Ask Doctor

Nov 22, 2005

<b>My erection weakens<br>Dear Doctor, I have always had safe sex, but never finished — meaning ejaculating. My penis just loses feelings. What would be the problem? Fred</b>

My erection weakens
Dear Doctor, I have always had safe sex, but never finished — meaning ejaculating. My penis just loses feelings. What would be the problem? Fred


Dear Fred, Delayed or absent ejaculation is not common. It is less frequent than premature ejaculation.

Causes of delayed ejaculation include alcohol, drugs like anti-depressants, anxiolytics and some drugs for high blood pressure. If you are taking any of these, you need to see your doctor.

Physical conditions like diabetes, abdominal surgery and prostate diseases may also cause delayed ejaculation problems. These need to be evaluated by your doctor to get a solution.

But if by safe sex you mean that you use condoms, then it could be the condoms which may decrease the sensitivity of the penis during sex, contributing to delayed or absent ejaculation. You could solve this by putting (water based) lubricant on the penis before you roll a condom onto it. This increases feeling and sensitivity, and will make ejaculation more likely.

However, the commonest causes are psychological. Do you ejaculate when you masturbate? If you do, the problem is most likely not physical. The best solution then is communication between you and your partner. This will eliminate sexual tension, decrease stress and lay the ground for finding the solution.

You can masturbate or be masturbated by your partner and gradually include intercourse with mutual stimulation. A discussion with your partner can help get things back on track for you and you can enjoy your sex life.
Ends

Help! he left me, I’m too stressed
Dear Doctor, I separated with my long time fiancé and have failed to recover. I am stressed and losing weight. How can I deal with this? Madinah

Dear Madinah, Stress and problems are part of life. They may occur on a daily basis or you may have a problem that occurs once and continues disturbing you for a while. Stress is common with our modern life, filled with obligations of work, studies and family.
Dealing with the end of a relationship can be distressing. You may have to be open to yourself about what you think happened. Talk with a trusted friend about your fears, self-blame and worries. This helps you to blow off some of the pain and also helps you to look at the problem objectively. Give yourself the time to mourn that relationship, but do not blame your ‘ex’ or yourself.

Arrange your day with activities that will not let you dwell on the problem. Have some work scheduled with physical exercise so you can sleep at night. Also arrange fun times and go out with friends. Because one person has rejected you, it does not mean that the whole world has! Don’t shut yourself away from the world, but go and explore a new relationship when you feel ready. See a doctor if these tips do not work for you.

Dr Paul Semugoma semugoma@hotmail.com Write to Ask The Doctor, Box 9815, Kampala or health@newvision.co.ug
Ends

(adsbygoogle = window.adsbygoogle || []).push({});