A Plague of Abundance
Posted: Mon Jun 03, 2024 10:44 am
A Plague of Abundance
Fiction by SensoryOverlord, 20150403
Strong sexual content: consensual, non-consensual, MF, Fm, teens, toys, mast, exhib, org-denial, SF, medical.
The future 'CDC' referred to is entirely fictional and is in no way related to the present-day CDC.
Any similarity of name and document format to existing web sites is artistic licence.
All names of persons, organisations and products in this story are fictional.
(This is a TXT version of a formatted html original. So the 'illusion of official document' is broken.)
Still seeking a sensible image server, to add the few images.
Part 1 of 3
%%% image: CDC Health Alert Monitor - Update: Global Pandemic of the Fong Virus
Summary
=======
The Centers for Disease Control (CDC) continue to work closely with US and Foreign governments to coordinate global response to the Fong Virus pandemic. Overall fatality rates continue at the same very low level. Research continues towards a cure or immunization, but has as yet been unsuccessful. Primary difficulties arising from the pandemic continue to be social in nature, although cultural adaptation is proving to be a viable strategy.
This report presents a review for public information, of the clinical and cultural responses at present time to the Fong Virus.
Background
==========
Fong Virus is a member of the influenza family. It was the result of an unintentional hybridization during legally approved genetic engineering research by Lucy Fong at the Shenshan Research Institute in Beijing, China, followed by accidental escape from level 3 containment. It has now been in global pandemic stage for 5 years. No cure or preventative is known.
The Chinese research program was intended to produce a gene-editing retrovirus able to switch on controlled-growth cellular mitosis in specific targeted human cell lines in-vitro, with the purpose of growing replacement organs for transplant.
The accident involved coding the virus payload activation binding receptor sites to an incorrect tissue type. Due to a sample contamination issue, instead of the intended target of human kidney cells, batch J47-23 of the virus was target-coded for human seminal vesicle epithelial cells. The resulting strain of Fong virus works per design, inducing relatively stable and predictable rates of growth in secretory structures within the seminal vesicles' lumen. Coherent structuring is maintained for the appropriate tissue type. Cell line replication rates are boosted only for the duration of viral activity.
Mortality
=========
Infection mortality per 100,000 population: 0.25. This is a relatively minor 22% higher than the low rate for other mild influenza strains in the general population. In general Fong Virus fatalities occur only in immunologically challenged individuals (due to age or other illness) combined with inadequate medical care during infection.
Primary Symptoms
=================
Symptoms typically last one to two weeks. Visible and perceived symptoms are identical to mild flu, except in one respect. During the active infection in males the seminal vesicle secretory tissues grow vigorously. Overall mass increase of the vesicles' secretory lining cells in healthy adult males can be 3 to 10 times original, with a corresponding increase in secretion rate.
In females the seminal vesicles are usually absent, however due to embryonic developmental variability during sexual differentiation, some females do possess homologically equivalent structures. These are associated with the prostate-equivalent glands adjacent to the urethra, commonly known as the G-spot. There is a wide statistical spread of size and functional competence of this set of vestigial male organs in the female population. Around 3% of females contracting Fong Virus will experience some degree of secretion-amplification with secondary effects similar to those seen in males.
Due to a little understood quirk of the virus' interaction with hormonal levels, male teenagers in the first 5 years of puberty (typically 12 to 17) are particularly susceptible to Fong Virus seminal amplification.
Fong virus infection in this 'recently pubescent' group typically results in a seminal production increase 50% higher than the average for older males. This age group averages an increase of between 7 to 15 times their original secretion rate.
The spreads quoted include individual and treatment variations, with few outliers seen beyond those ranges.
Secondary Symptoms
==================
Male patients with active Fong Virus infections invariably develop pronounced secondary symptoms of elevated seminal production rate and associated rapid seminal pressure accumulation. In general this can be characterised as a greatly heightened rate of increase in perception of sexual need, and an amplification of the normal male sexual reflexes. Spontaneous erection occurs with increasing frequency, and the individual will express in words and body language an increasingly urgent desire for relief. If sexual stimulation is prevented, nocturnal emissions become proportionally more common, and in many individuals spontaneous emissions will also occur during waking hours.
Increased incidence of spontaneous ejaculation
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Males in the 12 to 17 year age range are below the legal age of sexual consent in most countries, and may or may not have parental restrictions on self-gratification. Restrictions may also vary in practical effectiveness. For pre-Fong teens who are indeed abstaining from deliberate sexual stimulation, the mean interval between spontaneous ejaculation lies in the 5 to 20 days range, tending towards the shorter intervals at the upper end of the age range.
During sleep, inhibitory influences from the brain on ejaculation initiation are absent, resulting in nocturnal emissions occurring more frequently than waking spontaneous emissions. In pre-Fong individuals, a nocturnal emission at typical intervals results in seminal pressure never entering the range in which waking spontaneous emission occurs even in complete absence of physical or psychological sexual stimulation.
Post-Fong, intervals between spontaneous ejaculations diminish in proportion to the increased seminal production rate.
For all age groups above puberty and denied external sexual stimulation, those in the higher range of seminal production amplification will likely experience multiple waking and nocturnal emissions daily.
With the higher seminal production rates post-Fong, in many individuals their seminal volume accumulation is rapid enough that between one sleep and the next, pressures may reach levels sufficient to induce spontaneous, unstimulated, waking ejaculation. This is particularly true for the most susceptible 12 to 17 year old group, where final average interval between waking unstimulated emissions can be as low as 4 to 8 hours. Thus some will experience multiple ejaculation cycles during one waking period.
A further secondary effect derives from the rapid rate increase of pressure. This high delta tends to result in a hyper-sensitization of the sexual perceptions normally associated with high retained seminal volume. As a rough characterization, in the time interval between waking spontaneous emissions, almost all individuals will enter a highly sexually focussed mental state for approximately the final 25% of the interval. The body exhibits a high degree of sexual tension and arousal reflexes, and the individual will express a strong desire for ejaculatory relief.
These effects are of course most pronounced in the 12 to 17 year age group, with their markedly elevated post-Fong seminal production rates.
It should be noted that studies demonstrate no ill effects from allowing the ejaculation cycles to occur at their natural interval in the absence of sexual stimulation. The reader should refer to the section below, on *masturbation* and why it must be avoided in post-Fong males. In the case of minors, and bearing in mind the seriously harmful consequences of post-Fong masturbation, most parents or guardians typically rule out allowing any form of sexual self-stimulation and impose measures to actively prevent masturbation.
High volume of spontaneous ejaculation
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Spontaneous ejaculation typically occurs only once the vesicles and ejaculatory ducts have become distended with accumulated fluid to near their maximum capacity. In that state the male reproductive neural complex involving duct wall dilation sensors, lower spinal ganglia and motor neurones controlling muscular sheaths around the prostate and urethra, are all strongly sensitized. As the sensitization rises, at some point any small signal noise in the neural process triggers a positive feedback in which signals are sent to the prostate contractile tissue motor neurones.
The resulting contraction causes a burst of sensory neurone firings, further contraction, etc. The neural firing rapidly synchronizes into the regular pulses of powerful ejaculation contractions, forcing seminal fluid down into the ejaculatory duct outlet and out via the urethra. The lower ejaculatory duct and outlet sphincter are highly enervated, and the pulses of tight dilation as fluid is forced through result in overwhelmingly positive neural feedback maintaining the ejaculation contraction pulses. These proceed until seminal depletion brings the general ejaculatory duct dilation below the threshold at which positive feedback can be maintained.
Even in pre-Fong individuals, retention of seminal fluids to the stage where spontaneous ejaculation occurs, naturally results in ejaculations of high total volume. The ejaculation process duration is proportionally prolonged, due to the larger number of contractions required to reduce internal seminal volume below the neural feedback maintenance threshold.
In post-Fong individuals this effect is significantly amplified, since the enlarged seminal vesicles present a larger total volume of fluid storage space as well as a more interconnected labyrinthine structure. Fluid outflow rate to the ejaculatory ducts during ejaculation will be somewhat higher than pre-Fong normal range, while the total available volume is also higher. Thus the ejaculation positive feedback process is maintained proportionally longer.
In typical pre-Fong males, orgasm consists of around 10-15 contractions, expressing semen in 7-10 of those. Healthy males would produce 5-10 ml of semen per orgasm, after abstaining for two days. After abstaining until a spontaneous ejaculation occurs, those figures can range from 50% to 100% higher.
For post-Fong healthy young males, volume and duration parameters for spontaneous ejaculations can range from similar, to multiples of their pre-Fong experience. There is a wide variation to the high side, particularly among post-Fong individuals with a history of therapeutic forced seminal retention. This minimizes lifestyle disruption by lengthening intervals between spontaneous ejaculation, achieved via greater holding capacity of the stretched vesicles. However of course ejaculation volume and duration rises in proportion.
Heightened perceptual intensity of ejaculation
----------------------------------------------
Fong virus infection does not directly alter any reproductive structures other than the secretory tissues of the seminal vesicles. The testicles, ductus deferens, ampulla deferens, ejaculatory ducts, ejaculatory outlet sphincters to the urethra, the secretory structure of the prostate and its glandular outlets to the urethra, and the muscular sheath around the prostate, all are initially unchanged.
However the raised rate of seminal vesicle secretion does result in significant functional changes, and long term structural alterations.
The lower final section of the ejaculatory ducts and their outlet sphincters to the urethra are normally held closed by muscle tension, even with high seminal pressure further up in the ducts. Although very small, the lower section of the ducts are densely supplied with dilation sensing nerves. These nerves connect to the spinal ganglia involved in the cyclic contractions of orgasm, and also to the brain's sexual pleasure center. Much of the male's perception of orgasmic pleasure originates from the excitation of nerves in the lower ejaculatory duct and outlet sphincter, as they are stretched open by seminal fluid being forced downwards and through this area by prostate muscular sheath contractions around the intermediate section of the ejaculatory ducts.
