Training methods and dietary therapy for couples with ejaculatory dysfunction

To increase sexual stimulation, the wife can use her hands to strongly stimulate the penis before intercourse. Specifically, before intercourse, the wife can actively use the "sensate focus method," gently caressing the husband to arouse his sexual excitement, bringing his sexual impulse to a very strong state before genital contact. At the start of intercourse, the man lies supine, focusing his attention on the sensations he is experiencing. The woman sits beside the man or between his legs, using her index and thumb to form a ring around the penis shaft, rubbing it up and down to stimulate the penis, gradually increasing the frequency. This stimulation method often brings the husband to a high level of sexual arousal. When he feels he is about to ejaculate, the wife quickly adopts the woman-on-top position, inserting the penis into the vagina and moving her vagina up and down. If the husband still cannot ejaculate within a short time, the wife actively stops intercourse, continuing to stimulate the penis with her hands. When he is about to ejaculate again, she resumes the woman-on-top position. This practice is repeated 3-5 times per session, 10 times for one course of treatment. After 1-2 courses of treatment, ejaculation inside the vagina is generally achievable.

If the above exercises still fail to achieve vaginal ejaculation, the following method can be used: the wife uses her hand to stroke the penis, causing the husband to ejaculate outside the vagina, allowing the semen to be ejaculated onto the wife's external genitalia; when the husband sees his semen coming into contact with his wife's genitals, he often experiences an unparalleled sense of euphoria, and after achieving several ejaculations, vaginal ejaculation becomes easier.

Wives can also help their husbands use an electric massager to treat functional ejaculatory dysfunction. Before massaging, empty your bladder. Couples should engage in mutual foreplay to arouse sexual excitement. Place the massager above the pubic symphysis or on the perineum, turn it on to a slow setting, and gradually increase the intensity to a low to medium level of stimulation. Each massage should last 10-15 minutes. When sexual pleasure reaches a certain level and ejaculation is imminent, stop the massage and immediately engage in intercourse. If there is still no ejaculation sensation after intercourse, continue the massage until ejaculation is felt, then engage in intercourse again, aiming to ejaculate inside the vagina. Through repeated massage practice, normal ejaculation can often be established.

Alternatively, after sufficient foreplay, the wife can hold the penis with her left hand and hold a massager in her right, placing the massager head on the coronal sulcus of the penis, then focusing on massaging the frenulum. If ejaculation occurs after one massage, continue massaging for three consecutive days, once a day, to gradually establish the ejaculation reflex. After successful ejaculation through massage, gradually transition to normal ejaculation during intercourse.

Patients with a history of masturbation often cannot ejaculate because the friction and stimulation inside the vagina during intercourse is not as strong as during masturbation. The use of electric massagers has a better clinical effect.

For those who lack sexual knowledge and support their upper body vertically with both arms during intercourse, changing their position and bending their elbows to support their upper body at a 90-degree angle, while increasing the speed of thrusting, can generally restore ejaculation. Using a hot water bottle or taking a hot bath before intercourse can stimulate the genitals with warmth, which helps with penile erection, increases libido, and promotes ejaculation.

The above methods can only treat functional anejaculation, and are ineffective for organic anejaculation.

**V. Dietary Therapy for Ejaculatory Dysfunction**

**Fish Maw and Glutinous Rice Porridge**

[Ingredients]20g fish glue, 50g glutinous rice.

[Dosage] Wash the glutinous rice and cook it into porridge. When it is half-cooked, add the melted fish gelatin and stir well. Cook until done. Take once a day for 10 consecutive days.

[Efficacy] Tonifies the kidneys and replenishes essence. Primarily treats anejaculation due to kidney yin deficiency and insufficient semen.

**Sperm-enhancing pupae**

[Ingredients] 30g each of walnut kernels, goji berries, and silkworm pupae, and 20g of Achyranthes bidentata.

[Administration] Lightly stir-fry the walnut kernels and silkworm pupae, then steam them with wolfberries until cooked. Decoction of Achyranthes bidentata. Take the decoction with the Achyranthes bidentata. One dose per day for several days.

[Efficacy] Tonifies the kidneys and strengthens yang, replenishes essence and nourishes blood. Suitable for impotence or inability to ejaculate, lower back and knee weakness, etc.

**Leeks and Dog Kidneys**

[Ingredients]1 dog kidney, 250g chives, 15ml cooking wine, salt to taste.

[Preparation] Wash the dog kidneys and slice them; wash the chives and cut them into half-inch sections. Heat a pan, add cooking oil, and stir-fry the dog kidney slices over high heat until cooked. Add the chives, salt, and cooking wine, and stir-fry briefly. Take with meals every evening for several days.

[Efficacy] Tonifies the kidneys and strengthens yang. Suitable for symptoms such as kidney yang deficiency, impotence, seminal emission, and inability to ejaculate.

**Sparrow Meat**

[Ingredients]3-5 sparrows, fennel, ginger, scallions, and salt as needed.

[Preparation] First, scald the sparrow to remove its feathers and intestines, then stew it in a pot with fennel, ginger, scallions, salt, etc. Eat the sparrow and its broth together.

[Efficacy] Tonifies the kidneys and strengthens yang. Suitable for men suffering from impotence, low sperm count, and ejaculation due to deficiency of kidney yang.

**Braised Pig's Trotters with Scallions**

[Ingredients]4 pig trotters, 50g scallions.

[Preparation] Wash the pig's trotters, make incisions with a knife, place them in a pot, add appropriate amounts of scallions and salt, add water, bring to a boil over high heat, then simmer over low heat until tender. Serve as a side dish. Eat the trotters and drink the soup in several portions.

[Efficacy] Replenishes essence and nourishes yin fluids. Suitable for anejaculation due to yin deficiency and excessive fire. Also presents with strong yang and easy erection but weak erection, red tongue, and thready and rapid pulse.

**Kidney-Nourishing and Essence-Replenishing Decoction**

[Ingredients]15g each of Rehmannia glutinosa (processed), Lycium barbarum, Rubus idaeus, Morus alba, and Cuscuta chinensis; 9g of Cornus officinalis; and 6g of Schisandra chinensis.

[Administration] Combine all the above ingredients in a pot with water and simmer. Take one dose daily, once in the morning and once in the evening. One course of treatment is 40 days.

[Efficacy] Nourishes the kidneys and clears the orifices. Suitable for those with yin deficiency and excessive fire type of anejaculation.