‘orgasm’

Sexual Wisdom, Not Advice

I’ve always said that I’m not one of those sex therapists who gives advice. I don’t tell you who you shouldn’t marry, which sex position “most women” like, or if you should try a threesome.
Rather, I see my job focusing more on education: providing facts about biology, laying out competing ideas about how to make decisions, and sharing my accumulated experience of how things tend to work.

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No Orgasm? Lots of Good Reasons

Just about every week I see a new patient who complains that he has trouble having orgasms.

Of course, I ask lots of questions. Does this happen only with a partner, or with masturbation too? What medication is he taking? How much alcohol is generally involved before and during sex? How does his partner usually respond? How does he usually respond?

And if he’s been bothered about this for a while, why is he coming in now?

I want to eliminate medical issues first, so I always ask if he’s seen a physician. Since many of these guys are referred to me by a doc, let’s skip over the possible health issues (such as diabetes, auto-immune diseases, and possession by the devil) and…

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Have Orgasms, Don’t Have Orgasms—Just Don’t COUNT Orgasms

Some of my patients count orgasms. Sometimes they count their own, but more often, they count their partners’. Both men and women do this. “When my wife doesn’t climax, I feel I haven’t done my job,” says Max. “When a boyfriend doesn’t orgasm, I figure it’s because I don’t turn him on enough,” says Maria. “I want to totally satisfy my husband every time, says Claire. “I don’t want LaShonda to think I’m selfish, or that I don’t care,” says Marcus, “so I try to make her cum no matter how long it takes.” Listening to people say such things,…

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