As the after-effects of Fong virus develop, the intermediate and upper sections of ejaculatory ducts become permanently enlarged by frequent seminal pressure dilation. Additionally, the muscle groups involved in ejaculation become exercise strengthened by increasingly frequent and prolonged ejaculations.
Elevated capacity of the upper ducts and vesicles, combined with increased strength of the contractile muscles, results in raised volume of flow through the unmodified duct outlet structures during each contraction. The response of the dilation sensory nerves in these sensitive structures is non-linear with dilation, so typical pulse volume increases of 20% to 50% produce very much higher perceived intensity of sensation.
Absolute magnitudes are difficult to quantify in controlled study, however qualitative estimation appears to demonstrate intensity levels well above anything experienced by pre-Fong males. This is underlined by observation of more easily quantifiable factors. During and immediately after ejaculation several indicator conditions occur much more frequently in post-Fong males than in the uninfected.
%%% image: table.png
Notes
* For each table cell, three values are shown. They are in order for ejaculation caused by:
[Spontaneous, mechanical stimulation, vaginal copulation].
Units are percent of the group, exhibiting the effect. For 'spontaneous', subjects were observed at rest with all stimulation physically prevented, until ejaculation occurred. This test was omitted with the pre-Fong groups due to the low probability of spontaneous ejaculation within reasonable achievable time frames of the study.
* 'Uncoordination' is defined as an inability to achieve reinsertion of the erection into the stimulation source, when the source is unexpectedly removed to a short distance from the erection after 2 contractions, requiring the subject to physically reposition themselves using full body coordinated movement. Re-insertion could only be achieved hands-free. Failure to re-insert within 15 seconds and while orgasm continued, counted as uncoordinated.
* 'Vocal extremes' is defined as occurrence of top-of-voice vocalization for at least one quarter of the duration of orgasm. Subjects had been instructed prior to measurement to refrain from making loud noises on the grounds that quiet was necessary for the test. All subjects were tested individually in soundproof rooms, with no awareness of other test subjects.
* 'Sexual stupor' is defined as unresponsiveness to verbal requests, persisting at least two minutes after completion of orgasm.
* 'Fainting' is defined as full loss of consciousness, for at least 15 seconds, beginning at some stage during the orgasm or up to one minute after completion.
* 'Post-Fong' figures are from groups sampled at least one year after full recovery from their initial Fong virus infection.
* All study group sizes were over 250 individuals, selected by random CDC ballot and mandatory participation under the emergency regulations.
* Adolescents were in the age range 14 to 17 years. Adults were in the range 21 to 30 years.
* 'na' is Not Applicable. The combination is not possible.
* 'nd' is No Data. The combination is theoretically possible, but no such cases were observed.
As can be seen from the table, the effects of post-Fong orgasm in males are clearly beyond the range of evolutionary adaptation. Uncoordination, stupor and especially fainting are strongly negative factors in both survival and reproductive success contexts.
Fainting in pre-Fong males during orgasm is virtually non-existent. During the studies, there was <u>one</u> unusual instance of a pre-Fong adult male fainting during mechanical stimulation. This was afterwards determined to be related to a latent heart condition not picked up in pre-screening.
In contrast, ejaculation-induced fainting was relatively common among post-Fong males, with adolescents particularly susceptible. Very nearly half of the adolescent test group fainted during the vaginal intercourse test series --- an extraordinary result.
There is also another unfortunate effect of strongly elevated orgasm sensory perception, with significant ramifications. See *Masturbation Prevention* below.
Sexual arousal --- raised level and duration
----------------------------------------------
During buildup to spontaneous ejaculation, continual firing of the dilation sensing nerves is reported to the brain's sexual areas and consciously perceived as urgent sexual need, typically resulting in a degree of general sexual arousal. The general arousal may be somewhat modified by external social factors and the subject's own consciously willed attempts to control, but is fundamentally a hardwired response to seminal dilation and never fully suppressible. Neural and chemical signalling systems controlling erection are controlled by areas of the brain involved in arousal, but these are only slightly influenced by conscious will. Typically the stimulation levels caused by high seminal dilation result in frequent uncontrollable and persistent erections. Erections will occur spontaneously, and for lengthening durations as pressure accumulates.
There are also subconscious factors affecting general arousal and the ejaculation trigger threshold. In many males, especially the socially and sexually inexperienced such as teenagers, the knowledge that others are aware of the individual's general sexual excitement and especially penile tumescence, tends to act as an amplifier of the physical sexual arousal. Paradoxically, reluctance to be observed ejaculating, combined with knowledge that such a display is unlikely to be avoidable, acts to increase arousal and the inevitability of the embarrassing display.
Persistence of Symptoms
=======================
Once the Fong infection has been defeated by the body's immune system and active viral replication ceases, the extra seminal secretory tissues remain. No further growth occurs. The new tissues are healthy, actively functioning seminal structures, normal in every way except that their total mass, and thus secretion production rate, has been multiplied by some factor during the course of the infection. As a result, the individual's average seminal production rate and need for sexual release continues at the peak it reached during the infection. In fact there is often a further increase noted since during the infection the individual was unwell, but subsequently is healthy, resulting in a further productivity increase and return of corresponding libido.
Ultimately, the long term average seminal emission volume over time must be the same as seminal production rate, since the fluid is not reabsorbed and has only one path of exit from the body. If no sexual stimulation occurs, the maximum interval between ejaculations is determined by seminal production rate, the volume storage limit of the seminal structures, and the pressure in those structures at which dilation sensitivity reaches the threshold where spontaneous ejaculation becomes a certainty.
Some other psychological, physical and environmental factors do influence the spontaneous ejaculation threshold, however inevitably the permanent increase in seminal fluid production rate due to Fong Virus results in a persistent elevation of ejaculation frequency, whether achieved by stimulation, or spontaneously in the absence of sexual stimulation.
Production of prostatic fluid and spermatozoa remains unaffected, so post-Fong ejaculate is generally composed of a much higher seminal to prostatic ratio, with lower sperm count per unit volume. In cases where ejaculation is regularly occurring multiple times per day, prostatic fluid reserves become exhausted, resulting in insufficient PSA inclusion in the seminal mix to cause significant post-ejaculation breakdown of the initial seminal viscosity.
Infection Profile
=================
Fong virus does not exhibit latency. Infections progress in a sequence that varies little between individuals, with virtually all patients developing an effective immune response within three weeks of exposure. There are generally no long lasting effects from infection other than the precisely tissue-selective hypertrophy of the seminal structures. Within three to four weeks after symptoms appear the virus is no longer detectable in the body. However the incubation period is relatively long, up to 16 days from contact to appearance of symptoms. Patients are contagious from one week of contact, until viral shedding ceases. Transmission is via any body fluid (saliva, mucus and semen) as well as airborne droplets from sneezing, and direct physical contact. It can enter the body via any mucosal membrane: nose, eyes, throat, lungs and genitals. The virus is robust, and can persist on surfaces then be picked up on hands and transferred to mucosal membranes.
Females can be carriers, and in most cases show only symptoms similar to mild flu. However due to female variations in embryonic development of the residual male sexual glands, a small proportion of females possess partially developed but functional equivalents to the male seminal vesicles. These are closely associated with the G-spot; the male prostate equivalent.
A proportion of adult females with particularly well developed vesicles, G-spot structures and the dilation-sensing neural wiring will be familiar with experiencing male-pattern increasing sexual need, as their G-spot glands fill and become distended. Most of these women will be familiar with ejaculatory squirting of fluid during orgasm. With such females the Fong Virus acts on the vesicle equivalent structures in the same way as it does in males - greatly amplifying the secretion production rate of the glands. After a Fong Virus infection they find themselves experiencing similar permanent secondary symptoms as males. However the feelings are not entirely foreign to them, just more pronounced.
Other females with functional but marginally developed seminal secretory glands will not be familiar with male-pattern ramping up of sexual tension, though theoretically possessing the necessary structures. For these females, suddenly finding themselves becoming extremely horny then progressing to spontaneous ejaculatory orgasm, possibly several times a day, can be a shock.
No Known Remedies
=================
All the secondary effects of Fong Virus are due to raised population of secretory cells in the seminal vesicles. The vesicles are in all other respects healthy and functional. Due to the difficulty of surgical access, the delicacy of the structures, the intimate proximity of fine neural systems critical to reproductive function, and the considerable risks of severe complications from surgery dorsal to the bladder, no procedure is approved for surgical reduction of seminal vesicle productivity.
Attempts to develop a semi-permanent catheterization solution, using micro-tubes threaded into the seminal ducts to allow fluid to drain continually, did not prove workable. No combination of tube geometry and material was found that did not cause stimulation of the ejaculatory duct dilation nerves in ways described by subjects as 'ghost orgasm' sensations, more or less continuously. The need to wear absorbent pads continuously was also found to be unacceptable to the majority.
Likewise no pharmaceutical methods of reducing seminal output have been found, that do not incur unacceptable negative side effects.
The effects of Fong Virus are therefore considered likely to be permanent over the individual's normal sexually active lifespan.
Ironically, researchers attempting to develop a seminal secretion rate inhibitor did find a class of pharmaceuticals with the opposite effect --- that stimulate seminal secretion rate. Despite being of no use in alleviating Fong Virus effects, some applications exist. The commercial brand Virimax is a single dose tablet with significant effect lasting around 10 days. Seminal output plateaus in the second day, generally at around twice baseline, and is maintained for five days with a slight trail-off, then beginning a faster fall. The 10 day 'effective duration' is the time at which most subjects' output has declined to 30% above baseline. Virimax should not be taken at shorter intervals than 15 days, to avoid a permanent baseline increase cumulative effect. This can however provide a treatment option for those chronically prone to Quatinus Morae (see below.)
No contraindications have been observed for long term use of Virimax at recommended dosages and rates, other than the lifestyle effects of elevated seminal production.
