Categories
Erectile Dysfunction

Influence to Penis

There is a recorded history of one man whose failed attempt at initial coitus developed while he was partially under the influence of drugs.

Two men (the exception mentioned above) failed in their first attempts at vaginal penetration under the influence of excessive alcohol consumption. In none of the 12 individual patterns among these 13 men is there specific evidence to support psychodynamic concepts of the dominant mother and the meek and docile father or the inadequate mother and the supremely dominant father.

The one common factor:

The men had restrictive input from an immature or even negatively disposed sexual value system. The psychosocial system certainly exerted overwhelmingly dominant influence on the biophysical component.

The interesting observation remains that, although there obviously are instances when primary impotence almost seems preordained by prior environmental influence, there frequently is a psychosexually traumatic episode directly associated with the first coital experience that establishes a negative psychosocial influence pattern or even a life-style of sexual dysfunction for the traumatized man.

Penis and Emotional Influence

The male with a meaningful, well-established homosexual orientation in his teenage years may be expected to experience varying strengths of conditioning against active heterosexual involvement. Similarly, a negative sexual value system can be anticipated from blind adherence to any form of religions orthodoxy.

Particularly does orthodox orientation develop as a psychosexual handicap when the wife-to-be has matured in similar religious environment. Aside from prescribed religious orthodoxy, there is little evidence that familial influence, so frequently held the primary suspect in the multiple etiologies of sexual dysfunctions, carries much statistical weight.

Certainly in the histories of primarily impotent males there are recorded instances of compulsively neurotic maternal influence, including forms of direct mother-son sexual encounter. But little is known of unopposed maternal dominance or direct mother-son sexual encounter relative to the anticipated percentage of resultant primary impotence.

What is known of the individual psychosocial characteristics of young men who are bent and occasionally broken almost beyond repair by the oppressive conditioning of unopposed maternal dominance, orthodox theological control, or homosexual orientation that another youth in similar circumstances might consider serious, but not of lasting moment?

Most men so traumatized in their teens or early twenties survive the stresses of their initial opportunity for heterosexual coition, whether or not successful, and move into a continuum of effective sexual functioning with facility and pleasure. As time passes they at least partially neutralize the negative psychosocial influences that have accrued as a combination of their environmental backgrounds and the trauma of their initial coital failures.

Penis and Social Influence

One cannot propose that environmental influence inflicts upon young males such a depth of psychosocial insecurity that statistically they must find themselves inadequate to react to the tension-filled demand of the initial coital occasion. For to make such an assumption would be to negate the influence of their biophysical system.

As an auxiliary to the Foundation’s basic research concepts of evaluating sexual functioning in our culture, investigators continually record histories of young men sexually traumatized beyond any reasonably acceptable measure, indeed well beyond the scope of the acute episodes described here.

These men may have failed to:

Perform successfully during their initial coital exposure and for a considerable period of time thereafter may have continued sexually inadequate. Yet they have recovered from their experiences with sexual dysfunction without specific psychotherapeutic support.

As far as can be, ascertained from corroborative histories of husband and wife, have led effectively functional heterosexual lives. Regardless of the depth of the specific trauma resultant from a prejudicial sexual value system, ultimately it is the interdigital response patterns of the psychosocial and the biophysical systems and the individual characteristics of the men directly involved that predicate sexual survival or failure.

Of these characteristics we know so little. It is relatively easy for the cotherapist retrospectively to identify etiological influence in states of sexual dysfunction, but to generalize from such specific retroflection is statistically unsupportable and psycho dynamically unacceptable.

In brief, the etiology of primary impotence has a multiplicity of factors. In most of these instances, the unexplained sensitivity of the particular male to psychosocial influence adjudicates the specific failures of the virginal experience with sexual function into subsequently high levels of concern for performance.

Sexual Peers

Most of his peers would not perform inadequately under similarly combined pressures of prior environmental handicapping or the immediacy of sexual trauma. At present it not only is statistically inadequate but also psychotherapeutically inappropriate to attempt definitive correlation of etiological factors for primary impotence.

From an investigative point of view, it is infinitely healthier to admit that we really have no concept of the specific psychodynamic factors that render the young man failing in his first coital connection susceptible to continuing failure at sexual performance.

The approaches to reconstitution of male sexual function from secondary impotence are essentially similar to therapeutic considerations of primary impotence. Therefore, the erectile treatment techniques and program statistics for both primary and secondary impotence will be presented in a separate discussion considering the subject from a composite point of view.

Since there have been more unmarried men referred for primary impotence than for any of the other three distresses in the continuum of male sexual dysfunction (premature ejaculation, incompetent ejaculation, and secondary impotence), a discussion of use of replacement partners, or partner surrogates, in cooperation with authority will be presented as an integral part of this chapter.

Categories
Ejaculatory Incompetence

Sexual Failure

Several episodes of erective failure had developed during the last six months of the marriage. The man’s severe levels of distraction, created by the ambiguity of his commitments, were obvious. The non ejaculatory pattern was one of first withholding voluntarily and then being unable to ejaculate on demand.

Virgin male

One man was single at the time of therapy, although he had been previously married for approximately one year. His marriage was annulled. His basic distress was simply that of fear of performance. Strangely, the performance fears did not arise from failed experience (he was a 29-year-old virgin at marriage), nor were religious, family, or homosexual influences of particular moment. He had been particularly insecure and introverted as a teenager.

Dating was not attempted until 19 years of age and was rarely enjoyed thereafter. Social interchange was a rarity with either male or female companions. His postgraduate degree was in Library Science, and in his obvious withdrawal from social reality books were his companions.

He met and married a 33-year-old woman with an almost identical background of withdrawal from social participation. The gavotte-like courtship consumed three years and confined sexual expression to kissing and handholding.

Although widely read on the subject of sexual functioning, the man had only attempted masturbatory release a half dozen times in his life and had failed to ejaculate on two of these occasions.

His guilt feelings about masturbation in general, and his grave concern with the two failed masturbatory performances in particular, tended to reduce any interest in overt sexual functioning.

Since he had a fairly regular pattern of pleasurable experience with nocturnal emission, his comparison of these two experiences led him to believe that he was inadequate in ejaculatory function when under the stress of conscious sexual stimulation.

