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Premature Ejaculation

The inability to control ejaculation to the extent sufficient for both partners to receive satisfaction from sexual intercourse. Excluded: – premature ejaculation due to diseases of the male genital organs; – premature ejaculation due to organic brain damage. Absolute acceleration of ejaculation Diagnostic criteria: the duration of sexual intercourse is less than one minute (less […]

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Sex-therapeutic relative incomplete anorgasmia

The inability to experience orgasm during coitus is the most common complaint of women. This is understandable, since from the anatomical point of view, coitus is not the most successful way to excite the region of the clitoris. Psychologically, sexual intercourse should be regarded as extremely exciting and emotionally attractive. However, coital stimulation of the […]

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Sex-Therapeutic Treatment Strategy for Absolute Anorgasmia

It includes several successive stages: 1) achieving orgasm during masturbation; 2) orgasm in the presence of a partner through clitoral stimulation; 3) orgasm during intercourse; 4) reception “bridge”. The basic principle of achieving orgasm is to increase sexual arousal while weakening its suppression. An effective way to ease suppression is masturbation, which a woman spends […]

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Anorgasmia therapy

Survey. Persons of both sexes undergo a standard sexological examination. Particular attention is paid to the collection of sexological history (features of psychosexual development, sexual debut, subsequent experience, understanding of the norm, physiology and psychology of sexual life, identifying latent trends of sexual desire, finding out the presence of orgasm with other types of stimulation […]

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Erotic stimulation in women

In neurotic suppression of orgasm, orgasmic dysfunction in women is more often secondary, developing after a period of relatively normal sexual functioning. In these cases, sexual desire persists for a long time or slightly decreases, and the erogenous zones are sensitive. Women celebrate erotic dreams with orgasm, masturbation orgasm is possible. The disorder is relative, […]

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Male orgasm

Male orgasm has a short-term (pikoobrazny) character, after which a refractory period usually occurs. Only some young men have practically no period of sexual non-irritability, which allows them to continue sexual intercourse after ejaculation and achieve a new orgasm. The orgasm in men differs from the female orgasm in the presence of two stages. In […]

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Orgasm in women

Orgasm in women differs in the following characteristics: 1. By source: a) coital (during sexual intercourse); b) extracoital (without intercourse): – during sleep (more often with erotic dreams); – during masturbation; – during petting; – random (at the height of emotional experiences or with a strong general vibration). 2. By localization: a) clitoral; b) vaginal; […]

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Organic dysfunction

Orgasm does not occur or is significantly delayed. This may be situational in nature (that is, it occurs only in certain situations), in which case the etiology is most likely psychogenic. In other cases, orgasmic dysfunction is invariant and physical or constitutional factors can be excluded only on the basis of a positive reaction to […]

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The scheme of examination of patients with erectile dysfunction.

Identification of diagnostic signs of psychogenic erectile dysfunction; 1. Persistent spontaneous erections in sleep and in the morning awakening. 2. The presence of erections during masturbation. 3. The emergence of an erection with caresses and its subsequent weakening when trying to introitus. 4. The appearance of an erection in situations that provoke sexual arousal, if […]

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Vasculogenic Erectile Dysfunctions

The patient’s fear of the upcoming sexual contacts requires his mandatory neutralization (best of all by psychotherapeutic methods), since without this it is difficult to count on a steady recovery of the normal sexual reactions of the man. Among the erectile dysfunction of organic genesis in men over 45, vasculogenic erectile dysfunctions dominate. Consider the […]

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