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Case Study:  The role of hypothalamus-pituitary-adrenal axis in sexual arousal induced sympathetic nervous fires and inflammatory pains and dizziness or headaches - on the switching effect of cortisol on the epinephrine action on the adrenergic alpha and beta receptors for erectile and orgasm responses  
Reader: 3/04/2007>
> Dr. lin,

Your writings emphasize the negative affect from too much orgasm on the production of too much epinephrine and prostaglandin E-2 (while suppressing E=1), but can this response also be induced by sexual thoughts/arousal without orgasm, albeit to a lesser degree? I have noticed for a while now that just thinking about sexual things (even without sensory stimuli like pornography- although that will make it worse) stimulates a physiological effect in my body/brain- increased heart rate and, for lack of a better way to describe it, an overexcitability of my brain-that can be mentally fatiguing. I take it that this is what you describe as nervous sympathetic firing. Intuitively, i realize that this cannot be healthy, since i connote these feelings with the' flight or fight' stress feelings that you characterize as harmful. The problem is that I find that abstaining from all sexual thoughts is harder than abstaining from orgasm, which i have reduced to once every 7-10 days. While this addictive situation is not completely 'all the time' it seems to be now affecting me more often than not. When i do experience this i notice that my ability to achieve and maintain an erection is diminished compared to when i am not experiencing this 'sympathetic firing' (if that is what this is) So, my question is:

1.) Is this a similar physiological response, at least in some ways, to orgasm. And the corollary to that: if so, is this physiological response from sexual thoughts burning out my brain in a similar way that you describe happens from too much orgasm. Or is it something different entirely.

Thanks once again.
Dr. Lin: 3/04/2007>

Your adrenal medulla releases epinephrine, but your adrenal cortex is supposed not to release cortisol. If your adrenal cortex fires up cortisol to suppress DHEA, testosterone, DHT or oxytocin release,  epinephrine will be bound into the adrenergic alpha-2 receptors and  you will experience the sympathetic nervous Fight or/Flight and prostaglandin E2 inflammatory responses to sexual arousal or/and thought. The response include dizziness; tension pains in your head, body, pelvic cavity, prostate, tailbone, testicles and urethra; blurred vision, or sleeping disorders or hangover; precum or semen leakage; going limp; premature ejaculation.
The adrenal function plays the key role in the regard. Your problem is due to the exhaustion of the hypothalamus-pituitary-adrenal axis. Your adrenal cortex can release excessive cortisol to suppress your DHEA, testosterone and DHT production for a weak erection and a lot of precum when your old semen contains a high level of prostaglandin E2 and its 19-hydroxy-prostaglandin E2. The classic Chinese Medicine named this adrenal fatigue symptom as "Kidney Yin Deficiency" or "Kidney Failure."   DHEA is Kidney Yin, and  androstenedione/testosterone is Kidney Yang.   Cortisol is Kidney Ying-type Stressor, and epinephrine is Kidney Yang-type Stressor. 
Please read -
Non-orgasmic semen retention is as bad as over-ejaculation; both are for no more sexual orgasm ,but for sympathetic nervous pains and burning. What is different between both cases in term of th dopamine-norepinephrine-epinephrine conversion?
==> http://www.actionlove.com/cases/case13176.htm 
That is, you have to optimize your ejaculation frequency to keep you sexual function.  
You can experience post-ejaculation inflammatory pains anywhere in your body when excessive prostaglandin E2 release into your bloodstream in an attempt to stimulate your testicles for more testosterone and DHT production. This happens when your testicular function is weak or your adrenal function can not supply enough DHEA to your testicles. Excessive prostaglandin E2 in the brain (blood or cerebrospinal fluid) can also cause headaches, dizziness, migraine or/and fever. 
On the other hand, if your adrenal cortex drops or stops cortisol release during sexual arousal or after ejaculation or orgasm, epinephrine and prostaglandin E2 will positively stimulate your adrenal and testicular axis for DHEA, testosterone and DHT release in promoting prostaglandin E1 synthesis and oxytocin release and in suppressing inflammatory responses and sexual exhaustion symptoms ( as listed in http://www.actionlove.com/cases/case9848.htm ), and then, in turn, work with DHEA, testosterone, DHT and oxytocin in your bloodstream and cerebrospinal fluid, to power your penile erection and your hypothalamus-pituitary-adrenal and -testicular axis for a very enjoyable sexual orgasm and a faster recovery (a very short or no refraction time, or your erection remains very hard after ejaculating) via the epinephrine action on the the adrenergic beta  receptors. 

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