The wedding night and a subsequent year of repetitive attempts at coital functioning proved him right in his assumption that he could not ejaculate with penile containment and under the stress of overt sexual stimulation. His wife took the fact of his ejaculatory incompetence to reflect personal rejection of her as a woman and, after a year of marriage, sought and was granted an annulment. His last attempts at sexual performance before the annulment were reported as partial or complete erective failures.

Seven months after termination of the marriage the man was referred for treatment. He was treated successfully with the aid of a partner surrogate.

Ejaculatory incompetence in youth

He was seen in therapy with a history of ejaculatory incompetence dating from age 18; he was surprised by the police in a local “lovers’ lane” parking area while being manipulated to ejaculation by a young woman. The girl’s terror and his overwhelming embarrassment and fear of public exposure left an indelible residual.

Although actual exposure did not occur, he was unable to ejaculate intravaginally through two subsequent engagements and numerous other coital opportunities. He had no homosexual history. Since he had been on the verge of ejaculating when surprised, he thereafter was always frozen by fear of observation when a similar level of excitation developed.

When seen on referral to the Foundation, he was voluntarily accompanied by a young woman to whom he was married a few days after termination of the acute phase of therapy. Since this is a unique situation, this couple has been listed in the general statistics as married rather than considered as a man with a replacement partner. They had planned to be married as soon as therapy proved successful and the possibility for future pregnancy was established.

Four of the 17 men referred for ejaculatory incompetence could and did ejaculate intravaginally both before and during marriage until a specifically traumatic event, psychosocial in origin, terminated their facility for or interest in intravaginal ejaculation.

  1. In the first instance, after six years of marriage the husband unexpectedly encountered his wife committing adultery. Her partner had just ejaculated and was withdrawing as the husband entered the bedroom. The traumatic picture of observing seminal fluid escaping his wife’s vagina was his first fixed observation of activity in the bedroom. Forgiveness was begged and in time conceded. But when husband and wife coition was attempted, the mental imagery of seminal fluid escaping the vagina was sufficient to depress the husband’s ejaculatory interest. He could not live with the concept of his seminal fluid mingling even symbolically with her lover’s ejaculate.
  2. In the second instance, husband and wife were surprised in the primal scene by their two children, ages six and eight, bursting into the bedroom. They were in active coital connection without clothes or the protection of bedding. The husband, just in the act of ejaculating, could not stop. The children’s observation of the continuing coital connection was infinitely more disturbing to him than to his wife. He was devastated by the interruption. For the next nine years, whenever ejaculation was imminent, no matter how well-locked the door, the fears of interruption and observation were such that this man could not ejaculate intravaginally.
  3. c) In the third instance, after 12 years of marriage and two children the wife insisted upon having a third child, which the husband neither wanted, nor personally felt was indicated for psychosocial and financial reasons. For nine months he controlled his ejaculatory urge whenever his wife, following her menstrual calendar, insisted upon coital connection.

Finally, agreeing to his terms for continuance of effective sexual function in the marriage, his wife instituted contraceptive protection to avoid pregnancy. However, ejaculatory incompetence had been established, and the husband continued incapable of intravaginal ejaculation during the subsequent four-and-a-half-year period before seeking consultation.

Contraceptive

Finally, in a marriage of just over 21 years duration. The husband had established a strong attachment to another woman and was having regular intercourse outside of marriage. His mistress made him aware that she had suffered through a previous illegitimate pregnancy and constantly expressed serious concern for any risk of conception; so he accepted the responsibility for contraception and chose to use condoms routinely.

On one occasion the condom ruptured just as he was ejaculating.

The young woman’s initial screams of protest when she became aware of his transgression and the hysterical evidence of the severe levels of her pregnancy phobia were major blows. They never met again.

His traumatic reaction to her total rejection of him personally was of such magnitude that he was no longer able to ejaculate intravaginally with his wife. The memory of his failed commitment to contraceptive protection was so vivid and his sense of loss so painful that whenever ejaculation was imminent he would stop thrusting or withdraw.

His wife had no concept of the cause for the major reversal in his established pattern of sexual behaviour and took his state of voluntary ejaculatory incompetence as evidence

Categories
Ejaculatory Incompetence

Poor Sexual Performance

One of the men handicapped in sexual performance by strict adherence to fundamental Protestantism developed symptoms of erective inadequacy after three years of marriage. The three marriages averaged seven and one-half years’ duration before the husband and wifes were seen by authority. Two of these units were referred initially for conceptive inadequacy rather than ejaculatory incompetence.

Three men offered dislike, rejection, or open enmity for their wives as sufficient reason for failure to ejaculate intravaginally.

In the first instance

A man married a distant relative whom he found totally objectionable physically. The advantages of the marriage were of monetary and social import.

It probably mattered not whom the man married, as his sexual commitment was of homosexual orientation. He was able to function coitally with his wife from an erective point of view, but after .penetration he was repulsed rather than stimulated by her demanding pelvic thrusting and delighted in denying to her the ejaculatory experience.

After six years of marriage and continuation of his homosexual commitments, he decided that children should be a part of his marriage’s image to the community. But the established pattern of voluntary restraint was so strong that he could not ejaculate for conceptive purposes.

After three years of involuntary ejaculatory constriction and a total of nine years of marriage, the unit was seen in treatment. The presenting complaint was not a request for relief of the ejaculatory incompetence or for treatment of the homosexual commitment, but rather was for the concerns of conceptive inadequacy.

In the second instance

The marriage was of convenience, with no respect, interest, or admiration for the woman involved. Intercourse was initially considered an unpleasant duty by the husband, to be indulged in reluctantly and only when confrontation no longer could be avoided. The husband was so physically repulsed by his wife that, although erections were maintained, he rarely reached sufficient levels of sexual tension to approach ejaculation.

On those few occasions when ejaculation seemed imminent, he would arbitrarily terminate coital connection to deny his wife consummation of the marriage. His great pleasure was to pretend he had ejaculated and then to enjoy her frustration when she ultimately discovered that he had not succumbed to her driving demand to consummate her marriage.

He was consistently involved with other women outside of marriage with, of course, no ejaculatory difficulty. Despite her full knowledge of the degree of her husband’s rejection of her as a person, she still wanted her marriage to survive, and the unit was referred for therapy.

