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Dr. M i found this interesting article, wondered if you could please comment on it..
Smooth muscle contraction forces semen through the urethra located in the penis corpora muscles. The urethra houses and transmits urine to the exterior as well. The question that is asked frequently is how can two different substances travel through the container without contaiminating both? The answer is because of precum, a lubricating, clear, sticky formula, cleans the urethra before ejaculation.Semen leakage is a sign of the weakening of the parasympathetic nerve that keeps the ejaculation valve closed and helps to maintain an erection. If this electrical feedback loop develops a problem, eventually erectile dysfunction can develop.
For people with weak parasympathetic sexual nerves, 20-30 minutes of foreplay can drain their bodies stored sexual energy, referrred to as “bioenergy”. Once the bioelectric voltage in the parasympathetic nerve runs low, the penis will become limp. Long foreplay requires a powerful testosterone burst that burns continuously to charge the parasympathetic erection circuit. Otherwise, the erection will go limp or a man will ejaculate upon penetration or in a short time after few strokes.
Men who experience weak erections often rely on the tightening of the PC muscles in order to keep the erection alive. This puts added stress on the prostate gland and trains the PC muscles to contract, mimicking a state of orgasm that will open the ejaculation valve prematurely, allowing semen to leak. This contributes to premature ejaculation. Therefore, a firm erection is absolutely necessary when it comes to fighting premature ejaculation and seminal leaking.
However, to hold the erection up and tighten the ejaculation valve, you still need a basic resting potential in the parasympathetic sexual motoring nerve and a continuous burst and burning of testosterone to charge the nerves during sex. Testicular stimulation during intercourse can help the testosterone burst and burning to increase the penile power and combat seminal leakage that often contributes to prematurhttp://www.4-men.org/pre-cum.html
As far as I know:
During sexual arousal in men, the bulbourethral gland (also known as Coper’s gland) secrets a clear, viscous fluid known as pre-ejaculate (or pre-come). The fluid is a lubricant. It can neutralize acids. It can provide stimulation to the head of the penis which can precipitate an orgasm. It can also pickup sperm from seminal vesicles when near ejaculation, and can thus cause pregnancy.
The pubococcygeus muscles (PC muscles) control the flow of semen and urine and the firmness of the erection. When a man exercises the PC muscles (such as through Kegel exercises) and gains substantial control over them, he can gain better control over orgasms, helping prevent premature ejaculations.
i have pre-cum and i have PE… but the higher my Testosterone goes, the worse it gets..
it seems whenever i get an erection with my girlfriend i get drips of precumlike i said before when i drank and took a Cialis i had no precum or PE
I don’t see precome as a problem. It occurs with arousal, just as vaginal wetness occurs with an aroused woman.
Confidence in being able to have an erection and significant reduction in excessive norepinephrine signaling can help reduce premature ejaculation.
The higher the testosterone, the greater the possibility of excessive estrogen signaling, which may cause processes which results in excessive norepinephrine signaling, and thus erectile dysfunction and premature ejaculation. These and other factors involved with testosterone treatment need to be addressed when problems occur related to dosing.
@BlackJack 395 wrote:
so an SSRI would be best solution for PE?
An SSRI is not necessarily the best solution for premature ejaculation. It is one solution.
One other solution being developed is the application of lidocaine via spray, for example.
There are other solutions which center around reducing excessive norepinephrine signaling which triggers ejaculation.
@BlackJack 392 wrote:
so E2 could be a major factor in Pre, Ejac?
Estradiol is an important signal in providing libido or sexual arousal.
Too low or too high an estradiol level can impair libido or sexual arousal.
Having a testosterone of 600 shbg 38 and e2 of 31 while a ratio of 20:1 T:E rules this issue out. If this is the case then other areas need to be further explored. Thyroid is at optimal levels and now adrenals are being supported, but still he has ED. Would a catecholamine fractual serum with urine neurotransmitter test run the same day be a good diagnostic tool to help rule out neurological issues? If one had past sexual encounters under the influence of drugs and alcohol could this be a conditioned response? Performance is best when this type of environment is conducive. So would reconditioning be a possible solution? What about hypnotherapy as potential treatment?
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