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Identify the optimal sexual situation for you, and work with your partner to find it. But after 50, the context becomes increasingly important. Young men can function sexually under almost any circumstance. Ask your doctor for instructions or look online for tutorials. These simple, discreet exercises tone the pelvic floor muscles, intensifying orgasm and strengthening ejaculation. For antidepressant-induced problems, ask about switching to one that is less likely to impair sexual performance. Your physician should investigate possible infections, drug issues, or pain or neurological problems. "When a man pays too much attention to his partner's experience and not enough to his own, he loses erotic focus, which can interfere with orgasm and ejaculation," says sex therapist Dr. Lovemaking involves giving and receiving pleasure, but some men believe their only job is to give it. "I've seen ejaculatory problems linked to strict Catholic, Protestant and Jewish upbringing," Weston says. Sex therapists say that several emotional stressors may be associated with the problem: anger at one's lover, fear of pregnancy or sexual infections, or fundamentalist upbringing. Save Money: Get AARP member discounts on travel, shopping and more Other drugs may also contribute, such as pain relievers (Aleve, Naprosyn), anti-anxiety (Xanax, Valium), and numerous blood pressure and psychiatric medications, among others. Alcohol is most associated with erectile dysfunction, but in some men, it causes orgasm problems. Antidepressants are notorious for impairing sexual performance. Surgery for benign prostate enlargement has no effect on orgasm, but it eliminates ejaculation.ĭrugs. Neurological conditions (diabetes, paraplegia, multiple sclerosis) might damage the nerves that control orgasm.
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When these muscles weaken, semen dribbles out and orgasms may provide little pleasure. "This is normal, but often disconcerting." Aging also weakens the pelvic floor muscles, whose contractions trigger an ejaculation. "As men age, they notice that their penis needs more stimulation to trigger ejaculation," says sex therapist Dr. The first step is to understand what's behind the issue. The good news is that these difficulties can usually be resolved. One study found the problem affects as many as 16 percent of men in their early 60s, 23 percent of men ages 65 to 74, and 33 percent of men 75 and older. Plenty of guys 50 and older experience difficulty with orgasm and ejaculation, says Dr.