Orgasm problems |
Problems with not reaching orgasm or reaching orgasm too quick could be present in all sexual interactions, in all stages of life or can be isolated to specific interactions. This means you could experience difficulties reaching in orgasm during intercourse but you might achieve orgasm in an individual situation by masturbation. Or you can control the timing of your orgasm in masturbation situations but not in a partner interaction. It could also happen that you haven't experienced problems in a past relationship but you do in your current one. Or you haven't ever experienced a climax.
Not reaching orgasm Not reaching orgasm during sexual interaction can be very frustrating and can really impact the sexual experience of yourself and your partner. It is quite common for women not to experience a climax during penetration as the most sensitive area of the female body responding most strongly to touch is the clitoris. If this sexual organ is not stimulated during intercourse it could be challenging to reach an orgasm. Men could also experience challenges in reaching orgasm due to lack of stimulation physically or mentally. Causes Problems with reaching a climax are rarely caused by a medical issue, but could be related to medication use. Some types of medication have a tempering effect on your body’s ability to reach an orgasm, such as antidepressants, pain-relief medication or some types or recreational drugs. Other factors that could inhibit a climax response could be related to a fear of losing control, anxiety, depression, lack of knowledge or exploration of your own body, restrictive/religious thoughts, insufficient stimulation or relationship problems. 
Problems reaching orgasm too soon (Premature ejaculation)
For men, the clinical definition of premature ejaculation (PE) might be different to the definition used by the general public. Officially PE can only be diagnosed when the time between the start of penetration and ejaculation is less than 60 seconds. This is of course hard to measure as you might not be having sex with a stopwatch in your hands. People usually describe premature ejaculation in terms of reaching climax sooner than expected or desired. The main reported issue is often lack of control over the ejaculation response which can result in an inability to please the partner. Premature ejaculation can cause severe stress, can affect the partner and the enjoyment derived from the sexual relationship. Usually it is not specifically the timing of the ejaculation that's causing the distress, but the lack of control over the orgasm. Causes Premature ejaculation could have several causes based on a biological predisposition or psychological stress. Some men are born with a predisposition to ejaculate rapidly. A way to discover this predisposition is to compare the time to ejaculation (and perceived control) when masturbating to the time when having intercourse. When there is little difference in perceived control and time to ejaculation between these two situations you might be predispositioned to have an elevated sensitivity and rapid response to sexual stimulation. PE could also be caused by psychological factors such as pressure to please your partner, anxiety to fail, or insecurities. Some men develop PE in response to erectile dysfunction. Treatment of orgasm issues Treatment for orgasm problems starts with an assessment of your circumstances, the possible causes related to the ability and timing of your orgasm and assessing your desired outcomes for therapy. Possible strategies that could assist towards reaching your goals could include education and exercises to explore your own body and its response to stimulation, mindfulness, relaxation exercises and exploring possible negative or inhibiting thoughts. This process could be an individual process or could be a shared treatment with your partner, depending on your needs and preferences. If you would like to improve your ability to enjoy your sexuality please feel free to contact Selma van Diest to explore the options for a booking. |
