Monday, October 3, 2022

How Many Nerve Endings Are In The Prostate

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How Does The Male Reproductive System Function

Nerve-Sparing Radiation for Prostate Cancer | Ask a Prostate Expert, Mark Scholz, MD

The entire male reproductive system is dependent on hormones. These are chemicals that stimulate or regulate the activity of your cells or organs. The primary hormones involved in the functioning of the male reproductive system are follicle-stimulating hormone , luteinizing hormone and testosterone.

FSH and LH are produced by the pituitary gland. Its located at the base of your brain and its responsible for many functions in your body. FSH is necessary for sperm production . LH stimulates the production of testosterone, which is necessary to continue the process of spermatogenesis. Testosterone is also important in the development of male characteristics, including muscle mass and strength, fat distribution, bone mass and sex drive.

How Do You Give A Prostate Massage With Your Fingers

If, after talking through a few specifics, youre still not sure where to start, Brown-James has some techniques. Bring your pointer, middle, and ring fingers together, then push up into , Brown-James explains. Stimulating this area with gentle but firm strokes also stimulates the prostate. It’s basically a playground down thereBrown-James recommends techniques like rubbing clockwise for 810 strokes, then going counterclockwise, stroking toward the scrotum or touching the penis while you massage your partners perineum. Even though youve hopefully discussed what youd both like beforehand, you and your partner should talk about what you think you might each like to do and feel and then, if you agree to test things out, try that next, making sure youre each being open about what feels good and what doesnt feel so good in the moment.

Whats The Male Reproductive System

The male reproductive system includes a group of organs that make up a mans reproductive and urinary system. These organs do the following jobs within your body:

  • They produce, maintain and transport sperm and semen .
  • They discharge sperm into the female reproductive tract.
  • They produce and secrete male sex hormones.

The male reproductive system is made up of internal and external parts. Together, these organs help you urinate , have sexual intercourse and make children.

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The Importance Of Penis Sensitivity

You can lose sensation in your penis for a lot of reasonseven during oral sex or penetration. Erections are complicated. You need all of the following things to go right in order to get an erection and keep sensation in the penis:

  • Mental and physical sexual stimulation
  • Adequate testosterone levels
  • Precise transmission of messages through the nervous system
  • And clean, well-functioning blood vessels in the penis and throughout the body
  • You even have to have healthy lungs and heart to engage in sex to the point of orgasm

Anything wrong in any of those systems can interfere with getting and maintaining an erection. Most importantly, many of those health problems can also alter how the penis responds or feels. If youre noticing a loss of sensation in the penis, talk to a doctor about what might be causing your erectile dysfunction.

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If Youre The Giving Partner

Schematic of the Cavernous Nerves and their preservation ...

Cleanliness and safety are a must, even for the giver.

Cut and file your nails smooth to help avoid scratching or tearing the delicate skin in and around the anus.

Wash your hands thoroughly, even if youre planning to use a condom over your finger to penetrate your partner. For extra comfort, stuff cotton balls inside the condom or glove.

You can also get the party started in the shower together, which serves as foreplay and gets you both all nice and clean for the big show.

Youll probably need to try a few different moves and experiment with speed and pressure to find what feels best.

Here are some techniques to try, whether youre using fingers or toys.

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Getting Ready For Entry

Now that weve covered our anatomy, lets talk about getting into position and getting ready to bottom.

Some people like to douche before anal sex. It usually takes several hours for food to migrate into the lower bowels, so dont worry if youve eaten just before you want to douche. Unless you have an irritable bowel, food wont be coming out too soon. Keep in mind that caffeine and foods high in fiber can accelerate mobility to the lower bowels, though. Leave some time before sex if youre going to douche.

Weve already talked about relaxation. The mind body connection is vital in creating positive experiences, so being aware of what state your mind is in will express how your body reacts. Its best if you are fully relaxedand that includes your anus. Taking deep breaths can help, but mostly, trust with your partner is paramount.

Placing some lubrication around the external sphincter can reduce the risk of tearing. Lube can also help with comfort!

As your top begins inserting, bear down. What, what?!

The rest is easy as long as its enjoyable. Stay relaxed and enjoy the ride the best you can!

Manage Any Diseases And Medication

If you have diabetes, complying with medication, and recommended lifestyle changes can help prevent nerve damage, including to the penis.

If you have Peyronies disease, your doctor might prescribe collagenese clostridium histolyticum , which breaks down the excess collagen thats forming scar tissue in the penis and reducing sensation.

If medication, such as an antidepressant, is causing decreased sensation in your genitals, you can consult with your healthcare provider about switching to another drug.

