”

The biggest orgasm myth, according to Wright, focuses on physical evidence of sex taking place: “That there is only one kind [of sex] and there’s always ejaculation,” she said.

There can be 12 different ways for women to orgasm, she explained, which includes clitoral, vaginal, cervical and nipple orgasms. For men, she noted that orgasms can take the form of a wet dream, blended (whole body) or pelvic orgasms, as well as ejaculatory orgasms.

How can we improve societal attitudes toward orgasms?

Orgasms are great, sure, but they’re not the only thing that makes sex feel good. Sex is more holistic than that, and we need to enjoy orgasms without holding them up as the essential end result.

“The societal attitude I see most of is either orgasms mean great sex or no orgasm means the sex sucked,” Murray said. “I disagree with both sentiments. Usually what happens is someone feels like they failed themselves or their partner(s) if an orgasm didn’t happen. The next time they have sex, it becomes an over-focus on orgasm and no longer about fun, pleasure and intimacy.”

We should be talking more about the entire sexual experience and not the shortest part of the whole thing, Wright explained.

“In all the sexual response cycles, the orgasm is the shortest part, and yet we put so much focus on it. Sometimes, all the focus,” she said. “Try to focus on the experience and, instead of attaching everything to an orgasmic outcome, pay attention and focus on the experience. The experience is the pleasure.”

Complete Article HERE!

What is delayed ejaculation?

— Here’s what you need to know about this little-talked about problem

Delayed ejaculation has several possible causes, including certain prescription drugs and medical issues, like low testosterone.

By Martha Kempner

While guys who climax too quickly, like the high school teen who can’t even get his pants off before it’s all over, is a well-known issue, there’s a flip side to that problem: being able to go and go and go without reaching orgasm, a condition known as delayed ejaculation.

There isn’t a lot of research on it, but a 2016 study estimated that between 1% and 4% of men experience delayed ejaculation all the time or when with a partner. The researchers also noted that it’s the “least studied and least understood of male sexual dysfunctions.”

Delayed ejaculation is the inability to climax within a reasonable amount of time. What’s reasonable varies for each person, but some experts cite needing more than 30 minutes of sexual stimulation to reach orgasm as a sign of a problem. There’s no need to get out a stopwatch; the real test of whether this is an issue is how often it’s happening and how you and your partner feel about it.

We rarely talk about men’s sexual health, and the feelings of failure that can come with not being able to climax mean we talk about this issue even less than others like premature ejaculation or erectile dysfunction. Ignoring it, however, may trap couples in a cycle of anxiety that ends with one or both partners deciding it’s better to avoid sex altogether than have this happen again. Spoiler alert: It’s not.

Here are some ways to break that cycle.

Talk to your partner

Don’t let this become the elephant in the room — or in your bed. “Without talking about the issue, our minds are left to speculate and ruminate,” Ian Kerner, a sex therapist and author of She Comes First, tells Yahoo Life. “A partner may start to worry that maybe the person with DE is no longer attracted to them or is bored by the sex.”

Communication is crucial, and Kerner notes that how we address these subjects matters. “When having these sorts of conversations, always begin with how you’re feeling and your own vulnerability,” he says. “Start with ‘Hey, I’ve been feeling anxious.’ Generally talking about the elephant in the room is a relief and gets you on the same team.”

Rule out medical issues

Medical issues known to cause delayed ejaculation include low testosterone, spinal cord injuries and certain infections. DE can also be a side effect of common prescription drugs, such as antidepressants and blood pressure medications. A new study found that DE is associated with more underlying health issues — both physical, such as testicular dysfunction, and emotional, such as anxiety — than premature ejaculation or erectile dysfunction.

Dr. Michael Eisenberg, a urologist at Stanford University, says that a health care provider can assess whether a medical problem is causing delayed ejaculation. “We will evaluate the timing of the condition, determine if it’s situational, assess hormones and determine underlying health conditions,” he tells Yahoo Life.

Change your routine

Delayed ejaculation can also be caused by desensitization of the penis. Dr. Jesse Mills, director of the UCLA Men’s Health Clinic, tells Yahoo Life that, like all other parts of our bodies, penises can lose sensitivity as we age. They can also get used to certain triggers: “The key to orgasm is friction,” Mills explains. “There’s no orifice as tight as a man’s own hand. If that’s what he’s used to, he may have sensitivity issues he has to overcome.”

Masturbation is good for you, but if you suspect desensitization, consider cutting back, especially when you’re expecting to have partnered sex soon.

Resetting your expectations can also help. Remember that penetrative sex isn’t everything. Just as many women need clitoral stimulation to orgasm, you may need something more intense as well. Consider adding some sex toys, such as a prostate massager or a vibrating sleeve, which can amp up your orgasm. There’s also nothing wrong with finishing using your own hands while your partner curls up next to you.

Find an expert

If you are still having trouble finishing, it may be time to see an expert, whether that’s a sexual medicine doctor or a sex therapist.

Mills is a member of the Sexual Medicine Society of North America, a group that includes urologists, gynecologists, neurologists and sex therapists. He says this is a great place to start, since the website can help you find providers in your area. The American Association of Sex Educators, Counselors and Therapists can also help you find a certified sex therapist near you. “Anybody that has specialized training and interest in sex can get the workup rolling,” he says.

A sexual medicine expert can also help couples who are dealing with DE while they are trying to get pregnant. Eisenberg says there are medical ways to assist with ejaculation or sperm extraction, which can help couples separate fertility issues and sexual concerns.

Sex is supposed to be pleasurable and relieve our stress, not cause it. If you’re having trouble reaching orgasm, talk to your partner and reach out to medical and mental health experts for help.

What is premature ejaculation?

— Finishing too soon during sex can be very distressing, but it is definitely treatable.

By Gigi Engle

Imagine you’re with someone super hot. You’re about to start having sex (whatever that sex act may look like for you). You’re in the moment and are very excited to start touching each other. You get going and it’s pretty freakin’ great. Suddenly, you realize you’re actually TOO excited. Without any real warning, you’re past the point of no return. You ejaculate. Maybe you feel embarrassed. Maybe you feel ashamed. Maybe a bit of both.

Enter: Premature Ejaculation (PE). Premature ejaculation is incredibly common. It is widely considered to be one of the biggest sexual function issues amongst penis owners. One in three penis-owning people experience issues with PE in their lifetime. That’s 30 percent of people with dicks!

When online misinformation about sexual health abounds, it’s difficult to know where to turn for answers. We spoke to urologists and sex therapists to get accurate answers to your burning questions.

Just because PE is common doesn’t mean it’s something that is easy to handle. Dr. Anika Ackerman, a urologist specializing in sexual medicine, says that the lack of control that comes with PE can be incredibly frustrating and distressing for those who suffer from it.

Luckily, PE is highly treatable. “It’s crucial to realize that many [people] experience this challenge, and with the appropriate guidance, it’s manageable,” says Dr. Nazanin Moali, a psychologist, sex therapist, and the host of Sexology podcast.

So, with all this in mind (and possibly peen), let’s break down what premature ejaculation is, why it happens, and some strategies for dealing with it.

What is premature ejaculation?

Premature ejaculation is defined as reaching ejaculation before you want to. Technical definitions usually define “before you want to” as ejaculation within 1-3 minutes of sexual activity or penetration. PE “is a condition where a penis owner does not have voluntary, conscious control or the ability to choose, in most encounters, when to ejaculate,” says Dr. Lee Phillips, Ed.D, a psychotherapist and certified sex and couples therapist.

PE can be situational or ongoing. Meaning, it can be something that happens in certain contexts with certain people or during nearly every (or all) sexual encounters, regardless of the context. Ejaculating “too quickly” isn’t defined as PE unless it occurs on a regular basis. “It denotes a pattern that has been present for at least half a year and manifests almost every time, if not every single time, during sexual engagement,” Moali says.

