Men’s Health

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Making Sex Better

Bringing back the buzz

Once the honeymoon's over and you settle into the humdrum pattern of everyday life, it's easy to get bored. Sex might go from something you do because you can't keep your hands off each other to free entertainment on a Friday night because there's nothing on TV.

Most of us assume the sex we enjoy in the first heady days of a relationship is the best we can expect, and it's all down hill from there. But here's the good news. It can get better over time rather than worse, and it's easy to put the freshness back. In fact, if you've been together for some time, it can even become more exciting and adventurous than early-days sex.

The one big advantage an established couple has over a new one is the increased level of trust. This makes it more comfortable to ask for something different and new that might be embarrassing with a relative stranger.

To keep things exciting, you'll have to go out of your way to make romantic gestures and suggest new approaches, but it's worth it. You can put fire and excitement into an established relationship far more easily than you can put trust into a new one.

In fact, people who have affairs often say they're looking for the love and sexual satisfaction they felt they weren't getting at home. But, according to research, even couples who said their sex life was unsatisfactory tended to admit it was still better than extra-marital sex.

Going back to the good bits

The feeling that the magic is fading is caused by the adrenaline charge wearing off. Sooner or later it becomes clear which way your shared love-making is going to go, and the knowledge that you both have a well-worn repertoire of sexual practices kills expectation and excitement.

One couple I counselled had exactly this problem. They still loved each other but felt their sex life had become stale and disappointing. I recommended that they start again. They realised that all the things they did to each other when they made love were based on discoveries from the first year or so of their relationship.

Starting over

Each had found touches, techniques and preferences that the other seemed to enjoy and had developed a well-worn routine, from first kiss to final hug. But their tastes had changed. Things they once liked were now boring, and they were ready to try things they would have been too shy to suggest in the early days.

Practical exercises

The exercises I asked this couple to try are in our practical exercises section. There are lots of ideas to help you revitalise your sex life, and tips and techniques to print out and try.

Alternatively there are natural supplements that can be taken which increase the flow of blood to the genitals, thereby assisting the enjoyment of sex. There is Herbal Viagra, Suregasm, Horny Goat Weed and many more.

 

What is premature ejaculation?

Definitions of premature ejaculation have ranged from "coming within six thrusts" to "coming within two minutes" and even "coming before your partner". The last one can be particularly misleading if you have a partner who likes to take up to an hour to reach orgasm!

A simpler definition is that if you come before you want to and you feel you're not able to control it, then you're suffering from premature ejaculation (or PE for short).

Bear in mind that most men will come sooner than they'd like on some occasions, particularly if under stress or in situations of very high excitement. However, if you are unable to control when you come more than 50 per cent of the time, then it becomes a problem.

Some men may only suffer from PE when they're having intercourse. Some feel they come too quickly whatever the stimulation with a partner. Others feel they have little control even when they're masturbating alone.

The causes

PE sufferers aren't able to recognise what therapists call the "point of inevitability". This is a sensation that occurs just a few moments before ejaculation. Men who don't suffer from PE are able to recognise this sensation and either stop or change stimulation until the urgency has subsided.

Most commonly, men who suffer from PE will have had it throughout their sexual life and won't ever have noticed this "point of inevitability". There are a number of reasons why this might have happened. It may be that initially, sex was always rushed or was associated with feelings of guilt or anxiety.

Sometimes men become quick ejaculators because of partner pressure to "get it over and done with". Whatever the original cause, the body gets used to responding quickly and rapid ejaculation becomes the norm.

Very occasionally, premature ejaculation results from a physical condition such as a urinary tract or prostate infection

Very occasionally, premature ejaculation results from a physical condition such as a urinary tract or prostate infection. Recent research suggests that some men may have a physiological predisposition in the nervous system to ejaculate quickly. But for most men, ejaculation will often be quicker in times of stress or ill health.

Self-help techniques

There are a number of things you can do to help yourself to recognise the point of inevitability. You might choose to practise alone at first, then discuss it with your partner and ask them to help you overcome this problem. For more on ways to put these tips into action, see the section on practical exercises.

Getting help

If these self-help techniques don't help - your GP might suggest a short course of antidepressants. The latest style SSRI's have the side affect of delaying ejaculation and may be prescribed purely for that purpose.

If none of that helps then it may be time to resort to medicine. Herbal supplements are available to aid with increasing stamina and longevity of the sexual act, such as Ultimate Stamina, Herbal Viagra and VigRX.