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Can I Do Or Take Anything To Speed Up Nerve Regeneration

I recommend to my patients that they stimulate themselves 2-3 times a week and take a Viagra tablet at least once a week as well. This encourages nerve regeneration and increases blood flow to the penis. There are three tablets in the same family as Viagra that you can take: Cialis , Levitra and Viagra itself . There is evidence that taking one of these tablets regularly after prostate surgery speeds recovery of potency. All three work by increasing blood flow to the penis, and while they wont give you an erection on their own, they make it easier to get one with stimulation.

Not all patients want to take a tablet for potency and there is no compulsion to do so. Please do be aware that there are common side-effects associated with this increased blood flow, including headaches, facial flushing and indigestion.

The Anatomy Of Your Butt

A Urologist answers: Does prostate massage have any health benefits?

Being informed about your anatomyknowing where things are located in your bodyis an important first step for anyone having anal sex.

During anal sex, the penis is inserted into the anus, past the external and internal sphincter muscles, and into the rectum. The rectum is connected to the sigmoid colon, which is where poop is collected and stored by your body before you are ready to take a poop.

It can take 2-10 hours until it fills up and you have to defecate. That means theres quite a bit of time in between when you eat and when your colon fills .

External and internal sphincters: relaxing & stretching

When we talk about stretching the muscles for anal sex what muscles are we talking about?

The external and internal sphincters need to stretch open, or relax, to allow entry. You can control your external sphincter consciously, while the internal sphincter is not under voluntary control, and may need some additional coaxing to relax. This is one difference between smooth muscle versus a skeletal muscle.

When people experience pain during anal sex, a simplified reason may be that the external sphincter is not relaxed before their partners penis goes in.

Nerve endings

Nerve endings produce sensations through light touch or pressure by transmitting information from an external stimulus to your brain. Around your anus, there are many nerve endings that can produce pleasure .

The pelvic floor

The shape of your rectum

Your rectum: Is there poop in it?

Your state of mind

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Sex Is Mostly Between Your Ears Not Your Legs

The largest, most important and most active sexual organ of the body isnt a penis or vagina. Its the brain and its structures.

The brain is responsible for our emotions, our perceptions , our memories for regulating and controlling our central nervous system, our cardiovascular system, our endocrine system and our senses. The hypothalamus of the brain is responsible for the secretion of hormones that influence sexual feelings and response, like oxytocin, vasopressin, serotonin and dopamine. The brain receives and processes messages from your sensory organs, giving you and other parts of your body information about how something looks, sounds, tastes, smells and feels to you. It’s also the brain that sends and receives signals regarding blood pressure, heart rate, body temperature and how we breathe: all huge parts of sexual function, experience and response.

Not everyones brain works the same way — not by a serious long shot — and sometimes wires can get crossed. Also, if you have any kind of paralysis the signals from parts of your body to your brain may not move as fast as someone elses or they may be silent altogether. This doesnt mean you cant feel things, mind: even with paralysis there are few absolutes. You may have been told one thing by a doctor, but we think the best way to find out whats possible is to explore on your own.

Sex hormones:Grr!

What Does A Prostate Orgasm Feel Like

P-spot orgasms are said to feel similar to penile orgasms, only way more intense and felt through the entire body.

There are reports of people having super orgasms, which are a stream of fast, continuous orgasms that cause the body to shudder.

Not everyone ejaculates during a prostate orgasm, but some release a dribble of milky fluid from the urethra.

A little bit of prep can help make the experience a good one whether youre flying solo, or on the giving or receiving end of things.

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Why Do Nerves Need To Regenerate If They Were Not Removed

Nerves can still suffer trauma and minor damage during a radical prostatectomy, even if they were preserved. They need to be delicately separated from the prostate itself which is to be removed, and that does involve bringing them into contact with surgical tools which can leave them stretched, bruised and swollen. This limits how well they work. A good surgeon will of course seek to minimise this, and the more experienced they are of handling nerves, the better the patient outcome. Nerve fibres in this location are also particularly susceptible to damage because they lack the usual myelin sheath of most nerves in the body. So some recovery time is required here for the nerves to heal.

The second reason for a recovery period is that the small arteries that travel through the prostate to the erectile mechanism are interrupted when the prostate is removed, so the blood flow through the other arteries to the penis has to increase to allow sufficient blood flow for erections. In some patients this process takes time for the body to adapt to the changes. This is not nerve regeneration specifically, but another aspect of the recovery process that patients should be aware of.

The Anus Rectum And Perianal Region

Prostate Lymph Drainage Usmle

Everyone has an asshole . The nerves and muscles within and around the perianal area play a part in the genital sensations of sex even if no one is engaging in any kind of anal or perianal sexual stimulation or sex whatsoever.

