Typical symptoms include weak erection, premature ejaculation, fatigue, exhaustion after ejaculation, tiredness, night sweating, hot flushes, low back pain, ejaculation pain, weak waist, anxiety, stress, sleepless and mood swing or emotional instability.
The main causes are:
1. The brain's hormone receptors don't get enough DHEA and androstenedione/ testosterone. 2. There is a deficiency of DHEA due to a weakening adrenal function, the brain's nervous
function is predominated by the sympathetic "Fight or Flight" functions, where "Fight" = "Premature Ejaculation" and "Flight" = "Erection Withdrawal" during lovemaking. That is, you either ejaculate prematurely or lose erection during sex.
3. The aged liver cannot help the body produce sufficient neurotransmitters Acetylcholine, Dopamine and Serotonin to power the brain's/nervous functions for fully supporting endocrine (both parasympathetic and sympathetic), cardiovascular (parasympathetic, with the 2nd neurotransmitter nitric oxide -NO, and arterial dilator cGMP), liver (parasympathetic) and adrenal/kidney (parasympathetic) functions and the erectile functions of sex organs (parasympathetic, with the 2nd neurotransmitter nitric oxide -NO, and arterial dilator cGMP), for modulating the sympathetic nervous functions with active serotonin and parasympathetic nervous functions, and for preserving the dopamine-norepinephrine for the thyroid functions.
Male menopause typically happens to the middle-age group or men with "sexual age" from 35 to 50, which occurs in teenager or young (premature-aged) men who have over-masturbated or over ejaculated upon or before their puberty. Excessive ejaculation will worsen premature ejaculation since it causes abrasion of the prostate ejaculation ducts and nerves and over-drains the prostaglandines (prostate fluid) and brain/spine fluids in semen, resulting in deficiency of acetylcholine, dopamine and serotonin syntheses in the brain/nervous systems. These are the most common causes of premature ejaculation for teenagers, young and middle-aged men.
During sex, older man requires a lot of penile stimulation by hand or oral jobs to weakly erect his penis. After a long foreplay, his urethral/prostate becomes irritated upon penetration. For ejaculation control, older men should not have spent too much time in hand or oral jobs.
The sympathetic weak erection with an over-foreplay penis, where the brain is overheated, and the mind is panic, the heart is pounding, and the penis is cold and powerless, is the main reason for ejaculation upon penetration. Note that for a long-lasting (45-120 minutes) lovemaking, the brain is very cool, the mind is very peaceful, the heart is very calm and rhythmically, and the penis is extremely hot (her vagina is extremely hot and wet! A dry vagina will cause intercourse pain for both parties, and result in penile nervous irritation for ejaculation!).
Also, a weak erection would force you to contract your prostate or your PC muscles to assist erection. Exercising your PC muscles will turn on the prostate's sympathetic ejaculation nerves for "Fight" execution. To prolong sex, you must have a spontaneous hard erection with a relaxing prostate nerve and PC muscles.
You must learn how to thrust and how to switch the nervous function in the brain and pelvic cavity from the sympathetic to parasympathetic mode during lovemaking. In this regard, you have to practice the screwing technique to train your penis to get used to her vagina and to calm down your brain and nervous systems in the first few minutes after penetrating. Practice the screwing technique every morning when you have a morning erection. Use the natural erection to penetrate
her and use her vagina to gently massage your penis. Do not attempt to ejaculate during the practice.
At the same time, you should practice Sexual Chi-Kong Breathing for ejaculation control during the morning screwing play and the normal lovemaking.
Screwing is every important in love coupling for massaging vagina and penis in the Chinese sexual bible "SU-NUI Ching". The original purpose of screwing is to cure the woman and man's sexual related problems, such as the woman's abnormal discharge, period irregularity, and frigidity, and the man's impotence and early ejaculation. SU-NUI Ching suggests that the sexual problems have to be solved by sex itself, that is, the sex act itself is considered one of the physical therapies, penis and vagina's massage, and sexual controllability. Since the reproductive system is tightened to the urinary system, both of them share the same muscles. The sexual capability may reflect the controllability of urination in the senior years of the life.
They are two screwing techniques depending on whom the male or female is the driver.
If the male is the driver, he controls the screwing motion and massages the vagina. He should be less constrained and allowed to move freely. In this case, the female will lie down, and the male can lay on her, stand up or knee down to do the job. The way to do it is to rotate clockwise and push in and then rotate clockwise and pull out, and then continue in the same manner.
