Ejaculation increase and enhancement with natural supplements, herbs for a female and male, solution to a common problem
September 6 2016 by Ray Sahelian, M.D.

Male ejaculation has two distinct phases, emission and expulsion. Orgasm, a feature perhaps unique in humans, is a cerebral process that occurs in normal conditions, along with expulsion of semen. Normal ejaculation is a highly coordinated physiological process with emission and expulsion phases being under the control of autonomic and somatic nervous systems respectively. The central command of ejaculation is located at the thoracolumbar and lumbosacral levels of the spinal cord and is activated by stimuli from genital, mainly penile, origin although cerebral descending pathways exert both inhibitory and excitatory regulatory roles. Cerebral structures specifically activated during ejaculation form a tightly interconnected network comprising hypothalamic, diencephalic and pontine areas.

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Ejaculation neurotransmitters, role of serotonin and medications used for depression

Several neurotransmitters contribute to the male ejaculation process. Amongst them, serotonin has received strong experimental evidences indicating its inhibitory role in the central control of ejaculation. In particular, 5-HT1A cerebral autoreceptors but also spinal 5-HT1B and, in a lesser extent, 5-HT2C receptors have been shown to mediate the effects of 5-HT on ejaculation. Selective serotonin reuptake inhibitors (SSRIs) increase the amount of central serotonin and delay ejaculation in humans. So does 5-HTP, a serotonin precursor. Those who take SSRI medications such as paroxetine and others, and have serious issues with ejaculation or sexual dysfunction may consider other treatment options for depression.

Cause of premature ejaculation and cure, treatment
About 20 to 30% of men have premature ejaculation. Current evidence reflects a shift from psychological reason to more neurobiological causes. Hypersensitivity of the penis or head of penis does not appear to be a cause. There are those who have suffered with it from the onset of their sexual life while others developed this problem later on. Five main treatment approaches have been used in clinical trials to stop premature ejaculation: behavioral therapy, antidepressants, phosphodiesterase-5 (PDE5) inhibitors, topical anaesthetic agents and alpha-blockers. Most antidepressants appear to delay ejaculation to some extent with all doses. Anesthetic creams appear to be as successful in slowing ejaculation as antidepressants without systemic side-effects, although some patients do experience erectile problems or unpleasant local symptoms. Anecdotally, behavioral therapy is effective and appears to have long-lasting efficacy.

Retrograde ejaculation
Retrograde ejaculation occurs when semen flows to the bladder instead of emerging through the penis during orgasm. Retrograde ejaculation isn't harmful. But it can impair fertility. During normal ejaculation, the opening of the bladder (bladder neck) closes to prevent semen from entering as it passes through the urethra. In retrograde ejaculation, the bladder opening doesn't close properly. As a result, sperm is allowed to enter the bladder instead of being ejected out the tip of the penis. Causes of retrograde ejaculation include prostate surgery, bladder surgery, diabetes, multiple sclerosis, and certain medications such as psychiatric drugs and medications used to treat high blood pressure and prostate enlargement.

I noticed that you mentioned retrograde ejaculation. my husband has this condition from being a diabetic and I was wondering if you have any products that would help him and what you would recommend.
   I am not aware of any herbs, vitamins or natural supplements that treat retrograde ejaculation.

Pre ejaculation
A woman can get pregnant even when ejaculation doesn't occur within the vagina. This is because pre-ejaculation fluid may contain some sperm. Withdrawal of the penis from the vagina before release is one of the oldest methods of birth control but pregnancy can occur in a small percentage of cases due to the pre ejaculation fluid.

Male ejaculation problem
The time from initiating sexual activity to ejaculation varies from one individual to another. This time period is called the ejaculatory latency. What may be an ejaculation problem for one man may be acceptable to another. Typically, these disorders fall into two categories. These are: delayed ejaculation and early ejaculation. In the vast majority of cases, the most effective therapeutic approach for ejaculatory dysfunction is a combination of biologic and psychologic therapy. From an emotional standpoint, it is important to understand the history and background of the individual. Issues such as depression, anxiety, past sexual experiences, psychological trauma and relationship history are important considerations that need to be discussed early in the evaluation.
   Types of male ejaculation problems include the following: premature ejaculation, inhibited ejaculation, anejaculation, retrograde ejaculation and anorgasmia.
   There are certain natural herbal remedies to increase ejaculation force, there are many of these options and Eurycoma Longjack is one of them.

Urologiia. 2013 Sep-Oct. Therapy of rapid ejaculation using dietary supplement "NeyroDoz": results of a multicenter non-randomized clinical study]. The main aim of the study was to determine the effectiveness of a multicomponent dietary supplement NeyroDoz in patients with rapid ejaculation. We examined 50 patients with rapid ejaculation (premature ejaculation), who were recruited in 9 clinical centers in different regions of Russia. These patients received NeyroDoz, 2 capsules twice a day for one month, followed by a control observation for 1 month. In study group of patients, symptomatic improvement was achieved in 45 (90%) of 50 patients at 4-week observation target date. In assessing the impact of NeyroDoz on different groups of symptoms, it was found that it significantly increases the average time of sexual intercourse by 2 times, increases the orgasm brightness, reduces the severity of psychosomatic component and has a positive effect on all components of the copulative cycle. In assessing the afterimpression, this effect was maintained throughout the period of follow-up.