The anus — the external opening to the rectum, visible between your butt cheeks — is surrounded by two concentric rings of muscle: the internal and external sphincter. The external can be voluntarily controlled the internal cant. The anus is rich with sensory nerve endings: it has half the nerve endings in the whole pelvic region and those are interconnected with other pelvic muscles. Like the vagina, most of those nerve endings are concentrated around the opening and just inside the rectum. The anus is unlike the vagina in that it does not self-lubricate.

The pudendal nerve something else we all have — is located in the perianal region at the bottom of the spinal cord, and for folks whose nerve pathways arent being disrupted in some way, its quite the powerhouse. It supplies nerves to the bladder, anus, perineum, penis, areas around the scrotum and the clitoris. It divides into two terminal branches: the perineal nerve, and the dorsal nerve of the penis or the dorsal nerve of the clitoris. A lot of the feelings people have in their genitals and pelvis during orgasm including the spasms people can feel with orgasm or ejaculations — are because of the pudendal nerve as well as the pelvic nerve.

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How About Giving A Prostate Massage With A Toy

If youre using a sex toy, only opt for one that is specifically made for anal play, meaning it has a flared base or some other feature that makes it so that nothing can go in that cannot come back out. You might try something like the Booty Bling Plug , but there are also toys made specifically for prostate play. The Hugo Prostate Massager is a sleek toy with two motors for pressure and vibration, and the Duke Vibrating Prostate Massager has a unique shape that targets prostate stimulation along with perineum pressure and is meant to create a real feeling of fullness. Even if you dont grab a toy specifically for prostate play, please dont use random things lying around your house to explore prostate pleasure. Every physician whos ever worked in the ER has a story of a household anal sex toy gone awry, Hong warns. If you can imagine it, its probably been up the rectum.

If this is all feeling good to your partner, they may orgasm from the stimulation. Dont be nervous if theres a climax that doesnt involve ejaculationaccording to Brown-James, that can happen during prostate play. As long as you and your partner are enjoying yourselves, the journey is way more important.

When Is Nerve Preservation Not Done

The term nerve preservation or nerve sparing during radical prostatectomy refers to preservation of this second set of nerves . When these nerves are not preserved it is not because they have been accidentally damaged, but because either one or part of one has been removed to ensure that the cancerous cells are fully removed. This is known as cancer control.

You can see how the location of the prostate cancer on the left side of the prostate specimen below allowed full nerve preservation on this side whereas the tumour on the right side of the prostate was invading the NVB, which meant that NVB removal on this side together with all of the tissue surrounding it was necessary for good cancer control.

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Sexual Function After Surgery

Many men worry about whether surgery for BPH will affect their ability to enjoy sex. Some sources state that sexual function is rarely affected, while others claim that it can cause problems in up to 30 percent of cases. However, most doctors say that even though it takes awhile for sexual function to return fully, with time, most men are able to enjoy sex again.

Complete recovery of sexual function may take up to 1 year, lagging behind a persons general recovery. The exact length of time depends on how long after symptoms appeared that BPH surgery was done and on the type of surgery. Following is a summary of how surgery is likely to affect the following aspects of sexual function.

Is It Easy To Orgasm This Way

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Lets say it may take some practice and patience.

Actual clinical research on prostate-induced orgasms is seriously lacking, so we dont know how common it is or if its possible for everyone with a prostate to have this type of orgasm.

Every body is different, so some experimenting to see what feels good is in order. If you do manage to have one, reproducing it will be easy.

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How Do You Prepare To Give A Prostate Massage

When it comes to sex, there are two kinds of safety: physical and psychological. Psychological safety starts with permission, Hong explains. Prostate stimulation is not something you surprise withit takes some preparing, Lexx Brown-James, Ph.D., L.M.F.T., tells SELF. That means bringing it up verbally before getting down to business. A simple You know, theres something Ive been really excited about trying… can help start the conversation, Brown-James says.

If you and your partner both agree to try it, youll also need to account for physical safetywhich boils down to avoiding anal trauma. So it might be helpful to learn a few best practices before you talk to your partner, TBH. This way you can discuss any concerns they or you might have.

The first step in safe prostate play is washing your hands with good old soap and water. You can use these handy instructions from the Centers for Disease Control and Prevention . As you probably know from the new coronavirus pandemic, keeping your hands clean is one way to avoid spreading germs on your hands to the eyes, nose, or mouth. Its also a good time to mention that you dont need any special antibacterial soap for this. As SELF has previously reported, tried-and-true hand soap will do the trick.

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