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Rapid orgasm is rare in women, but it does occur. It happens when a woman reaches orgasm more quickly than her partner and then loses interest in continuing sex play. It is so rare that it is not included in the diagnostic manual for psychotherapists.

Men who have premature ejaculation ejaculate before they want to. They are unable to control their responses to the stimulation that triggers ejaculation. Some may ejaculate at the sight of their partner undressing, before sex play even begins. Also called early ejaculation, this is the most common sexual dysfunction among men. Up to 30 percent of men experience early ejaculation at some time. Premature ejaculation is often difficult for a man’s partner because it may deprive her or him of continuing sex play and orgasm. Men who have early ejaculation may feel guilt and anxiety and may at some point decide to avoid sexual contact.

Fear and anxiety about sex, alcohol and drug use, depression, and other psychological conditions may cause premature ejaculation. Early anxiety can be treated with psychosexual therapy. Open communication and increased focus on sensation during sex play can help men delay ejaculation.

Some partners are taught to use the squeeze technique: The man’s partner brings him to full erection manually. As he approaches ejaculatory inevitability, his partner squeezes his penis between thumb and forefinger, just below the glans. The partner applies considerable pressure to the penis for 10 to 30 seconds until the erection is reduced by 10 to 30 percent. The penis is released for 30 seconds before being manually brought to erection again, and again, just before ejaculation, the penis is squeezed and pressure is applied. This procedure is used until the man can go 15 to 20 minutes before ejaculation. After several days of this therapy, in which the man postpones ejaculation for more than 15 minutes, he is allowed to insert his penis into his partner.

Many men will experience early ejaculation from time to time. It is important that we accept this as a normal part of our sex lives and not let ourselves become so anxious that we make sex less pleasurable for us than it might be.

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