Another class of neuroactive substances was found that inhibit ejaculation by suppressing specific nerve groups involved in driving the muscular contractions of ejaculation. These are very useful for abating the socially disruptive effects of unpredictable spontaneous ejaculation suffered by many post-Fong males. These drugs are widely available over the counter for adults who require guaranteed ejaculation-free intervals, for instance while operating heavy machinery, taking exams, business negotiations, and so on. Parents and guardians commonly use these drugs to regulate ejaculation in their teenage sons, especially those at the high end of seminal productivity.
The two most popular commercial brands are Noorg and EjaGuard. These drugs are safe and free of harmful side effects, even for long term use. They are remarkably specific and effective, achieving complete inhibition of ejaculation regardless of any level of sexual stimulation. Typical dose effective duration is four days, requiring only two doses per week for continual effect. Parents and guardians of teenage males should be aware that these drugs do not suppress the sensations and reflexes of seminal fullness, and so extended use leads to strong sexual frustration, priapism, etc. Both are also availabe via GPs in slow-release subcutaneous implant form, with 1, 2, 6 and 12 month effect.
The ejaculation inhibitors serve a very useful role in situations where male masturbation cannot be prevented by other means. They are effective in preventing the psychological addiction(1) post-Fong males suffer, since it is not actually the physical act of masturbation that creates the addiction, but rather the overwhelming intensity of orgasm in the post-Fong sexual system. The ejaculation inhibitors prevent orgasm, and so although any male denied orgasm for an extended period (especially if post-Fong) will attempt masturbation as often as possible, the orgasm-addictive effect is avoided.
With the ejaculation inhibitors, seminal leakage due to increasing pressure becomes inevitable. The interval until leakage is more or less constant depends on individual production rate and seminal reservoir capacity. Virimax is approved for use in conjunction with Noorg or EjaGuard, and this combination is advised and in common use where persistent erection combined with visually significant seminal leakage is an intended effect. A commercial over the counter product is available, providing a one month series of combined dose tablets. Called FrusErect, it is popular with parents as a disciplinary tool for dealing with noncooperative teenage males. FrusErect is also available via GPs in subcutaneous form, for 1, 2, 6 and 12 month effect.
For usage durations of any ejaculation inhibitor greater than two months, the CDC recommends implementing regular electro-stim exercising of the prostate sheath muscle sets to avoid atrophy from inactivity. Trans-urethral appliances to cycle contractions are available, and can be configured to operate either draining or retaining stored seminal fluid.
(1) See *Masturbation Prevention*
Quatinus Morae
==============
Latin derivation:-
quatinus: how far/long?, to what point
morae: delay, hindrance, obstacle / pause
In Fong Virus patients the initial ejaculate viscosity tends to be higher than normal, with wider variability than in baseline population. For reasons not as yet understood, the new seminal structure tissues grown during infection tend to produce secretions with higher proportions of the thickening factors. This varies across individuals, from a barely measurable increase in viscosity, to multiple times as viscous as normal. The Fong-grown seminal tissues also exhibit a degree of pressure responsiveness in their production of thickening factors, with higher pressure resulting in lower viscosity secretions. This somewhat inverse relationship of viscosity to pressure results in a system in which overall viscosity is influenced by ejaculatory history in complex ways.
A common lasting side effect is a syndrome known as Quatinus Morae, or delayed release. This may be observed in subjects exhibiting very high seminal viscosity due to retained pressure having been held low by frequent releases over a week or more (resulting in elevated viscosity of newly produced fluid), followed by an interval of several days of abstinence. The high viscosity fluid accumulating in the seminal ducts sets to a jelly-like semi-solid, which then forms an effective plug. Orgasm in this condition initially does not expel the plug from the ejaculatory ducts, hence ejaculate consists only of prostatic secretions and is much lower volume than usual.
With the ejaculatory ducts plugged, continuing secretions inevitably increase pressure. As seminal pressure rises, further seminal secretions have a lower viscosity and do not gel. The rising pressure and dilation of the seminal system produces the expected effects --- strong desire, arousal, penile erection, lowering orgasm threshold and eventually spontaneous and unavoidable triggering of the orgasm process.
Although the contractions typical of male orgasm begin in the typical fashion in Quatinus Morae, the progression is atypical due to the presence and nature of the plugs. These are generally roughly tapered in shape at the lower end due to forming in the partially dilated duct. They do not adhere to the duct walls, so are somewhat mobile in the ejaculatory duct. Under the pressure of ejaculatory contractions, the plugs will be forced downwards in the duct into the area of the narrower lower duct extent, forcefully dilating this section. On relaxation of each contraction the plug tends to slide back upwards due to the elastic duct walls and the tapered plug shape.
Enervation of the duct walls in this area is the primary origin of the pleasure sensations of normal orgasm, as seminal fluid is forced through the duct, dilating it mildly. The enervation is very sensitive to both dilation and contact - usually by the passage of fluid. In Quatinus Morae the relatively bulky tapered plug is forced into this duct section, then draws back. The duct is strongly dilated and also drawn over surface irregularities in the plug. The sensations are intense, remaining pleasurable but greatly exceeding the usual experience of orgasm.
During normal orgasm, the diminishment of pressure in the seminal system leads to tapering of the fluid reflow from the vesicles into the ejaculatory duct during relaxation phases. The diminishing 'refill speed' neural signal during each relaxation attenuates the strength of the subsequent contraction, leading to the orgasm process trailing off. However during Quatinus Morae so long as the plug remains there is no pressure tapering, and the strength of pleasure signals during contractions due to plug motion also boosts the process. So the orgasm becomes self-perpetuating, with only other factors such as muscular and neural fatigue able to terminate it. Once these are recovered, the initial conditions favoring spontaneous orgasm initiation reassert themselves.
Typically the plugs are resilient and will survive dozens to hundreds of extended orgasm contraction cycles. When they do break up, the pieces produce further novel and intense sensations as they pass through the ejaculatory duct outlets, stretching them more than the usual stretching by passage of seminal fluid.
The sequence consists of an interval of high arousal, developing to a series of spontaneous non-productive abnormally intense and extended orgasms that may repeat for up to days, followed by plug breakup causing a spike of overwhelming sensations as the plug fragments are passed. Then a protracted and copiously productive ejaculation train due to the large volume of accumulated and more liquid seminal fluid. This forms the distinctive syndrome of Quatinus Morae. It has become widely recognised by the public, as well as the medical profession.
Quatinus Morae Treatment
========================
The ejaculatory duct outlets to the urethra are small and delicate, and their location within the upper prostate is not amenable to precise surgical intervention. There is a developed non-surgical procedure for breaking up the seminal plugs using a Jepson M3 probe, which is inserted rectally, guided to the location of the seminal ducts anterior to the rectal wall using the built-in ultrasound imaging head, then applies firm low frequency impacting combined with focussed ultrasound to break up the plugs.
The drawbacks to the Jepson procedure are that it can take up to an hour to break apart more resilient plugs, the manipulation can result in bruising to the area and in some cases has left patients with permanent neural injury of the prostate/seminal structures, and if conscious the patient invariably experiences both pain and induced orgasms nearly continuously for the duration of treatment, with the associated muscular clenching interfering with accuracy of targeting the probe. However if the patient is anesthetized or otherwise ejaculation-inhibited, the plug remnants tend to remain in place. In the worst case the pieces may rebond into another mass before the patient next orgasms after recovering from anesthesia. Such rebonded plugs are by nature irregularly shaped, resulting in greatly intensified duct wall stimulation as the plugs shift during orgasm. They can also exhibit an increased resilience, with cases in the literature where natural plug breakup does not occur at all. A condition which can ultimately develop life-threatening complications.
For this reason the treatment requires very securely immobilizing the patient and allowing natural reflexes to assist in clearing the plug remnants. The rectal structures must also be rigidly dilated and/or locally anesthetized.
With treatment there are risks of complications, plus the expense and staff time loads. The high rate of occurrence of Quatinus Morae multiplies the import of all those factors.
Conversely with no active treatment there are vanishingly small health risks, and little demand on resources.
Consequently the recommended response to individuals diagnosed with Quatinus Morae is to monitor only, and let the process resolve itself. Care and monitoring may be provided via the health system, or at home if a carer is available. Patients should be made comfortable, food and fluids given during intervals of calm between episodes, and steps taken to prevent self harm during the extended intense orgasm phases. For this reason self-manipulation by the patient of their erection should be prevented. This typically requires application of wrist restraints at minimum. The patient should be maintained on their back, with the erection unrestricted and uncovered to allow observation.
Massage or sexual stimulation of the erection, inducing and during orgasm phases, can provide some psychological comfort. However it does not materially assist in resolution and so is superfluous. The default clinical protocol is to provide no stimulation, however it is an option if nursing staff have time and consider it useful. For instance brief stimulation can shorten the rest intervals between orgasm sequences, thus shortening overall bed-occupation time. In any case resolution will eventually still occur without any erection contact, since the seminal pressure reaches levels at which orgasm is fully spontaneous. Orgasm episodes and the associated contractions, alternating with resting intervals will then repeat until the gelled plugs in the ejaculatory ducts either break apart or are worn down sufficiently to be expelled.
Avoidance:
----------
With individuals prone to the extra thickening of seminal fluid when internal pressures are reduced, the protocol to avoid Quatinus Morae syndrome is to limit frequency of orgasm, to a rate adapted to maintain on average a relatively high seminal pressure, given their rate of secretion. Then their secretions remain less viscous and unlikely to form gell plugs. The sole contraindication is that the pressure required typically results in a high level of sexual frustration. This is of no medical concern, however it does necessitate close monitoring of the patient. Their sexual activity must be strictly regulated to comply with the treatment protocol.
The recommended management protocol is to avoid inducing orgasm at all, until an average interval between spontaneous ejaculations is derived from at least 5 intervals. Where collection of standardized patient data is preferred, the protocol is to log spontaneous orgasms over an interval of 30 days during which all sexual stimulation is avoided, then calculate the average interval.
