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MALE SEXUAL ANATOMY: THE EPIDIDYMIS AND VAS DEFERENS
The seminiferous tubules (the tubes where sperm are produced) empty into the epididymis, a highly coiled tubing network folded against the back surface of each testis. Sperm cells generally spend several weeks traveling slowly through the epididymis as they reach full maturation. From here, sperm are carried into the vas deferens, a long tube (approximately 40 centimeters, or 16 inches) a pair of which leave the scrotum and curve alongside and behind the bladder. Both the right and left vas deferens are cut when a vasectomy is done through which urine passes) as it exits from the bladder. The relationship of the prostate to the urethra is like a large bead (the prostate) on a string (the urethra). Because the rectum (the lowest part of the bowels) is directly behind the prostate, the prostate can be examined by a physician during a rectal examination. This is important because the prostate can become infected or cancerous.
The prostate produces clear fluid that makes up about 30 percent of seminal fluid, the liquid that is expelled from the penis during ejaculation. The other 70 percent of seminal fluid comes from the seminal vesicles. These two small structures lie against the back portion of the base of the bladder and join with the ends of the vas deferens to form the ejaculatory ducts. These ducts in turn join the urethra, thereby creating a continuous tubing system that leads to the end of the penis.
On the average, there are 3 to 5 milliliters (5 milliliters = about one teaspoonful) of semen (seminal fluid plus sperm) per ejaculate. Although the concentration of sperm is highly variable, depending in part on the frequency of ejaculation, a count of 40 to 120 million per milliliter is considered normal. This means that there may be 120 to 600 million sperm in a single ejaculate.
Seminal fluid ranges in color from whitish to tones of yellow or gray and has a creamy, sticky texture. Right after ejaculation, seminal fluid is rather thick but then it liquefies quickly. It
consists of water, mucus, and a large number of chemical substances that include sugar (providing an energy source for sperm), bases (for neutralizing the acidity of the male urethra and the female vagina), and prostaglandins (hormones that cause contractions in the uterus and Fallopian tubes, possibly aiding upward transit of sperm).
Cowper's glands are two pea-sized structures connected to the urethra just below the prostate gland. They produce a few drops of fluid, which sometimes appear at the tip of the penis during sexual arousal but before ejaculation. Some men never notice this pre-ejaculatory fluid, while others may produce a teaspoonful or more of this slippery secretion. Although this
pre-ejaculatory fluid may buffer the acidity of the urethra, there is no certainty about its function. Occasionally, the pre-ejaculatory fluid contains a small number of live sperm cells, accounting for at least some of the "failures" as a method of birth control of withdrawal of the penis before ejaculation.
Men's Health Erectyle Dysfunction
MAINTAINING A GOOD SEXUAL RELATIONSHIP
As superfluous as it may appear, it is nonetheless important to mention at the outset of this discussion the fundamental significance of a clean and attractive body to successful sexual interaction. Sex appeal is most certainly not confined to the marriage bed; it exists between the partners at all times, and should be carefully nurtured. By attractiveness, facial and bodily handsomeness is not implied; rather, attractiveness means scrupulous cleanliness of body and clothing, and taking the greatest advantage possible of all the physical endowments that nature has seen fit to bestow on each of us. Not everyone can be beautiful, but there is no excuse for anyone's not being attractively neat and clean at all times.
A man who is overweight, chronically unshaven and slovenly dressed, and whose breath reeks of tobacco or alcohol, can hardly expect to be considered a desirable bed partnereven after a session with shower, toothbrush, and razor later in the evening because his wife's memories of his earlier unattractiveness will simply detract from the excitement of the experience. Similarly, a woman who neglects to make up her face, sits around home in bathrobe and curlers, allows herself to become significantly overweight or underweight, permits even faint urine, vaginal, or underarm odors to emanate, or does not often shave her legs and underarms is setting the stage for a loss of respect, admiration, and even love; sexual failure cannot then be far behind.
Certainly before joining each other in bed, whether or not sexual activities are anticipated, each spouse should see to it that he has at least a clean body, fresh breath, and neat, attractive nightclothes. To do otherwise is to deny to the marriage bed one of the basic ingredients for a happy sex life.
The sense of smell is almost as important in sexual stimulation as the sense of sight is. There is a physiological relationship between the tissues of the nose and of the sex organs, as was described earlier. Conditioning factors also are frequently present in the relationship between the sense of smell and sexuality. During courtship, for example, the faint scent of a girl's perfume or of a man's after-shave lotion may become associated with their love and subsequent sexual arousal. After marriage, the same pleasant scent may well serve to reestablish the excitement that developed in the atmosphere of courtship. Conditioning quite naturally involves many sensory elements other than smell. Almost any occurrence during the period of courtship that forms an association with love and passion can later be woven advantageously into the fabric of the couple's sexual interaction.
The qualities of courtesy, kindness, and sensitivity to the needs and desires of others are fundamental to all successful human relationships; most particularly are they vital to sexual associations. Bearing in mind the differences in individual needs and desires, it is incumbent upon each person to discover what, precisely, offers the greatest pleasure to his partner in the sexual relationship. Genuine efforts to incorporate these discoveries into one's technique of sexual approach must be made before one may expect complete emotional fulfillment. For example, some partners prefer the conversation during sexual activity to be quite earthy, even to the point that the expressions used would be vulgar under other circumstances. Another couple might be shocked by such utterances, preferring to speak to one another softly in tender and loving words.
Pace, as well as style, is also a matter of individual taste. However, it is ordinarily wisest to proceed slowly and gently, with the goal in mind of bringing gratification to the partner rather than hurrying to satisfy one's own needs. One should not hesitate, furthermore, even to sacrifice one's own present fulfillment altogether if it means giving greater pleasure to the spouse; not only is it a generous and loving thing to do, but it will assuredly pay handsome dividends later. The best, and certainly the least stressful, way for each partner to determine the specific amatory desires of the other is to open wide the doors of candid communication. Neither partner is clairvoyant, and an inadvertently offensive gesture or clumsiness might impede the present response, and inhibit response in similar circumstances at a future time.
Variations in sexual approach and in the settings can add considerable spice to marriage. Too often sexual acts become ritualized, stale, and unimaginative, engaged in only to provide relief to physical urgency. Couples who wish to preserve delight and vigor in their sexual interaction will work as consistently on this aspect of their marriage as on any other. A husband who impulsively sweeps his wife into his arms in the middle of a happy afternoon and carries her off to the bedroom and makes wild love to her, or the couple who occasionally has sexual intercourse while taking a shower, or the wife who surprises her husband by appearing in his study wearing nothing but a smile and two cold, very dry Martinisthese couples are not likely to find sex dull, even after years of marriage. The playing of soft music, using mirrors to observe closely the intimacies of the sex act, perusing sensuous literature and art: all these can help keep boredom out of the bedroom.128 Men and women both want variety in their sexual lives; and if this ideal is reached within their marriage, there is considerably less likelihood that either husband or wife will seek it elsewhere. Imagination and willingness to experiment, coupled with an air of confidence and consideration, will serve most marriages very well.
Men's Health Erectile Dysfunction