Hello all,

I had my jpouch surgery in December 2004. I recently got married and have concerns during sex.

I can't seem to ejaculate when I am inside my partner. I always need to pull out and help myself to it. It is rather concerning that I can do so when I pull out and not during. I do spend a long time inside her thrusting but do not experience anything. I am rather worried that the surgery might have damaged some nerves? Your advice is greatly appreciated as me and my partner are rather concerned. Thanks in advance.

If you haven't already, it's worth a look at the men's discussion forum. If you had nerve damage though I'd have thought you would still have those problems when you pull out. I would speak to your doctor about it.

This sounds like a form of erectile dysfunction and it can be temporary due to some trauma to the nerves during surgery. This is sort of like bruising or swelling that will resolve over some months and up to a year. After that, it could be permanent. The fact that you are able to ejaculate is a good sign and just means that you need extra stimulation. You may want to try stimulating lubricants, such as K-Y Warming Gel (I can personally vouch for its effectiveness).

If that fails, you may find that drugs such as Viagra or Levitra may be helpful right now while this final healing takes place. These drugs can be just what what you need to maintain a strong erection with less stimulation. Your primary doc or surgeon can prescribe them for you. However, if you take nitrates for heart disease, you cannot take them.

If this symptom persists even with medication, then a referral to a urologist is in order.

Jan

Since you've had your jpouch a while it doesn't sound like any post surgery trauma. It's true that this surgery has a risk of hitting your nerves, but I understood it was an obvious sideeffect. The fact that you're able to get a full erection means that your nerves should be just fine, also if you can ejaculate on your own, there should be no problem.

It is more likely to be a personal state of being. Mens sexual health is affected greatly by self-confidence, happiness, being loved, etc. I've had great help from a hypnotist in this regard. You have to ask yourself if your jpouch has affected your confidence.

There are too many nutrients and vitamins to talk about related to men's sexual health, but it's worthwhile to read up on nutrient health if you want to test this. I've changed my diet and it has made a difference on my sexual health (protein, cholesterol, EFA's, plant sterols, vitamins processing fat, etc).

If you want to experiment with trying to improve the synapsis of your nerve endings there are some supplement routines you can try. The interesting thing about nerve vitamins is that through processing we've removed most of them from our food system, so the only place to get them in reasonable amounts is through supplementation. Read up on these because i know it's a questioned practice.

B1 (thiamine/thiamin) has been used for nerve problems such as multiple sclerosis, bell's palsy and neuritis. It has also been used for fatigue, irritability, low morale and depression. So it's really your nerve/emotional helper. Natural sources are difficult because it's usually in the germ and bran of wheat, brewer's yeast, molasses, etc. It's destroyed in cooking and is depleted by sugar, coffee, tannin, nicotine and alcohol. The only sources I could recommend is raw uncooked spinach or avocadoes. Look around there might be more, read up on it for suggested supplementation amounts.

Choline is an integral part of the neurotransmitter acetylcholine. Its availability preserves the integrity of the electrical transmission across the gaps between nerves. Also difficult to get from food sources.

Inositol has been used as a memory enhancer etc. Helps with certain brain functions. Difficult to get from food sources.

The body can create the last two on it's own through certain means.

Sorry, i'm cutting this short. I have to go somewhere, but i hope that helps a little.

cheers

"The interesting thing about nerve vitamins is that through processing we've removed most of them from our food system, so the only place to get them in reasonable amounts is through supplementation."

I just wanted to speak about this because there really is no evidence that this is true. While processing does remove some B vitamins, enrichment replaces them. All you need to do is eat some fresh fruit and vegetables in your diet and you are OK. If you get an adequate amount of food, you should be fine in the vitamin department, unless you do not eat a varied diet. Of course, vitamin deficiencies do occur, but they are not as common as we are led to believe. I do not want this to become a debate and I do agree that you should read up on this topic. I just did not want you to think that something as simple as diet supplements will solve a medical problem. Best to find out if there is a medical issue first.

There is a place for supplements and for the most part they are harmless. Just do your homework.
http://www.quackwatch.org/01QuackeryRelatedTopics/spotquack.html

I suggest you get your nutrition information from the American Dietetic Association:
http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/nutrition.html

Jan

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Jan ,
I take your point about reserching the medical issue first but I must say something about quoting from Quackwatch. This website is outrageously anti anything natural .For example the article you quote actually claims that there is no more nutritional value in organic food when it is blatently not so as the latest 16 year study recently has shown. I wouldnt take advice from this website, I value my health too much.
But I digress apologies.

Not to be argumentative, but Quackwatch.org is a HON Code compliant site and is not anti-anything natural. It is only anti-deception in medicine. It has Chiropractors and other alternative medicine practitioners on its boards to help weed through unfounded medical claims. Perhaps your definition of nutritional value differs from their or my definition (which is the actual nutrients derived from a food). This is not to say that organically grown foods may not be safer, due to lack of pesticides or other potentially harmful chemicals, only that the nutritive value of an organically grown apple, for example, is the same or similar to the commercially grown apple.

However, it is perfectly fine not to believe what is in the articles in that site, but I doubt that anyone's health is threatened by following any of the recommendations in it, particularly since what is said is backed up by evidence based science (which I know many people do not believe in). I also know that many in the alternative medicine field constantly fight Dr. Barrett. If you read the mission statement, you will find that the goal is to uncover misleading claims. Granted, many of his articles need updating and he tends to go on and on. http://www.quackwatch.org/00AboutQuackwatch/mission.html

I can definitely agree on one thing, that often his articles are pretty over the top.

I wanted to amend my response here, as Martain kindly pointed out a recent study in the UK that just days ago issued an early result press release. Newcastle University performed an expansive, 4 year, comparative study of organic/conventional farming. The results showed that indeed there was an increase in nutritive value (antioxidants in particular) in the organically grown produce. This was up to 40% (the average or mean was not stated) can could possibly mean you would need to eat less organically grown produce to obtain the same antioxidant levels in conventionally grown produce. The results will be published over the next year and could potentially alter official stances on organic foods over the next few years. So there is evidence building in this area.

Yet another reason to make sure your research is up to date...

Jan

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