Subsequently single induced orgasms should be allowed no more frequently than at 70% of that interval. More frequent groupings of orgasm may result in Quatinus Morae. It is within the treatment guidelines to simply omit induction of orgasms, relying on spontaneous ejaculation for seminal pressure safety limit. The resulting high level of sexual frustration has no harmful medical consequences and is generally considered less disruptive of a productive lifestyle than the more dramatic and demanding symptoms of Quatinus Morae. Carers typically consider a high level of sexual frustration in their ward to be preferable to the increased supervision required by Quatinus Morae, especially in the case of minors. However it is a matter of personal preference.
In any case the baseline average spontaneous ejaculation interval should be re-established at least once per year, in a consistent manner. Individual susceptibility to the Quatinus Morae syndrome may also vary over time, and so a complete management plan for those known to be prone to seminal gelling will include a test induction sequence at least once a year. The recommended standardized test should immediately follow a 30 day stimulation-free abstinence period, and consist of six induced ejaculations per day, for seven days, followed by complete avoidance of stimulation.
If normal spontaneous productive ejaculations subsequently develop at the individual's typical rate, they are considered to have developed a lowered susceptibility to Quatinus Morae.
It has also been found that the seminal production stimulant Virimax tends to result in a lower seminal viscosity. There are cases where Virimax has been successfully used to eliminate patient susceptibility to Quatinus Morae, by increasing seminal rate to levels at which intervals of low seminal pressure are minimized, and overall tendency to gelling is reduced.
Deliberate induction:
---------------------
Overall Quatinus Morae is harmless, and often deliberately initiated - by adult individuals, couples, and by parents/guardians of teenage males.
A deliberate induction sequence typically involves at least seven sequential days of sufficient ejaculations per day to maintain a sustained low pressure in the seminal duct and vesicle system. Six or more ejaculations per day is generally sufficient for all but the highest production post-Fong males. Following this seven day interval, all stimulation should be avoided indefinitely, until spontaneous orgasms resume. They will be either productive (if gelling did not occur) or follow the typical symptom development pattern of Quatinus Morae if gelling did occur.
For couples trying to conceive, where the male's semen is typically hyper viscous and impeding conception, the Quatinus Morae sequence can be an effective means of achieving insemination with a generous quantity of more fluid semen. The only practical difficulty is that the interval of frequently repeating orgasm before plug breakup can extend for a day or more. Since the moment of plug breakup and actual ejaculation cannot be predicted, penetration should be maintained as continuously as possible during this time.
In other instances, motivations for deliberate induction can include sexual interplay in couples, routine medical testing of single male individuals under institutional or contractual sexual supervision, and parents wishing to sexually exhibit teenage sons.
Fong Virus, Fertility and Lifestyle
===================================
Overall the changes due to Fong Virus present a slight but easily overcome fertility disadvantage in couples trying to conceive.
The post-Fong frequency of ejaculation varies widely across individuals, given statistical spreads of initial seminal productivity and the 'amplification factor' of 3 to 15 times due to Fong-induced seminal structures growth. For some adults the result can be welcome, producing no lifestyle challenges at all. Others can find themselves exhibiting daily ejaculation rates so frequent that their lifestyle, ability to work or study, and social interactions with others are severely impacted.
The CDC recognises the need to pursue solutions to the issues of lifestyle impairment for those most seriously impacted by the Fong Virus. A review committee has been formed, to evaluate potential avenues of future research efforts. At present no feasible means for alleviating the seminal fluid production amplification are known, however it may be possible that such means can be found in future.
Methods involving a gene-engineered vector similar to Fong Virus have been discounted, due to the extreme risk of disastrous unintended consequences of accidental or deliberate release of contagious organisms to the environment.
For individuals suffering lifestyle impairment due to high frequency of ejaculations, a compromise treatment known as forced retention can achieve an improvement in overall lifestyle disruption. However the treatment itself presents other challenges. See 'General Post-Infection Care' below.
Overall the effects of Fong Virus have caused some social difficulties, particularly in the context of gender relationships, however they do not present an existential threat to human society or the environment. Evaluation of future responses must primarily consider the risk of the cure being worse than the illness. Thus caution takes precedence over calls to impetuous action.
The general consensus view of professionals in the social, medical and economic sciences, is that with some adaptations human society will not be significantly negatively impacted by the Fong Virus and it's effects. The eventual social norms will simply be different to before.
Onset Treatment --- Intensive Drainage Therapy
==============================================
There is no known cure, or immunization against Fong Virus, and few populations have any significant natural immunity. However there is a management protocol for minimizing the long term hypertrophy of seminal productivity.
During the initial infection period, while the virus is promoting proliferation of seminal vesicle epithelial cells, live virus particles accumulate in the seminal fluid at concentrations millions of times higher than the very low presence in the bloodstream. This increases the percentage of vesicle epithelial cells infected, and therefore the overall excess rate of mitosis. Without intervention the secretion production rate thus increases in a non-linear manner, ie an increasing rate of increase.
The final induced seminal amplification factor can be minimized by extraction of seminal content from the vesicles, removing as much viral load as possible. It is generally referred to as Intensive Drainage Therapy, though various different methods may be used. The treatment is only effective if implemented during the early active phase of infection, and continued till viral shedding has ceased. As Fong Virus has such life-altering consequences, treatment of confirmed cases legally must be under qualified medical supervision.
Four extractions a day is considered the minimum rate achieving useful effect, while incremental benefits are seen up to any realistically achievable frequency. For high frequencies such as hourly draining, functional enhancers such as Cialus, mechanical suction, electrical stimulus, or trans-urethral prostate massage systems are required. These are most effective when used in combination.
Where such aids are not available, the natural methods of seminal extraction involving stimulation to ejaculation may be substituted. However the procedures must be applied rigorously as often as practical over the course of infection, to achieve fluid drainage rates equal to artificial aids. For maximum effectiveness a female assistant should be sexually attractive to the male patient. She should show enthusiasm, employ a wide range of erotic technique, and varying forms of penile stimulation including vaginal, oral, anal and manual, as well as digital prostate massage. It is recommended that the assistant have already developed immunity to Fong Virus, however as females are mostly nearly asymptomatic during infection, this is not essential. She should be either sterile or using reliable birth control, as avoiding vaginal intercourse is not helpful to the objective of maximizing ejaculations.
Effective Intensive Drainage Therapy protocols result in seminal productivity hypertrophy at the lower end of the ranges seen with Fong Virus infection. In these ranges a relatively normal post-infection lifestyle generally remains possible.
Fong Virus Effects Without Treatment
====================================
Where no draining protocol is applied, the rising seminal production rate induces strong dilation of the seminal glands and ducts, and a high cumulative viral load in retained seminal fluid. The rising viral load further increases the proportion of secretory cells in the vesicle lining that are infected and take up the viral genes triggering cell mitosis. Seminal secretory cells in active mitosis also produce and shed more Fong virus particles than any other cell line in the body, and these shed into the seminal fluid. There they may infect further secretory cells and trigger them to divide also. Additionally, newly divided calls can be re-infected and so divide again. There is thus a strong positive feedback process in the vesicles, that can only be mitigated by continual removal of significant numbers of viruses from the gland. Removal can only be effected by draining of the seminal fluid.
As total population of secretory cells in the vesicle lining increases, secretion rate naturally rises proportionally. The retained secretions continue to expand the vesicle thus creating larger interior surface area for the expanding cell population. The overall glandular folded and convoluted structure retains a normal topology, however with increasing volume and productive surface area. Ultimate hypertrophy of the glands reaches the upper end of the secretion production range seen with Fong Virus.
The process is self-limiting, as the virus was intended for controlled stimulation of cell division for the production of artificially grown organs for human transplant. It has the unusual characteristic of causing infected cells to only produce a small number of new virus particles, and only during intervals between mitosis. The cells are not harmed, and otherwise behave normally. However the virus was a prototype and the control mechanism for viral assembly in cells was not perfected. It still has dependencies on unknown factors, probably hormonal, resulting in higher virus production rates in the seminal tissues of teenagers.
In the most susceptible age group, 12 to 17 year olds, the ultimate seminal productivity amplification factor ranges from 7 to 15 times. The high end of that range results if no Intensive Drainage Therapy is applied.
There is a secondary self-limiting effect, capping the upper end of the amplification range. As seminal productivity grows, spontaneous emissions become more frequent, resulting in some natural fluid draining. Thus preventing total viral loading of the vesicles from continuing an exponential rise.
There are reported cases of even higher seminal production rates occurring, due to active prevention of spontaneous ejaculation during the course of infection.
Boys in the latter years of the 12 to 17 years age range would normally be ejaculating up to three times a day if allowed opportunity to masturbate when they desired it, or having one or six spontaneous ejaculations monthly if denied all stimulated release.
Post-Fong, the <u>minimum</u> typical rate of spontaneous ejaculation in teens without masturbation is at least once per day, though that low rate is fairly rare. In the age range 15 to 17, where no drainage therapy occurred during infection, spontaneous ejaculation rates of 3 to 10 times a day are common. At the higher end, dietary management and adequate rest become serious concerns, with malnutrition and exhaustion easily occurring. For high ejaculation rates, oral re-ingestion of as much of the daily ejaculate as possible is strongly recommended.
The CDC's recommendation is that all male Fong Virus patients should be administered intensive drainage therapy during their illness regardless of age. However in consideration of cultural sensitivities, legal frameworks in most countries of the world provide for patient right of refusal, and parental right of choice in accepting or refusing treatment for their infected minor children. In most countries it is required that individuals and parents be fully informed of the purpose of intensive drainage therapy, and sign waivers accepting the consequences of refusal.
Regardless of all other factors, Fong Virus patients should be maintained under 24/7 close supervision during the course of the infection. The CDC also strongly recommends that information packs detail the risks of autonomous masturbation, and stress that it must be prevented in Fong Virus patients during and after infection.
