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10.People who truly love each other do not take pleasure
in their mate's disappointments or failures.
People who truly love each other treat their mates with
absolute trust. Some husbands and wives torment
themselves with groundless suspicions. If you look for
trouble you will find it every time.

11.People who truly love look forward to their relationship
growing more meaningful and precious. They have hope.
Which is an attitude that happily anticipates the good. It
isn't being blind and denying that there are problems, but it
does look beyond the problems. People who truly love
each other do not allow their problems to rob them of their
happiness.

Remember there is no failure in love, because once you
tell somebody whom you love, that you love him/her, then
you have already succeeded in love.
LOVE YOURSELF
You must love yourself before you can love another.

Realize what you have while you have it, and care for
the person you trust.

If something comes to an end, try to let go rather than
holding on; it's for the best.


Don't ask for love. You should receive love because
your partner wants to give you love, not because you
want it from your partner.


Do not force love. It will come in good time—perhaps
not with the person you initially want, but love definitely
will come if you are willing to share it with someone.
INTIMATE RELATIONSHIP
An intimate relationship is a particularly close
interpersonal relationship. It is a relationship in which the
participants know or trust one another very well or are
confidants of one another, or a relationship in which
there is physical or emotional intimacy.

Intimate relationships play a central role in the overall
human experience.[1] Humans have a universal need to
belong which is satisfied when intimate relationships are
formed.

[2] Intimate relationships consist of the people that we
are attracted to, whom we like and love, romantic and
sexual relationships, and those who we marry and
provide emotional and personal support.
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Focus on getting your relationship back on the level of those
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your partner with some fun, passionate gestures.
Attraction
Sexual attraction is a person's ability to attract the interest
of another person. It may depend on the physical quality,
including both looks and movements, of a person but can
also be influenced by voice or smell as well as by
individual preferences resulting from a variety of genetic,
psychological, and cultural factors.


The biological aspects of human sexuality deal with
human reproduction and the physical means with which to
carry it out. They also deal with the influence of biological
factors on other aspects of sexuality, such as organic and
neurological responses,[4] heredity, hormonal issues,
gender issues and sexual dysfunction
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1.Love genuinely. Do not compare your feelings now to
what your feelings were when you were with another
mate. At times, we can experience rejection.


2.Realize that love is a feeling that  describe and attempt to
assist, but ultimately, you are the one who must take
action in order to discover love.

3.Do things that make the other person feel good and
happy, but do not smother them with gifts and attention.

4.Consider some tips about what people in love do.
People in love are sensitive to each other's needs, and
endeavour to meet them even when they do not feel like
doing it.
5.Men and women may be equal in value but different by
nature. People who truly are in love give their mates
"space" to develop their potential and find their fulfillment in
life.

6.Love does not brag. People who are truly in love refrain
from rehearsing their good traits just to show off. Bragging
in a relationship often is really defensiveness.

7.People who are truly in love do not insist that their way is
best and demand that their mates give in to them.
People who are truly in love are considerate of each other's
feelings and courteous in their actions toward one another.
Sadly, sarcasm is a way of life for some couples. They
ridicule each other, belittle each other and trade jibes with a
fury. They may say it is all in fun, but it leaves wounds that
will someday become festering sores.


8.People who are truly in love look out for their mate's best
interests as much as their own. Those in love should be
concerned not only about their own individual interests, but
about the interests of the other as well.
9.People who are truly in love control their anger when the
other displeases them. We are all human, and all humans
feel anger periodically, but we only express our anger in
destructive ways when we are counting on someone else to
meet our needs.

10.People who truly love each other do not take pleasure in
their mate's disappointments or failures.
People who truly love each other treat their mates with
absolute trust. Some husbands and wives torment
themselves with groundless suspicions. If you look for
trouble you will find it every time.

11.People who truly love look forward to their relationship
growing more meaningful and precious. They have hope.
Which is an attitude that happily anticipates the good. It isn't
being blind and denying that there are problems, but it does
look beyond the problems. People who truly love each other
do not allow their problems to rob them of their happiness.