What causes PE?

Most experts believe that if no medical issues are detected, the causes for PE are largely psychological and emotional – though the exact reasons are widely undetermined. It’s important to speak with your medical provider to rule out any medical conditions that may cause PE.

One popular theory is that PE is rooted in a disconnect with your sexual response cycle. Meaning, you aren’t in-tune with the way your body responds sexually, which impacts your control over your body’s ejaculatory function during sex.

Let’s talk about something every single one of us has (probably) heard: That you should think of anything besides sex in order to last longer in bed. This widespread social narrative encourages young men and penis owners to think things like their grandma naked or a body covered in boils.

Spoiler! This is actually the opposite of what you should do if you want to last longer. When we step away from awareness of what our bodies are doing, we lose all control. Meaning, we’re much more likely to orgasm before we’re ready to. How about them apples?

Philips says that performance anxiety may also play a role – when we’re very nervous to be with a new partner, we may become overly excited too quickly, resulting in PE. This anxiety about PE can lead to more anxiety, which can perpetuate the problem.

Ironically, performance anxiety can also lead to difficulties in getting or maintaining erections. Bodies are all kinds of wild and the ways they respond vary greatly.

Understanding the sexual response cycle in relation to PE.

To understand PE, we have to understand exactly how the body responds during sex.

According to pioneering sex researchers, Masters and Johnson, the sexual response cycle takes place in four phases: excitement, plateau, orgasm, and resolution.

For our purposes, excitement and arousal are the most important phases to observe. Excitement is sexual arousal, when we begin to get turned on (whether that be from physical stimulation, dirty talk, sexting, porn etc.). Plateau is when we’re feeling super hot and bothered – coasting towards climax – when sexual play gets going and you’re feeling it big time.

In cases of PE, the issue lies in the plateau phase – namely, that is quite short and, in some cases, nonexistent. This means that you jump from being sexually aroused right to orgasm. Hence, finishing more quickly than you might want to.

(We should note that there are many other models that are used to explain the complexity of human sexual response, but Masters and Johnson’s straightforward four-phasic model is very helpful in understanding premature ejaculation).

In this same vein, we should consider how long we’re actually in the plateau phase. It’s quite common that someone might think they have premature ejaculation, but in reality, they aren’t aware of how long they’ve been coasting toward the Big O.

You may think you’re not lasting long enough in bed, when really you last quite a normal amount because you’ve been in the excitement and/or plateau phase for a prolonged period of time, pre-sex. For instance: When a penis-owning person has been thinking about sex all day, this means that the sexual response cycle has been building long before the actual sex even happens. This can lead to people believing that they have PE when, in reality, they aren’t in tune with the ways their bodies respond to sexual stimuli.

If this is all new to you, don’t worry. We have junk sex ed in general, and absolutely nothing in regards to sexual difficulties like erectile dysfunction or premature ejaculation. The more we know about our bodies, the more confident we can feel in them.

5 expert-approved strategies for dealing with premature ejaculation.

  • Focus on sensation and what is happening in the body.

As we mentioned above, the socially prescribed advice for lasting longer during sex is to “think about anything else.” This is incorrect. Instead, start to practice paying attention to what is happening within the body during sexual arousal, in order to build awareness. “This mindful approach can lead to a more relaxed and prolonged sexual experience,” Moali says. When we’re more aware, we’re in better control.

  • Start Stop Technique

Philips recommends trying the Start Stop Technique as a way to gain more control over your erections. When you’re masturbating, stop once you feel yourself starting to get close to orgasm. “Wait 30 seconds or a minute, and then repeat, masturbating until you feel the point at which ‘coming’ is imminent,” he says. “Time how long it takes for you to get to this point.” Repeat this process 3-4 times. This will help you get a better understanding of the sensations in your body and bring awareness to when you’re going over the edge. This should be an ongoing practice.

  • The Squeeze Technique

Ackerman suggests The Squeeze Technique during solo or partnered activity. “In the squeeze method, the partner or patient will squeeze the penis to delay orgasm,” she says. Do this when you’re starting to feel close to orgasm. While there isn’t a ton of scientific data to support this method, it has been found to be very useful within clinical settings.

  • Take a penis-touching-break during sexual activity.

If you find that you’re getting too turned on and worry you’re going to bust before you’re ready, consider taking a break from penis stimulation, focusing on your partner instead, with oral pleasure, sex with toys, or a sensual massage. “This change of pace can help reduce your arousal, slowing the process and offering a more satisfying, longer-lasting experience for both parties,” Moali says.

  • Seek out professional assistance.

A sex therapist is someone who specializes in sexual wellness and sexual function issues. They can help you process underlying emotions and psychological issues that may be causing and/or perpetuating PE. They can also give you exercises to modify your behaviors around masturbation and sex. “The goal is to relax your nervous system and to be grounded in your body,” Lee says. There is nothing wrong with needing a little extra assistance on your sexual health journey.

All in all, PE is a very common problem that has highly successful outcomes when treated. You’re not alone. You’re not broken. And there is help for you.

Complete Article HERE!

5 ways men can last longer during sex

There are several reasons why you might ejaculate prematurely including poor body image, inexperience, and higher levels of testosterone.

By  

If you are worried that you finish too quickly in bed, you are not alone – around 1 in 3 men in the US report having issues with premature ejaculation. It’s unclear why this happens, but scientists think it’s a combination of psychological and biological factors.

If you aren’t able to have sex for as long as you would like, there are several strategies that can help

How long does the average person last during sex?

The adult film industry often depicts sex going on for hours, which can give a false idea of how long sex should last, says Jamin Brahmbhatt, MD, a urologist at the PUR clinic.

According to a 2005 study conducted across 5 countries, vaginal sex generally lasts for around 5 to 6 minutes. 

However, there’s no correct amount of time for sex to last and it’s up to you and your partner to decide what works best.

Why you might not be lasting as long as you want to

It’s common for men to finish too quickly once in a while, but if you nearly always ejaculate after less than a minute of sex, you may be diagnosed with premature ejaculation.

  • Psychology: Though the exact cause is not well known, “there are definitely psychological aspects to premature ejaculation,” Brahmbhatt says. Studies show that anxiety, particularly anxiety about your sexual performance, is linked to premature ejaculation. Feeling depressed, stressed out, or guilty can also make you more likely to finish quickly. Men may also experience premature ejaculation at higher rates if they have poor body image or are victims of sexual abuse.
  • Experience: Your level of sexual experience can also affect how long you last in bed. “Men may also climax faster if they are not having sex often or this is their first time engaging in any sexual activity,” Brahmbatt says.
  • High amounts of free testosterone: Studies show that men with premature ejaculation tend to have higher levels of free testosterone, which can lead to symptoms like loss of energy and low sex drive. . However, scientists say that more research is needed to determine why this is the case.
  • Hyperthyroidism: Premature ejaculation can also be caused by hyperthyroidism, a condition in which the thyroid gland in your neck produces too much of a hormone called thyroxine. Researchers aren’t sure why thyroid issues affect your sex stamina, but after being treated for hypothyroidism, men are much less likely to experience premature ejaculation.

How to last longer during sex

If you are struggling with finishing too early, here are a five things you can do that may help.

1. Condoms

Since premature ejaculation may be a result of hypersensitivity, using a condom is a simple solution that may make sex last longer. The condom forms a barrier around the penis that dulls sensation and may lead to delayed ejaculation. 

2. The pause-squeeze method

The pause-squeeze method can be done while having sex or masturbating and involves:

  1. Having sex until you feel that you are about to ejaculate.
  2. Then, pulling out and squeezing the tip of your penis for several seconds, or until the need to ejaculate passes.
  3. And finally, continuing to have sex and repeating the technique as needed.

