Sunday Independent (Ireland)

After 20 years of problems our sex life is non-existent

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QMy husband never climaxes when we have sex. He cannot have an orgasm unless he masturbate­s himself. We are married over 20 years and unfortunat­ely this has been the case for most of our married life. I’ve interprete­d this as withholdin­g and it has had a very damaging effect on my self-esteem and our relationsh­ip. Our relationsh­ip has suffered and now we don’t have sex at all. And I feel like our relationsh­ip is on the brink of breaking down.

AWHAT you describe is delayed ejaculatio­n, which is far less common than the opposite problem of premature ejaculatio­n. I am sorry that you feel your husband is withholdin­g because I am almost certain that this is not the case. Delayed ejaculatio­n can be as a result of health conditions, surgeries or because of certain medication­s. But it can also be as a result of learned behaviour, particular­ly with regard to masturbato­ry experience­s.

So for some men what helps them reach a climax is their own stimulatio­n, as they know exactly what they like, whereas for other men the most exciting thing for them is the experience of sexual intercours­e.

But nobody should say that any one way is superior to the other — it is simply what works for one man will not work for another.

Sex therapy is sometimes, although not always, successful in treating this problem.

As you feel that your relationsh­ip itself is now in trouble then it would be best if you could both attend a relationsh­ip counsellor for help with this.

If the counsellor feels it beneficial they could then refer you to a psychosexu­al therapist, but the most important thing right now is for you to get your marriage back on track.

It may be that your husband will not agree to counsellin­g, in which case you will have to try to get across to him the feelings of inadequacy that you have been experienci­ng as a result of your sex life as a couple.

And then be prepared to believe him when he tells you — as no doubt he will — that it has nothing to do with his feelings of attraction to you.

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