If the female is the driver, she will sit on his legs without constraint. She can rotate her upper body right and left periodically or uses her hip to make a circulation motion. For the purpose of sexual therapy, the couple should screw each other gently.
Screwing can also be used to wake up the sexual energy, increase the vagina lubrication and harden the penis. It is the foreplay for senior couples.
Screwing is a kind of exercises for the low back. It is also a mutual massage of the external sexual zone around the couple's pubic bones. If a couple screw each other for 10 to 20 or 30 minutes every morning, they will feel that everyday is in honeymoon (or horny mode), no matter how long they have been married. It will provide enough morning exercises for the loving couples as well.
To prolong lovemaking, some doctors suggest the following:
Use the masturbation friction to numb the penis surface sensory nerves (by forming a thin layer of scar tissues like a condom!)
1. Use the first ejaculation to discharge or burn the neurochemicals (particularly dopamine) and DHEA/testosterone and increase the level of orgasm inhibitor prolactin for mitigation of brain's sexual excitement.
2. Use anti-depression (antihistamine) drugs or alcohol to sedate the sympathetic reflection. None of them work if you have a lot of precum and a weak erection.
When pre-cum floods your urethra and prostate ducts, your urethral and prostate nerves become hyper-activated by the prostaglandins from the precum. Prostaglandin E-1 (PGE-1) stimulates the penile/prostate parasympathetic nerves for erection, while PGE-2 acts on the penile/prostate sympathetic nerves for opening the urethra and prostate ducts for ejaculation or seminal emission (leakage). Unfortunately, precum contains more PGE-2 and less PGE-1, so that it will stimulate seminal emission before PGE-1 can balloon the penis to an extreme for blocking the penile/prostate sensory nervous communication. Masturbation Exercises can numb the skin-deep
surface sensory nerves, but not the sensory nerves in the urethra tube. You will end up with a flooding of precum that tickles your prostate sensory nerves, resulting in premature ejaculation. The first ejaculation will burn a lot of major brain's neurotransmitters such as acetylcholine, dopamine and serotonin. A low dopamine level kills your brain's sexual excitement and increases your prolactin level in the bloodstream. As a result, you can last longer if you can re-erect your penis for the second round of lovemaking.
When I was young and single, I used to have 3 rounds of lovemaking in one session for 2 hours. Usually I last longer in the 2nd round (>40 minutes), but the erection is weaker due to a low level of acetylcholine in the brain and a weaker penile parasympathetic nervous function, while the first run is with an extremely hot blood and hard erection but comes short. In the 3rd round, the erection is much weaker and lovemaking is cut short and very worn out and exhausted due to burn-out of all the neurotransmitters and hormones! With this practice for 6 months, I became impotent and experienced sexual exhaustion symptoms and pains all over my body. I had to take herbal medicines plus animal brains to rejuvenate my body. After that, I started my sexual Chikong study and discovered how to achieve 2-hour lovemaking without ejaculation or leaking a drop of semen, and made my wife achieve multiple orgasms. I also have never discharged precum before I decide to come by contracting my PC muscles to stimulate my bulbourethral glands and prostate in initiating the secretion of precum, or by the penile over-erection (over-ballooning) pressure reaching the bulbourethral and prostate glands. I don't have to put on a condom before I reach that moment. When the precum floods into my urethral and prostate ducts, the sexual sensory nerves produce an overwhelm pleasure in the brain and then a powerful orgasmic contraction in the prostate and seminal vesicles and their adjacent muscles pumps the semen out of my body. My wife usually experiences another powerful orgasm with my powerful, hot semen jet when I don't have to use a condom. Now, we don't need contraceptive protection any more and Sex can become more excited after women pass menopause.
I have studied the effects of precum on premature ejaculation and concluded that if you can stop your precum, you can solve premature ejaculation. If you use the first ejaculation to prolong sex, you should not have a second ejaculation as it may lead to sexual exhaustion with frequent sex, particularly after age of 25.
Drugs can very effectively sedate the sympathetic nervous functions, but they make you impotent too. A long-term use of drugs leads to impotence as expected. It does not make sense to prolong sexual encounter with an impotent penis or improper feeling in the brain.
The general solutions for premature ejaculation are:
1. Fool the brain and interfere the sympathetic reflection by inducing stress in the low back and tailbone with contraction of the tail bone muscles - anal breathing or chi Kong breathing during lovemaking, that is, release the muscular stress against your prostate and bulbourethral glands and don't contract these muscles!
2. Circulate the sexual energy from the prostate back to the spine and tailbone - synchronization of the inhaling and anal breathing with the sexual thrusting.