“They theory is you stop the flow, let the penis rest, and then go back at it to increase your time, Brahmbatt says.” 

Brahmbatt says that this can be one of the more difficult treatments for premature ejaculation because it takes a lot of self-control. Practicing repeatedly and communicating clearly with your partner may help ease the process.

Over time, you may be able to train your body to delay ejaculation without using the squeeze maneuver.

3. Pelvic floor exercises

Your pelvic floor muscles lie just below your prostate and your rectum and just like other muscles, they can be strengthened through exercise. Experts believe that if pelvic floor muscles are too weak, it may be harder for you to delay your ejaculation. 

To flex your pelvic floor muscles, act as if you are trying to stop yourself from peeing or passing gas and feel which muscles move. To tone these muscles, you should follow these steps:

  1. Tighten the pelvic floor muscles – you can lie down or sit if this makes it easier.
  2. Hold the muscles taut for 3 seconds.
  3. Relax the muscles for 3 seconds.
  4. Repeat the exercise as many times as needed.

See here for a more comprehensive guide to kegel exercises for both men and women.

To get good results, you should try to do 3 sets of 10 repetitions each day.

If you are still struggling with finishing too early, your healthcare provider can help you or refer you to another expert healthcare provider, since there are also some medications or procedures that you might benefit from.

4. Numbing medications

Numbing medications use ingredients like lidocaine and prilocaine, which work by blocking the nerve signals that make you feel pleasure and pain. These medications generally come as creams or sprays and when they are applied to your penis, you will have decreased sensitivity, and are approved for use in premature ejaculation.

Numbing creams or sprays should be applied to the penis 20 to 30 minutes before sex. Because sexual pleasure will feel less intense, you may be able to delay your ejaculation.

There are some drawbacks to this method, however, as the medication can also decrease your partner’s sensitivity to pleasure. “Make sure your partner knows you are using it — as a heads up and also to make sure they don’t have a history or allergic reaction or problem with its use,” Brahmbatt says.

5. Viagra

Though sildenafil (Viagra) is usually prescribed to treat people who have trouble keeping an erection, research shows that it can help with premature ejaculation as well.

A 2007 study found that Viagra worked well to delay ejaculation and was more effective than the stop-squeeze technique. At the end of the study, 87 percent of subjects using Viagra said they wanted to continue this treatment, compared with 45 percent of subjects using stop and squeeze.

Premature ejaculation is a common condition but it can cause difficulties in your sex life or relationships. If none of these methods work to help you last longer in bed, contact your doctor to help you come up with the most appropriate treatment plan.

Complete Article HERE!

Home remedies for premature ejaculation

Many males experience sexual concerns such as premature ejaculation. Premature ejaculation occurs when someone has an orgasm very quickly or orgasms without control. Males with premature ejaculation may also have very little warning before their orgasm, so they may not be able to delay it.

by Jon Johnson

Premature ejaculation may lead to lower sexual satisfaction for both the person experiencing it and their partner. Some home remedies and exercises may help delay ejaculation or help someone become more aware of their sensations and how to control them.

Some estimates suggest that around 4–39% of males experience premature ejaculation, though some estimates are higher. Part of the reason that so many people experience this is because premature ejaculation can be complex, involving both mental and physical aspects.

Some medical treatments may help with premature ejaculation, but there is no permanent cure for it. However, males may learn to control their ejaculation and find more sexual satisfaction using a number of remedies, including supplements and exercise. Keep reading to learn more.

Minerals

Certain minerals may help with premature ejaculation. These include:

Zinc

There may be a link between supplements such as zinc and sexual dysfunction. Zinc also seems to play a role in male fertility.

As an article in the International Journal of Molecular Sciences notes, some studies have reported reduced quantities of zinc in the seminal fluid of males with infertility.

Zinc supplementation improves sexual dysfunction and increases serum testosterone levels in the body. This may improve libido in general and help improve sexual dysfunction, which may include premature ejaculation.

Taking zinc supplements may, therefore, promote overall sexual health in many ways, though no direct research has linked zinc to stopping or improving premature ejaculation.

Magnesium

Magnesium is another important mineral for healthy sperm production and reproductive health.

A review in the Asian Journal of Andrology notes that low magnesium levels are a contributing factor to premature ejaculation, as they may increase certain muscle contractions common in orgasms.

For this reason, getting enough magnesium in the diet may help with premature ejaculation.

Other minerals

As a study in the journal Reviews on Environmental Health notes, a number of other minerals also play important roles in sperm function and overall male fertility.

Those with sexual issues such as erectile dysfunction or premature ejaculation may look to take a number of other minerals to improve their reproductive health in general. These may include:

Topical creams or sprays

For a temporary approach, many males find success in using topical creams and sprays that contain anesthetics such as lidocaine. These help numb the penis. They do this by delaying sensation to the penis, which may increase the time it takes to climax.

Typically, a male should apply these creams to the head of the penis about 30 minutes before sex, and then wash the penis around 5 minutes before sex.

Exercises

Various pelvic floor exercises may help train the muscles involved in ejaculation. By becoming aware of and strengthening these muscles, it may be possible to increase orgasm control.

One study found that a 12 week program of pelvic floor exercises helped males with premature ejaculation control their ejaculatory reflexes and increase their time to climax.

The pelvic floor muscles are the same muscles involved in cutting off the flow of urine. To find them, a male should urinate and then cut off the urine flow midstream.

To perform pelvic floor exercises, lie or sit in a comfortable position without putting pressure on the perineum, which is the area between the anus and the genitals.

Tighten the muscles involved in cutting off the flow of urine, holding them as tight as possible for 5 seconds. The muscles should feel as though they are lifting up. There may also be a pressure sensation inside the body, near the muscles.

Release the muscles and rest for 5 seconds. Repeat this process 10 times for one session. Do two or three sessions each day.

Condoms

Wearing a condom during sex may work in a similar way to using topical creams, by temporarily dulling the sensation in the penis. In some cases, this may increase the time it takes to orgasm.

Some companies make thicker condoms or condoms with a numbing agent on the inside to help decrease sensitivity further and help increase a male’s time to orgasm.

Practice

Those worried about sexual control and early ejaculation may simply not have had very much sexual practice. Teenagers tend to learn about their sexual responses and physical sensations from their early practices with masturbation.

Some people may not have as much experience with masturbation or sexual acts, which may be due to religious or cultural beliefs about them, or a sense of personal shame.

Openly exploring pleasure through masturbation helps a person identify the sensations their body experiences leading up to orgasm. Regular practice may also help someone learn the signs of an impending orgasm and to find ways to stop the stimulation before orgasm.

Also, some may recommend masturbating an hour or two before engaging in sexual activity. This may take advantage of the body’s refractory period, which is the period of time in which it is impossible or difficult to orgasm. The length of the refractory period varies from person to person.

Techniques

There are some techniques and methods that a male can try during sex that may help with premature ejaculation. These include:

The squeeze technique

The squeeze technique helps physically control an orgasm. It may also help a male identify the sensation of orgasm and learn how to control it.

During this method, a male or their partner should stimulate the penis until they are close to ejaculation. They must then firmly squeeze the shaft of the penis, so that the erection partially goes away and the impending orgasm subsides.

Going through these steps may help a male identify the sensations that lead to orgasm. Understanding these sensations can lead to better control over ejaculation.

The stop-start method

The stop-start method is another physical technique for sexual practice.

During this method, the male or their partner should stimulate the penis until climax is imminent. They should then stop all stimulation and allow the feeling of the upcoming orgasm to go away completely.

After the pleasure subsides, the male or their partner should stimulate the penis again and stop again just before the orgasm. Continue the cycle a third time, and allow the ejaculation on the fourth.

This practice may help a male identify the sensations that occur just before orgasm. Exploring them in this way can make it easier to identify or control ejaculation.

Is there a permanent cure?