What is retarded ejaculation?

Difficulty in ejaculating is known by doctors as retarded ejaculation. Although men who suffer from this problem may be fully sexually aroused during sex and enjoying the stimulation, orgasm seems to take for ever and may not happen at all.

Retarded ejaculation (RE) can be a very distressing condition. Sufferers can feel embarrassed, isolated, confused and very frustrated.

Partners often blame themselves and feel inadequate, which puts even more pressure on the sufferer to perform and compounds the problem further.

Some men may have suffered from the condition all their life, in all sexual situations. Some will have no problem when masturbating alone, but tense up completely with a partner. Others may only have the problem during intercourse.

Retrograde ejaculation

Some men suffer from retrograde ejaculation, which is very different from retarded ejaculation. If you experience the sensation of orgasm but don't ejaculate, you're probably suffering from this. Instead of the semen being expelled, it's forced backwards into the bladder. Sufferers will sometimes notice that their urine is cloudy after orgasm. This condition is often a result of spinal injury, diabetes, neurological diseases or prostate surgery. It's important to seek treatment, as retrograde ejaculation can cause infertility if left untreated.

Physical causes

If you suffer from retarded ejaculation when you're masturbating as well as with a partner, then the cause may be physical. Check with your GP if you think any of these may apply to you:

Change your habits

If you've always masturbated in exactly the same way, with exactly the same stroke and exactly the same pressure, your body may not know how to respond to anything different. Intercourse or a new partner is going to feel different. Try expanding your masturbatory repertoire. Gradually you should notice your body's increased sensitivity to a variety of touch.

Psychological blocks

The most common causes of RE are psychological. For some reason or another, your mind is blocking out the physical sensations and stopping ejaculation. Your body is telling you that you're ready - you have an erection to prove it - but your head may be trying to tell you something else. Possible psychological reasons include:

Self-help tips and exercises

For ways to put these tips into action, see the section on practical exercises.

More help

If none of that helps then it may be time to resort to medicine. Herbal supplements are available to aid with increasing stamina and longevity of the sexual act, such as Ultimate Stamina, Herbal Viagra and VigRX.

 

Impotence

Impotence is a common problem, affecting one in ten men. The Sexual Dysfunction Association outlines its causes and effects, and the range of treatments available.

What is impotence?

Impotence or erectile dysfunction is defined as the inability to achieve or sustain an erection that's hard enough or lasts long enough to complete sexual intercourse or another chosen sexual activity. It affects at least one in ten men, which means there are about 2.3 million sufferers in the UK.

Many men suffer for years without seeking treatment. This may be because they're too embarrassed to seek help or they're unaware that there are treatments available.

What causes it?

Most men will experience an occasional failure to get an erection. This can usually be put down to stress, tiredness, anxiety or too much alcohol. In these circumstances it's nothing to worry about.

In the past it was thought that more frequent impotence was caused by almost entirely psychological factors, but we now know that physical conditions are present in about 70 per cent of cases. However, the majority of men with erectile dysfunction experience a combination of psychological and physical causes.

Physical causes

Men whose impotence is due to a physical cause often find they gradually lose the ability to have an erection, and it tends to happen with all sexual activities. These physical causes may include:

Psychological causes

If you experience a sudden onset of impotence and can still achieve erections in some circumstances but not in others, the cause may be psychological. Psychological causes can include:

Sometimes the triggering factor can be easily identified, such as an argument or major disagreement with your partner. Or it might involve being interrupted while making love or excessive worry about areas such as work, family life or finances.

Treating impotence

It's important to remember that over the past few years there have been major advances in the treatment of impotence and the majority of sufferers can now be treated effectively.

Discuss the problem with your partner - a problem shared is a problem halved. For example, it may be your partner is unintentionally putting pressure on you to "perform". Discussing the problem with them may relieve this pressure and enable you to have an erection again.

Look at your lifestyle. Are you a heavy smoker? Do you drink a lot of alcohol? Do you suffer from stress and anxiety? Cutting down on your alcohol intake or giving up smoking could make all the difference. Try to reduce stress and anxiety by finding ways to relax.

If the problem persists, see your GP. You could also ask to be referred to a clinic that deals with sexual dysfunction. You can get a list of your local clinics from the Sexual Dysfunction Association.