3. Balloon the penis without oral or hand sex – the high blood pressure produced by the ballooning method can block the nervous communication in the urethra and prostate. 4. Correct the acetylcholine/parasympathetic and serotonin nervous functions, and block the
dopamine-epinephrine conversion in reducing the sympathetic nervous functions. 5. Block the sympathetic alpha receptors to produce a spontaneous erection.
6. Block the acetylcholine re-uptaking to energize the parasympathetic nerves for releasing more 2nd neurotransmitter Nitric Oxide and its metabolized dilator cGMP in the arterial walls to drive erection.
7. Increase the production of relaxation hormone PGE-1 in the penile tissues and arterial walls for prolonging a long erection, and reduce the production of PGE-2. PGE-1 will relax the entire tissues in the penis and around the prostate and bulbourethral glands and the PC muscles, and result in a persistently spontaneous (autonomous) erection like a teenage boy in the puberty. You will feel full in your pelvic cavity with a hard erection. It has been reported that injection of PGE-1 into the penis results in a persistent erection for few days (longer than 8 hours) and thus cause damages or fatigues their penile nervous endings. Since a hard erection corrupts the penile veins and cut off the return blood flow, PGE-1 is trapped inside the penis and the erection won't back down even after ejaculating. My experience of having a full power-up erection is: my penis won't back down 10-30 minutes after ejaculating since too much PGE-1 is still acting on the tissues and the parasympathetic nervous endings.
8. Reduce the production of precum. Over-masturbation and PC muscular exercises will train the sympathetic nerves in the bulbourethral glands to produce excessive precum!
Sexual stimulation releases Nitric Oxide (NO) and it enters endothelial cells in the spongy erectile tissue, the corpus cavernosum of the penis. The enzyme guanylate cyclase then converts guanosine triphosphate (GTP) into cyclic guanosine monophosphate (cGMP). cGMP causes the smooth muscle to relax, which causes an inflow of blood which then leads to an erection. cGMP is then hydrolysed back to the inactive GMP by phosphodiesteras type 5 (PDE-5).
The levels of cGMP are therefore controlled by the activation of cyclic nucleotide cyclase and the breakdown by PDE-5. Men who suffer from erectile dysfunction often produce too little amounts of NO. Loss of full erections may be due to the fact that during a workout, you are keeping your penis in an erect / semi-erect state for quite a long period of time, either using up or depleting your ability to generate NO. Therefore, you may consider either shortening your workout time and increasing the intensity or taking rest days.
Natural penile numbness occurs when you can sustain a hard erection for 40-60 minutes. The first stage numbness is due to the penile internal blood (erectile) pressure that compresses the urethral nerves and blocks the urethra-prostate nervous transmission for preventing the ejaculation triggering in the prostate via the L1/L2 circuits. In the first stage, the glans penis and penile shaft still have a lot of feeling, but only the urethra-prostate nervous transmission is blocked. Generally, the penis enters this stage in about 3-5 minutes after penetrating the vagina. If you can pass this critical transition stage, you would be able to last for another 20-30 minutes unless your erection is weak or you use PC muscle flexes to support your erection.
During the first stage numbness, if your can balloon your penis up and bring your erection into the 2nd stage of erection. Your penile cylinders become a testosterone-DHT conversion chamber and the penis erection is hard enough to almost completely seal the in- and out-flow of the blood circulation. As a result, there is limited fresh blood flowing in and no more testosterone and acetylcholine to retain the penile nervous sensitivity. At the same time, there are no enzymes in the penile blood pool to decompose or remove the super hormone DHT and the arterial dilator cGMP. The penis remains extremely hard for 1-2 hours until the prostate experiences excessive stress that triggers the L1/L2 sympathetic nerves for ejaculation.
Even if you ejaculate, your penile erection won't back down for another 10 minutes after you hold an erection for 1-2 hours. Essentially, you would not cum if your prostate does not experience
stress. Prostate stress occurs due to an excessive dopamine-adrenalin conversion in the adrenal medulla and the brain, where excessive adrenalin will trigger sympathetic Fight or Flight (Fight = Ejaculation; Flight = Erection Withdrawal during asexual activity).
If the dopamine-adrenalin conversion is fully blocked by the Serotonin and GABA nervous system, your erection will never back down. Of course, your penis is fully numbed. If you hold the hard erection longer than 3 hours continuously, your penile spongy tissues (cells) and nerves will be starved to die due to a deficiency of oxygen, hormones and nutrients, the result of priapism.