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Urology (Expert Forum)
No pleasure sensation in from my penis
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
No pleasure sensation in from my penis
by STGMANAGER, May 25, 2005 12:00AM
Ever since I was young I have had delayed orgasms during all types of sexual activity.
I have been with the same woman for over 25 years and both of us have noticed that the time it takes for me to orgasm has greatly increased. When I was 18, we could have "sex" for about 30 - 45 minutes before I orgasmed. Now at 45, we have intense, oral, manual and intercourse for well over 1 - 1/2 hours with only the occasional orgasm on my side.
It seems in the last year that I do not recieve pleasure from my penis... rather the orgasm and some pleasure is the culmination of the sexual activity. During intercourse, I do not feel any pleasure... if there is an orgasm, it is do to the overall physical movement of the act... not any pleasure during the intercourse.
I usually do not have any problem attaining a erection although I have used Viagra in the past (1/3 100 mg) to ensure that I can keep erect enough time to attempt to achieve orgasm.
During masturbation... agian it seems that I do not have the pleasure... until the physical movements bring me to the point of orgasm... I do not feel pleasure from my penis up to that point.
The Question is... What do I do? I have not had an orgasm with my wife for over a month (extended (1hour) masturbation still works) and it is starting to effect our sexual relationship.
I am not on any prescriptions. The only thing that I think of is a doctor prescribed "Fluocinonide ointment usp, 0.05%" for poison ivy. I have been using it for about a month. About 2 months ago another doctor prescribed it for a rash on the shaft of my penis. I used that for about a month.
I have also been a cyclist for a number of years. I have read that the "butt in the seat" problems envolve the damage to the nerves that effect erections, not pleasure.
SO... here I am... I am a healty 45 year old male that seems to hardly ever receive any sexual pleasure any more.
ANY SUGGESTIONS??
I have been with the same woman for over 25 years and both of us have noticed that the time it takes for me to orgasm has greatly increased. When I was 18, we could have "sex" for about 30 - 45 minutes before I orgasmed. Now at 45, we have intense, oral, manual and intercourse for well over 1 - 1/2 hours with only the occasional orgasm on my side.
It seems in the last year that I do not recieve pleasure from my penis... rather the orgasm and some pleasure is the culmination of the sexual activity. During intercourse, I do not feel any pleasure... if there is an orgasm, it is do to the overall physical movement of the act... not any pleasure during the intercourse.
I usually do not have any problem attaining a erection although I have used Viagra in the past (1/3 100 mg) to ensure that I can keep erect enough time to attempt to achieve orgasm.
During masturbation... agian it seems that I do not have the pleasure... until the physical movements bring me to the point of orgasm... I do not feel pleasure from my penis up to that point.
The Question is... What do I do? I have not had an orgasm with my wife for over a month (extended (1hour) masturbation still works) and it is starting to effect our sexual relationship.
I am not on any prescriptions. The only thing that I think of is a doctor prescribed "Fluocinonide ointment usp, 0.05%" for poison ivy. I have been using it for about a month. About 2 months ago another doctor prescribed it for a rash on the shaft of my penis. I used that for about a month.
I have also been a cyclist for a number of years. I have read that the "butt in the seat" problems envolve the damage to the nerves that effect erections, not pleasure.
SO... here I am... I am a healty 45 year old male that seems to hardly ever receive any sexual pleasure any more.
ANY SUGGESTIONS??
Doctor's Answer
by Kevin Pho, MD, May 26, 2005 12:00AM
, May 26, 2005 12:00AM
I am not aware of the steroid cream that you were prescribed being associated with your symptoms.
I would screen for various diseases that can affect the nervous system and decrease sensation.
Diabetes would top this list. A simple screen would be a blood test looking at the fasting sugar.
You can consider a referral to a neurologist to undergo further testing to determine any evidence of peripheral neuropathy.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
I would screen for various diseases that can affect the nervous system and decrease sensation.
Diabetes would top this list. A simple screen would be a blood test looking at the fasting sugar.
You can consider a referral to a neurologist to undergo further testing to determine any evidence of peripheral neuropathy.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
Member Comments
by Mike101, Jul 10, 2005 12:00AM
To: Sexual Dysfunction
0
