Sensation Issues in Sexual Activity: A Urology Perspective - Urology

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Understanding sensation issues during sexual activity can be complex and multifaceted, often requiring a thorough examination of both physical and psychological factors. Based on your description, it seems that you are experiencing a lack of sensation during penetrative intercourse, while still being able to achieve ejaculation through other forms of stimulation. This phenomenon can be attributed to several potential causes, which I will outline below.


1. Physical Factors
- Nerve Sensitivity: The sensitivity of the glans (the head of the penis) can vary greatly among individuals. If you have been engaging in frequent masturbation (DIY), it is possible that the nerve endings have become desensitized due to overstimulation. Reducing the frequency of masturbation may help restore some sensitivity over time.

- Blood Flow and Hormonal Factors: While you mentioned that you maintain an erection during intercourse, the sensation can still be affected by blood flow or hormonal levels. Conditions such as low testosterone can impact libido and sensation. A urologist can perform tests to evaluate hormone levels and overall sexual health.

- Medical Conditions: Certain medical conditions, such as diabetes or neurological disorders, can affect sensation. If you have any underlying health issues, it would be wise to consult a healthcare professional.


2. Psychological Factors
- Anxiety and Stress: Psychological factors such as anxiety, stress, or performance pressure can significantly impact sexual experience. If you are preoccupied with the idea of not feeling anything, this can create a cycle of anxiety that further diminishes sensation.

- Expectations and Communication: Open communication with your partner about sexual preferences and desires is crucial. If your girlfriend is also experiencing difficulties achieving orgasm, it may be beneficial to explore different forms of stimulation together. Sometimes, the pressure to perform can inhibit pleasure.


3. Potential Solutions
- Reducing DIY Frequency: As mentioned, reducing the frequency of masturbation may help to restore sensitivity. This is a common recommendation and can be effective for many individuals.

- Topical Treatments: Some individuals find that topical treatments designed to enhance sensitivity can be helpful. However, it is essential to consult with a healthcare provider before trying any new products.

- Medication: You mentioned "循利寧" (likely referring to a medication that may enhance sensitivity). While some medications can help with erectile function or sensitivity, they should only be taken under the guidance of a healthcare professional. Self-medication can lead to unwanted side effects or complications.

- Therapy: If psychological factors are contributing to the issue, speaking with a therapist or sex therapist can provide valuable insights and coping strategies.


4. Regarding Your Girlfriend's Experience
- Lack of Orgasm: If your girlfriend has never experienced orgasm, this could be due to a variety of factors, including insufficient stimulation, psychological barriers, or anatomical differences. It is essential to explore what types of stimulation she enjoys and to communicate openly about her preferences.

- Exploration: Encourage her to explore her body and discover what feels pleasurable. This can be done through solo exploration or together, focusing on different types of stimulation (clitoral, vaginal, etc.).


Conclusion
In summary, the issues you and your girlfriend are experiencing may stem from a combination of physical and psychological factors. It is advisable to consult with a urologist or a sexual health specialist who can provide a comprehensive evaluation and tailored recommendations. Open communication with your partner about desires and preferences is also crucial in enhancing your sexual experiences. Remember that sexual health is an important aspect of overall well-being, and seeking professional help is a positive step towards improvement.