Remember there is no failure in love, because once you tell
somebody whom you love, that you love him/her, then you
have already succeeded in love.
OPEN RELATIONSHIP
An open relationship is a relationship in which the
participants are free to have emotional, spiritual and/or
physical relationships with other partners, often within
mutually agreed limits. If a couple in an open relationship are
married, it can be called an open marriage.
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1.Love genuinely. Do not compare your feelings now to
what your feelings were when you were with another
mate. At times, we can experience rejection.


2.Realize that love is a feeling that  describe and attempt
to assist, but ultimately, you are the one who must take
action in order to discover love.

3.Do things that make the other person feel good and
happy, but do not smother them with gifts and attention.

4.Consider some tips about what people in love do.
People in love are sensitive to each other's needs, and
endeavour to meet them even when they do not feel like
doing it.

5.Men and women may be equal in value but different by
nature. People who truly are in love give their mates
"space" to develop their potential and find their fulfillment
in life.

6.Love does not brag. People who are truly in love refrain
from rehearsing their good traits just to show off. Bragging
in a relationship often is really defensiveness.
7.People who are truly in love do not insist that their way is
best and demand that their mates give in to them.
People who are truly in love are considerate of each other's
feelings and courteous in their actions toward one another.
Sadly, sarcasm is a way of life for some couples. They
ridicule each other, belittle each other and trade jibes with a
fury. They may say it is all in fun, but it leaves wounds that
will someday become festering sores.


8.People who are truly in love look out for their mate's best
interests as much as their own. Those in love should be
concerned not only about their own individual interests, but
about the interests of the other as well.

9.People who are truly in love control their anger when the
other displeases them. We are all human, and all humans
feel anger periodically, but we only express our anger in
destructive ways when we are counting on someone else to
meet our needs.
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''Men's Health //  Sexual health for men--

''Sexual health is a source of concern for many men. Yet some men
are not comfortable talking to their doctors about sex. Others wrongly think that sexual
problems are a normal part of aging. But treatment can help with many sexual health
issues. No matter what your age, talk to your doctor if you have:

Problems getting an erection
•Problems keeping an erection
•Less interest in sex
•Other problems that keep you or your partner from enjoying sex
----------------------------------

Male infertility
More information on male infertility
Lots of couples have trouble conceiving a child. About 30 percent of the time, the cause
of their infertility is from the man.

The male fertility process involves making mature sperm and getting the sperm to reach
and fertilize the egg. For this process to happen, a man must be able to have and keep
an erection, have enough sperm, have enough semen to carry the sperm to the egg, and
have sperm that are the right shape and move in the right way. A problem in any part of
this process can lead to problems conceiving.

Many factors can affect male fertility. Some include:

•Age
•Stress
•Smoking
•Drinking too much alcohol
•Some illegal drugs, like anabolic steroids or artificial testosterone taken to increase
muscle mass

Undescended testicles or damage to the testicles
•Too much heat, like from hot tubs or, possibly, from tight underwear
•Certain medications, such as cancer medications (chemotherapy)
•Exposure to radiation
•Environmental toxins, like pesticides, at work or at home

Genetic conditions
•Other health problems, including obesity
If your partner has not become pregnant after one year of frequent sex without birth
control (or after six months if your partner is 35 or older), talk to your doctor.

A semen test, which looks at the health of a man's semen and sperm, can be a good
first step for couples facing fertility problems. That's because it is much easier and
costs less than tests for female fertility. Many couples with fertility problems go on to
have healthy pregnancies and babies.



'
'Connect with other organizations

American Society for Reproductive Medicine  

Association of Reproductive Health Professionals  

Hormone Foundation,

RESOLVE: The National Infertility Association  

Yale Fertility Center  --
Men's Health

Sexual problems
Premature ejaculation
Erection problems

Loss of sexual interest
Low testosterone

More information on sexual problems-- KNOWLEDGEFINANCIAL.
COM

Sexual problems are not unusual among men.
Many men have problems getting or keeping an erection. Some men have problems
with ejaculation. The good news is that treatment often can help sexual problems.