The third couple

Depicting rejection of the wife as an individual resulted from the marriage of a 28 year old man and a 25 year old woman who had been raped as a teenager by 2 Negroes. She had not told him of the episode until their wedding night. Why she chose this particular time to confide in her virginal husband she could not say.

He was overwhelmed by the story. He considered her contaminated, and, although there were a few episodes of coition, he could not ejaculate intravaginally. Their six-year marriage, unconsummated by intravaginal ejaculation, ended in divorce. Eighteen months after the legal separation, the husband was referred by his local physician because he could not ejaculate intravaginally with subsequent sexual partners. His rejection of intravaginal ejaculation had carried over to other women. Of interest is the fact that his former wife joined him as a replacement partner. This unit is reported in the marital statistics.

There have been two examples of male fear of pregnancy among members of couples seeking relief from ejaculatory incompetence:

  1. A 19-year-old boy
    Who had impregnated a girl of whom he was very fond. A criminal abortion was performed under the most brutal of circumstances and massive infection resulted. The girl was ill for many months, almost losing her life.Ultimately, she would have nothing to do with the man who had caused her pregnancy and who had insisted upon the abortion that nearly cost her life. Since he had insisted upon the abortion rather than accept marriage as a face-saving mechanism, his levels of guilt knew no bounds.

    Five years later in another community and with another girl, a marriage was established. When attempting consummation, the husband found himself completely unsuccessful in ejaculating intravaginally and continued to be so for the next three years until seen in therapy.

    His was an overwhelming fear of causing pregnancy and of the possibly unfortunate complications thereof. Contraceptive practices offered him no real sense of security. His wife’s mere suggestion of raising a family was sufficient to produce a severe anxiety attack. Since his wife had no knowledge of the historical onset of her husband’s pregnancy phobia, she presumed personal rejection as the primary factor in his ejaculatory incompetence. The marriage was headed for legal separation when husband and wife were seen in therapy.

  2. One man simply did not want children
    His wife, although giving verbal support to his rejection of parenthood, would not practice contraception for religious reasons nor allow her husband to take contraceptive precautions. Consequently, he voluntarily refused himself the pleasure of intravaginal ejaculation in the early years of the marriage. In due course he found no difficulty with control and eventually could not respond with ejaculation to masturbatory practices. Although the marriage existed 11 years before professional aid was sought, and coital connection was generally one to three times a week, this man initially would not and ultimately could not ejaculate intravaginally.
  3. The final example
    Not one of fear of, but of rejection of pregnancy, has a familiar clinical orientation. Inevitably, there has to be the expected clinical picture of a totally dominant mother essentially choosing a wife for her only son.The mother had been in full control of the son’s every major decision until his marriage. Following his parents’ legal separation, the son’s father was never in the home. Throughout his teenage years his mother insisted upon total control of his social commitments.

    She chose his school, his college, and his clothes. She also chose his female companions by the simple expedient of being so abhorrent to those she did not approve that they soon sought other company. Time and again she embarrassed her son by her obvious demand for dominance. He grew to hate his mother but lacked the courage to let her know his level of rejection.

    Particularly was he careful not to offend her too deeply, for she controlled a considerable amount of money and he was all too aware of the advantages this could bring.

    Finally, there was a girl, grudgingly acceptable to his mother, that he could tolerate, so at age 27 he became engaged and in short order married the girl whom he knew only as a quiet companion who never objected to anything he wanted to do.

    Presumably, her contrast to his mother was her only redeeming grace in his eyes. His constant fantasy was of revenge upon his mother. Since she had been coyly describing her anticipation of becoming a grandmother, he vowed she would be frustrated in this one area, if no other. There would be no children.

    The thought never occurred to him that his wife might be frustrated, feel rejected, or fail to endorse his plan for revenge upon his mother. However, after marrying him she began to express her own requirements. After two and one-half years of increasing levels of mutual antagonism, the husband and wife was referred to the Foundation for treatment.

Categories
Ejaculatory Incompetence

Ejaculatory Incompetence Treatment

Treatment of ejaculatory incompetence follows the basic approach described for treatment of premature ejaculation. Once the couple interest in sensate focus has been secured, the next step is direct approach to penile stimulation.

Instead of using the squeeze technique to avoid ejaculatory response as with the premature ejaculator, the female partner is encouraged to manipulate the penis demandingly, specifically asking for verbal or physical direction in stimulative techniques that may be particularly appealing to the individual male.

Care should be taken to employ the moisturizing lotions to avoid penile irritation.

The first step in therapy for the incompetent ejaculator is for his wife to force ejaculation manually. It may take several days to accomplish this purpose.

The important concept:

There is no rush for sex. The mere act of ejaculation accomplished with the aid of the female partner is a long step in the right direction. Once he has ejaculated in response to any form of stimulation acceptable to her, the male no longer will tend to withdraw psychologically from her ministrations.

When she has brought him pleasure, he identifies with her, for the first time in the marriage as a pleasure symbol rather than as a threat or as an objectionable, perhaps contaminated, sexual image.

Three of the 17 men had never been able to masturbate to ejaculation before entering therapy. For the remainder, masturbation had been the major form of sexual tension release, but the men had infrequently included their wives as contributors to their release mechanisms (4 of 17). By denying their wives the privilege of participating in the ejaculatory experience, even if occasioned manually, they further froze the possibility of a successful sexual relationship.

As might be expected, some of the wives had no real interest in relieving their husbands through means other than successful intercourse connection. Although only three men constrained their ejaculatory processes to frustrate their wives, many more were accused of this motivation by their partners.

Since ejaculatory incompetence is a relatively rare clinical entity, few members of the general public have heard of it. When wives did not understand that their husbands were involved in a form of sexual inadequacy, as evidenced by their ejaculatory incompetence, they were reluctant to participate in any sexual approach designed, in their minds, only as a means for male relief.

Masturbatory Techniques

The tremendous advantage of dealing with both members of the husband and wife in approaching the concerns of sexual dysfunction has no better example than in treating ejaculatory incompetence. If one dealt only with the hush, and, and the wife received her information second-hand, if at all, her rebellion would continue in a large percentage of cases.

For the husband to suggest specific manipulative techniques at the direction of his therapist does not carry the weight of authority or enlist the degree of wifely cooperation that an adequate explanation can elicit when given to both members of the husband and wife as equal participants in the therapeutic program.