There is no single way to treat or cure premature ejaculation. As the Urology Care Foundation point out, there are no approved drugs in the United States for the treatment of premature ejaculation.

The standard treatment typically includes a few different approaches. Psychological therapy, for example, helps address any negative thoughts or feelings that may lead to sexual issues.

Behavioral therapy, such as the squeeze and stop-start methods, helps build a tolerance to the pleasurable sensations that lead to orgasm.

Some over-the-counter or prescription creams and sprays may also help numb the head of the penis, which could decrease sensitivity temporarily.

In some cases, a doctor may also recommend using some forms of antidepressant drugs to treat premature ejaculation. Antidepressants such as fluoxetine and paroxetine may alter serotonin levels in the body, which could delay orgasm. However, there is no approval for this use of these drugs.

Summary

Premature ejaculation is common and affects many people at one time or another.

When premature ejaculation becomes an issue, however, some males may find that they can better control it using various home remedies and techniques. Some doctors may suggest other forms of physical, psychological, or medical treatment to help control the issue.

If premature ejaculation continues or gets worse, it is best to see a doctor for a full diagnosis. There may be an underlying health condition causing it.

Complete Article HERE!

What’s A Prostate Orgasm

—And How Do I Make It Happen For A Guy?

First of all, he’s got to be okay with butt stuff.

By

Butt stuff has been taboo probably for as long as there have been taboos. But thanks to a growing conversation on anal play (hello, pegging!) you and your partner might find yourselves ready to, erm, enter new territory and attempt a prostate orgasm.

Rewind: What is a prostate orgasm?

The prostate—a gland about the size of a walnut which sits deep in the groin between the base of a guy’s penis and his rectum—is to men what the G-spot is to women. For some men, it can potentially be a total pleasure center.

Biologically, the prostate produces semen, but “sexually and erotically, it can function to heighten pleasure,” says Jenni Skyler, Ph.D., founder of The Intimacy Institute in Colorado. “What prostate stimulation does is press upon the urethra in such a way that it can actually prevent ejaculation,” Skyler says—a.k.a. it can stretch out that just-about-to-orgasm feeling even longer.

“If your partner is comfortable with prostate contact and is able to relax and enjoy anal stimulation”—the only way to get to the prostate is by sticking your finger or a toy about an inch and a half into his butt—“it adds this sensation of fullness and pressure that maximizes the intensity of an orgasm for a man,” Skyler explains.

Aside from the prostate stimulation itself, the anal action that’s part of the process can also boost a guy’s pleasure. “It’s hard to know how much of ‘prostate pleasure’ actually involves the prostate at all and how much is related to the fact that the only way to get to a man’s prostate is through his anus,” says Stephen Snyder, M.D., a sex therapist and author of Love Worth Making. “A lot of people enjoy anal stimulation, which makes sense—like the genitals, the anal area is richly supplied with nerve endings and blood flow.”

That said, “Some men don’t enjoy it—it can be a psychological lack of enjoyment or it could be a physiological one,” says Skyler, adding she’s had patients in both categories. Or maybe he’s just not interested in exploring (and that’s okay). Either way, as with any sex act, it’s important to communicate and make sure both parties are game—that includes you, btw.

How do I help my partner have a prostate orgasm?

If you’re intrigued by exploring this new territory, Skyler has some tips for how to make a prostate orgasm happen.

1. Help your partner relax.
If you are both jazzed to poke around his prostate, it’s important to start by getting super-relaxed. “The anus has two sphincters and they can tighten up and close,” Skyler says. “The way to get entrance and invitation is to really deeply relax the whole body.”

Start with a sensual massage, the goal of which isn’t necessarily to turn your partner on, but to help him feel totally comfortable.

2. Try some anal foreplay.
Once your partner feels chilled out, ease your way in. “If you’ve never done anal play, approach the anus respectfully and slowly,” Sklyer says. “Play with the full buttocks and inner thighs first and then move to play with the outer rim of the opening of the anus

3. Get some lube.
“The anus is not self-lubricating so make sure there’s a lot of lube, no matter what,” Skyler says. She recommends picking up a lubricant that’s specifically designed for anal play since these formulas tend to be a little thicker and last a bit longer. (Here are the best lubes for anal, FYI.)

4. Choose your tools.
The best way to stimulate the prostate is either with your finger or a prostate toy (basically a slim butt plug). If you’re hesitant about using your finger (even if he just took a shower, it’s okay if the idea still makes you feel a little squeamish) a toy is an awesome alternative.

“Sex toy retailers like Adam and Eve sell a lot of beginner prostate toys,” Skyler says. “Most of them even have a rounded edge like a finger.”

5. Slowly massage the prostate.
To make a prostate orgasm happen, go super-slowly—especially if this is the first time you and your partner are trying the technique. Once you’re inside, feel for the prostate gland, which is about “one knuckle’s worth” into the rectum in the direction of his penis (as opposed to his lower back), Skyler says. “It feels like a soft pillow-y ball,” she says.

Once you’ve found it, apply soft pressure or try stroking it slowly, and keep communicating with your partner about how it feels. Take your cues from him on whether to stroke or apply even pressure, go slower or faster, press more or less intense, etc. Whatever way you do it: Prepare for a whole new type of O.

Complete Article HERE!

What it’s like to struggle to ejaculate during sex

By

‘Only one woman has ever made me cum from oral sex. It took 45 mins and it only happened because she handcuffed me to a chair, blindfolded me and said she wasn’t stopping until I came.’

Matt,* who’s 35, suffers from delayed ejaculation, which means it can take him a long time to achieve orgasm – if he’s able to achieve it at all.

Delayed ejaculation is the third most common male sexual disorder – after erectile dysfunction and premature ejaculation.

But while lasting all night might sound about as problematic as, ‘my wallet can’t fit all these fifties,’ for men like Matt, it’s a genuine source of stress.

‘I get in my own head and worry about how long it’s taking, instead of enjoying it,’ he tells Metro.co.uk.

Matt achieves orgasm on around a quarter of the occasions he has sex. While he accepts this on the basis that, ‘you can have good sex without cumming,’ his partners aren’t always so relaxed about it.

He explains: they get frustrated, and question whether I fancy them or if they’re doing something wrong. I can go for over an hour, and sometimes they ask, “are you ever going to bloody cum?” That can reinforce the feeling that I’m failing.’

Currently single, Matt’s longest relationship was at the age of 20. It lasted a year, but they didn’t actually have sex. He explains: ‘I’d lost my virginity at 18, but she was a very nervous virgin, and it didn’t get there.’

Matt hopes that a long term relationship would make it easier for him to achieve orgasm as, ‘you grow to know each other sexually – it’s better sex when you know what each other likes.’

The stumbling block for Matt is getting a relationship off the ground. Having been single for five years, his delayed ejaculation makes him wary of sex with someone new, ‘even more so if they know my friends – I’d be embarrassed if they found out.’

Sometimes, when Matt’s talked about the issue up front, women have taken it as a challenge to make him cum. This is what happened in the case of The 45 Minute Blowjob, and another time it led to sex that saw him reach orgasm in record time.

He says: ‘when I explained I take ages, and that it was fine if she wanted to stop, she said she wouldn’t stop until I came – then she got on top and grinded until I did.’

Matt fast-tracked to orgasm in a swift 15 minutes, but unfortunately, this didn’t boost his confidence in his ability to cum more easily.

‘It’s not like it happened naturally, it was like, “WE ARE GOING TO MAKE IT HAPPEN!” which made me feel kind of uncomfortable. She was grinding so hard, the condom broke.’

Having Googled delayed ejaculation, Matt believes condoms, alcohol, his diet and being circumcised all contribute to his issues with achieving orgasm. ‘It’s known that circumcised penises are less sensitive, and from what I’ve read, fatty foods can dull the senses,’ he explains. ‘I think feeling happier naked would relax me more as well.’