Visiting your doctor can sometimes be an embarrassing experience. There are alternatives such as herbal supplements are available to aid with increasing stamina and longevity of the sexual act, such as Ultimate Stamina, Herbal Viagra and VigRX.

Treatments available

 

What is an orgasm?

In 1953 a well-known therapist defined it as "an explosive discharge of neuromuscular tension". There are other definitions, but the word 'tension' comes up in most. Which suggests that when you have sex you deliberately wind yourself up just so that you can experience the pleasure of returning to normal afterwards. Bizarre!

What happens in the body?

The technical stuff that creates all this tension is pretty amazing.

What an orgasm isn't

An orgasm should never be the objective of sex. You can have a great time with a partner, feeling aroused, sensual, intimate and loving, and not have an orgasm. Yes, it's fun - but unless you're trying to get pregnant it shouldn't be your primary goal.

You can't make someone have an orgasm. What you can do, besides physically stimulating your partner, is create a safe, comfortable and caring environment for them in which an orgasm might happen.

Orgasm is not limited to the genitals; some people can experience orgasm without their genitals being touched. Some people describe the sensation as a "tingle"; for others the feelings go all over the body.

Faking it

Why do some people - male and female - fake orgasms? Maybe beecause we tend to see orgasm as the signal to stop sex. If, for some reason, your mind or body doesn't fancy an orgasm you could be at it forever.

Most people who fake it do so to please their partner. They feel they're letting them down if they don't make it. Instead of pretending, try and create a relationship where, if you're not in the mood or you've lost the momentum, you can say so honestly.

Quality not quantity

We tend to make a huge fuss about orgasms in our society. Most articles about enhancing your sex life focus on improving orgasms or having more of them. But the intensity of an orgasm is not an indication of sexual satisfaction. If you want a good orgasm, you can do it yourself. If you want a satisfying sexual relationship, you'll need a lot more.

In psychosexual therapy, people are told about the 2-6-2 rule. Out of every ten times you have sex, the chances are that twice it'll be fantastic and mind-blowing, and the earth will move; six times it'll be nice but nothing special; and twice you'll wish you hadn't bothered.

Pleasing Yourself

Negative messages

As a baby or toddler, you probably explored your body to find out where you began and ended, and what felt good. This kind of experimentation usually evolves into masturbation, but children often receive a puzzling message from parents at this point. They are discouraged from touching themselves and hands are slapped away, which tends to leave a feeling that sexual exploration is a thoroughly bad thing.

It doesn't stop children doing it, but it may mean that boys masturbate hurriedly and furtively in order not to be caught out - which may lead to premature ejaculation in later life. Girls grow up feeling they should never admit to masturbating, let alone do so in front of a partner.

Lots of scare stories have grown up around sexual self-exploration over the centuries. People are told that it makes hair grow on your palms, makes "real" sex unsatisfying, and that it's only for the sad and desperate. None of these tales is true, but the overall result of the negative messages around the subject is that masturbation is seen as a sad activity for desperate people, which shouldn't be valued or discussed.

Different kinds of touch

Masturbation can be all the more satisfying if you vary the ways in which you touch yourself. Choose a time when you can be alone, relaxed and comfortable, and lie back and run your hands over your body. Try strokes, caresses, nips, pinches and gentle scratches.

No one is born knowing how their own body or anyone else's responds to sexual stimulation. You have to learn by trial and error. And since everyone's different, the only way of finding out how to please your partner is to learn from them. It's also common and normal for adults in happy relationships to feel like pleasing themselves at times.

Taking your time

Concentrate on areas that particularly excite you, but try not to stimulate only the most obvious bits. You're likely to bring yourself to orgasm by stimulating your penis or clitoris, but it will be more arousing, and your climax more satisfying, if you explore as much of your body as possible.

Try this

Masturbation can feel so much better if you introduce contrasting sensations. Try stroking yourself slowly with:

Sharing your discoveries

When you've had a chance to explore your body and your responses alone, you could think about sharing your discoveries with your partner. Watching them pleasure themselves can be arousing, and it's also the best way to learn about what pleases each of you.

Mutual masturbation or body rubbing has a variety of advantages. It's safe, with no risk of pregnancy or infection. Non-penetrative sex also reduces the pressure to perform. Losing an erection or coming before your partner doesn't have to spell the end of love-making. All in all, brushing up your masturbation skills can add a lot to your sex life.

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