Inevitably, since education is always the procedure of choice, the husband and wife must be dealt with directly. When these techniques of direct confrontation are employed, the wife’s cooperation improves immeasurably.

Sexual Stimulation

Once the wife has been made fully aware of techniques that simultaneously tease and stimulate her husband, great variation is available in measures to relieve the problem of ejaculatory incompetence. As a first step, the husband should be encouraged to approach his wife sexually in order to provide her with release from sexual tensions accrued during the stimulative sessions she has conducted for her husband.

The basic give-to-get apply to the concerns of the incompetent ejaculator. He must feel not only the stimulation of his wife’s sexual approach, but, in addition, he must be stimulated sexually by her obvious pleasure responses to his direct sexual approaches.

Every possible advantage should be taken of this multiplicity of sexually stimulative physiological and psychological influences in order to achieve regularity of ejaculation for males faced with ejaculatory incompetence.

After establishing competence in ejaculatory function with masturbatory techniques, the next step toward intravaginal ejaculatory response is in order. Male partners are stimulated to a high degree of sexual excitation by their wives’ direct physical manipulation of the penis.

As the male closely approaches the first stage of orgasmic return (the stage of ejaculatory inevitability), rapid intromission of the penis should be accomplished by the wife in, the female-superior position. She should continue penile stimulation during the attempted intromission.

Once the coital connection is established, a demanding style of female pelvic thrusting against the captive penis should be instituted immediately. Usually this teasing, technique is sufficient to accomplish ejaculation shortly after intromission. If the male does not ejaculate shortly after intromission under the designated circumstances, pelvic thrusting should cease.

The wife should terminate the coital connection and return to the demanding manual stimulation. As the husband, now conditioned to masturbatory response, reaches the stage of ejaculatory inevitability, he should notify his wife.

She should remain in the female-superior position while demandingly manipulating the penis, and from this positional advantage quickly reinsert the penis into the vagina at her husband’s direction.

It matters not if she is a little too late in her intromission efforts. If the stage of inevitability has been reached and some of the ejaculate escapes during the intromissive process the first few times the technique is employed, there is no cause for concern.

Even if but a few drops, of ejaculate are accepted intravaginally, the mental block against intravaginal ejaculation, will suffer some cracks. Every partial success at intravaginal ejaculation should be underscored in a positive fashion, and rite obvious therapeutic progress should be emphasized in all discussions with the distressed husband and wife.

In short order most of the ejaculate will be delivered within the vagina and the husband’s mental block neutralized or removed.

With the first intravaginal ejaculatory episode, the marriage has been consummated. This is a moment of rare reward for the wife of any man suffering from ejaculatory incompetence. Some wives referred to the Foundation have waited more than ten years, to consummate their marriages.

Their levels of psychosexual frustration during these barren years are beyond comprehension, despite their relative facility at multi orgasmic release of sexual tensions during their coital patterning.

Whether or not the wife is particularly stimulated sexually at this stage of the therapeutic program is of little or no importance. She has had her moments in the past of pure tension release, and she has much to gain if her husband’s ejaculatory block can be obviated. The important fact is that the unit, with full communication, works well together.

Proper application of effective stimulative techniques, the incompetent ejaculator usually has been enabled to consummate his marriage. After three or four such episodes of rapid intravaginal penetration as the male is ejaculating, confidence in intravaginal ejaculatory performance will have been established. Then every effort is made to increase female partner involvement by including a period of voluntarily lowered levels of male sexual excitation before coital connection is initiated.

In this way, a lengthened period of intravaginal penile containment is encouraged, for it has a specific purpose. The male’s fears of continuing as an incompetent ejaculator have been dimmed or negated, both in view of his recent intravaginal ejaculatory success and the fact that he is controlling his ejaculatory response voluntarily to accommodate and not frustrate his wife.

Needless to say, her fears for his facility of sexual performance disappear even more rapidly than do his performance concerns after the initial episode of intravaginal ejaculation.

The male usually experiences high levels of sexual excitation in the therapeutic sequence as opposed to feeling very little sexual interest during prior experience with involuntary ejaculatory incompetence. Taking advantage of his pleasure in these subjective changes and acceptance of the therapeutic program as devoted to his psychosexual security, every professional effort should be directed toward reconstitution of the marriage on a healthy, communicative basis.

Weaponry necessary to reinstitute the destroyed channels of communication within the marriage is described, and its usage is supported by direct exchange between cotherapists and patients at every session.

Categories
Ejaculatory Incompetence

Ejaculation Incompetence and Impotence

The most effective communication of all, a functional marriage bed, has been made immediately available and the security of intravaginal ejaculatory response has been established for both partners. The fact of an ongoing consummated marriage in itself immeasurably facilitates marital communication.

Symptoms of Secondary Impotence

Five men diagnosed as incompetent ejaculators developed symptoms of secondary impotence as their ejaculatory dysfunction continued without symptomatic relief over an average period of eight years. Three of the five men were handicapped by the psychosocial dominance of severe religious orthodoxy.

Symptoms of Erective Incompetence

Also developed for the man refusing ejaculatory experience to his wife in order to prevent the possibility of pregnancy and accomplish revenge against a dominant mother. The man whose marriage had been annulled because he was afraid to bring himself to ejaculate intravaginally, was the fifth male with symptoms of impotence developing as an involuntary component to longstanding ejaculatory incompetence.

Inevitably, when impotence develops as a complication of either premature ejaculation or ejaculatory incompetence, the concerns of the impotent state must be treated before those of the ejaculatory dysfunction. When therapy for the impotent state is successful and erective adequacy is secured, the individual male again returns clinically to his prior status as premature ejaculator or incompetent ejaculator.

Symptoms of Sexual Dysfunction

Must be treated in their turn, but always secondary to the primary attack on the state of impotence.

In all five instances, the symptoms of impotence developing secondary to those of an incompetent ejaculator were relieved with application of standard therapeutic techniques. Again, it is interesting to note the parallel between premature ejaculation and ejaculatory incompetence when existent for long periods of time. When a man’s sexual competence is questioned over an extended period by a woman demanding sexual satisfaction, symptoms of ejaculatory dysfunction may retrogress toward impotence under the pressure of fears of performance.

