But a man who persistently ejaculates prematurely in a sharing sexual partnership may become anxious that he is giving nothing and taking everything sexually; or his partner sooner or later complains. Sexually aroused by mutual pleasuring, expecting a period of enjoyable penile movement within her vagina, hopeful that she may reach orgasm herself, she finds that her partner has ejaculated almost as soon as his penis enters his vagina, leaving her sexually frustrated. When this pattern of sexual activity is repeated over several months, both partners become anxious. The anxiety is aggravated if they are unable to talk to each other about their sexual problems. The woman becomes tense because of her continuing sexual frustration; the man becomes increasingly anxious because he feels that he has failed his partner sexually and so diminished his masculinity. A vicious circle of sexual dysfunction has been established. Help is needed to break it.

What sort of man gets into this problem? What hope has he of escaping from it? The answer to the first question is still unclear. The answer to the second question is that almost every man who is concerned about his premature ejaculation can be cured with the help of a sexual therapist and, more importantly, with the loving help and educated cooperation of his sexual partner.

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