Premature ejaculation
A lot of men sometimes ejaculate sooner than they would like. Estimates vary, but
around 1 out of 3 men experience premature ejaculation at some time. Usually,
premature ejaculation does not need treatment. But if you often ejaculate prematurely
— like before starting intercourse or just a minute or two after starting — you can get
help.

Premature ejaculation has several possible causes, including:

•Emotional issues like guilt or anxiety
•Low levels of certain brain chemicals
•Being very aroused or stimulated
•Infection of the prostate or urethra

Talk to your doctor if you are concerned. There are several treatments
for premature ejaculation. You first might try techniques like stopping sexual
stimulation briefly and then restarting it. You also could try using topical creams or
condoms to lessen excitement. The U.S.
Food and Drug Administration has not approved any medications for premature
ejaculation, but your doctor may prescribe antidepressants because a possible side
effect is delaying ejaculation.

Open communication with your partner can help with any stress between you. And it
can help you figure out ways that you can both achieve satisfaction. Working with a
therapist or counselor, either by yourself or as a couple, can be very effective.

Erection problems
ED drugs are not safe for everyone

Many men now take medications like Viagra, Levitra, and Cialis
to treat erection problems. These medications are not safe for
everyone. Before taking drugs to treat ED, talk to your doctor
about the benefits and risks involved.

Never take Viagra, Levitra, or Cialis if you take heart medicines called nitrates. Doing
so could cause a sudden — and dangerous — drop in blood pressure. Also, tell your
doctor if you take any drugs called alpha-blockers, which are used to treat prostate
enlargement or high blood pressure.
Some men have problems getting or keeping an erection. (An erection is when blood
fills up the penis, making it firmer and larger.) This problem is called erectile
dysfunction, or ED, and sometimes is called impotence. ED is fairly common.

In fact, between 15 million and 30 million U.S. men are affected by it. ED can be very
upsetting. It can affect self-esteem and cause frustration, anger, and sadness. But
there are effective treatments for ED. And counseling can help you and your partner
cope with any emotional effects of ED.

Causes of ED include:

•Clogged blood vessels, high blood pressure, and high cholesterol
•Nerve damage from diabetes
•Certain medicines, including some used to treat depression or high blood pressure

Low testosterone
•Unhealthy habits like smoking, drinking too much alcohol, overeating, and not
exercising
•Emotional factors, such as stress or depression
As men get older, ED becomes more common. By age 65, almost 25 percent of men
have this problem at least one out of every four times they have sex.

But ED is treatable at any age. Your doctor can offer a number of ways to treat ED. If
treatment solves your ED, though, you still need to take care of any health issues that
may have caused it.

Some men need to try two or three options before they find an
ED treatment that works for them.
Medication is one popular way to treat
ED. Drugs like Viagra increase blood flow to the penis, which helps make an erection
possible. Injections to the penis and medicine you put into the tip of your penis also
can increase blood flow to it.

Other treatments for ED include a vacuum cylinder and pump you put on your penis to
pull blood into it or inflatable rods that are put into the penis through surgery.

You may have heard of herbal products or dietary supplements that claim to treat ED
or improve sexual performance. You should beware of these products even if they
claim to be "natural." They can contain dangerous ingredients, including prescription
medications that are not identified on the product's label.

Loss of sexual interest
Your interest in sex, also called libido, can vary over the course of your life. Some men
may lose interest in sex during times of stress or illness. Also, your interest might not
match that of your partner at times, which is normal in long-term relationships.

Reduced interest in sex can have a number of causes,
including:

•A health problem
•Certain medications
•Reduced levels of male hormones

•Emotional or relationship problems
As men age, it is natural to be less interested in sex. But for a healthy man, having no
interest in sex is not normal. If you have less interest in sex, talk frankly with your
doctor. Treatment can help. It could include medicine, counseling, or both.

