I had an email from a woman yesterday asking if her husband’s gout could be affecting his sexual pleasure, and suggesting that I should send her a selection of remedies!
Well, this is not so unusual as you might think. I have had requests from men and women asking whether conditions as diverse as prostate enlargement, requiring prostate health supplements, and hiatal hernia might possibly affect people’s ability to enjoy sexual intercourse.
Certainly prostate enlargement, otherwise known as benign prostatic hyperplasia or BPH, can affect one’s sex life.
The most likely cause of this is the administration of medication such as Flomax (Tamsulosin hydrochloride) which interferes with the muscles of the prostate gland and is likely to inhibit ejaculation.
However, it is also possible medication administered the mood problems such as anxiety and depression to have an impact on male sexual function.
One of the most common illustrations of this is the effect of SSRIs or selective serotonin reuptake inhibitors on male ejaculatory function.
This effect was first noticed when men being given SSRIs such as Dapoxetine for depression reported that they had trouble ejaculating during intercourse, or that sometimes they could not ejaculate at all.
Since then a considerable amount of work has been put into developing an SSRI drug which can be administered for premature ejaculation.
Conversely, there are currently no medications of any kind which can be given to a man who is experiencing delayed ejaculation and wishes to ejaculate normally during sexual intercourse.
This type of ejaculatory dysfunction can only be addressed by an appropriate combination of psychotherapy and bodywork.
The significance of premature ejaculation is male sexual dysfunction cannot be overestimated. Approximately 30 to 50% of men ejaculate uncontrollably during sexual intercourse, an emotional and relationship problems which this causes could be considerable.
Indeed, research has demonstrated that men with premature ejaculation frequently have a lower self-esteem and a lower the level of sexual self-confidence than men who are able to exert greater control over their ejaculatory function.
The critical factors in learning to ejaculate with a greater degree of control appear to be (1) clear intention on the part of the man to make love last longer (2) the determination to apply series of self-help exercises which enable him to become more aware of when he’s going to ejaculate (3) the ability to delay gratification of orgasm & ejaculation so the partner may be satisfied before the man reaches orgasm (4) a willingness to engage in a serious bodily training exercises with the help of the man’s partner and finally (5) the determination to keep revisiting these techniques after the initial learning period is over.
This video illustrates some of the more important points about premature ejaculation How to control premature ejaculation and also explains a number of
interesting issues, in particular the definition of premature ejaculation, which has been subject to much debate in recent years.
This discussion centres on the issue of whether premature refers to an inability to control ejaculation or a specific, defined period of time within which the man ejaculates during lovemaking.
Another highly relevant piece of information in some people’s minds at least, is that of whether or not there is relationship distress or a high level of stress on the part of the man, caused by his failure to control his ejaculatory reflex.
For some therapists, it’s absolutely essential that premature ejaculation is defined in a way that includes an element to recognise distress caused by the condition: without such distress, in these therapists’ eyes, there is no dysfunction.
Whether or not you consider this to be a reasonable point of view depends entirely on your view of premature ejaculation.
Many people would say that the fact that a great number of men and women believe, even now, in these supposedly enlightened days, it is necessary for a man to bring a woman to orgasm through sexual intercourse, even though the majority of women can’t possibly reach orgasm during intercourse from the man’s thrusting alone, there are far more important issue was the ability of men to bring a woman to orgasm, period!
Certainly there are many points of view which one could take on this,but overall it’s important to understand that at the end of the day the thing that matters most is a couples individual sexual satisfaction and pleasure.
Whether this is achieved by the man bringing woman to orgasm during foreplay, using oral sex and manual pleasuring techniques, or whether it is achieved by the man thrusting into the woman’s vagina during intercourse, is hardly the most important issue.
What’s actually much more important is the ability of a woman a man to make their sexual requirements known to each other, and to obtain sexual pleasure in the most gratifying and pleasurable way that matches their individual sexual needs, and leaves them feeling that they have enjoyed each other’s company in a way that will not only reinforced the pair bond of couple, but will enhance the quality of their relationship outside the bedroom.