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Although premature ejaculation is a more common sexual dysfunction in men, delayed ejaculation, or inability to reach orgasm is not unusual. Unlike women, men cannot fake an orgasm because there is physical evidence of orgasm in men. Men who are unable to reach orgasm during intercourse may have a physical or psychological problem.

For men, sexual dysfunction can be devastating. There are many factors, both physical and psychological that can lead to sexual dysfunction. Stress, disease and exhaustion can all create sexual problems for men and women. It’s just men can’t hide their problem. One sexual problem encountered by men is a failure to ejaculate. In this situation, no amount of erotic stimulation will bring a man to orgasm. This condition is physically uncomfortable, even painful, and can be emotionally debilitating. Worse, in men, one sexual failure can lead to another which can make it difficult to determine if the cause is physical or emotional.

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The first step to solving the problem is to determine whether it is physical. If a man can reach orgasm with self stimulation (masturbation), but not with a partner, or if he can reach orgasm with a partner and not through self stimulation, the problem is probably psychological. If a man cannot reach orgasm at all, and if the problem is a relatively recent one, he should seek medical attention imm ediately. The delayed ejaculation may be a symptom of a physical problem or disease. This could be serious and only a qualified medical doctor can make the diagnosis.

Psychological and emotional problems effecting male sexual dysfunction can include guilt. Guilt due to religious beliefs or caused by a sexual indiscretion can have a serious impact on a man’s ability to perform. Attraction is another issue for men. If a man is not attracted to his sexual partner, he may not be able to be sufficiently stimulated to reach orgasm. A trained psychologist or sexual therapist can help men overcome obstacles to their normal sexual function.

Sexual dysfunction cannot be overcome without help. The first step is for a man to consult his urologist, especially if the problem is a recent development. The urologist can rule out possible physical causes. Sexual dysfunction can be a symptom of a serious health problem, and should never be ignored. If the urologist is finds no medical problem to explain the dysfunction, then a man should seek the help of a therapist specializing in sexual dysfunction.

Treatment with a therapist or psychologist will probably include the man’s regular sexual partner. A supportive partner can be a valuable asset in resolving this problem. The therapist can help men get over guilt caused by religious dogma or by cheating on a life partner. Therapy also includes explorations of new sexual techniques and physical intimacy without intercourse. Relaxation and setting a proper ambiance are important areas of therapy. Removing performance anxiety and pressure are important. Cooperation and support from a sexual partner help.

There are exercises that a doctor can recommend that train the pubococcygeus muscle. Training this muscle allows men greater control over ejaculation. The Penis Health program explains the exercises and how training the PC muscle can make the sexual experience more pleasurable.

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