Low testosterone
Testosterone is the most important male hormone. It helps maintain sex drive, sperm
production, pubic and body hair, muscle, and bone. Lower than normal levels of
testosterone can affect a man's body and mood. Signs of low testosterone in adult
men can include:

•Less interest in sex
•Erection problems
•I•Hot flashes

•Problems with memory and concentration
•Mood problems, like irritability and depression
•Smaller and softer testicles
•Loss of muscle strength and weakened bones

Low testosterone levels can have a number of causes,
including injury, disease, and certain medications
.
A gradual decline in testosterone is normal in men as they get older. This is
sometimes called aging male syndrome (or andropause) and can cause erection
problems and less sex drive. But it is not normal for healthy older men to have no
interest in sex. There could be other reasons for these changes.

If you have symptoms of low testosterone, talk to your doctor. You can get your
testosterone level checked with a simple blood test. If you do have low testosterone,
your doctor will want to find out the underlying cause.
Finding the cause can involve many tests. You might want to see a
specialist, such as an endocrinologist or urologist.

Some men with low testosterone take testosterone replacement
therapy,
which they get through a skin patch or other method. But testosterone
therapy is not right for everyone, and its use is controversial.
One reason is that testosterone therapy has certain risks. Another reason is that
experts don't know exactly what testosterone levels are "normal" as men age. If you
have low testosterone, your doctor can help you understand the benefits and risks of
treatment so you can decide what's right for you.

More information on sexual problems---KNOWLEDGEFINANCIAL.COM

Connect with other organizations
Administration for Children and Families  

Adopt America Network //•AdoptUSKids  

American College of Obstetricians and Gynecologists  

Child Welfare Information Gateway, ACYF, ACF, HHS  

Children Awaiting Parents, Inc.  

Ferre Institute, Inc.  

Intercountry Adoption, Office of Children's Issues, US Department of State  

•I
nternational Council on Infertility Information Dissemination  

National Adoption Center  

National Foster Parent Association  

RESOLVE: The National Infertility Association  

Society for Assisted Reproductive Technology  

••U.S. Food and Drug Administration  
Erectile Dysfunction - (Impotence, ED)
What is erectile dysfunction?

Erectile dysfunction (ED)
, also known as impotence, is the inability to
achieve or sustain an erection for satisfactory sexual activity.
Erectile dysfunction is different from other conditions that interfere with male sexual
intercourse,
such as lack of sexual desire (decreased libido) and problems with ejaculation and
orgasm (ejaculatory dysfunction). This article focuses on the evaluation and treatment of
erectile dysfunction.


How common is erectile dysfunction?

Erectile dysfunction (ED,
impotence) varies in severity; some men have a
total inability to achieve an erection, others have an inconsistent ability to achieve an
erection, and still others can sustain only brief erections.

The variations in severity of erectile dysfunction make
estimating its frequency difficult.
Many men also are reluctant to discuss
erectile dysfunction with their doctors due to embarrassment, and thus the condition is
underdiagnosed. Nevertheless, experts have estimated that erectile dysfunction affects 30
million men in the United States.

While erectile dysfunction can occur at any age, it is uncommon among young men and
more common in the elderly. By age 45, most men have experienced erectile dysfunction
at least some of the time.

According to the Massachusetts Male Aging Study, complete
impotence increases from 5% among men 40 years of age to 15% among men 70 years
and older. Population studies conducted in the Netherlands found that some degree of
erectile dysfunction occurred in 20% of men between ages 50-54, and in 50% of men
between ages 70-78.

In 1999, the National Ambulatory Medical Care Survey counted 1,520,000 doctor-office
visits for erectile dysfunction. Other studies have noted that approximately 35% of men
40-70 years of age suffer from moderate to severe ED, and an additional 15% may have
milder forms.


What is normal penis anatomy?