While being a stayer is usually seen as a badge of honour, for Matt, it’s nothing but a headache. ‘I sometimes worry it could have an impact on my ability to start to a family and it’s even made me question my sexuality,’ he says. ‘It’s not as much of an issue when I wank – maybe I’m just too used to my hand.’

There are various possible causes of delayed ejaculation, and some research suggests that masturbation may be one of them. Ian, who’s 50, thinks this is definitely the root of his problem.

‘I can end up f***ing for ages without cumming, but when I’m by myself it takes ten minutes,’ Ian tells us. ‘I think masturbating is why I take a while, as I was much more used to that than having sex.’

Ian masturbated two or three times a day from the age of 15. He first had sex at 21, but says, ‘the lack of sex in my 20s and 30s got me more used to masturbating.’

Ian says that when he was younger, sex could often last several hours, but it wasn’t continuous: ‘Sometimes we’d need a breather – I play cricket, so I’m used to a tea break!’

Although Ian’s physical experience is similar to Matt’s, Ian doesn’t see delayed ejaculation as an issue. He says: ‘taking a long time hasn’t had any great negative impact on me. I’d prefer to come a bit quicker, but it’s just the way I am.’

‘This can never be as much of a problem as premature ejaculation – then the show’s over before the orchestra has finished the overture – that’s not fun for anyone.’

Overall, the reaction that Ian’s had from partners has been positive. He never mentions delayed ejaculation beforehand, explaining, ‘I think I’m safe in saying that men don’t say anything to women that might remotely put them off sex’.

When he has taken a while, ‘it’s never been a big issue’.

‘Sometimes they’ve got sore, but in the main, I’d like to think they were ecstatic,’ says Ian. ‘They have commented when I haven’t cum, but only to ask if there was anything else they could do.’

Ian has a list of fallback tricks for just this occasion. ‘I suggest oral, or letting me watch them masturbate,’ he tells us. ‘I’m inclined now to finish with my own hand, on them, if they like that – it brings things to a conclusion.’

Complete Article HERE!

man juice, spooge, spunk, jizz, or cum

Name: Larry
Gender: male
Age: 23
Location: Myrtle Beach SC
Where does semen come from? That is to say what organ (organs) make it and where is it stored. What exactly happens at climax? If you climax without cumming is that something that should concern me?

 

[S]emen is the technical name for male ejaculate. However, we here at Dr Dick’s Sex Advice like to refer to it as man juice or spooge, spunk, jizz or cum. Semen contains sperm, which is of course produced in the testicles. It also contains a complex “soup” called seminal fluid, which is produced by various sex glands in your body. But, despite its complexity, baby batter is 90% water.

Your most important sex glands, the seminal vesicles, produce 70% of joy juice. This seminal fluid is viscous and alkaline. The alkaline quality is very important because it neutralizes the acidic environment of your urethra and a woman’s vagina, which would otherwise kill all your little sperm-letts or at least make them inactive. And what good is inactive sperm?

Seminal fluid also contains a simple sugar, which provides the energy your seed needs to survive and wriggle about like crazy. Oh, and pre-cum that stuff that often drizzles from your man meat while you’re being aroused comes from the Cowper’s gland, and it too paves the way for a healthy ride for your little spermatozoa.

About 25% of the volume of your spooge comes from your prostate gland. This gives your spunk its milky appearance. Your prostate also adds substances, which increase your baby seeds’ survival rate.

On average, a man ejaculates between 2.5 and 5 ml of jizz per wad, which contains about 50 – 150 million sperm per milliliter. Just think of that next time you shoot your business into a dirty sock on the side of your bed. And here’s another thing, if a dude’s sperm count falls below 20 million per milliliter, he’s likely to be infertile, or as we like to call it — shootin’ blanks.

The amount of goop a guy gushes varies greatly, and has lots to do with how long his arousal period lasts for before he shoots. Ya see, the longer the arousal period the more time there is for your fluids to build up. That’s why Dr Dick always suggests a nice long foreplay session. The more build up of spooge, the greater the increase will be in the strength of your ejaculatory contractions, which in turn makes for a more intense orgasm. You will notice that I am going out of my way to separate the two events — ejaculation and orgasm. For a lot of guys they happen simultaneously. But for the lucky few, and those who practice the art of tantra, multiple orgasms are possible before the ejaculation.

You’ll notice your spunk tends to be sticky and thick right after you blow your load. But soon there after it begins to separate and become more runny. This is pretty normal. It is also normal for the color and texture of your jizz to vary from time to time. Sometimes it can be real milky, sometime it’s clearer with only streaks of milkiness in it. It can also contain gelatinous globules from time to time. A lot of this has to do with how hydrated you are, how many times you’ve cum recently and of course your age. Spooge production diminishes as we age.

Each ejaculation is actually a collection of spurts that send waves of pleasure throughout your body, but especially in your cock and groin area. The first and second convulsions are usually the most intense, and shoot the greatest quantity of jizz. Each following muscle contraction is associated with a diminishing volume of cum and a milder wave of pleasure.

Most of us men folk can’t resist increasing manual or fucking stimulation when we get to the point of ejaculatory inevitably. Which is too bad, because if we practiced some edging techniques, that is: coming up to that point, but pulling back on the stimulation at that moment, our pleasure would increase. We’d last longer and our expected orgasm would be more powerful.

The typical male orgasm lasts about 17 seconds but can vary from a few seconds up to about a minute. A typical ejaculation consists of 10 to 15 contractions.

I know that I mentioned this before, but it bears repeating here. A recent Australian study has suggests that frequent masturbation, particularly as a young man, appears to reduce the risk of prostate cancer later in life.

If you’re chokin’ the chicken a lot your sperm count will be low and the amount of jizz you produce will be less. But also age, testosterone level, nutrition and especially hydration play a big part in that too. Just remember, a low sperm count, is not the same thing as a diminished volume of cum.

When a guy blows his wad before he wants to it is called premature ejaculation. If a man is unable to ejaculate when he want to, even after prolonged sexual stimulation, it is called delayed ejaculation, retarded ejaculation or anorgasmia.

An orgasm that is not accompanied by ejaculation is known as a dry orgasm. And that may or may not have anything to do with semen production, because some men ejaculate into their bladder, and that, my friend, is called a retrograde ejaculation.

I hope that answers all your questions.

Good luck

Pea App Offers To Help Men Battle Premature Ejaculation

This App Will Help Keep You From Popping Your Cork Too Soon

By Paul Watson

Long Story Short

A new app called Pea provides a training course for men suffering from the embarrassment of premature ejaculation.

Long Story

Premature ejaculation isn’t a subject many men want to talk about. If it’s happened to you, it’ll be a cringe-worthy memory. If it hasn’t then you don’t really want to jinx things.

But a new app, Pea, is providing a solution to men who are blighted by going from 0 to 60 too quickly.

Brennen Belich has suffered from premature ejaculation, so he decided to give men an app that can train them to last longer — a dick training app if you will.

“Just think of it like training for a race. If you want to be able to run for 30 minutes straight, you wouldn’t train by sprinting for two minutes, getting tired, and giving up,” Belich explained.

The app educates men through the “Learn why you Prejack” section, and provides lessons on Kegel training (pelvic muscle building), arousal control and masturbation training (yes, that’s a thing).

Premature ejaculation is usually classed as reaching climax in between one and three minutes. It isn’t a disease and has both biological and psychological causes, so the app takes a variety of approaches to easing the problem.

The cost of the iOS app is a mere $1.85, which isn’t bad value if it changes you from being gone in 60 seconds to a porn star in bed.

Or you can stick with conjuring up the image of a naked Donald Trump doing squats whenever you get too close, too soon. The choice is yours.

Own The Conversation

Ask The Big Question

Can something like an app really help with this?