Fiction by SensoryOverlord, 20150403
Strong sexual content: consensual, non-consensual, MF, Fm, teens, toys, mast, exhib, org-denial, SF, medical.
The future 'CDC' referred to is entirely fictional and is in no way related to the present-day CDC.
Any similarity of name and document format to existing web sites is artistic licence.
All names of persons, organisations and products in this story are fictional.
(This is a TXT version of a formatted html original. So the 'illusion of official document' is broken.)
Still seeking a sensible image server, to add the few images.
Part 1 of 3
%%% image: CDC Health Alert Monitor - Update: Global Pandemic of the Fong Virus
Summary
=======
The Centers for Disease Control (CDC) continue to work closely with US and Foreign governments to coordinate global response to the Fong Virus pandemic. Overall fatality rates continue at the same very low level. Research continues towards a cure or immunization, but has as yet been unsuccessful. Primary difficulties arising from the pandemic continue to be social in nature, although cultural adaptation is proving to be a viable strategy.
This report presents a review for public information, of the clinical and cultural responses at present time to the Fong Virus.
Background
==========
Fong Virus is a member of the influenza family. It was the result of an unintentional hybridization during legally approved genetic engineering research by Lucy Fong at the Shenshan Research Institute in Beijing, China, followed by accidental escape from level 3 containment. It has now been in global pandemic stage for 5 years. No cure or preventative is known.
The Chinese research program was intended to produce a gene-editing retrovirus able to switch on controlled-growth cellular mitosis in specific targeted human cell lines in-vitro, with the purpose of growing replacement organs for transplant.
The accident involved coding the virus payload activation binding receptor sites to an incorrect tissue type. Due to a sample contamination issue, instead of the intended target of human kidney cells, batch J47-23 of the virus was target-coded for human seminal vesicle epithelial cells. The resulting strain of Fong virus works per design, inducing relatively stable and predictable rates of growth in secretory structures within the seminal vesicles' lumen. Coherent structuring is maintained for the appropriate tissue type. Cell line replication rates are boosted only for the duration of viral activity.
Mortality
=========
Infection mortality per 100,000 population: 0.25. This is a relatively minor 22% higher than the low rate for other mild influenza strains in the general population. In general Fong Virus fatalities occur only in immunologically challenged individuals (due to age or other illness) combined with inadequate medical care during infection.
Primary Symptoms
=================
Symptoms typically last one to two weeks. Visible and perceived symptoms are identical to mild flu, except in one respect. During the active infection in males the seminal vesicle secretory tissues grow vigorously. Overall mass increase of the vesicles' secretory lining cells in healthy adult males can be 3 to 10 times original, with a corresponding increase in secretion rate.
In females the seminal vesicles are usually absent, however due to embryonic developmental variability during sexual differentiation, some females do possess homologically equivalent structures. These are associated with the prostate-equivalent glands adjacent to the urethra, commonly known as the G-spot. There is a wide statistical spread of size and functional competence of this set of vestigial male organs in the female population. Around 3% of females contracting Fong Virus will experience some degree of secretion-amplification with secondary effects similar to those seen in males.
Due to a little understood quirk of the virus' interaction with hormonal levels, male teenagers in the first 5 years of puberty (typically 12 to 17) are particularly susceptible to Fong Virus seminal amplification.
Fong virus infection in this 'recently pubescent' group typically results in a seminal production increase 50% higher than the average for older males. This age group averages an increase of between 7 to 15 times their original secretion rate.
The spreads quoted include individual and treatment variations, with few outliers seen beyond those ranges.
Secondary Symptoms
==================
Male patients with active Fong Virus infections invariably develop pronounced secondary symptoms of elevated seminal production rate and associated rapid seminal pressure accumulation. In general this can be characterised as a greatly heightened rate of increase in perception of sexual need, and an amplification of the normal male sexual reflexes. Spontaneous erection occurs with increasing frequency, and the individual will express in words and body language an increasingly urgent desire for relief. If sexual stimulation is prevented, nocturnal emissions become proportionally more common, and in many individuals spontaneous emissions will also occur during waking hours.
Increased incidence of spontaneous ejaculation
----------------------------------------------
Males in the 12 to 17 year age range are below the legal age of sexual consent in most countries, and may or may not have parental restrictions on self-gratification. Restrictions may also vary in practical effectiveness. For pre-Fong teens who are indeed abstaining from deliberate sexual stimulation, the mean interval between spontaneous ejaculation lies in the 5 to 20 days range, tending towards the shorter intervals at the upper end of the age range.
During sleep, inhibitory influences from the brain on ejaculation initiation are absent, resulting in nocturnal emissions occurring more frequently than waking spontaneous emissions. In pre-Fong individuals, a nocturnal emission at typical intervals results in seminal pressure never entering the range in which waking spontaneous emission occurs even in complete absence of physical or psychological sexual stimulation.
Post-Fong, intervals between spontaneous ejaculations diminish in proportion to the increased seminal production rate.
For all age groups above puberty and denied external sexual stimulation, those in the higher range of seminal production amplification will likely experience multiple waking and nocturnal emissions daily.
With the higher seminal production rates post-Fong, in many individuals their seminal volume accumulation is rapid enough that between one sleep and the next, pressures may reach levels sufficient to induce spontaneous, unstimulated, waking ejaculation. This is particularly true for the most susceptible 12 to 17 year old group, where final average interval between waking unstimulated emissions can be as low as 4 to 8 hours. Thus some will experience multiple ejaculation cycles during one waking period.
A further secondary effect derives from the rapid rate increase of pressure. This high delta tends to result in a hyper-sensitization of the sexual perceptions normally associated with high retained seminal volume. As a rough characterization, in the time interval between waking spontaneous emissions, almost all individuals will enter a highly sexually focussed mental state for approximately the final 25% of the interval. The body exhibits a high degree of sexual tension and arousal reflexes, and the individual will express a strong desire for ejaculatory relief.
These effects are of course most pronounced in the 12 to 17 year age group, with their markedly elevated post-Fong seminal production rates.
It should be noted that studies demonstrate no ill effects from allowing the ejaculation cycles to occur at their natural interval in the absence of sexual stimulation. The reader should refer to the section below, on *masturbation* and why it must be avoided in post-Fong males. In the case of minors, and bearing in mind the seriously harmful consequences of post-Fong masturbation, most parents or guardians typically rule out allowing any form of sexual self-stimulation and impose measures to actively prevent masturbation.
High volume of spontaneous ejaculation
--------------------------------------
Spontaneous ejaculation typically occurs only once the vesicles and ejaculatory ducts have become distended with accumulated fluid to near their maximum capacity. In that state the male reproductive neural complex involving duct wall dilation sensors, lower spinal ganglia and motor neurones controlling muscular sheaths around the prostate and urethra, are all strongly sensitized. As the sensitization rises, at some point any small signal noise in the neural process triggers a positive feedback in which signals are sent to the prostate contractile tissue motor neurones.
The resulting contraction causes a burst of sensory neurone firings, further contraction, etc. The neural firing rapidly synchronizes into the regular pulses of powerful ejaculation contractions, forcing seminal fluid down into the ejaculatory duct outlet and out via the urethra. The lower ejaculatory duct and outlet sphincter are highly enervated, and the pulses of tight dilation as fluid is forced through result in overwhelmingly positive neural feedback maintaining the ejaculation contraction pulses. These proceed until seminal depletion brings the general ejaculatory duct dilation below the threshold at which positive feedback can be maintained.
Even in pre-Fong individuals, retention of seminal fluids to the stage where spontaneous ejaculation occurs, naturally results in ejaculations of high total volume. The ejaculation process duration is proportionally prolonged, due to the larger number of contractions required to reduce internal seminal volume below the neural feedback maintenance threshold.
In post-Fong individuals this effect is significantly amplified, since the enlarged seminal vesicles present a larger total volume of fluid storage space as well as a more interconnected labyrinthine structure. Fluid outflow rate to the ejaculatory ducts during ejaculation will be somewhat higher than pre-Fong normal range, while the total available volume is also higher. Thus the ejaculation positive feedback process is maintained proportionally longer.
In typical pre-Fong males, orgasm consists of around 10-15 contractions, expressing semen in 7-10 of those. Healthy males would produce 5-10 ml of semen per orgasm, after abstaining for two days. After abstaining until a spontaneous ejaculation occurs, those figures can range from 50% to 100% higher.
For post-Fong healthy young males, volume and duration parameters for spontaneous ejaculations can range from similar, to multiples of their pre-Fong experience. There is a wide variation to the high side, particularly among post-Fong individuals with a history of therapeutic forced seminal retention. This minimizes lifestyle disruption by lengthening intervals between spontaneous ejaculation, achieved via greater holding capacity of the stretched vesicles. However of course ejaculation volume and duration rises in proportion.
Heightened perceptual intensity of ejaculation
----------------------------------------------
Fong virus infection does not directly alter any reproductive structures other than the secretory tissues of the seminal vesicles. The testicles, ductus deferens, ampulla deferens, ejaculatory ducts, ejaculatory outlet sphincters to the urethra, the secretory structure of the prostate and its glandular outlets to the urethra, and the muscular sheath around the prostate, all are initially unchanged.
However the raised rate of seminal vesicle secretion does result in significant functional changes, and long term structural alterations.
The lower final section of the ejaculatory ducts and their outlet sphincters to the urethra are normally held closed by muscle tension, even with high seminal pressure further up in the ducts. Although very small, the lower section of the ducts are densely supplied with dilation sensing nerves. These nerves connect to the spinal ganglia involved in the cyclic contractions of orgasm, and also to the brain's sexual pleasure center. Much of the male's perception of orgasmic pleasure originates from the excitation of nerves in the lower ejaculatory duct and outlet sphincter, as they are stretched open by seminal fluid being forced downwards and through this area by prostate muscular sheath contractions around the intermediate section of the ejaculatory ducts.
