Is it harmful to the body to have intercourse outside the body?

Patient's question:

Please ask: Is withdrawal (ejaculating outside the body) the same as stopping ejaculation, where ejaculation occurs outside the body without entering the female's body? Some doctors say it's harmless to the male body, while others say it's harmful. I'm really confused now—does it actually harm the body? Please give a precise answer to my question. Thank you!! First follow-up question: It's not just about suddenly interrupting intercourse during climax to prevent ejaculation, which can affect the occurrence of climax and lead to a lack of sexual satisfaction. Over time, this can cause nervous exhaustion, and some men may develop sexual dysfunction, such as premature ejaculation or impotence. Is this true? I'm not very clear about it. Please help me!!

Doctor's answer:

Under normal circumstances, withdrawal before ejaculation is harmless to the body. However, frequent withdrawal can lead to persistent chronic congestion of the sexual organs, making it easier to develop chronic inflammatory conditions of the genital organs, such as urethritis, prostatitis, and seminal vesiculitis. Long-term inflammation can affect the quality of normal semen, leading to a decline in fertility. If you experience discomfort, you can visit our reproductive infection specialty department for diagnosis and targeted treatment. Additionally, pay attention to maintaining a regular lifestyle and exercising more.
The withdrawal method of contraception is simple but unreliable, with a high failure rate. The reason for failure is that by the time the penis is withdrawn from the vagina, a small amount of semen may have already entered the vagina. Since the actions of impending ejaculation and actual ejaculation are continuous and occur in a very short time frame, most men cannot accurately the timing, leading to failure to withdraw the penis from the vagina in time when nearing orgasm. This allows the first semen to be released into the female's vagina, and since this portion of semen contains the highest number of sperm, it can easily result in pregnancy.

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