Glans at time stimulation ceases reducing arousal 2

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glans at time stimulation ceases, reducing arousal (2ndstage) or squeeze base of penis when still partially inserted in vagina (3rdstage)Kegel exercises may also be usefulDelayed EjaculationDifficulty or inability to achieve orgasm or ejaculation (aka male orgasmic disorder)Opposite of PE fairly uncommonMay result from neurological damage, use of certain drugs (anti-hypertensive drugs, major tranquilizers, antidepressants) , or psychological causes (following some life event, relationship crisis)Sexual pain is uncommon in menMay be associated with infections (acute prostatitis – severe spasmsof pain during ejaculation), chronic pelvic pain syndrome (causes pain durng sex or ejaculation) or phimosis (problems with retracting of foreskin in uncircumcised men  painful if foreskin is insufficientlymovile)Female Sexual arousal disorder
Overlapping term for insufficient psychological arousal (vaginal lubrication, engorgement of vaginal walls, and clitoral erection) in W, such as to make sex unpleasant or painfulInsufficient lubrication during sex is commonoCan be treated by hormone treatment, oral estrogen creams, water-based lubricants Involves insufficient genital responseW can also experience erectly dysfunction (lack of clitoral erection)oCan be caused by diseases that compromise the blood vesselssupplying the genitaliaoEros clitoral therapy device Miniature version of the vacuum system used to treat male EDoViagra use in W has not produced any significant resultsoPsychotherapy and sex therapyPersistent genital arousal disorderFrequent, unwanted, or near-continuous physiological arousal (very rare)Pain during coitus - DyspareuniaFar more common in WoThere are many reasons for sexual pain in W Developmental malformations, intersexed conditions, persistent unruptured hymenScars from vaginal tearing during childbirth or episiotomy, sexual assault, or female circumcisionTreatment depends on the diagnosis oInfections – antibiotic, antiviral, antifungal drugsoVaginal dryness – lubrication and prolonged foreplayoVaginal atrophy – treatment with estrogensoEndometriosis – drugs or surgeryVaginismusInability to experience coitus due to oSpasm of the muscles surrounding the outer vaginaoPain oFear of painMay make intercourse impossibleFavored treatment – mix of psycho/sex therapy exercises
oGeneral exercises such as sensate focusoVaginal dilators – inserted into vagina while doing relaxation exercisesAnorgasmiaDifficulty in reaching orgasmVery common among womenPsychotherapy and directed masturbation may be helpfuloMay or may not have any obvious biological causeoDifferent strategies depending on the details of the problemModifications of partnered sex if she can only achieve orgasm with masturbationAddition of clitoral stimulation by hand, mouth, or vibratorIncreasing duration of sexual activity and trying different coital positionsCoital alignment technique * where man positions

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