Ejaculation Treatment

There were three episodes of failure to reverse the symptoms of ejaculatory incompetence among the 17 cases referred to the Foundation. This is a failure rate of 17.6 percent, which certainly should be improved with more experience in dealing with this relatively rare syndrome.

The first failure was that of the orthodox Jewish male overwhelmingly traumatized in his premarital years by his one fall from grace during which he sexually approached a menstruating woman. The symptoms of secondary impotence that had developed after years of ejaculatory incompetence were relieved during therapy and have since continued under control, but he has not been able to ejaculate intravaginally.

His haunting fear of vaginal menstrual contamination and his reflex response of ejaculatory rejection could not be neutralized.

The second couple to fail to reverse the symptoms of ejaculatory incompetence was that of the husband surprising his wife in the physical act of adultery. Subsequently, whenever attempting to ejaculate intravaginally, he was faced with the vivid but castrating mental picture of the lover’s seminal fluid escaping his wife’s vagina.

Therapeutic effort could not reduce the rigidity of this man’s concept of the intravaginal ejaculatory process as a personally demeaning event. To ejaculate intravaginally during coition with his wife carried with it an implication that he was voluntarily mixing his seminal fluid with that of his wife’s lover. He could not or would not, forgive and forget.

The final clinical failure to reverse the symptoms of ejaculatory incompetence involved the man with no personal regard for, no interest in, and no feeling for his wife. His refusal to ejaculate intravaginally was a direct decision to deprive her of the pleasure of consummating the marriage.

This man historically had numerous successful sexual encounters outside marriage. This unit had escaped the culling protection of the screening process as described. They should not have been seen in therapy, as there really was no specific ejaculatory dysfunction. This was only a case of a man’s complete rejection of the woman he married.

Once the depth of the husband’s personal rejection of his wife was recognized, the unit was discharged from therapy. Divorce was recommended to the wife, but her immediate reaction was to hold on to her concept of a marriage.

Of interest is the fact that of the 17 men with ejaculatory incompetence, there were only 3 cases in which steps toward legal separation were taken, and in one of these 3 cases therapy reunited the marital partners. One of the men had been divorced for a period of eighteen months before both former husband and wife agreed to be seen as a unit in therapy.

His wife remarried him shortly after termination of a successful therapeutic experience. This husband and wife currently has two children. The man with a year-old marriage plagued by the symptoms, of ejaculatory incompetence leading to an annulment was treated with the aid of a partner surrogate. This man ultimately married another woman, and for the past three years has conducted himself as a sexually functional male in a successful marriage.

Those with religious orthodoxy as an etiological handicap (4 of the 5 men) acquired intravaginal ejaculatory function. Follow-up records report pregnancies for three of these five couples. There was no increase in the levels of sexual responsivity of the three non orgasmic wives in this group.

Two of the three units with male rejection of his female partner as the primary factor in the development of ejaculatory incompetence were reversed in therapy. Of interest in this group is the husband and wife with the homosexually oriented husband.

Successful Intravaginal Ejaculation

Once intravaginal ejaculation was accomplished, the husband continued to function effectively in this manner with his wife while also maintaining his own homosexual commitment with her full knowledge and consent. There have been two children born of this marriage.

Three of the four men developing ejaculatory incompetence after years of successful sexual functioning in marriage were returned to effective ejaculatory performance during therapy. These marriages have continued in a successful vein after termination of the acute phase of the therapy. One pregnancy has ensued.

It is obvious that the incompetent ejaculator can be treated effectively if both husband and wife wish reversal of this clinical dysfunction. This clinical syndrome of ejaculatory incompetence will be explored in depth in years to come as more material becomes available.

Previously, ejaculatory incompetence has been considered a variant of erective inadequacy. Now there is sufficient knowledge to categorize the syndrome as the direct counterpart of premature ejaculation. Neither of these forms of ejaculatory dysfunction should be considered an integral part of the clinical picture of impotence because neither is necessarily associated with erective incompetence.

Categories
Ejaculatory Incompetence

Ejaculation Incompetence Development

There is a multiplicity of factors that can force the development of ejaculatory incompetence. In addition to the primary influence of religious orthodoxy, male fear of pregnancy, or lack of interest in or physical orientation to the particular woman are major etiological factors.

They usually underlined etiological factors of unopposed maternal dominance or homosexual orientation were present but quite in ‘the minority in this small series.

Male ability

Frequently, one particular event, one specifically traumatic episode, has been quite sufficient to terminate the individual male’s ability to, facility for, interest in, or demand for ejaculating intravaginally. Occasionally a man may lose ejaculatory facility subsequent to a physically traumatic episode, but usually the only trauma is psychological.

Thus, ejaculatory incompetence, the clinical opposite of premature ejaculation, is indeed a specific dysfunctional concern separate from impotence. Since current conceptualization of this sexual dysfunction varies considerably from prior approaches, the clinical entity has been documented exhaustively.

A sidelight to the clinical picture of ejaculatory incompetence is the level of orgasmic response of the female partner. In some instances, grossly misinterpreting the causal factors in their husband’s sexual dysfunction, wives have felt personally rejected when husbands could not or would not ejaculate.

Multi-orgasmic

Yet most of these women, despite a real concept of personal rejection, have known many occasions of multi-orgasmic response during their marriages. Even those wives rejected by their husbands as physically unappealing occasionally were multi-orgasmic during their coital opportunities.

Two of the four wives whose husbands had no problem in the regularity of ejaculatory response during the marriage prior to the specifically traumatic episode that turned them into incompetent ejaculators were multi0rgasmic before the destructive experience. All four wives were multi-orgasmic after the onset of their husband’s pattern of ejaculatory incompetence.

The major exception to the pattern of rut 1 female response in husband and wifes contending with ejaculatory incompetence developed, as would be expected, in the five couples with religious orthodoxy as a background. Only two of the five wives reported occasional orgasmic return, during coition, regardless of frequency or duration of coital exposure, and neither of these women described multi-orgasmic experience.

Seven pairs with the psychosocial complaint of ejaculatory incompetence initially were referred to the conceptive inadequacy section of the Foundation in the past 22 years. Four of the seven units have conceived by artificial-insemination procedures, using the husband’s seminal fluid produced by masturbatory techniques.

