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 continuing during the climax, feeling it lasts longer and makes the woman more comfortable while also releasing more sperm. Is it harmful to the body to hold back sperm like this?

Doctor's answer:

When nearing orgasm, if one desires to ejaculate but forcibly refrains from doing so, excessive pelvic congestion will increase the burden on the sexual nervous system and sexual organs, and affect sexual sensation, preventing men from fully immersing themselves in sexual pleasure. 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 one, 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, over time, develop anejaculation because the neuro-endocrine system has become accustomed to the "restraining ejaculation" pattern. Once they genuinely wish to restore ejaculation function, it may be impossible to reverse this condition.

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