Orgasm disorders

Orgasmic disorders include inhibition of orgasm in women and men, as well as premature ejaculation in men.

Inhibition of orgasm in women If a woman does not experience orgasm, or if orgasm is delayed or difficult to achieve, it is possible to state inhibition of orgasm (called "absence of orgasm", "anorgasmia"). Anorgasmia can be primary, if the woman has not yet experienced orgasm, secondary, if she has experienced it before, but does not currently, and situationally conditioned, if she has problems with a partner who does not use the forms of stimulation that suit her.

Women who have never experienced orgasm before may be able to participate in a treatment program in which they learn to explore their own bodies and stimulate their genitals (masturbate). Once a woman is able to stimulate herself to orgasm, she can show her partner the genital and extragenital stimulation needed to help her reach her peak of pleasure.

Treatment of secondary and situationally conditioned orgasm problems should also include finding out the method of sexual intercourse. If a woman was able to achieve orgasm in certain ways or with another partner, the logical conclusion is that there are certain problems in her current relationship that block orgasm. In such cases, couples therapy is recommended, which usually focuses on sensitizing exercises.

Premature Ejaculation A man who usually ejaculates quickly with minimal sexual stimulation suffers from premature ejaculation (Ejaculatioprae-cox). It is probably the most common functional sexual disorder in men. Treatment should be aimed at teaching the patient to achieve a high level of erection while holding off ejaculation and to help him overcome the fear of premature ejaculation.

The experience of one 30-year-old man is very instructive for many. During his first sexual intercourse, which occurred after a long period of sexual abstinence, ejaculation occurred quickly. During subsequent contacts, he experienced anxious anxiety, accompanied by thoughts that he would quickly end the sexual act. With the inability to control the level of erection, he did indeed ejaculate early. Since these problems were repeated, he sought help from a sexologist, who offered him two easy techniques for controlling ejaculation. The "stop-start" method consists of consciously controlling the upcoming ejaculation. The man informs his partner of this possibility and suspends sexual stimulation. As soon as the feeling of upcoming ejaculation passes, sexual activity is resumed. This "stop-start" method can be repeated several times. With the "pinch" method, the man teaches his girlfriend to briefly squeeze the penis with her hands at the right time, causing a slight painful sensation, in order to slow down the onset of ejaculation.

As with most other functional sexual disorders, an effective treatment method is sensitization exercises and focusing on various forms of love play, which helps to overcome fear and thoughts about one's sexual capabilities.

Orgasm inhibition in men Orgasm inhibition (slowing down) in men is the opposite of premature ejaculation. In this case, the erection, if it ends in ejaculation at all, is maintained for an excessively long time before ejaculation. Treatment consists of reducing fear, using sensitizing exercises and targeted masturbation, the main purpose of which is to teach how to achieve ejaculation. The patient is taught to enter into direct penetrative contact with a woman after a period of masturbation only when he believes that he will soon ejaculate.

[ 1 ], [ 2 ], [ 3 ], [ 4 ], [ 5 ], [ 6 ], [ 7 ]