Sexual exposure

They were not treated for the clinical symptoms of ejaculatory incompetence. Three of the seven units have conceived during routine coital exposure after therapy for their sexual dysfunction.

As previously stated, the incompetent ejaculator presents clinical symptoms that are on exactly the opposite end of the ejaculatory continuum from those of the premature ejaculator.

The premature ejaculator usually has no difficulty in achieving an erection during the initial years of his distress. His concern has to do with maintaining the erection before, during, and for a significant period after the mounting process.

Ejaculation anxiety

He may become so excited sexually during precoital sex play that he may ejaculate before any attempt is made to insert the penis into the vaginal barrel; or the stimulation inherent in the actual act of penetration may suffice to cause ejaculation.

If the premature ejaculator should survive these two precipices in sexual adventure, usually the ultimate in stimulative activity for any male, the onset of female pelvic thrusting will stimulate an ejaculatory response in but a few seconds.

The only physiological parallel between the incompetent ejaculator and the premature ejaculator is that neither has any difficulty in achieving an erection. As opposed to the premature ejaculator, the incompetent ejaculator can maintain an erection indefinitely during coital sex play, with mounting, and not infrequently for a continuum of 30 to 60 minutes of intravaginal penile containment.

The incompetent ejaculator’s only sexual difficulty arises from the fact that he cannot or will not ejaculate during periods of intravaginal containment.

The two variants of ejaculatory dysfunction each demonstrate one correlation with the classic concepts of impotence, but their causations are diametrically opposed. The premature ejaculator frequently loses his erection during or immediately after penetration, as does the impotent male.

However, the premature ejaculator’s loss of erection usually is on a physiological basis (post ejaculation), while the impotent male’s erective loss is primarily psychogenic in character. The incompetent ejaculator’s inability to ejaculate intravaginally is usually on a psychogenic basis.

The impotent male does not ejaculate intravaginally on a physiological basis. He usually cannot physically accomplish intravaginal ejaculation when he has no erection.

Thus, on the opposite ends of the spectrum of male sexual dysfunction there is the volatile male, the premature ejaculator, and the non reactive individual, the incompetent ejaculator. Neither of these entities should be confused with the basic concerns of primary or secondary impotence either from theoretical or practical points of view, or when dealing with the restrictive clinical approaches to diagnosis and treatment.

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Ejaculatory Incompetence

Ejaculatory Incompetence

It is a specific form of male sexual dysfunction that can be considered either primary or secondary in character. From diagnostic and therapeutic points of view, it is easier and psycho physiologically more accurate to consider this form of sexual inadequacy as a clinical entity entirely separate from the classical concepts of impotence.

In the spectrum of male sexual inadequacy, symptoms of ejaculatory incompetence should be assessed clinically as the reverse of premature ejaculation.

A man with ejaculatory incompetence rarely has difficulty in achieving or maintaining an erection quality sufficient for successful coital connection. Clinical evidence of sexual dysfunction arises when the afflicted individual cannot ejaculate during intravaginal containment.

Frequently this inability to ejaculate intravaginally occurs with first coital experience and continues unresolved through subsequent coital encounters. Some men contending with the dysfunction of ejaculatory incompetence experience such pressures of sexual performance that they may develop the complication of secondary impotence. If this natural progression in dysfunctional status occurs, the man with ejaculatory incompetence parallels the man with premature ejaculation.

There have been 17 males seen in therapy in the last 11 years with the complaint of ejaculatory incompetence. Fourteen of these men were married and with their wives sought relief from this specific distress. One man had been divorced for 18 months, and another was seen seven months after a year old marriage had ended in annulment. The remaining man had never married.

Twelve of these men, including the two males with divorce or annulment in their backgrounds had never been able to ejaculate intravaginally during coition with their wives. One of the 12 men had ejaculated intravaginally with another woman outside of marriage, and a second man ejaculated effectively in homosexual encounters. The single man had two engagements and numerous sexual encounters in his background, but had never been able to ejaculate intravaginally.

The remaining four men, all married, had no historical difficulty with coital function before or during marriage (marriages ranging from 6 to 21 years’ duration) until a specific episode of psychosocial trauma blocked their ability to ejaculate intravaginally. Thereafter they were unable to maintain ejaculatory effectiveness within the marriage, but one of the four men could and did ejaculate with female partners outside of marriage.

Hence, the possibility arises of considering the dysfunction of ejaculatory incompetence as either primary or secondary in character. Actually, this form of sexual dysfunction has been encountered so infrequently that the clinical entity does not warrant separation into delimiting categories at this time.

In view of the relative rarity of this form of ejaculatory incompetence, skeletonized clinical pictures of the 17 men referred for treatment will be resented. Hopefully, clinical identification will become easier with a broader concept of etiological background.

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Ejaculatory Incompetence

Cause of Ejaculation Incompetence

In a case of 12 men never able to ejaculate intravaginally with their wives, five were tense, anxious products of severe religious orthodoxy: one of Jewish, one from Catholic, and three with fundamentalist Protestant backgrounds.

  1. The Jewish man
    He was of orthodox belief. One night, at the age of 24 years, totally breaking with traditional behaviour for the first and only time in his life, he not only forced physical attention upon, but tried to penetrate a young woman somewhat resistant to his approach. She stopped him with a plea that she was menstruating. He was devastated with this information, left her company as soon as physically possible, and never saw the woman again.As a result of this experience the subsequent two years were spent in psychotherapy.

    Four years later, this man married a young woman of similarly restrictive religious and social background. The courtship was severely chaste. In the marriage both husband and wife rigorously adhered to orthodox demands for celibacy within menstrual and postmenstrual time sequences.

    Every intercourse experience was potentially traumatic because, even with full erection and long-continued coital connection, the husband was unable to ejaculate intravaginally. His concept of the vagina as an unclean area had been reinforced by his traumatic premarital sexual experience. Such was his level of trauma that during marital coition, whenever the urge to ejaculate arose, and the mental imagery of possible vaginal contamination drove him to withdraw immediately.

    A marriage of eight years had not been consummated when this husband and wife was seen in therapy. During the two years before therapy, this man experienced an increasing number of instances of erective failure with coital opportunity as his fears for sexual performance increased.