Ejaculation problem due to drugs
Using Flomax (tamsulosin) every other day, rather than every day, appears to reduce the ejaculation problems that can occur with the drug. Given that the drug's effectiveness is not compromised with intermittent therapy, this dosing may become the standard for all men. Drugs such as Flomax are used to treat urinary symptoms related to an enlarged prostate -- a condition known as benign prostatic hyperplasia (BPH). Typical BPH symptoms include difficulty in starting to urinate, having a weak urinary flow, and the need to urinate urgently or frequently. However, Flomax can cause ejaculation abnormalities.

Male Ejaculation control
Lack of male ejaculation control is one of the top concerns of many men under the age of 50. Concerns range from the man who ejaculates within seconds, at the first touch, just prior to penetration, or immediately after penetration. In these male ejaculation control cases, 5-hydroxytryptophan may be helpful.

Increase ejaculation volume
One can increase ejaculation volume by eating more cold water fish, taking fish oil capsules, or using certain aphrodisiac herbs such as tongkat ali, horny goat weed, or maca.

Prolong ejaculation
You can prolong ejaculation by not stimulating the penis or vagina beyond a certain point.

Painful ejaculation may occur due to the use of certain prescription drugs such as antidepressants -- the tricyclic antidepressants (TCAs, e.g. clomipramine, imipramine, desipramine, protriptyline, amoxapine), the selective serotonin reuptake inhibitors (SSRIs, e.g. fluoxetine), venlafaxine and the MAOIs. Apart from lowering the dose and changing the antidepressant, no strategies are available to treat this side effect.
   Prostatitis or inflammation of the prostate can also cause painful ejaculation in a man. Ejaculation pain may also occur with some infections that are sexually transmitted.

Ejaculatory anhedonia email
I personally suffer from Ejaculatory Anhedonia. I find many others report this condition. There are many different factors that may have led to us suffering from a condition where we ejaculate but are unable to feel any orgasm associated with it. But one thing we all have in common is that we are desperate for a cure. We are tired of being told by most doctors, psychologists and other so called experts that it's all in our heads. Even if some of us could be cured by supplements it would be a breakthrough that may lead to further discoveries. I believe that getting experts in their field like Dr Sahelian to start working on trying to solve our complex and incredibly frustrating problem is critical to us having any hope of success. I'm sure the involvement of Dr Sahelian and his team would also lead to other experts
coming on board.
    A. It is worth trying some of the sexual enhancers such as tribulus, mucuna, tongkat ali.

Q. I am looking for a huge ejaculation. Are herbs such as tongkat ali and yohimbe helpful to increase penis ejaculation or sexual enhancement?
   A. If you mean how you can increase ejaculation fluid, fish oils and eating fish such as salmon or halibut, or shellfish can be helpful. There have not been studies yet with tongkat ali to know whether it increases penis ejaculation volume, but some people say their ejaculation is more intense. In a dog study, yohimbe administration led to a big ejaculation. The big ejaculation lasted several hours after the administration of the yohimbe bark extract.

Q. My ejaculation is delayed. Is retarded ejaculation a common problem?
   A. Delayed ejaculation is not as common as premature ejaculation although delayed ejaculation becomes more common as we age. I don't see the term retarded ejaculation used much.

Q. What's the difference between ejaculation and orgasm? Also, is a first ejaculation more intense that subsequent ones? Are there herbs that increase ejaculation distance?
   A. Ejaculation is the discharge of fluid while orgasm is the climax of the pleasurable physical and psychological response to prolonged sexual stimulation. An orgasm is often accompanied by a large ejaculation volume, blushing or spasm. An orgasm could occur with little ejaculation volume or without ejaculation, but most often there is plenty of fluid that is ejaculated. First ejaculation can be intense, but others in the future can be just or more intense than a first ejaculation. It is possible that Passion Rx or tongkat ali use could increase ejaculation distance.

I have a weak ejaculation. Are there sex pill herbs that can be helpful? Also for better libido.
   Certain herbs could help with weak ejaculation, some that come to mind include yohimbe and tongkat ali.

I came across your website through a random search and i applaud your efforts for helping out with everyone's query. I am 25 yrs old and from Pakistan. I have noticed for sometime that i have never had a wet dream or never had a pre cum which is natural but i have never had it. I had my first sexual experience this year in which it was just not possible for me to ejaculate even though i ejaculate very normally while masturbating but the sexual experience was kind of terrible for me as i had an erection the whole time for around 8-10 hours and i couldnt ejaculate even while my partner was involved in oral sex with me. I'm quite upset about the whole thing and im scared because ill be marrying in a year and this may be a problem then.