Changes in Sexual Sensation and Erection Issues

Is it a fracture?

I would like to ask why I used to feel quite a sensation when adopting the woman-on-top position, and I could even feel the hardness of my penis.
However, now when I use this position, I feel no sensation at all, and it even seems like my penis is soft.
I also feel as if the base is not attached to my body, which makes it feel like my penis cannot stay fixed and is moving.
Could you please help me understand this? Thank you.

Xxx, 20~29 year old female. Ask Date: 2015/09/02

Dr. Xu Weikai reply Urology

Hello, it may be a habitual posture that has caused the stimulation to decrease.
Changing your posture might help restore erectile hardness.
Additionally, if the hardness does not improve, you should consider visiting a medical facility for an examination to check for other potential sexual dysfunctions.

Reply Date: 2015/09/02

More Info

Understanding changes in sexual sensation and erection issues can be complex and multifaceted. It is important to recognize that sexual arousal and performance can be influenced by a variety of factors, including physical health, psychological state, relationship dynamics, and even situational contexts.

Firstly, it is essential to understand that fluctuations in sexual sensation and erectile function are common and can occur for a variety of reasons. If you previously experienced pleasure and a strong erection during the "woman on top" position but now find that you have diminished sensation or a softer erection, several factors could be at play.

1. Physical Factors: Changes in physical health can significantly impact erectile function. Conditions such as diabetes, hypertension, hormonal imbalances, or cardiovascular issues can affect blood flow and nerve function, leading to difficulties in achieving or maintaining an erection. Additionally, lifestyle factors such as smoking, excessive alcohol consumption, and lack of physical activity can also contribute to erectile dysfunction.

2. Psychological Factors: Mental health plays a crucial role in sexual performance. Anxiety, stress, depression, or relationship issues can lead to performance anxiety, which may manifest as difficulty in achieving or maintaining an erection. If you are feeling anxious about your sexual performance or are preoccupied with thoughts about your body or the act itself, this can detract from your ability to feel pleasure and maintain an erection.

3. Situational Factors: Sometimes, the context in which sexual activity occurs can influence arousal. Changes in your relationship dynamics, emotional connection with your partner, or even the environment can affect your sexual experience. If there have been recent changes in your relationship or if you are feeling less connected to your partner, this could impact your arousal levels.

4. Hormonal Changes: Testosterone levels naturally fluctuate and can decline with age or due to other health conditions. Low testosterone can lead to decreased libido and erectile difficulties. If you suspect hormonal changes might be affecting you, it may be worth discussing this with a healthcare provider.

5. Nerve Sensation: You mentioned feeling as if your penis is not firmly attached to your body. This sensation could be related to nerve sensitivity or a psychological perception of detachment. Sometimes, anxiety or stress can lead to a disconnection from one’s body, which can affect sexual sensation.

To address these issues, consider the following steps:
- Consult a Healthcare Provider: It is important to speak with a healthcare professional who can assess your physical health, review any medications you may be taking, and discuss any underlying conditions that could be contributing to your symptoms.

- Mental Health Support: If psychological factors are at play, consider seeking support from a mental health professional. Therapy can help address anxiety, stress, or relationship issues that may be affecting your sexual health.

- Open Communication with Your Partner: Discussing your feelings and experiences with your partner can help alleviate anxiety and strengthen your emotional connection, which can enhance sexual experiences.

- Lifestyle Changes: Adopting a healthier lifestyle, including regular exercise, a balanced diet, and reducing alcohol and tobacco use, can improve overall health and potentially enhance sexual function.

- Explore Different Techniques: Sometimes, experimenting with different sexual positions or techniques can help rekindle sensation and pleasure. It’s important to approach this with an open mind and communicate with your partner about what feels good.

In conclusion, changes in sexual sensation and erectile issues can stem from a variety of physical and psychological factors. It is crucial to approach this issue holistically, considering both your physical health and emotional well-being. Seeking professional guidance can provide clarity and support as you navigate these changes.

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