  2. A 36-year-old man
    He was referred to the Foundation was one of six siblings in a family devoted to Catholic religious orthodoxy. Two of his sisters and one brother ultimately committed their lives to religious orders. At the age of 23, he was surprised in masturbation by his dismayed mother, severely punished by his father, and immediately sent to religious authority for consultation.Subsequent to his lengthy discussion with the religious adviser, the semi hysterical, terrified boy carried away the concept that to masturbate to ejaculation was indeed an act of personal desecration, totally destructive of any future marital happiness and an open gate to mental illness. He was assured that the worst thing a teenage boy could do was to ejaculate at any time.

    This youngster never masturbated nor experienced a nocturnal emission again after the shocking experience of being surprised in auto stimulation.

    Twelve years later with marriage, these fears for and misconceptions of the ejaculatory process were sufficient to deny him such experience. Whenever he was stimulated toward ejaculatory response by active coital connection, prior trauma was sufficient to deny him release.

    He continued without ejaculatory success for 11 years of marriage. Finally, as evidence of secondary impotence developed, the husband and wife was referred for evaluation.

    The three men with fundamentalist Protestant backgrounds provided such individual variations that no single etiological factor was found for the ejaculatory incompetence. Arbitrarily; one history has been selected to provide balance to the chapter, but either of the remaining two histories would be as representative.

  3. 33 years old inexperience man
    When seen by therapy, were of extremely puritanical family backgrounds and of deeply restrictive religious beliefs. Their religious dogma was a mass of “thou-shalt-nots,” declared or implied. As little communication as possible with the outside world was the procedure of choice on Sundays. He was an only child.With one exception, the subject of sex was never mentioned in the home. All reading material was censored before it was made available to the boy. Neither mother nor father was ever observed in any stage of undress by their son.

    Total toilet privacy, including locked door demand, was practiced, and swimming or athletic events that might terminate in public showers were forbidden due to the possibility of physical exposure to his peers. For the same reasons, he was never allowed to visit a friend’s home overnight.

    At age 13, the first occasion of nocturnal emission was soon identified by his mother. His father whipped him for this “sin of the flesh,” and thereafter his sheets were checked daily to be sure that he did not repeat this offence. He was not allowed to participate in heterosexual social functions until age 18, and then, returning from the most chaperoned of dating experiences, he was quizzed in minute detail by both mother and father as to the young lady’s actions in order to be sure no effort had been made to entice their son into any overt form of sexual expression.

    Although there were sufficient family funds, and the young man had very effective grades, college attendance was restricted to a small hometown college so that he could continue to live at home, avoid the debasing influence of dormitory life, and be available for a full day of church-oriented activity on Sundays.

    The one exception to the taboo status for all material of sexual connotation, as mentioned, was a diatribe launched by his father when the son was 18 years of age. His father decried any pleasurable return from sexual function as a major sin, explaining that the ejaculate was dirty, equally degrading to both men and women and that coition should only occur when conception was desired.

    It also was pointed out that no good woman would dream of having intercourse unless conception specifically was the goal.

    Finally, a young woman 27 years old, socially acceptable not only to the now 26-year-old man but far more important, to the rigid standards of his family, married him after an extremely chaste and thoroughly chaperoned nine-month courtship, during which three brief episodes of handholding were highlighted as the total of their premarital sexual experience.

    On their wedding night, when the penis entered the vagina easily, the young man was surprised and shocked because he had been told by friends and by the minister before the ceremony that intercourse was always very painful to the virginal bride. He withdrew immediately and questioned his wife relentlessly as to the possibility of past sexual exposure.

    Under duress, the wife admitted intercourse with a young man she was engaged to marry three years before she met her husband. He was gravely distressed to learn not only of the existence of the previous engagement but also that the male in question had actually ejaculated intravaginally when pregnancy obviously had not been desired. How a good woman, represented by his wife, could possibly have permitted such a transgression was inexplicable to him.

    The honeymoon was one of mutual anguish. Forgiveness for past sins was repeatedly implored by the wife and finally conceded by the husband approximately two months after marriage. During the emotional bath of the reconciliation scene, the tearful young couple moved together toward the bed. Vaginal penetration again was easily accomplished, but the young husband could not ejaculate intravaginally.

    Time and time again successful coital connection was established, but ejaculation was impossible. His concern was for prior contamination.

    During the following seven years the wife became multi-orgasmic during coition, much to her husband’s initial concern, for he felt such obvious sexual pleasure on his wire’s part might be evidence that her previous sexual exposure had left some scar on her character.

    Actually, as time passed he began to enjoy her frequent, rather intense, response pattern, however, despite an estimated average of 15 to 30 minutes of intravaginal containment with most coital experiences, there was consistent failure to ejaculate intravaginally. Noteworthy in the remaining two cases of religious orthodoxy are the few following facts.

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Herbal Info

10 Healthy Benefits of Grape Seed Extract

What is Grape seed extract (GSE)

Grape seed extract (GSE) is a dietary supplement made by removing, drying, and pulverizing the bitter-tasting seeds of grapes.

Grape seeds are rich in antioxidants, including phenolic acids, anthocyanins, flavonoids, and oligomeric proanthocyanidin complexes (OPCs).

In fact, GSE is one of the best-known sources of proanthocyanidins.

Due to its high antioxidant content, GSE can help prevent disease and protect against oxidative stress, tissue damage, and inflammation.

Note that grape seed extract and grapefruit seed extract are both marketed as supplements and abbreviated by the acronym GSE. This article discusses grape seed extract.

Here are 10 benefits of grape seed extract:

  1. Reduce blood pressure – GSE may help reduce blood pressure, particularly in young to middle-aged people and those who have excess weight.
  2. Improve blood flow – GSE has been shown to improve blood flow and reduce the risk of blood clotting, which may benefit those with circulatory problems.
  3. Reduce oxidative damage – GSE may help reduce your risk of heart disease by inhibiting the oxidation of LDL (bad) cholesterol and reducing oxidation to heart tissue during times of stress.
  4. May improve collagen levels and bone strength – Animal studies show promising results regarding GSE’s ability to help treat arthritic conditions and promote collagen health. However, human-based research is lacking.
  5. Supports your brain as it ages – GSE shows potential to inhibit many of the degenerative characteristics of brain and cognitive decline. However, more human studies are needed.
  6. Can improve kidney function – GSE may offer protection against damage from oxidative stress and inflammation, thus promoting kidney health.
  7. Can inhibit infectious growth – GSE may inhibit a variety of microbes and offer protection against antibiotic-resistant bacterial strains, foodborne bacterial illnesses, and fungal infections like candida.
  8. May reduce cancer risk – GSE also appears to reduce chemotherapy-induced toxicity in animal studies without negatively affecting treatment. More human-based research is needed.
  9. May protect your liver – GSE appears to protect your liver against drug-induced toxicity and damage. However, more human studies are needed.
  10. Enhances wound healing and appearance – GSE creams appear to increase growth factors in your skin. As such, they may aid wound healing and help reduce the signs of skin aging.

