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Erection Problems - Psychological impotence often arises after an erection failure (which all men experience at some time) because it can cause a man to lose confidence. Subsequently the anxiety felt when he next has sexual intercourse makes it likely that he will fail again.
In some cases, the problem is physical in origin, so you should always have a thorough medical checkup before embarking on any psychotherapeutic regimes.
Treatment
Treatment is aimed at reducing anxiety and the fear of having to perform sexually. Agree with your partner not to attempt intercourse for a while, to remove pressure. Instead, concentrate on nongenital touching, using stroking and massage, and focus on your feelings. Only progress to genital touching when you feel completely at ease and have learned about your own and your partner's sexual responses. Do not attempt intercourse again until you feel absolutely ready to undertake it.
Aromatherapy Massage scalp with oil of rosemary.
Hydrotherapy
Take a daily bath in cold water, sitz baths, or cold water frictions.
Herbal Medicine - Saw palmetto tea is thought to be an aphrodisiac. Fygeum is also helpful.
Premature Ejaculation
Anxiety and stress are common causes of premature ejaculation, particularly anxiety about sexual performance. The symptom of the condition is ejaculation almost immediately after, or sometimes before, penetration. It is important to make love in relaxed and comfortable surroundings, without fear of being disturbed: furtive sexual encounters with one eye on the clock can also lead to the development of this distressing condition.
Treatment
The stop-start method can work well. Your partner stimulates you manually until you are on the point of orgasm, and just as you are about to ejaculate she squeezes the tip of your penis. Repeat four times a session: this will stop the orgasm and should eventually reestablish control after a few weeks.
Consult a qualified practitioner/therapist for:
Autogenic Training - This can induce a feeling of deep relaxation.
Eartern Traditions - Tantric Buddhism regards male orgasm and ejaculation as separate and has evolved methods of controlling ejaculation that may be helpful. Read tantric literature for more information.
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