Is It Worth the Risks? The grassroots, no-holds-barred CareCure Community Relationship and Sexuality Forum is a thriving online resource for those with spinal cord injury. Why such a strong interest in ejaculation? I call it the ejaculation affirmation, a term I coined while working on my research on pleasure and orgasm in people with spinal cord injuries.
Their lovers needed to see the white with their own eyes. For most people who have sex with men, ejaculation provides the affirmation that they pleased their partner. Glossary TENS — Transcutaneous electrical nerve stimulation is the use of low-voltage electrical current for pain relief.
NMES — Neuromuscular electrical stimulation uses a device that sends electrical impulses to nerves. This input causes muscles to contract. The electrical stimulation can increase strength and range of motion, and offset the effects of disuse. EMS — Electrical muscle stimulation is the use of electric impulses to cause muscle contractions.
It is synonymous with neuromuscular electrical stimulation. Ejaculation also affirms our manliness. Ejaculation in men is associated with the feeling of completeness. And ejaculation is primal; it is responsible for the survival of the species. While the focus of my work with men is often shifting their emphasis off the goal of ejaculation and on to pleasure and learning to experience orgasm from stimulating other areas besides the genitals, the desire to want to restore this basic function after injury is certainly understandable — and something I support.
But the pseudo-scientific world of off-the-shelf stimulators, electrode pads and pulse amplitudes should not be approached lightly. Caution and due diligence are always wise. So just how do we go about this? Start With Vibratory Stimulation As enticing as electro nut busting may be, for the great majority of men with both complete and incomplete SCI who no longer ejaculate through manual, oral, vaginal or anal stimulation, vibrators are the safest tools to use, especially in the beginning.
We have relied on vibrators to provide the added stimulation necessary to evoke ejaculation at home for decades. Vibratory stimulation has been shown to be a relatively safe and effective technique in men with certain types of SCI and other neurological impairments such as MS and transverse myelitis. It is most successful with men who have complete injuries at T10 or above, or incomplete injuries both assuming a neurologically intact lumbosacral cord.
We have used nitroglycerin tablets only in people with very labile blood pressures [may fluctuate abruptly] who require extra management in addition to nifedipine. Besides being very painful and taking away from your ejaculatory experience, it could leave you more disabled or dead.
I encourage you to at least get a home blood pressure cuff to monitor yourself. Over-the-counter vibrators are low-amplitude and work for maybe percent of all men with SCI. The ideal vibrator is a high-amplitude medical model that works on percent of men with injuries T10 or above and for about 70 percent of men with injuries at all levels.
Try stimulating the shaft of the penis for about a minute, then focusing in on the frenulum on the underside of the penis next to the coronal ridge of the glans or head of the penis for another minute. Use the vibrator for only a couple of minutes at a time with at least a couple of minutes rest from the vibrator in between to avoid skin breakdown and excessive swelling. Some swelling is likely. It is very important not to stimulate yourself too long with the vibrator to maintain your skin integrity.
When you are resting from the vibrator, you or your partner can continue to stimulate your penis manually or your partner can stimulate you orally. Massaging the perineum, the area between the base of your scrotum and your anus, while you are being stimulated with the vibrator may also help.
I went to the scientific literature, but there was nothing on men with SCI using e-stim at home for this purpose. Lance Goetz on the addition of NMES of the abdomen to the vibrostimulation protocols, which increases the success rate of vibrostimulation significantly [http: Based on my rough analysis, there were about 31 guys and one brave woman who experimented with either vibrostimulation or e-stim contributing to this wealth of knowledge.
I have not been able to enjoy relations with my husband or have any desires by myself for over two years, and I used this first link with my Com-TENS unit with four pads and it did the trick, ladies! Of the group, 11 experimented with a vibrator and seven resulted in ejaculation. There was very little explicit discussion about pleasure and orgasm, with one person with a complete injury sharing they had both from vibrostimulation. Of the 26 men in the discussion who tried e-stim, 22 reported ejaculation.
Five people specifically mentioned using this for fertility reasons. Ten explicitly noted that it was pleasurable, and two said it was not. Two, both with complete injuries, described the experience as orgasmic. The pioneer user who started the thread was one of them. He posted this raw response [edited lightly]: The next moment, pump-pump-pump-pump … I have shot a load like in good old times. I have turned the EMS off and savored the feeling, a good, relaxed state, for a long while.
Here is one typical story: I finally got it with four pads! Had a headache for three days. Had to ice my head every night just to get it away … the AD was too much. Gonna try to go slower this time round. This experience can be a blessing and a curse. Together this online community worked to share and refine protocol for unit selection, electrode choice and placement, settings, and timing. So what do you need to get started? What size and type of electrodes? However, many units marketed today come pre-programmed with modes for both.
This is everything you need to get started. Some people reported better success using rings or bands rather than square electrodes. These come in single pole and bi-pole.
For help in this area I turned to Gary, the owner of happystim-usa. I could not find much on Amazon, and there are a lot of confusing options on specialty sites. Gary was generous with his time and gave me a lesson in basic electronics and e-stim. Gary told me to think of a tubular fluorescent light bulb. Your penis is like the gas in the tube. The electrical charge runs through it with the negative attracting the positive. A TENS pad is considered a single pole electrode because you plug one wire into a single electrode.
It takes two single pole electrodes to complete the circuit, one charged by the negative branch of the lead wire and the other by the positive red branch.
A bi-polar electrode is technically an electrode that has two single pole electrodes fixed on one unit. The closer two electrodes are to each other, the more intense the stim. Electro nut busting has the potential to be orgasmic, but most are doing this just because they can. There are the guys who experience physiological sexual pleasure, some not as good as before, some the same.