Is it harmful to the body to hold back semen?

Patient's question:

Please ask if I last longer during sex for the sake of time, always holding back and then continuing when I'm about to orgasm, feeling like it lasts longer this way, and the woman is more satisfied while I release more sperm. Is it harmful to the body to hold back sperm like this?

Doctor's answer:

When nearing climax, if one desires to ejaculate but forcibly refrains from doing so, it can exacerbate the burden on the sexual nervous system and sexual organs due to excessive pelvic congestion, and affect sexual sensation, preventing men from fully immersing themselves in sexual enjoyment. Over time, this can lead to a decrease in male libido, hinder the full expression of sexual ability, and easily trigger erectile dysfunction, causing significant harm to a man's self-confidence and self-esteem. The sexual response process is a natural phenomenon, and artificially interfering with or controlling it can disrupt sexual function. Ejaculation restraint is achieved through brain control, and this restraint can produce inhibitory effects, making it easier to develop sexual dysfunction. Some individuals who are accustomed to "restraining ejaculation" may eventually develop an inability to ejaculate if the habit becomes ingrained over time. This is because the neuro-endocrine system has adapted to the "restraining ejaculation" pattern, and once one genuinely wants to restore ejaculation function, it may be impossible to reverse the change.

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