HLTH 342 Lecture Notes - Lecture 26: Vaginismus, Allergy, Hymen

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Absent or delayed orgasm: about 8% of men. Psycho-social: guilt ridden background, unconscious holding back from partner. If vagina not tight, woman could use kegel exercises. Just try harder is not the answer. Early (pre-mature) ejaculation: persistent early emission with little stimulation and before. In young men and early encounters, this can exist in up to 65% of men. It is persistent in 30% of men. Medical issues: low testosterone, prostate disease, hyperthyroidism. During foreplay, when close to ejaculation, you or partner place thumb on frenulum, circle fingers around corona, and squeeze hard for 20 seconds. repeat as often as wanted. Stop-start: during lovemaking take breaks, distract yourself from sexual actions, and then start again. Ejaculate: let ejaculation occur; then, with mutual agreement of partner, continue lovemaking until you can ejaculate again. you will come more slowly the second time. Clomipramine: small amount of this obsessive-compulsive drug might help. Persistent or recurrent pain in women before, during, and after coitus.

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