The penis contains two chambers, called the corpora
cavernosa,
which run the length of the upper side of the penis (see figure 1 below).
The urethra, which is the channel for urine and ejaculate, runs along the underside of the
corpora cavernosa.

Filling the corpora cavernosa is a spongy tissue consisting of smooth muscles, fibrous
tissues, spaces, veins, and arteries. A membrane, called the tunica albuginea, surrounds
the corpora cavernosa. Veins located in the tunica albuginea drain blood out of the penis.
How does erection occur?

Erection begins with sexual stimulation.
Sexual stimulation can be
tactile (for example, by touching the penis) or mental (for example, by having sexual
fantasies).
Sexual stimulation or sexual arousal generates electrical impulses along the nerves going
to the penis and causes the nerves to release nitric oxide, which in turn increases the
production of cyclic GMP (cGMP) in the smooth muscle cells of the corpora cavernosa.

The cGMP causes the smooth muscles of the corpora cavernosa to relax and allow rapid
blood flow into the penis. The incoming blood fills the corpora cavernosa, making the penis
expand.


How is erection sustained?
The pressure from the expanding penis compresses
the veins
(blood vessels that drain the blood out of the penis) in the tunica albuginea, helping to trap
the blood in the corpora cavernosa, thereby sustaining erection.

Erection is reversed when cGMP levels in the corpora
cavernosa fall
, causing the smooth muscles of the corpora cavernosa to contract,
stopping the inflow of blood and opening veins that drain blood away from the penis.

The levels of the cGMP in the corpora cavernosa fall because it is destroyed by an enzyme
called phosphodiesterase type 5 (PDE5).


What are some of the risk factors for erectile dysfunction?
The common risk factors for ED include the following:

What are the causes of erectile dysfunction?

The ability to achieve and sustain erections requires

1.a healthy nervous system that conducts nerve impulses
in the brain, spinal column, and penis,

2.healthy arteries in and near the corpora cavernosa,

3.healthy smooth muscles and fibrous tissues within the
corpora cavernosa,

4.adequate levels of nitric oxide in the penis.
Erectile dysfunction can occur if one or more of these requirements are not met. The
following are causes of erectile dysfunction:

Aging: There are two reasons why older men are more likely to experience erectile
dysfunction than younger men. First, older men are more likely to develop diseases (such
as heart attacks, angina, cardiovascular disease, strokes, diabetes mellitus, and high
blood pressure) that are associated with erectile dysfunction.

Second, the aging process alone can cause erectile
dysfunction in some men,
primarily by decreasing the compliance of the
tissues in the corpora cavernosa, although it has been suggested, but not proven, that there
is also decreased production of nitric oxide in the nerves that innervate the corporal
smooth muscle within the penis.

Diabetes mellitus: Erectile dysfunction tends to develop 10-15 years earlier in
diabetic men than among nondiabetic men. In a population study of men with type I diabetes
for more than 10 years, erectile dysfunction was reported by 55% of men 50-60 years of age.

Diabetes mellitus also causes erectile dysfunction by damaging
both sensory and autonomic nerves, a condition called diabetic neuropathy. Smoking
cigarettes, obesity, poor control of blood glucose levels, and having diabetes mellitus for a
long time further increase the risk of erectile dysfunction in diabetes.

In addition to atherosclerosis and/or neuropathy causing
ED in diabetes,
many men with diabetes also develop a myopathy (muscle disease)
as their cause of ED in which the compliance of the muscles in the corpora cavernosa is
decreased, and clinically this presents as an inability to maintain the erection.

Hypertension (high blood pressure): People with essential
hypertension or arteriosclerosis have an increased risk of developing erectile dysfunction.
Essential hypertension is the most common form of hypertension; it is called essential
hypertension because it is not caused by another disease (for example, by kidney disease).