Drop This Fact

Premature ejaculation reportedly affects between 20 and 30% of men.

Complete Article HERE!

Is His Semen Normal?

All spunk is funky, but sometimes it is *too* funky.

By

jizz

[V]ery many things about the male human body are a mystery. Penises, hy? Those tiny nipples, what!? But dip beneath the hairy surface of a man’s skin, and even more mysteries await, hiding away in his male depths.

While usually contained, safe and sound inside of the body, semen is a fluid most people eventually come into contact with, but also do not know very much about. If it weren’t for Samantha Jones calling attention to the phenomenon of funky spunk in the “Easy Come, Easy Go” episode of Sex and the City in 2000, women the world over may have lived in quiet misery, forever perplexed by the unpleasantness of the male sex fluid.

To help educate the masses on the contents, and, yes, healthy range of funkiness in semen, Cosmopolitan.com spoke with a urology specialist and sexual health counselor about all things semen.

How semen should look

Aleece Fosnight, a urology physician’s assistant and sex counselor with AASECT, explained that healthy semen should be a milky white or slightly grayish color. “Right after ejaculation, it’s pretty thick,” Fosnight said. “And 25-30 minutes later, it becomes clear and runny.” The change in fluidity is to help aid in reproduction, and thin out the cervical mucous to aid in the implantation of a ~fertilized egg~.

How semen should (generally) smell and taste

Semen is a bodily fluid. Can you name any bodily fluids that smell like roses or taste like freshly baked cookies? No! There are none. So as a bodily fluid, you can expect semen to have a specific taste and odor that isn’t necessarily going to be lovely. Just to clear that right up.

The thing to note about semen is that it’s a vehicle for delivering sperm through a vagina. So everything in it is meant to aid in that process. Semen is mostly made up of sperm, proteins, fructose (to help energize the sperm for transport), and seminal fluid. Fosnight said the typical pH of semen is somewhere around 7-8, or slightly alkaline. The vagina, on the other hand, has a pH between 3-5, or slightly acidic, so the alkaline nature of semen helps keep the sperm alive in an acidic vaginal environment (are you having fun yet?).

Because of it’s slightly alkaline pH, Fosnight said healthy semen should have an “ammonia or bleach-like kind of a smell,” and will taste a bit sweet (because of the fructose) and salty — like the perfect trail mix, in drinkable liquid form, straight out of a penis!

Something Fosnight clarified was that semen left dormant for too long will start to develop a more concentrated taste or smell. Think of it like a stagnant body of water, collecting film and attracting flies. To keep semen from developing a stronger taste or odor — and also to promote prostate health — studies have found that ejaculating at least twice a week is beneficial to a man’s health.

That thing about food changing his taste is true

Remember when Samantha Jones makes the guy with the spunky funk choke down a series of wheatgrass shots in an attempt to improve his semen flavor profile? According to Fosnight, that wasn’t the smartest move.

Although there’s been very little research done on the subject, health care professionals often hear anecdotally from patients that certain foods can slightly affect the taste of semen. While Fosnight said it’s normal for fruits, which are high in sugar content, to change the taste of a person’s semen, vegetables generally don’t have much of an effect.

“Smoking can change the taste,” Fosnight added. “It will have more of a bitter taste to it with smoking and with alcohol.” So, no one’s saying you should avoid ingesting a mouthful of piping hot semen after your partner’s spent the night having too many drinks and then *whoops!* accidentally chain-smoking outside of the bar, but know that semen might taste especially bitter and, ahem, spunky after such an occasion.

When the spunkiness is trying to tell you something

Though there aren’t very many health issues that can be spotted based on a person’s semen, there are a few things to look out for. “A lot of times guys won’t notice it, so partners report if there’s something wrong,” Fosnight said. She also added that at her practice, they call this “when semen goes bad.”

The things to look out for are changes in color. “The biggest thing is if it has a yellow or green appearance to it,” Fosnight said. “Like a prominent yellow or opaque consistency.” An opaque yellow or green color is typically a sign of an STI — usually gonorrhea. A guy whose semen has changed colors like this should definitely see a doctor, and avoid sex until any sort of infection is either ruled out or treated.

It doesn’t happen all too often — Fosnight estimated maybe once in a lifetime for most men — but a busted blood vessel in the prostate (which is responsible for carrying semen out of the body) can cause the semen to have a red or brownish color. If that color normalizes within a few days, there’s nothing really to worry about. But as with any health concern, a persistent discoloration should result in a doctor’s appointment.

While not super common, blood in the semen is often indicative of a prostate injury, explained Fosnight. These can be caused by using anal toys or putting pressure on the prostate, and if the bleeding subsides and doesn’t come with any other symptoms like high blood pressure, things are fine.

As long as a man is doing his due diligence by having regular STI tests, regular prostate exams when he turns 40, and just FORCING himself to ejaculate a couple times a week, semen should be pretty healthy. It may never taste like frozen yogurt, but at least it will be healthy.

Complete Article HERE!

Hard times – the ups and downs of the penis

Penises can be problematic. They are powerful, untameable beasts, capable of wielding immense pleasure but also able to cause devastating emotional wounds. And that’s just anal sex

fun, fun, fun

by Liam Murphy

As well as the obvious physical harm that can be inflicted – skinny jeans have cursed a generation to suffer cock-caught-in-fly related trauma – the magnificent meat mallet can also bring mental torment when, like an untrained puppy, it just won’t do as it’s told.

THE HARDER THE BETTER?
Some of the best things are hard: hard-boiled eggs, biscuits, those rhubarb and custard sweets, Tom Hardy and, of course, the penis. However, sometimes they can spring up at the most unexpected and inopportune times, and just won’t go away.

“I call my hard-on issue uncontrollable as such,” says 21-year-old Ian, “let’s say ‘eager’ or ‘keen’. It doesn’t take much and it’s ‘up periscope’ time. I’ve been this way as long as I’ve appreciated the male form. I went through a phase of wearing an over the shoulder bag in my late teens so I could cover the odd bus boner (the vibrations cause a right disturbance). Rather that than poke someone in the eye on the way past, I guess!”

However, impromptu erections can also lead to embarrassing retail situations, as Ian explains. “Recent men’s fashion means that I’ve become accustomed to skinny fit jeans, and for whatever reason, I went commando that day – I’m sure you know where I’m going with this – and I guess it must have been particularly sensitive or whatever. Anyway, I ended up with a lob-on in Tesco. My skinny jeans/tight t-shirt combo meant there was no hiding, so I did what any self-respecting bloke would do. I awkwardly leant over the shopping trolley for the next ten minutes. On the upside, I can also get hard on demand! It’s just a combination of a high sex drive and an involuntary physical reaction, I think.”

For Kieran, 25, his perilously perky penis is just part of his day. “I wouldn’t say it’s an issue – more just a fact of life. Some people sweat a lot, some people yawn a lot… I get boners a lot. Not getting them would be an issue, but getting too many, yeah that’s a ‘problem’ I’m OK with – at least I know it’s all working well. It does pop up at any time. When I was due to be giving a talk, someone gave me a wink and boom… up popped my friend downstairs to take his moment centre stage. I stood behind the lectern desperately thinking of Margaret Thatcher and trying to kill it so I could step out and begin my talk properly. The worst though, is when someone you don’t fancy or don’t want to have sex with tries it on and it just feels like he’s betraying you.”

And how does one manage the curse (or blessing, depending on your perspective) of a perpetual hard-on? “Like everyone else I learned the ‘tuck it behind your belt’ trick, or to hide it behind my belt. Granted, occasionally there have been times when I’ve had to miss my tube stop and stay sitting down while I waited for one to subside.”