As the after-effects of Fong virus develop, the intermediate and upper sections of ejaculatory ducts become permanently enlarged by frequent seminal pressure dilation. Additionally, the muscle groups involved in ejaculation become exercise strengthened by increasingly frequent and prolonged ejaculations.
Elevated capacity of the upper ducts and vesicles, combined with increased strength of the contractile muscles, results in raised volume of flow through the unmodified duct outlet structures during each contraction. The response of the dilation sensory nerves in these sensitive structures is non-linear with dilation, so typical pulse volume increases of 20% to 50% produce very much higher perceived intensity of sensation.
Absolute magnitudes are difficult to quantify in controlled study, however qualitative estimation appears to demonstrate intensity levels well above anything experienced by pre-Fong males. This is underlined by observation of more easily quantifiable factors. During and immediately after ejaculation several indicator conditions occur much more frequently in post-Fong males than in the uninfected.
%%% image: table.png
Notes
* For each table cell, three values are shown. They are in order for ejaculation caused by:
[Spontaneous, mechanical stimulation, vaginal copulation].
Units are percent of the group, exhibiting the effect. For 'spontaneous', subjects were observed at rest with all stimulation physically prevented, until ejaculation occurred. This test was omitted with the pre-Fong groups due to the low probability of spontaneous ejaculation within reasonable achievable time frames of the study.
* 'Uncoordination' is defined as an inability to achieve reinsertion of the erection into the stimulation source, when the source is unexpectedly removed to a short distance from the erection after 2 contractions, requiring the subject to physically reposition themselves using full body coordinated movement. Re-insertion could only be achieved hands-free. Failure to re-insert within 15 seconds and while orgasm continued, counted as uncoordinated.
* 'Vocal extremes' is defined as occurrence of top-of-voice vocalization for at least one quarter of the duration of orgasm. Subjects had been instructed prior to measurement to refrain from making loud noises on the grounds that quiet was necessary for the test. All subjects were tested individually in soundproof rooms, with no awareness of other test subjects.
* 'Sexual stupor' is defined as unresponsiveness to verbal requests, persisting at least two minutes after completion of orgasm.
* 'Fainting' is defined as full loss of consciousness, for at least 15 seconds, beginning at some stage during the orgasm or up to one minute after completion.
* 'Post-Fong' figures are from groups sampled at least one year after full recovery from their initial Fong virus infection.
* All study group sizes were over 250 individuals, selected by random CDC ballot and mandatory participation under the emergency regulations.
* Adolescents were in the age range 14 to 17 years. Adults were in the range 21 to 30 years.
* 'na' is Not Applicable. The combination is not possible.
* 'nd' is No Data. The combination is theoretically possible, but no such cases were observed.
As can be seen from the table, the effects of post-Fong orgasm in males are clearly beyond the range of evolutionary adaptation. Uncoordination, stupor and especially fainting are strongly negative factors in both survival and reproductive success contexts.
Fainting in pre-Fong males during orgasm is virtually non-existent. During the studies, there was <u>one</u> unusual instance of a pre-Fong adult male fainting during mechanical stimulation. This was afterwards determined to be related to a latent heart condition not picked up in pre-screening.
In contrast, ejaculation-induced fainting was relatively common among post-Fong males, with adolescents particularly susceptible. Very nearly half of the adolescent test group fainted during the vaginal intercourse test series --- an extraordinary result.
There is also another unfortunate effect of strongly elevated orgasm sensory perception, with significant ramifications. See *Masturbation Prevention* below.
Sexual arousal --- raised level and duration
----------------------------------------------
During buildup to spontaneous ejaculation, continual firing of the dilation sensing nerves is reported to the brain's sexual areas and consciously perceived as urgent sexual need, typically resulting in a degree of general sexual arousal. The general arousal may be somewhat modified by external social factors and the subject's own consciously willed attempts to control, but is fundamentally a hardwired response to seminal dilation and never fully suppressible. Neural and chemical signalling systems controlling erection are controlled by areas of the brain involved in arousal, but these are only slightly influenced by conscious will. Typically the stimulation levels caused by high seminal dilation result in frequent uncontrollable and persistent erections. Erections will occur spontaneously, and for lengthening durations as pressure accumulates.
There are also subconscious factors affecting general arousal and the ejaculation trigger threshold. In many males, especially the socially and sexually inexperienced such as teenagers, the knowledge that others are aware of the individual's general sexual excitement and especially penile tumescence, tends to act as an amplifier of the physical sexual arousal. Paradoxically, reluctance to be observed ejaculating, combined with knowledge that such a display is unlikely to be avoidable, acts to increase arousal and the inevitability of the embarrassing display.
Persistence of Symptoms
=======================
Once the Fong infection has been defeated by the body's immune system and active viral replication ceases, the extra seminal secretory tissues remain. No further growth occurs. The new tissues are healthy, actively functioning seminal structures, normal in every way except that their total mass, and thus secretion production rate, has been multiplied by some factor during the course of the infection. As a result, the individual's average seminal production rate and need for sexual release continues at the peak it reached during the infection. In fact there is often a further increase noted since during the infection the individual was unwell, but subsequently is healthy, resulting in a further productivity increase and return of corresponding libido.
Ultimately, the long term average seminal emission volume over time must be the same as seminal production rate, since the fluid is not reabsorbed and has only one path of exit from the body. If no sexual stimulation occurs, the maximum interval between ejaculations is determined by seminal production rate, the volume storage limit of the seminal structures, and the pressure in those structures at which dilation sensitivity reaches the threshold where spontaneous ejaculation becomes a certainty.
Some other psychological, physical and environmental factors do influence the spontaneous ejaculation threshold, however inevitably the permanent increase in seminal fluid production rate due to Fong Virus results in a persistent elevation of ejaculation frequency, whether achieved by stimulation, or spontaneously in the absence of sexual stimulation.
Production of prostatic fluid and spermatozoa remains unaffected, so post-Fong ejaculate is generally composed of a much higher seminal to prostatic ratio, with lower sperm count per unit volume. In cases where ejaculation is regularly occurring multiple times per day, prostatic fluid reserves become exhausted, resulting in insufficient PSA inclusion in the seminal mix to cause significant post-ejaculation breakdown of the initial seminal viscosity.
Infection Profile
=================
Fong virus does not exhibit latency. Infections progress in a sequence that varies little between individuals, with virtually all patients developing an effective immune response within three weeks of exposure. There are generally no long lasting effects from infection other than the precisely tissue-selective hypertrophy of the seminal structures. Within three to four weeks after symptoms appear the virus is no longer detectable in the body. However the incubation period is relatively long, up to 16 days from contact to appearance of symptoms. Patients are contagious from one week of contact, until viral shedding ceases. Transmission is via any body fluid (saliva, mucus and semen) as well as airborne droplets from sneezing, and direct physical contact. It can enter the body via any mucosal membrane: nose, eyes, throat, lungs and genitals. The virus is robust, and can persist on surfaces then be picked up on hands and transferred to mucosal membranes.
Females can be carriers, and in most cases show only symptoms similar to mild flu. However due to female variations in embryonic development of the residual male sexual glands, a small proportion of females possess partially developed but functional equivalents to the male seminal vesicles. These are closely associated with the G-spot; the male prostate equivalent.
A proportion of adult females with particularly well developed vesicles, G-spot structures and the dilation-sensing neural wiring will be familiar with experiencing male-pattern increasing sexual need, as their G-spot glands fill and become distended. Most of these women will be familiar with ejaculatory squirting of fluid during orgasm. With such females the Fong Virus acts on the vesicle equivalent structures in the same way as it does in males - greatly amplifying the secretion production rate of the glands. After a Fong Virus infection they find themselves experiencing similar permanent secondary symptoms as males. However the feelings are not entirely foreign to them, just more pronounced.
Other females with functional but marginally developed seminal secretory glands will not be familiar with male-pattern ramping up of sexual tension, though theoretically possessing the necessary structures. For these females, suddenly finding themselves becoming extremely horny then progressing to spontaneous ejaculatory orgasm, possibly several times a day, can be a shock.
No Known Remedies
=================
All the secondary effects of Fong Virus are due to raised population of secretory cells in the seminal vesicles. The vesicles are in all other respects healthy and functional. Due to the difficulty of surgical access, the delicacy of the structures, the intimate proximity of fine neural systems critical to reproductive function, and the considerable risks of severe complications from surgery dorsal to the bladder, no procedure is approved for surgical reduction of seminal vesicle productivity.
Attempts to develop a semi-permanent catheterization solution, using micro-tubes threaded into the seminal ducts to allow fluid to drain continually, did not prove workable. No combination of tube geometry and material was found that did not cause stimulation of the ejaculatory duct dilation nerves in ways described by subjects as 'ghost orgasm' sensations, more or less continuously. The need to wear absorbent pads continuously was also found to be unacceptable to the majority.
Likewise no pharmaceutical methods of reducing seminal output have been found, that do not incur unacceptable negative side effects.
The effects of Fong Virus are therefore considered likely to be permanent over the individual's normal sexually active lifespan.
Ironically, researchers attempting to develop a seminal secretion rate inhibitor did find a class of pharmaceuticals with the opposite effect --- that stimulate seminal secretion rate. Despite being of no use in alleviating Fong Virus effects, some applications exist. The commercial brand Virimax is a single dose tablet with significant effect lasting around 10 days. Seminal output plateaus in the second day, generally at around twice baseline, and is maintained for five days with a slight trail-off, then beginning a faster fall. The 10 day 'effective duration' is the time at which most subjects' output has declined to 30% above baseline. Virimax should not be taken at shorter intervals than 15 days, to avoid a permanent baseline increase cumulative effect. This can however provide a treatment option for those chronically prone to Quatinus Morae (see below.)
No contraindications have been observed for long term use of Virimax at recommended dosages and rates, other than the lifestyle effects of elevated seminal production.
