Is there harm in external ejaculation?

Patient's question:

Please ask if long-term use of withdrawal method will reduce male libido, or if it will make it impossible to have normal marital life after a period of time. Or if it will cause harm to the male body.

Doctor's answer:

Hello: It is best to avoid it as much as possible.
  1. Prone to causing male sexual neuroexhaustion
  During sexual intercourse, a man's sexual response is completed under the control of the cerebral cortex. The psychological and physiological stimuli during intercourse can cause a series of changes, and high excitement can lead to mental tension, rapid heartbeat, elevated blood pressure, and other symptoms. At the same time, the reproductive organs manifest as congestion of the penile blood vessels and muscle contraction, resulting in movement.
  If intercourse is interrupted at this point, there will be a lingering sense of unfulfillment, which will inevitably have a negative impact on sexual psychology. Over time, it can lead to sexual neuroexhaustion, causing premature ejaculation, impotence, and other issues.
  The withdrawal method, also known as the coitus interruptus method, is based on male physiological phenomena. A man's climax is divided into two stages. The first stage is the "inevitable ejaculation" phase, during which semen is concentrated at the base of the penis. After a few seconds, it reaches the second stage—the "ejaculation" phase—when semen is expelled through the urethra. When using the withdrawal method, the man withdraws the penis from the vagina during the inevitable ejaculation phase and ejects semen outside the woman's body.>> Seven Keys to Controlling Ejaculation
  2. Prone to causing functional anejaculation
  During sexual intercourse, when a man is at the peak of sexual excitement, the penis is erect and rigid before ejaculation. If intercourse is forcibly stopped at this point and the penis is withdrawn, it can disrupt the function of the central nervous system and the lumbar-sacral ejaculation center. Over time, it can lead to functional anejaculation.
  3. Prone to causing marital discord
  Normal, moderate, and harmonious sexual life

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