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Ordinarily, after ejaculation, a man has no further interest in sexual activity of any kind. For a period of 10 minutes to perhaps more than an hour, or even days for older men. During this refractory period a man is physically unable to achieve another orgasm even if he is able to maintain erection. Alcohol's negative affect on libido increases with age. Smoking can reduce genital blood flow. Finasteride, a drug used to treat enlarged prostate and to stimulate hair growth (Proscar and Propecia), may decrease libido, and in some individuals cause impotence and ejaculatory dysfunction. And when a man ejaculates, does he release all of the sperm stored in his reserves? - age 18, Ohio For men of normal fertility, sperm creation is a constant, ongoing process. Millions of sperm cells are created each day in the testes; they mature in one to 3 months, after which they're ready to be ejaculated.
Precocious puberty may indicate the presence of an adrenal-genital syndrome, whereas delayed puberty may indicate Klinefelter's syndrome or idiopathic hypogonadism. Prenatal exposure to diethylstilbesterol should be ascertained because this may cause an increased incidence of epididymal cysts or a slightly increased frequency of cryptorchidism. A detailed history of exposure to occupational and environmental toxins, excessive heat, or radiation should be elicited. The reason for this is that the testis has two compartments. One compartment, the seminiferous tubules, produces sperms. The other compartment, the interstitium or the tissue in between the tubules (where the Leydig cells are) produces the male sex hormone, testosterone, which causes the male sexual drive.
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