Another class of neuroactive substances was found that inhibit ejaculation by suppressing specific nerve groups involved in driving the muscular contractions of ejaculation. These are very useful for abating the socially disruptive effects of unpredictable spontaneous ejaculation suffered by many post-Fong males. These drugs are widely available over the counter for adults who require guaranteed ejaculation-free intervals, for instance while operating heavy machinery, taking exams, business negotiations, and so on. Parents and guardians commonly use these drugs to regulate ejaculation in their teenage sons, especially those at the high end of seminal productivity.
The two most popular commercial brands are Noorg and EjaGuard. These drugs are safe and free of harmful side effects, even for long term use. They are remarkably specific and effective, achieving complete inhibition of ejaculation regardless of any level of sexual stimulation. Typical dose effective duration is four days, requiring only two doses per week for continual effect. Parents and guardians of teenage males should be aware that these drugs do not suppress the sensations and reflexes of seminal fullness, and so extended use leads to strong sexual frustration, priapism, etc. Both are also availabe via GPs in slow-release subcutaneous implant form, with 1, 2, 6 and 12 month effect.
The ejaculation inhibitors serve a very useful role in situations where male masturbation cannot be prevented by other means. They are effective in preventing the psychological addiction(1) post-Fong males suffer, since it is not actually the physical act of masturbation that creates the addiction, but rather the overwhelming intensity of orgasm in the post-Fong sexual system. The ejaculation inhibitors prevent orgasm, and so although any male denied orgasm for an extended period (especially if post-Fong) will attempt masturbation as often as possible, the orgasm-addictive effect is avoided.
With the ejaculation inhibitors, seminal leakage due to increasing pressure becomes inevitable. The interval until leakage is more or less constant depends on individual production rate and seminal reservoir capacity. Virimax is approved for use in conjunction with Noorg or EjaGuard, and this combination is advised and in common use where persistent erection combined with visually significant seminal leakage is an intended effect. A commercial over the counter product is available, providing a one month series of combined dose tablets. Called FrusErect, it is popular with parents as a disciplinary tool for dealing with noncooperative teenage males. FrusErect is also available via GPs in subcutaneous form, for 1, 2, 6 and 12 month effect.
For usage durations of any ejaculation inhibitor greater than two months, the CDC recommends implementing regular electro-stim exercising of the prostate sheath muscle sets to avoid atrophy from inactivity. Trans-urethral appliances to cycle contractions are available, and can be configured to operate either draining or retaining stored seminal fluid.
(1) See *Masturbation Prevention*
Quatinus Morae
==============
Latin derivation:-
quatinus: how far/long?, to what point
morae: delay, hindrance, obstacle / pause
In Fong Virus patients the initial ejaculate viscosity tends to be higher than normal, with wider variability than in baseline population. For reasons not as yet understood, the new seminal structure tissues grown during infection tend to produce secretions with higher proportions of the thickening factors. This varies across individuals, from a barely measurable increase in viscosity, to multiple times as viscous as normal. The Fong-grown seminal tissues also exhibit a degree of pressure responsiveness in their production of thickening factors, with higher pressure resulting in lower viscosity secretions. This somewhat inverse relationship of viscosity to pressure results in a system in which overall viscosity is influenced by ejaculatory history in complex ways.
A common lasting side effect is a syndrome known as Quatinus Morae, or delayed release. This may be observed in subjects exhibiting very high seminal viscosity due to retained pressure having been held low by frequent releases over a week or more (resulting in elevated viscosity of newly produced fluid), followed by an interval of several days of abstinence. The high viscosity fluid accumulating in the seminal ducts sets to a jelly-like semi-solid, which then forms an effective plug. Orgasm in this condition initially does not expel the plug from the ejaculatory ducts, hence ejaculate consists only of prostatic secretions and is much lower volume than usual.
With the ejaculatory ducts plugged, continuing secretions inevitably increase pressure. As seminal pressure rises, further seminal secretions have a lower viscosity and do not gel. The rising pressure and dilation of the seminal system produces the expected effects --- strong desire, arousal, penile erection, lowering orgasm threshold and eventually spontaneous and unavoidable triggering of the orgasm process.
Although the contractions typical of male orgasm begin in the typical fashion in Quatinus Morae, the progression is atypical due to the presence and nature of the plugs. These are generally roughly tapered in shape at the lower end due to forming in the partially dilated duct. They do not adhere to the duct walls, so are somewhat mobile in the ejaculatory duct. Under the pressure of ejaculatory contractions, the plugs will be forced downwards in the duct into the area of the narrower lower duct extent, forcefully dilating this section. On relaxation of each contraction the plug tends to slide back upwards due to the elastic duct walls and the tapered plug shape.
Enervation of the duct walls in this area is the primary origin of the pleasure sensations of normal orgasm, as seminal fluid is forced through the duct, dilating it mildly. The enervation is very sensitive to both dilation and contact - usually by the passage of fluid. In Quatinus Morae the relatively bulky tapered plug is forced into this duct section, then draws back. The duct is strongly dilated and also drawn over surface irregularities in the plug. The sensations are intense, remaining pleasurable but greatly exceeding the usual experience of orgasm.
During normal orgasm, the diminishment of pressure in the seminal system leads to tapering of the fluid reflow from the vesicles into the ejaculatory duct during relaxation phases. The diminishing 'refill speed' neural signal during each relaxation attenuates the strength of the subsequent contraction, leading to the orgasm process trailing off. However during Quatinus Morae so long as the plug remains there is no pressure tapering, and the strength of pleasure signals during contractions due to plug motion also boosts the process. So the orgasm becomes self-perpetuating, with only other factors such as muscular and neural fatigue able to terminate it. Once these are recovered, the initial conditions favoring spontaneous orgasm initiation reassert themselves.
Typically the plugs are resilient and will survive dozens to hundreds of extended orgasm contraction cycles. When they do break up, the pieces produce further novel and intense sensations as they pass through the ejaculatory duct outlets, stretching them more than the usual stretching by passage of seminal fluid.
The sequence consists of an interval of high arousal, developing to a series of spontaneous non-productive abnormally intense and extended orgasms that may repeat for up to days, followed by plug breakup causing a spike of overwhelming sensations as the plug fragments are passed. Then a protracted and copiously productive ejaculation train due to the large volume of accumulated and more liquid seminal fluid. This forms the distinctive syndrome of Quatinus Morae. It has become widely recognised by the public, as well as the medical profession.
Quatinus Morae Treatment
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The ejaculatory duct outlets to the urethra are small and delicate, and their location within the upper prostate is not amenable to precise surgical intervention. There is a developed non-surgical procedure for breaking up the seminal plugs using a Jepson M3 probe, which is inserted rectally, guided to the location of the seminal ducts anterior to the rectal wall using the built-in ultrasound imaging head, then applies firm low frequency impacting combined with focussed ultrasound to break up the plugs.
The drawbacks to the Jepson procedure are that it can take up to an hour to break apart more resilient plugs, the manipulation can result in bruising to the area and in some cases has left patients with permanent neural injury of the prostate/seminal structures, and if conscious the patient invariably experiences both pain and induced orgasms nearly continuously for the duration of treatment, with the associated muscular clenching interfering with accuracy of targeting the probe. However if the patient is anesthetized or otherwise ejaculation-inhibited, the plug remnants tend to remain in place. In the worst case the pieces may rebond into another mass before the patient next orgasms after recovering from anesthesia. Such rebonded plugs are by nature irregularly shaped, resulting in greatly intensified duct wall stimulation as the plugs shift during orgasm. They can also exhibit an increased resilience, with cases in the literature where natural plug breakup does not occur at all. A condition which can ultimately develop life-threatening complications.
For this reason the treatment requires very securely immobilizing the patient and allowing natural reflexes to assist in clearing the plug remnants. The rectal structures must also be rigidly dilated and/or locally anesthetized.
With treatment there are risks of complications, plus the expense and staff time loads. The high rate of occurrence of Quatinus Morae multiplies the import of all those factors.
Conversely with no active treatment there are vanishingly small health risks, and little demand on resources.
Consequently the recommended response to individuals diagnosed with Quatinus Morae is to monitor only, and let the process resolve itself. Care and monitoring may be provided via the health system, or at home if a carer is available. Patients should be made comfortable, food and fluids given during intervals of calm between episodes, and steps taken to prevent self harm during the extended intense orgasm phases. For this reason self-manipulation by the patient of their erection should be prevented. This typically requires application of wrist restraints at minimum. The patient should be maintained on their back, with the erection unrestricted and uncovered to allow observation.
Massage or sexual stimulation of the erection, inducing and during orgasm phases, can provide some psychological comfort. However it does not materially assist in resolution and so is superfluous. The default clinical protocol is to provide no stimulation, however it is an option if nursing staff have time and consider it useful. For instance brief stimulation can shorten the rest intervals between orgasm sequences, thus shortening overall bed-occupation time. In any case resolution will eventually still occur without any erection contact, since the seminal pressure reaches levels at which orgasm is fully spontaneous. Orgasm episodes and the associated contractions, alternating with resting intervals will then repeat until the gelled plugs in the ejaculatory ducts either break apart or are worn down sufficiently to be expelled.
Avoidance:
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With individuals prone to the extra thickening of seminal fluid when internal pressures are reduced, the protocol to avoid Quatinus Morae syndrome is to limit frequency of orgasm, to a rate adapted to maintain on average a relatively high seminal pressure, given their rate of secretion. Then their secretions remain less viscous and unlikely to form gell plugs. The sole contraindication is that the pressure required typically results in a high level of sexual frustration. This is of no medical concern, however it does necessitate close monitoring of the patient. Their sexual activity must be strictly regulated to comply with the treatment protocol.
The recommended management protocol is to avoid inducing orgasm at all, until an average interval between spontaneous ejaculations is derived from at least 5 intervals. Where collection of standardized patient data is preferred, the protocol is to log spontaneous orgasms over an interval of 30 days during which all sexual stimulation is avoided, then calculate the average interval.