It is not clearly known how essential hypertension causes
erectile dysfunction;
however, those with essential hypertension have been
found to have low production of nitric oxide by the arteries of the body, including the
arteries in the penis.
High blood pressure also accelerates the progression of atherosclerosis, which in turn can
contribute to erectile dysfunction. Scientists now suspect that the decreased levels of nitric
oxide in patients with essential hypertension may contribute to erectile dysfunction.

Cardiovascular diseases: The most common cause of cardiovascular
diseases in the United States is atherosclerosis, the narrowing and hardening of arteries
that reduces blood flow. Atherosclerosis typically affects arteries throughout the body and is
aggravated by hypertension, high blood cholesterol levels, cigarette smoking, and diabetes
mellitus.

When coronary arteries (arteries that supply blood to the
heart muscle)
are narrowed by atherosclerosis, heart attacks and angina occur.
When cerebral arteries (arteries that supply blood to the brain) are narrowed by
atherosclerosis, strokes occur.

Similarly, when arteries to the penis and the pelvic organs are narrowed by
atherosclerosis, insufficient blood is delivered to the penis to achieve an erection. There is
a close correlation between the severity of atherosclerosis in the coronary arteries and
erectile dysfunction.

For example, men with more severe coronary artery atherosclerosis also tend to
have more erectile dysfunction than men with mild or no coronary artery atherosclerosis.
Some doctors suggest that men with new onset erectile dysfunction should be evaluated for
silent coronary artery diseases (advanced coronary artery atherosclerosis that has not yet
caused angina or heart attacks).


Cigarette smoking: Cigarette smoking aggravates atherosclerosis and thereby
increases the risk for erectile dysfunction.

Nerve or spinal cord damage: Damage to the spinal cord
and nerves in the pelvis can cause erectile dysfunction.

Nerve damage can be due to disease, trauma, or surgical procedures.
Examples include injury to the spinal cord from automobile accidents, injury to the pelvic
nerves from prostate surgery for prostate cancer (prostatectomy), radiation to the prostate,
surgery for benign prostatic enlargement, multiple sclerosis (a neurological disease with
the potential to cause widespread damage to nerves), and long-term diabetes mellitus.



Substance abuse: Marijuana, heroin, cocaine,
methamphetamines, crystal meth, and alcohol
abuse contribute to
erectile dysfunction. Alcoholism, in addition to causing nerve damage, can lead to atrophy
(shrinking) of the testicles and lower testosterone levels.

Low testosterone levels: Testosterone (the primary sex
hormone
in men) is not only necessary for sex drive (libido) but also is necessary to
maintain nitric oxide levels in the penis. Therefore, men with hypogonadism (diminished
function of the testes resulting in low testosterone production) can have low sex drive and
erectile dysfunction.

Medications: Many common medicines produce erectile
dysfunction as a side effect.
Medicines that can cause erectile dysfunction
include many used to treat high blood pressure, antihistamines, antidepressants,
tranquilizers, and appetite suppressants.

Examples of common medicines that can cause erectile
dysfunction include propranolol
(Inderal) or other beta-blockers,
hydrochlorothiazide, digoxin (Lanoxin), amitriptyline (Elavil), famotidine (Pepcid), cimetidine
(Tagamet), metoclopramide (Reglan), indomethacin (Indocin), lithium (Eskalith, Lithobid),
verapamil (Calan, Verelan, Isoptin), phenytoin (Dilantin), and gemfibrozil (Lopid).

Depression and anxiety: Psychological factors may be responsible for erectile
dysfunction. These factors include stress, anxiety, guilt, depression, widower syndrome,
low self-esteem, posttraumatic stress disorder, and fear of sexual failure (performance
anxiety).

