Disorders of orgasm 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, and if orgasm comes with a delay or is achieved with difficulty, we can state the inhibition of orgasm (which is called "lack of orgasm", "anorgasmia"). Anorgasmia can be primary if the woman has not experienced orgasm, secondary if she has experienced it before, and now is not, and situationally conditioned if she has problems with a partner who does not use those forms of stimulation that suit her.
Women who have not experienced orgasm before, most likely, can participate in a curative program, in which they are trained to explore their own body and stimulate the sexual organs (masturbate). As soon as a woman becomes capable of self-stimulation to induce orgasm, she can show her partner the ways of genital and extra genital stimulation necessary for her to reach the highest point of enjoyment.
Treatment of secondary and situationally conditioned problems of orgasm should include the elucidation of the mode of sexual intercourse. If a woman in certain ways or with another partner previously could reach orgasm, the logical conclusion is that in her present relationship there are certain problems that block orgasm. In such cases, paired therapy is recommended, which is usually focused on sensitizing exercises.
Premature ejaculation A man who usually ejaculates with minimal sexual stimulation quickly suffers premature ejaculation (Ejaculatioprae-sokh). In all probability, this is the most common functional disorder in men. Treatment should be aimed at teaching the patient to achieve a high level of erection while keeping ejaculation and help him overcome the fear of premature ejaculation.
The experience of one 30-year-old man is very instructive for many. At his first sexual intercourse, which occurred after a long period of sexual abstinence, arose quickly ejaculation. During subsequent contacts, he was disturbed by anxiety, accompanied by thoughts that he would quickly end the sexual act. If it is impossible to control the level of erection, he really did begin to ejaculate early. Since these violations were repeated, he turned for help to a sex therapist, who offered him two easy techniques to control ejaculation. The method of "stop-start" is the conscious control over the forthcoming ejaculation. A man reports about this possibility to his partner and stops sexual stimulation. As soon as the feeling of ejaculation is over, sexual activity resumes. Such a "stop-start" method can be repeated many times. With the "pinch" method, a man teaches his girlfriend that in order to slow the onset of ejaculation at the right time, she squeezes her penis briefly with her hands, causing a slight painful sensation.
As with most other functional sexual disorders, an effective method of treatment is to exercise sensitization and concentration on a variety of forms of love games, which helps overcome fear and thoughts about their sexual abilities.
Deceleration of orgasm in men Deceleration (slowing) of orgasm in men is the opposite of premature ejaculation. In this case, the erection, if it ends with ejaculation, is maintained before ejaculation for too long. Treatment consists in reducing fear, using sensitizing exercises and purposeful masturbation, the main purpose of which is learning how to achieve ejaculation. The patient is trained to enter into direct penetration contact with a woman after the masturbation period only when he believes that he will soon have ejaculation.
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