Will, 38, didn’t notice the problem cropping up until he was in a relationship. “I was never aware of it until I met my boyfriend and it became apparent early on that I would get erect whenever I was around him. It has settled down a bit now but whenever we kissed in public I would get a twinge. And in bed it still sometimes feels like I have an erection all night. I would generally be embarrassed that I was getting these erections. I felt immature. This is what happens to a teenager, not an adult. I was going through a difficult break-up once – lots of tears – we were cuddling and I was hard. I realised then that my hard-ons were not always about sex – to me they were about love too.”

PENIS PROBLEMS
Erectile dysfunction can happen to a lot of people, in varying degrees and for many reasons, medical or otherwise.

“It happens to me every time I put on a condom,” admits Steven, 34. “I have no problem keeping it up before fucking – wanking and getting sucked off have never been a problem – but when I go to fuck someone and I slide the condom on, I lose the hardness. Not totally, but enough that I can’t properly put it in someone’s arse and enough that the sensation goes for me.”

Steven tried mixing up condom brands. “I’ve used thin, ultra-thin, ribbed, tingle… every version of a condom you could imagine and I still get the same flaccid result. I think it must be a psychological thing, because it’s not like I can’t get hard at all. It’s fine when I bareback with long term boyfriends, but with one nighters I tend to have to bottom now.”

Anxiety can often be a cause of not being able to maintain an erection, as 27-year-old James confirms: “Sex in general makes me anxious. I hate getting naked and I get so nervous when it comes to getting down to it in bed. I was dating a guy I really liked, so much that when he touched me I would physically shake, but when it came to sex I just couldn’t get hard. He thought I didn’t like him! And now I dread having sex. I love the dating side of it but I always know that heading to the bedroom is going to be inevitable.”

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What can cause you to have trouble getting or staying hard?

  • Stress and anxiety.
  • Depression.
  • Hormone levels.
  • Smoking, recreational drugs and alcohol.
  • Some prescribed drugs – like Prozac and Seroxat.
  • Diabetes, high cholesterol and high blood pressure.
  • Psychological reasons – the more you worry about your erection, the less likely you are to be able to get one.

What can I do to make myself hard?
If you think the reason is psychological – a distraction helps, so encourage your partner to focus on something other than your cock for a while – kissing or nipple play might help to get you back in action.

  • Cockrings can also be used to help maintain a hard-on – leather or rubber straps are safer to use.
  • Counselling.
  • Drugs like Viagra or Cialis – consult your doctor for these.

Matthew Hodson, CEO of GMFA told us: “Rolling a condom onto a rock-hard penis isn’t a problem but if it’s a bit soft and you start to get anxious then it’s easy to spiral with anxiety to the point where a condom is really tricky to use. The more you’re concerned that you won’t be hard enough to use a condom, the more likely it is to happen. If it’s just an occasional problem it’s probably best not to make a big thing of it and just do something else that turns you on while you wait for it to get hard again. If it’s becoming more of a problem, you might want to experiment with cock-rings or talk with your GP about it – there’s no need to be embarrassed, you won’t be the first person who will have approached them with the same problem. Most erection problems can be addressed so there’s no reason why a temporarily soft dick should be a long-term barrier to you enjoying sex safely.”

Everyone should be able to enjoy a penis (which is my campaign slogan if I ever run for Prime Minister), especially their own. Whether it’s too hard or too soft, it doesn’t mean you and your cock have to suffer alone. Confide in your partner/lover/friend/doctor and discuss what you can do to get you and your lifelong pleasure companion talking again.

Step 1: When your cock is hard, take the condom out of the wrapper carefully using your fingers. Using your teeth to tear the packet could damage the condom. Squeeze the air out of the teat on the tip of the condom (if there is one) and put it over the end of your cock. Don’t stretch it and then pull it over your cock as this will make it more likely to break.

Step 2: Roll it down the length of your cock – the further down it goes the less likely it is to slip off. Put some water-based or silicone-based lubricant over your condom-covered cock. Put plenty of lube around his arse too. Don’t put any lube on your cock before you put the condom on, as this can make it slip off.

Step 3: Check the condom occasionally while fucking to ensure it hasn’t come off or split. If you fuck for a long time you will need to keep adding more lube. When you pull out, hold on to the condom and your cock at the base, so that you don’t leave it behind. Pull out before your cock goes soft.

What lube should I use?

When you don’t use enough lube, or use the wrong kind, the likelihood of condom failure is increased, making transmission of HIV and other STIs possible. Water-based lubes (e.g. K-Y, Wet Stuff and ID Glide) and silicone-based lubes (Eros Bodyglide and Liquid Silk) work well with condoms. Oil-based lubricants like cooking oil, moisturisers, sun lotions, baby oil, butter, Crisco, Elbow Grease, etc. can also cause latex condoms to break.

They can however be used with non-latex condoms, like Durex Avanti, Mates Skyn or Pasante Unique. Don’t use spit as it dries up quickly and increases the chance of your condom tearing.

Complete Article HERE!

Coming strong : forceful ejaculations, part 1

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We all want to shoot our semen across the room. Granted, not many can boast to shoot that far, and to be fair we don’t always feel like cleaning the whole house after an ejaculation. But if there is something we still want, it is to have a powerful cum shot. For the uninitiated, this desire seems ludicrous or maybe appear as a show of personal vanity. But for anyone who has ejaculated more than a few times, the reason is clear : forceful ejaculations mean stronger orgasms, earth-shaking orgasms, fully draining orgasms. And maybe giving us some bragging rights too ! How can it be achieved?

Forceful ejaculations result from a combination of many elements. Some of which you can influence, and some of which you cannot.

Your level of arousal greatly influence the contraction strength of the pelvic muscles. How tired you are, how hydrated you are also directly influence your ejaculation’s strength.

Some anatomical peculiarities can greatly influence your ability to shoot forcefully. One of those is the size of the urethra. The urethra is the canal inside the penis where urine and semen flow. A urethra that’s too wide (slack) will allow semen to flow too easily, causing a rapid decrease in pressure as it leaves the posterior urethra (where the semen was assembled and pressurized before ejaculation). On the contrary, a urethra that’s too narrow will create too much resistance to the semen’s passing, in the end also diminishing the shooting distance. All in all, to be a far shooter, you need to have been granted with an ideally sized shooting tube. Can you change this ? It depends. If it’s too slack, there’s no way of narrowing the opening. If its gauge is too tapered, however, then dilation with a urinary catheter could be considered. But : be very wary. This needs to be done cleanly or you may cause severe infections (of the prostate in particular). And you should have a good understanding of your anatomy before inserting anything in your penis. That penis of yours is not built of steel and it has no user replaceable parts : you break it, you lose it ! Always ask a pro’s advice.

Exposing your body to longer sexual stimulation also influences the ejaculation’s strength. Indeed, the various glands that produce the different liquids forming semen will have all the time they need to produce and dump a lot of stuff in the posterior urethra if you take the time to prime yourself. Whatever your preparation is, the posterior urethra’s size is fixed (surprise !). So the more seminal liquid you produce, the greater the pre-ejaculatory pressure will be. And higher pressure, of course, translates as a more forceful cum shot. So a long male foreplay (the period before ejaculation) will cause you to shoot further.

Now, of course, there would be no forceful ejaculation without strong pelvic muscles. And this is the area where you can have the most influence (aside from taking your time, of course). Improving the strength of your pelvic floor muscles will in fact have numerous benefits :

  • Decrease the likelihood of peeing involuntarily (it had to be said, even if you understandably don’t care as of today !) (PC, BC).
  • Help with erectile dysfunction (BC).
  • Definitely help if you have premature ejaculation by increasing your ability to withhold your ejaculation. But even if you don’t have premature ejaculation problems, this increased ejaculation control will translate into better edging abilities : being able to edge longer and closer to the cresting point (BC, but also PC and IC).
  • Increase the strength of your orgasmic contractions, in effect enhancing your orgasmic pleasure (BC, PC, IC).
  • And finally, of course, since this is the topic, increase your shooting distance.