It is also worth noting that many medications used for treatment of depression and other
psychiatric disorders may cause erectile dysfunction or ejaculatory problems.
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How to Increase Sexual Stamina
A man doesn't need to rely on
medication to improve his sexual
stamina. You can last longer with these
simple tips
Signs of Sexual Dysfunction in Women
Discover how to treat issues like vaginal
dryness and low libido so you can have
a happy and healthy sex life.
Almost every man has worried about
his sexual stamina at some point.
Sexual
performance is of special importance to men, and most guys
want to do everything they can to make their partners feel good.
More specifically, men want to last as long as possible without
feeling rushed or dismayed by performance issues like early
ejaculation.  
---------------
Early ejaculation affects millions of
men, and it can be a complicated issue
to treat.
Many men are often too embarrassed to talk to their
doctors about these kinds of issues, and some don’t even like
talking to their partners about the problem. The good news is
that there are several ways you can increase your sexual stamina.
--------------------
Consider the following:
Masturbate more. No, really! Self-
stimulation is good for you.
It’s a healthy,
natural, and powerful way for you to take charge of your sexuality
and your sexual response in particular. This is especially true if
you suffer from early ejaculation. You can use self-stimulation to
help shift your sexual response and improve your stamina.

Do so with the start-and-stop method.
Consider your sexual response
on a scale
from 1 to 10, with 10 being orgasmic and 1 being a state of
nonarousal. Stimulate yourself until you are at an 8, and then
stop stimulation and allow yourself to calm down completely.

Bring yourself back up to a 4, and then
slowly build to an 8
. Get used to taking your
response up and down like this so that you will learn to control
yourself before you reach the point of no return. This will help
you to be more comfortable and relaxed during intercourse,
because when you feel yourself about to reach orgasm, you will
be able to slow things down and scale back on the sexual
response scale.
--------------------
Foreplay is your friend. One of the main reasons
that men want to last longer in bed is because they want their
partners to have a good time and to reach orgasm as well. But
the truth is that the majority of women cannot reach orgasm
through intercourse alone.

This is why foreplay, manual
stimulation, and oral sex
are all  key parts of
passionate and mutually enjoyable sex. Hence, instead of
stressing out over lasting “long enough,” focus on what makes
both you and your partner feel good.

Implement more touch and oral sex,
and intersperse foreplay throughout
your intercourse
; when you feel yourself about to
reach orgasm, slow things down and focus on giving your
partner oral pleasure or stimulating her manually. This can help
her to reach orgasm all while allowing you to delay your own
pleasure.
---------------
Use sexual-performance tools. There are a
number of ways you can help to increase your stamina. In fact,
just recently, a new medication for early ejaculation was
approved by the FDA.

Promescent is a topical medication that
is applied to the penis 10 minutes
before sexual activity
, and it helps a man to better
manage the sensations of sex through desensitization.
However, unlike other topical medications for early ejaculation,
Promescent absorbs below the skin where the nerve endings
that control ejaculation are located.

A man receives only the dosage needed to control his
ejaculation while still allowing him to enjoy the sensations of sex,
and since it is absorbed into the skin, it will not negatively impact
his partner’s sensations.

Use lubrication. A study from The
Journal of Sexual Medicine
found that men who
used lubrication in conjunction with condoms lasted longer in
bed than men who did not. Just remember to use water-based or
silicone-based lubrication when using condoms.
(Oil-based lubricants can break down the condom and decrease
its efficacy.)
---------------
Rethink your expectations. Many men wrongly
believe that their partners want them to last as long as possible,
but the truth is that drawn-out sex sessions aren’t the key to
sexual pleasure. In fact, a study from The Journal of Sexual
Medicine found that the optimal time for intercourse was three
to 13 minutes, and that the average couple had sex for around
7.3 minutes. (But keep in mind these numbers do not include
foreplay.)

Hence, lasting for 30 minutes or more
isn’t the answer to great sex.
If you want to add
more passion and excitement to your love life, focus on adding
more variety and spontaneity through different positions, more
foreplay, and a combination of oral sex and manual stimulation
along with intercourse. The key isn’t to last as long as possible,
but to make the time that you are together as memorable and
passionate as possible.
Sexual dysfunction — which includes
problems with desire, arousal, orgasm,
and resolution
— is common in both women and men. In fact, 43
percent of women, and 31 percent of men, report some degree of sexual
dysfunction, according to certain Clinic's experts.

