What causes couples to have no pleasure in life?

Many women complain that sex life is dispensable to them because they never experience any pleasure. This is due to lack of effective stimulation or insufficient sexual arousal. People generally believe that this is a "patent" of women, but there are also a few men who claim that they lack pleasure during ejaculation, especially some men who say that their marital relationship is very harmonious and their family is full of family happiness. In the past few years, they "felt pleasure" and "could reach orgasm" when ejaculating, but later for some unknown reason, they no longer felt anything.

This means that one experienced the pleasure of ejaculation before, but it disappeared later. This should be regarded as secondary ejaculation anesthesia. As for those who have never experienced the pleasure of ejaculation, it seems that they should have primary ejaculation anesthesia.

Their lives often remain unchanged, they do not get sick, have extramarital affairs, quarrel, or experience stress or changes at work. Even examinations of their urinary and reproductive systems and their mental and nervous systems reveal nothing. Doctors seem unable to explain this phenomenon. This is indeed a rare and interesting situation, and such problems are encountered all the time in clinical consultation work. Although the patient's sexual desire is normal, he can have erections and ejaculate, neurological problems cannot be completely ruled out.

Most people equate "ejaculation" and "orgasm", but in fact there is a certain difference between the two. Ejaculation is a reflex activity controlled by the spinal cord center, while orgasm is a consciousness of somatic sensations in the cerebral cortex stimulated by ejaculation. In other words, ejaculation occurs in the spinal cord and orgasm occurs in the brain. Therefore, orgasm depends on an intact spinothalamic tract.

The only plausible explanation for the loss of sensation during ejaculation is a neurological injury that affects the specific neural pathways responsible for orgasmic sensation without damaging other spinothalamic tracts. Early or localized MS lesions can cause this effect.

Another possible physical cause is an enlarged prostate, which can also reduce the sensation of orgasm. The so-called "split orgasm" means that the ejaculation phase remains intact but the bulbospongiosus muscle at the base of the penis does not contract. At this time, semen will overflow without pleasure instead of the normal ejaculation of semen accompanied by rhythmic contraction of the bulbospongiosus muscle.

"Split ejaculation" is more common in men who are accustomed to trying to suppress ejaculation, because they always intentionally suppress their ejaculation response at the last moment before ejaculation, but they can only achieve partial success, that is, they suppress the ejaculation process instead of the ejaculation process. As a result, semen gushes out instead of being ejaculated, and the feeling of ejaculation naturally does not occur. Older people also have these problems because their muscle contraction strength weakens. Exercising the pubococcygeus muscles, taking salvia miltiorrhiza tablets and other blood-activating and blood-stasis-removing drugs to change cerebral blood circulation may be helpful in enhancing sexual sensation.

If we rule out all possible physical causes, then another explanation is that the patient has certain psychological factors. The ability to perceive the sensations aroused by ejaculation as "pleasant" depends largely on psychological factors. Various contradictory emotions towards sex, various unresolved feelings of guilt or guilt towards sexual pleasure, unpleasant sexual experiences in childhood, and unpleasant experiences related to ejaculation in adolescence can all inhibit the cerebral cortex's pleasurable response to ejaculation. Men with obsessive-compulsive personalities are more likely to experience this.

A detailed understanding of the patient's sexual history, sexual attitudes, traumatic experiences, and guilt about sex can help identify the psychological factors that exist. Psychological analysis of deep inner conflicts is often time-consuming and laborious, and has limited therapeutic value. Sex therapy should try to use more practical types of psychotherapy. At this time, it is necessary not only to introduce the patient to the various information already available, but also to directly deal with the relevant psychological factors and try to resolve these problems as soon as possible.