Subsequently single induced orgasms should be allowed no more frequently than at 70% of that interval. More frequent groupings of orgasm may result in Quatinus Morae. It is within the treatment guidelines to simply omit induction of orgasms, relying on spontaneous ejaculation for seminal pressure safety limit. The resulting high level of sexual frustration has no harmful medical consequences and is generally considered less disruptive of a productive lifestyle than the more dramatic and demanding symptoms of Quatinus Morae. Carers typically consider a high level of sexual frustration in their ward to be preferable to the increased supervision required by Quatinus Morae, especially in the case of minors. However it is a matter of personal preference.
In any case the baseline average spontaneous ejaculation interval should be re-established at least once per year, in a consistent manner. Individual susceptibility to the Quatinus Morae syndrome may also vary over time, and so a complete management plan for those known to be prone to seminal gelling will include a test induction sequence at least once a year. The recommended standardized test should immediately follow a 30 day stimulation-free abstinence period, and consist of six induced ejaculations per day, for seven days, followed by complete avoidance of stimulation.
If normal spontaneous productive ejaculations subsequently develop at the individual's typical rate, they are considered to have developed a lowered susceptibility to Quatinus Morae.
It has also been found that the seminal production stimulant Virimax tends to result in a lower seminal viscosity. There are cases where Virimax has been successfully used to eliminate patient susceptibility to Quatinus Morae, by increasing seminal rate to levels at which intervals of low seminal pressure are minimized, and overall tendency to gelling is reduced.
Deliberate induction:
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Overall Quatinus Morae is harmless, and often deliberately initiated - by adult individuals, couples, and by parents/guardians of teenage males.
A deliberate induction sequence typically involves at least seven sequential days of sufficient ejaculations per day to maintain a sustained low pressure in the seminal duct and vesicle system. Six or more ejaculations per day is generally sufficient for all but the highest production post-Fong males. Following this seven day interval, all stimulation should be avoided indefinitely, until spontaneous orgasms resume. They will be either productive (if gelling did not occur) or follow the typical symptom development pattern of Quatinus Morae if gelling did occur.
For couples trying to conceive, where the male's semen is typically hyper viscous and impeding conception, the Quatinus Morae sequence can be an effective means of achieving insemination with a generous quantity of more fluid semen. The only practical difficulty is that the interval of frequently repeating orgasm before plug breakup can extend for a day or more. Since the moment of plug breakup and actual ejaculation cannot be predicted, penetration should be maintained as continuously as possible during this time.
In other instances, motivations for deliberate induction can include sexual interplay in couples, routine medical testing of single male individuals under institutional or contractual sexual supervision, and parents wishing to sexually exhibit teenage sons.
Fong Virus, Fertility and Lifestyle
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Overall the changes due to Fong Virus present a slight but easily overcome fertility disadvantage in couples trying to conceive.
The post-Fong frequency of ejaculation varies widely across individuals, given statistical spreads of initial seminal productivity and the 'amplification factor' of 3 to 15 times due to Fong-induced seminal structures growth. For some adults the result can be welcome, producing no lifestyle challenges at all. Others can find themselves exhibiting daily ejaculation rates so frequent that their lifestyle, ability to work or study, and social interactions with others are severely impacted.
The CDC recognises the need to pursue solutions to the issues of lifestyle impairment for those most seriously impacted by the Fong Virus. A review committee has been formed, to evaluate potential avenues of future research efforts. At present no feasible means for alleviating the seminal fluid production amplification are known, however it may be possible that such means can be found in future.
Methods involving a gene-engineered vector similar to Fong Virus have been discounted, due to the extreme risk of disastrous unintended consequences of accidental or deliberate release of contagious organisms to the environment.
For individuals suffering lifestyle impairment due to high frequency of ejaculations, a compromise treatment known as forced retention can achieve an improvement in overall lifestyle disruption. However the treatment itself presents other challenges. See 'General Post-Infection Care' below.
Overall the effects of Fong Virus have caused some social difficulties, particularly in the context of gender relationships, however they do not present an existential threat to human society or the environment. Evaluation of future responses must primarily consider the risk of the cure being worse than the illness. Thus caution takes precedence over calls to impetuous action.
The general consensus view of professionals in the social, medical and economic sciences, is that with some adaptations human society will not be significantly negatively impacted by the Fong Virus and it's effects. The eventual social norms will simply be different to before.
Onset Treatment --- Intensive Drainage Therapy
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There is no known cure, or immunization against Fong Virus, and few populations have any significant natural immunity. However there is a management protocol for minimizing the long term hypertrophy of seminal productivity.
During the initial infection period, while the virus is promoting proliferation of seminal vesicle epithelial cells, live virus particles accumulate in the seminal fluid at concentrations millions of times higher than the very low presence in the bloodstream. This increases the percentage of vesicle epithelial cells infected, and therefore the overall excess rate of mitosis. Without intervention the secretion production rate thus increases in a non-linear manner, ie an increasing rate of increase.
The final induced seminal amplification factor can be minimized by extraction of seminal content from the vesicles, removing as much viral load as possible. It is generally referred to as Intensive Drainage Therapy, though various different methods may be used. The treatment is only effective if implemented during the early active phase of infection, and continued till viral shedding has ceased. As Fong Virus has such life-altering consequences, treatment of confirmed cases legally must be under qualified medical supervision.
Four extractions a day is considered the minimum rate achieving useful effect, while incremental benefits are seen up to any realistically achievable frequency. For high frequencies such as hourly draining, functional enhancers such as Cialus, mechanical suction, electrical stimulus, or trans-urethral prostate massage systems are required. These are most effective when used in combination.
Where such aids are not available, the natural methods of seminal extraction involving stimulation to ejaculation may be substituted. However the procedures must be applied rigorously as often as practical over the course of infection, to achieve fluid drainage rates equal to artificial aids. For maximum effectiveness a female assistant should be sexually attractive to the male patient. She should show enthusiasm, employ a wide range of erotic technique, and varying forms of penile stimulation including vaginal, oral, anal and manual, as well as digital prostate massage. It is recommended that the assistant have already developed immunity to Fong Virus, however as females are mostly nearly asymptomatic during infection, this is not essential. She should be either sterile or using reliable birth control, as avoiding vaginal intercourse is not helpful to the objective of maximizing ejaculations.
Effective Intensive Drainage Therapy protocols result in seminal productivity hypertrophy at the lower end of the ranges seen with Fong Virus infection. In these ranges a relatively normal post-infection lifestyle generally remains possible.
Fong Virus Effects Without Treatment
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Where no draining protocol is applied, the rising seminal production rate induces strong dilation of the seminal glands and ducts, and a high cumulative viral load in retained seminal fluid. The rising viral load further increases the proportion of secretory cells in the vesicle lining that are infected and take up the viral genes triggering cell mitosis. Seminal secretory cells in active mitosis also produce and shed more Fong virus particles than any other cell line in the body, and these shed into the seminal fluid. There they may infect further secretory cells and trigger them to divide also. Additionally, newly divided calls can be re-infected and so divide again. There is thus a strong positive feedback process in the vesicles, that can only be mitigated by continual removal of significant numbers of viruses from the gland. Removal can only be effected by draining of the seminal fluid.
As total population of secretory cells in the vesicle lining increases, secretion rate naturally rises proportionally. The retained secretions continue to expand the vesicle thus creating larger interior surface area for the expanding cell population. The overall glandular folded and convoluted structure retains a normal topology, however with increasing volume and productive surface area. Ultimate hypertrophy of the glands reaches the upper end of the secretion production range seen with Fong Virus.
The process is self-limiting, as the virus was intended for controlled stimulation of cell division for the production of artificially grown organs for human transplant. It has the unusual characteristic of causing infected cells to only produce a small number of new virus particles, and only during intervals between mitosis. The cells are not harmed, and otherwise behave normally. However the virus was a prototype and the control mechanism for viral assembly in cells was not perfected. It still has dependencies on unknown factors, probably hormonal, resulting in higher virus production rates in the seminal tissues of teenagers.
In the most susceptible age group, 12 to 17 year olds, the ultimate seminal productivity amplification factor ranges from 7 to 15 times. The high end of that range results if no Intensive Drainage Therapy is applied.
There is a secondary self-limiting effect, capping the upper end of the amplification range. As seminal productivity grows, spontaneous emissions become more frequent, resulting in some natural fluid draining. Thus preventing total viral loading of the vesicles from continuing an exponential rise.
There are reported cases of even higher seminal production rates occurring, due to active prevention of spontaneous ejaculation during the course of infection.
Boys in the latter years of the 12 to 17 years age range would normally be ejaculating up to three times a day if allowed opportunity to masturbate when they desired it, or having one or six spontaneous ejaculations monthly if denied all stimulated release.
Post-Fong, the <u>minimum</u> typical rate of spontaneous ejaculation in teens without masturbation is at least once per day, though that low rate is fairly rare. In the age range 15 to 17, where no drainage therapy occurred during infection, spontaneous ejaculation rates of 3 to 10 times a day are common. At the higher end, dietary management and adequate rest become serious concerns, with malnutrition and exhaustion easily occurring. For high ejaculation rates, oral re-ingestion of as much of the daily ejaculate as possible is strongly recommended.
The CDC's recommendation is that all male Fong Virus patients should be administered intensive drainage therapy during their illness regardless of age. However in consideration of cultural sensitivities, legal frameworks in most countries of the world provide for patient right of refusal, and parental right of choice in accepting or refusing treatment for their infected minor children. In most countries it is required that individuals and parents be fully informed of the purpose of intensive drainage therapy, and sign waivers accepting the consequences of refusal.
Regardless of all other factors, Fong Virus patients should be maintained under 24/7 close supervision during the course of the infection. The CDC also strongly recommends that information packs detail the risks of autonomous masturbation, and stress that it must be prevented in Fong Virus patients during and after infection.