Possible Side Effects

GSE is generally considered safe with few side effects.

Dosages of around 300–800 mg per day for 8–16 weeks have been found to be safe and well-tolerated in humans.

Those who are pregnant or breastfeeding should avoid it, as there is insufficient data on its effects in these populations.

GSE may lower blood pressure, thin your blood, and increase blood flow, so caution is advised for those taking blood-thinning or blood pressure medications.

Furthermore, it may reduce iron absorption, as well as improve liver function and drug metabolism. Consult your healthcare provider before taking GSE supplements.

SUMMARY

GSE appears to be well tolerated. However, pregnant and breastfeeding women should avoid it. Also, those taking certain medications should discuss taking this supplement with their healthcare provider.

Our Grape Seed Extract Product – Root King Grape Seed

grape seed

Root King Grape Seed is the perfect combination of 3 main ingredients: grape seed, mulberry leaf, and green tea that help to enhance immune system, improve overall health and beauty the skin texture, promote healthy cholesterol level, maintain healthy blood pressure and glucose level. Studies found that taking grape seed extract increased blood levels of antioxidants. Antioxidants aid in destroying free radicals which contribute to aging and health problems such as heart disease and cancer. OPC belongs to a group of powerful antioxidant compound, are found in grape seeds, helps body produce glutathione (master antioxidant) that protects DNA and strengthens the immune system.

FOR MEN & WOMEN.

  • Improve Immunity
  • Promote antioxidant
  • Antiaging properties
  • Slow down growth of cancer cells
  • Scavenging free radicals

Effect

  • Grape seeds contain resveratrol
  • Lower cholesterol level
  • Keep skin healthy
  • Protect cells, anti-cancer, destroy cancer cell

Ingredients: Grape Seed, Mulberry Leaf, Green Tea, Buckwheat, Lycopene

Packing Size: 60 + 20 tablets.

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Categories
Men's Health

Testosterone: What it is

Testosterone is a hormone behind muscle-building, fat-burning, libido, and even strongly affects mood and energy.

The testicles are the main source of testosterone production in men while the ovaries are in charge of producing this sex hormone in women. However, in women, levels of testosterone are typically lower compared to men. However, abnormally low testosterone levels in women (as well as men) can contribute to symptoms and may indicate an underlying health issue.

In general, men begin to experience an increase in testosterone production during puberty, with testosterone levels gradually declining to start at about age 30. When natural testosterone levels begin to lower, both men and women can experience a number of different symptoms.

Low testosterone levels

Low testosterone levels in men can lead to symptoms that can affect many different aspects of health and well-being. Many men that experience a decrease in testosterone report sleep disturbances and insomnia, emotional changes such as depression, and issues related to their sexual performance/desires. Along with these symptoms, some men even face changes in infertility, decreased strength, and weight gain.

Athletic performance can also suffer due to loss of energy, as well as increased difficulty building muscle and burning fat. Having greater body fat and less muscle can then potentially increase the risk of heart disease, diabetes, and other conditions dependent on optimal metabolism.

Low levels of testosterone, also called low T levels, can produce a variety of symptoms in men, including:

  • decreased sex drive
  • less energy
  • weight gain
  • feelings of depression
  • moodiness
  • low self-esteem
  • less body hair
  • thinner bones

How to boosts your testosterone?

Boosting your testosterone level with oyster extract is just what you need in order to help with problems like a low sex drive, no energy, or impotence. Essentially, the oyster extract is the powdered up dried meat of an oyster.

It is made into a tablet or put into a capsule to make it ready for consumption. Oyster extract is also often used by men and athletes in order to help the body boost testosterone naturally due to the high levels of zinc it is made up of.

Zinc is a mineral that lots of men are not getting enough of daily even though it plays an important role in the creation of testosterone in your system. Oyster extract is also an extremely rich source of vitamin D too. Vitamin D is another nutrient that increasing numbers of are not getting enough of regularly since it is not typically found in food.

Vitamin D also helps your body create more testosterone, so it can help you improve your muscles and increase libido as well.

Oysters are an aphrodisiac, meaning they can help enhance libido and sexual performance, mainly in men. The zinc found in the oyster extract is incredible, it is made up of more zinc per serving compared to any other food.

Zinc has been associated with sexual problems in men. In fact, erectile dysfunction can be a sign of zinc deficiency. As a result, eating oysters can provide men with the zinc necessary to increase their libido and perform well.

Vitroman Oyster Extract offers benefits from oyster meat useful to support men’s health. Oyster provides a natural source of multi-minerals and marine vitamins such as amino acids, taurine, and zinc. It plays important role in enhancing metabolism and energy-boosting. Regular intake aid in physical fitness and vigor.

Oyster Extract helps increase fertility, boost sperm count. Low Sperm count affects many men who wish to have children. Oyster extract carries a spermatogenesis compound that can increase its activity. It is rich in protein (peptides) and Zinc naturally that stimulates the production of testosterone thereby raising its levels in the body.

Vitroman Tongkat Ali-100 supplement uses the latest extraction technology in order to obtain purity and retain the active components – Quassinoids. It is purely 100% without other herbs mix thus it is concentrated and could achieve desired results effectively. It is for men who need a raise in their testosterone, libido, vigor and sexual performance, strength, and stamina.

tongkat ali, tongkat ali supplement

Tongkat Ali does not take effect immediately. The herb is able to enhance testosterone if taken regularly. Tongkat Ali takes effects gradually after a period of time. You should be able to feel the result within 1 to 2 weeks if use without any interruption.