And while both genders may deal with issues during intercourse, it’s often
easier to pinpoint the problem in men, “male sexual problems have become
more socially acceptable to discuss with a doctor in ways that female sexual
dysfunction has not,”
----------
If you’re dealing with problems in the
bedroom
, it’s crucial to talk to your doctor, since sexual issues can be
a sign that something else is going on with your health. Read on to learn about
five common sexual problems in women — and what you can do to resolve them.
---------
. Vaginal Dryness
Why It’s Happening: Vaginal dryness can result from hormonal changes that
occur during breast-feeding or menopause.

“Both lubricants and moisturizers can
be used in tandem
,” says Worly. “I tell my patients to use
‘lubricants for lovemaking’ and ‘moisturizers for maintenance.’”
If your body needs a little extra assistance, ask your doctor about Osphena, a
non-estrogen oral pill available by prescription that helps alleviate dryness and
pain attributed to menopause.
-------------
Low Desire
Why It’s Happening: As hormones
decline in the years leading up to
menopause, your libido can go south,
too
. But low desire isn’t just a problem for older women:
Half of females ages 30 to 50 have also suffered from a lack of lust, according to
a national survey of 1,000 women. Low libido can result from a number of
issues, including medical problems like diabetes and low blood pressure, and
psychological issues like depression or simply being unhappy in your
relationship.
Certain medications, like antidepressants, can also be libido killers, as can
hormonal contraceptives.
---------------
What You Can Do: There’s no one-stop
solution to boost libido
, so talk to your doctor, who can
help you get to the root of the problem. If the issue is emotional or psychological,
they may recommend seeing a therapist.

“A traditional or sexual therapist can help couples evolve from having the same
old conversation patterns, life habits, and sexual habits to having a sexual
relationship that’s fulfilling, invigorating, and romantic,”
-----------
Painful Sex
Why It’s Happening:
As many as 30 percent of women
report pain during sex,
Pain can be caused by vaginal dryness, or it may be an indication of a medical
problem, like ovarian cysts or endometriosis.

Painful sex can also be related to vaginismus, a condition in which
the vagina tightens involuntarily when penetrated.

What You Can Do: Talk to your healthcare provider to rule
out medical issues like ovarian cysts, endometriosis, or vaginismus.
If those aren’t the problem, your doctor may recommend pelvic floor physical
therapy, medication, or surgery to treat the cause of pain, says Worly.

“It’s important to understand that the first treatment doesn’t always work, and
sometimes multiple attempts at treatment are needed before you find success,”
----------
Arousal Problems
Why It’s Happening:
The inability to become aroused may
be due to a number of reasons, such as anxiety or inadequate stimulation (aka,
you need more foreplay).

If you experience dryness or pain
during sex,
it can also be harder to become turned on. Hormonal
changes due to menopause or a partner’s sexual issues (like erectile
dysfunction or premature ejaculation) can also make it more difficult to get in
the mood.

What You Can Do: Work with your healthcare provider to ID
the underlying reason you can’t become aroused, recommends Worly. He or she
can help connect you with the right form of treatment to correct the problem,
whether that’s seeking out sexual therapy, a medication (like hormones), or
treatment for your partner’s problem.
-----------
Trouble Reaching Orgasm
Why It’s Happening:
“About 5 percent of perimenopausal
women experience orgasm problems,” says Worly. Aside from hormone
changes, an inability to reach orgasm may also be due to anxiety, insufficient
foreplay, certain medications, and chronic diseases.

What You Can Do: Just like other
forms of sexual dysfunction,
it’s key to talk to your
doctor to address the underlying problem before trying to treat it. In the
meantime, try being more mindful while you’re getting it on by paying attention to
the sensations as they happen.
That being mindful during sex can make it easier to achieve orgasm. It may also
be useful to add a vibrator to your sexual repertoire
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