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Case Study:  He said 'Dr.Lin, So far your advise has helped me out. Many areas have had improvements. You were right about the seminal retention,' Why can semen or sperm retention cause pelvic pains, blue balls, testicular pains, prostate pains, frequent urination, sleeping disorders, short temper, anxiety, stress and premature ejaculation?

Reader: 6/27/2010>
Hey, Dr.Lin, So far your advise has helped me out. Many areas have had improvements. You were right about the seminal retention, because each week it would hit me on the 6th or 7th day. After which my frequency urinating would jump up. So, about two weeks ago I gave masturbation a temporary try to test and see if that would help relieve some tension in the pelvic region that had built up. It worked, as I slept great and frequency came down. I did the same this past friday with mixed results. I had high frequency and slight penile soreness. I think when I ejaculate I ejaculate too much at one time. How can I use self control to reduce the amount I ejaculae at a time? Would this help rid me of the bad sperm while retaining some in the tank for healing? I'm also going to exercise more on the 6th and 7th day as you were right about increasing exercise that helps out also. Thanks for your great advice.

Dr. Lin: 6/27/2010>
First, your have to do penile ballooning for 20-30 minutes to shift your testicular function in the highest gear, so that you still have sufficient testosterone and DHT to help you get recovery after ejaculating.
Secondarily, use anal breathing to reduce ejaculation when you are about to common, so that we can retain about 50% of semen in your seminal vesicles to help you get recovered faster.
Semen retention induced problems are not a result of bad sperms. The problems can result from:
1. A lack of orgasm will accumulate excessive dopamine to trigger the release and gene expression of dopamine betab-hydroxylase and phenylethanolamine-N-methyl transferase gene for the homeostasis of the brain chemistry and you end up excessive epinpehrine in the bloodstream to trigger the sympathetic eyes, lungs, liver, kidney, heart, prostate and bladder fires and COX-2 over-expression for the synthesis of inflammatory prostaglandin E-2 in the tissue.  Excessive prostaglandin E-2 and its 19-hydroxy-prostaglandin E-2 (due to the liver P450 enzyme 19-hydroxylase in semen) will also trigger pelvic/prostate/testicles/seminal vesicles pains or inflammatory congestion. In fact, prostaglandin E2 can overheat the brain and induce excessive dopamine-norepinephrine conversion for sympathetic nervous fight or/and flight responses. This will result in endless mutual enhancement between norepinephrine and prostaglandin E2, until you get sufficient serotonin, GABA and melatonin nervous action to cool down the central nervous system. Ejaculation or orgasm is one of the method to solve the problems, but we can not fully empty your semen and sperms in order to avoid andropause symptoms (male menopause) induced by deficiency of androgen hormones, deficiency of testicular blood flow, deficiency of the parasympathetic nervous nitric oxide release, excessive binding of norepinephrine and epinephrine in the sympathetic nervous alpha adrenergic receptors, and excessive prolactin, LH and FSH release.
One the other hands, the same conditions happen in the excessive orgasm or over-ejaculation since the brain's nature response to orgasm or ejaculation is the dopamine-norepinephrine-epinephrine conversion. You have to let the epinephrine level in the bloodstream drops to a homeostasis level before you can ejaculate again if you want to prevent the sympathetic eye, lung, liver, kidney, heart, prostate and bladder fires and COX-2 over-expression.
The main differences between excessive orgasm/ejaculation and deficient orgasm: A lack of orgasm trigger a natural homeostasis process for the dopamine-epinephrine conversion while excessive orgasm/ejaculation forces the dopamine-epinephrine conversion via the pituitary prolactin release. So, you are in the non-winning condition unless you optimize your ejaculation frequency or take proper nutrients.
2. If you don't ejaculate for a long time, the accumulative semen will mechanically inflame the seminal vesicles and exert a pressure against your prostate, bulbourethral glands and tailbone for pelvic pains, and the accumulative sperms in the testicles will fill up your seminiferous tubules, rete testis, epididymis and vas deferens, leading to forced opening of the blood-testis barrier to allow sperms and their antigens to seep through into the adjacent blood vessels where sperms and their antigen trigger autoimmune inflammation and pains.  Long-term sperm retention causes blue balls, or disables the testicular sperm production mechanism and then slows down the testicular testosterone and DHT synthesis. Vasectomy patients can usually experience these problems as described in http://www.actionlove.com/extra/vascectomy.htm
3. Accumulation of sperms inside the epididymis results in suppression of testicular activin and inhibin release,  and then in decreasing and deregulating the pituitary FSH and LH release, leading to  dropping the testicular testosterone and DHT output.  Releasing sperms will reactive the pituitary-testicular axis for activin and FSH release which in turn uplift the pituitary LH release for stimulation of the testicular function. On the other hand, if you fully empty your epididymis by multiple ejaculation, you will get too much activin and FSH release, resulting in post-ejaculation/post-orgasm menopause hot flushing and testicular inflammatory pains induced by excessive prolactin,  norepinephrine and epinephrine release from your hypothalamus-pituitary-adrenal axis and an abrupt drop of testosterone and DHT in next days.
If you want a hard erection and balloon your penis, you will a high level of testosterone and DHT to feed your erectile tissues and activate the nitric oxide and prostaglandin E1 production.
By the way, the testis and epididymis are not the only sources of activin in the male reproductive tract, associated with sperm and testosterone/DHT production, and there are several reports of activin subunit mRNA and protein expression in the prostate and seminal vesicles associated with semen production. This means suppression of activin will result in seminal production disorders in the prostate and seminal vesicles for watery ejaculation with a lack of semen. Ref: http://ror.reproduction-online.org/cgi/reprint/5/2/99 ; http://endo.endojournals.org/cgi/reprint/142/6/2178