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Case Title:  Difference between masturbation and lovemaking - the brain and neuro-endocrine response to sexual orgasm; causes of premature ejaculation in addition to the seminal blasting of the prostate
Reader: 10/14/2002>
Dr Lin, I am very grateful to have found your site and it has opened my eyes.
My problem may contain several factors so I am asking you to pinpoint the most relevant and potent solution for best results. First is overmasturbation
up to 3-4 times a week and the urge to resist this practice.
Second is PC exercise which I started doing recently and now have found thansk to you that I cease such practice as it has created the very symtoms you have mentioned. Third is ability to maintain for extended periods that I lack unless the aid of herbal supplements which seems to help so far. My ablilty to last long during sexual intercourse is also limited and ejaculation occurs easlily.
Ejaculation also occurs rather easily with very minimal effort during masturbation if I refrain for more than a week any stimulation. To compound the problem I have wondered if a previous condition in which I had neurofibroma tumor removed from L-2,L-3 section. This had effect on my lower functions to walk temporarily and may have affected my ability to maintain strong erection without stimulation. Now the real problem <laughing> I soon wish to marry 
and she has a really healthy appetite for sexual pleasure, I don't want to let her down. Any suggestions as to course of action to solve this I will be grateful. 
Dr. Lin: 10/14/2002> I think you have started to experience the middle-age men's common problems - weak erection resulting in premature ejaculation.  Generally, weak erection will force men to use the PC muscles exercises for stimulation of the prostaglandin E-1 production in an attempt to help erection, but there is more than prostaglandin E-1 in the flooding pre-cum produced by the bulbourethral (cowper's) glands. Pre-cum generally contains a lot of Prostaglandin E-2 that help trigger seminal emission in the prostate ejaculation control valve. This is the most common problems for middle age men - weak erection leading to premature ejaculation..
Masturbating 3-4 times a weak is not that bad at your age; you may expect to have sex 3-4 times a week after you get married.
However, masturbation (self-loving) and lovemaking are very different in stimulating the neuro-endocrine functions. Lovemaking tends to help brain release endorphins and oxytocin for emotional binding and attachment and stimulate the testicular function if you are not over-ejaculate. Masturbation tends to increase psychological self-isolation. You can reduce masturbation frequency by increasing your intake of vegetables, fruits and seeds/nust/beans to help you cool down your prostate with the plant sterols or phytoestrogen (isoflavones) in your diets
As long as the body is fed with sufficient neuro-nutrients, frequent lovemaking can help people live and love longer. In this regard ViaPal-hGH-M (3-014) can help you out,
http://www.actionlove.com/mail/herbform.htm 
Restraining ejaculation for a long time will cause premature ejaculation since the seminal vesicles will be overfilled by semen produced by the prostate. The over-filling of seminal vesicles will exert a pressure on the prostate for sexual urgency and diffuse more prostaglandins into the pelvic tissues, resulting in pelvic congestion and tension pains. The high pressure built up due to the over-filling of the seminal vesicles is one of the causes for premature ejaculation.
Unless your seminal production is very slow; otherwise, you should ejaculate twice a week at this age of 35, once every 3.5 days as the old Taoists' suggested ejaculation frequency.
Surgery on L2 and L3 may interfere with your orgasm (sympathetic) nervous pulses, but have less impact on the parasympathetic erectile mechanism unless your erection mainly relies on the sympathetic beta receptors in the penile arteries.
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