The pelvic muscles are a group of muscles formed of the iliococcygeus (IC), pubococcygeus (PC) and bulbocavernosus (BC). These muscles form a hammock holding the content of the pelvic floor.

  • The iliococcygeus (IC) muscles stabilize the rectal area, together with the PC muscle. The IC muscles pull the rectum towards the back. They contract rhythmically during orgasm.
  • The pubococcygeus (PC) muscles control the urine flow, and they pull the rectum towards the front. They contract rhythmically during orgasm. In women, the PC muscles also contract the vagina and are thus, for them, the most important pelvic muscles to work on. While men who strengthen their PC muscles definitely experience an improvement of their orgasmic experience, they will not shoot any further.
  • The bulbocavernosus (BC) muscles serves to maintain blood inside the penis during erection (even though the erection is largely a vascular process) and also serves to expel urine and semen out of the urethra. So this muscle is the one men should work on.

So, to summarize :

  • Forceful ejaculations are desirable because they translate into more intense orgasms
  • While the shooting distance is in direct relation with the strength of an ejaculation, shooting distance will always vary greatly between ejaculations because of various other variables. Moreover, some men will always be able to shoot further than others.
  • It is possible to improve the strength of your ejaculation by working on the pelvic muscles, in particular the bulbocavernosus. How far you will shoot, after these exercises, will vary from man to man. But a sure thing is that your sexual experience will be improved.
  • Being well hydrated and rested is also important.

Complete Article HERE!

Your Cock; A Complete Owners Manual (abridged)

Name: Hector
Gender: male
Age: 17
Location: Tujunga, CA
I’m afraid my penis isn’t right. I worry because it doesn’t look like other guys. For one thing I’m a lot smaller. I’m afraid to have sex or show my penis. Is there any way for me to know for sure? I hope to hear from you because this is making me real nervous. Thank you.

first-life-form-with-a-penis-humor

I’d chill out, if I were you, Hector. Lots of guys your age mistakenly think there is something wrong with their unit, when actually their willie is quite normal. This heightened concern, as you suggest, can lead to anxiety or even a complex about one’s cock size and shape. You don’t really give me much to go on as to why you think your pinga is not like the other guys. That leads me to think you don’t really know all that much about your package in general. Do you? I mean, who are you comparing yourself to anyway?

Since I don’t have a lot of information to go on, I suppose we oughta start with some essentials. Here’s Part 1 of my primer — Your Cock; A Complete Owners Manual (abridged). That’s supposed to be funny, BTW.

We all know that there are big ones and little ones, fat ones and skinny ones. Some are bobbed; some are whole. Some curve and bend; some are straight as an arrow. Some have a mushroom cap; some sport more of a helmet look. Some grow; some show. And they come in a veritable rainbow of colors.

Despite the amazing diversity, there are lots of things that each of our members has in common with everyone else’s. The average length of a flaccid cock is 3.7 inches with a diameter of 1.25 inches. The average length of a hardon is 5.1 inches, with a diameter of 1.6 inches. If you are over the age of 17, you pretty much have all the cock you’re gonna have. That’s not to say that as we age and as our muscles slack, our pal won’t hang a bit differently than when we were a young buck. But there’s not gonna be significant change in length or girth after puberty is done with us. Keep in mind that all this stuff is determined by genetics and heredity, like your overall body type, the color of your eyes, your hair pattern, and how tall you are. So the likelihood that any guy will add even one permanent inch to his dick either in length or girth, without surgery, is about as likely as him adding even an inch to his height.

The head of your dick is called the glans. (It’s the thing that can be shaped like a mushroom or a helmet.) It is made up of soft tissue called the corpus spongiosum. Just below the glans, on the underside of your cock is a waddle of skin called the frenulum. This puppy is chock-full of nerve endings that make it ground zero for dick-centered pleasure.

Male_anatomy

All uncut (uncircumcised) men have a prepuce, or foreskin that covers and protects his dickhead. Cut (circumcised) men don’t, because it has been surgically removed. If you are lucky enough to be intact, your foreskin is a highly specialized, sensitive, and functional organ of touch. No other part of the body serves the same purpose. Please note: circumcision actually removes 50% of the skin of a guy’s dick.  And who among us would choose that if we were allowed to choose?

You know the old adage, “Use it or lose it”? They may have had a penis in mind when that maxim was coined. Researchers agree — erections are good for you. When you get a woody, your cock is engorged with oxygen-rich blood, which is essential for the upkeep of the smooth muscle tissue. This kind of tissue makes up about 90% of your cock. You can see how a healthy circulatory system is vital to a vibrant sex life. An oxygen-deprived cock will build up a kind of plaque in your cock, which resembles scar tissue. This will cripple your rod (Peyronie’s disease) or rob you of your wood altogether.

penis mesureI also want to alert you of some startling new data that came out of recent research about masturbation. Australian researchers questioned over 1,000 men who had developed prostate cancer and 1,250 men who had not, about their sexual habits. They found those who had ejaculated the most between the ages of 20 and 50 were the least likely to develop prostate cancer.

The protective effect was greatest while the men were in their 20s. And get this; men who ejaculated more than five times a week were a third less likely to develop prostate cancer later in life. But let’s not get off topic too much.

The other big part of your package is the family jewels. We mind as well take a look at them too while we’re at it. Your nuts (testis) and the sack (scrotum) they’re housed in are an evolutionary marvel. Your testicles are about 4°F cooler than your core body temperature. Lucky for us, this is the ideal climate for healthy sperm production. 90% of the male hormone, testosterone, is manufactured in our balls. Evolution has even provided that one nut, generally the left, hangs slightly lower than the other. The lower nut will also be slightly larger. I suppose this keep them from knocking into each other so much.

Ok so you think the outside of your junk is pretty impressive, well you ain’t seen nothin’ yet! Here’s where things get really interesting. First, there is no “bone” in your boner. Don’t laugh! Humans are one of the few mammals (horses, donkeys, rhinoceros, marsupials, rabbits, whales and dolphins, elephants and hyenas are the others) that don’t have a penis bone. Most males of our species have a unique bone called baculum in their penis. The baculum is designed for speed fucking. Sliding a bone in and out of a sheath is much faster than waiting for hydraulics to kick in. This enables our mammalian relatives to spend very little time actually mating. Which is, after all, a vulnerable position for them to be in.happy penis

If there’s no bone in there what make our dick hard? Good question. If you dissected your woody and looked at a cross-section you’d see three distinct spongy tubular structures, each are made up of smooth muscle tissue. Two of these tubular structures — one on either side of your cock, both of which run the length of your cock — are called the corpora cavernosa. These marvelous structures become engorged with blood lifting and thickening your cock to erection. The corpus spongiosum, the third tubular structure is located just below the corpora cavernosa. This baby houses your urethra, through which urine and semen pass during urination and ejaculation, respectively. This may also become slightly engorged with blood, but less so than the corpora cavernosa.

There are several points of interest in and around your balls too. I already mentioned your urethra, which stretches from your bladder to the tip of your dick. It carries your piss and cum, but not at the same time, I’m happy to report. Your prostate is an almond shaped gland that sits between your bladder and the root of your dick. Slightly in back of that is a pair of glands called the seminal vesicles. These tubular glands open into the vas deferens as it enters the prostate gland. They secrete the lion’s share of your spooge (ejaculate) about 70% to be precise. Most of us have two vas deferens tubes to correspond to the pair of ball (testicles) most of us have. These convey your mature sperm, the ones that have been comfortably relaxing in the epididymis, which is a tube filled mass at the back of each of your balls.

To conclude, the average male, between the ages of 15 and 60 will ejaculate 30 to 50 quarts of jizz (semen), containing 350 to 500 billion sperm cells. How amazing is that?

Good luck