HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Lack Of Sensation And Orgasm During Intercourse?

default
Posted on Wed, 1 Jul 2015
Question: my wife is 25 yrs and my age is 31 , she tells that she feels nothing inside when we do sex , and its so small, what to do for it
doctor
Answered by Dr. Dr. Chintan Solanki (6 hours later)
Brief Answer:
required examination and evauartion for anorgasmia,provide more info

Detailed Answer:
Hello,

Thanks for writing to us.

If she does not feel orgasm while doing sex it is anorgasmia.

- Ask her and Let me know in her words what actually happens while you do sex?

- Since when are you married? And since when problem is there?

- Does she have any past experience of sex with orgasm before this problem?

- Her vagina is small. Is her hymen broken or not?

- How much length of penis do you insert inside vagina while doing sex?

- Does she have any problem while menses?

- Does she have any history of physical, urogenital,gynecological or emotional problem?

Hope to hear from you soon to guide you further.

Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr. Chintan Solanki (36 hours later)
No, she does not have those problem, but she had a negro boy friend with whom my wife had frequent inter course before marriage and his size and thickness was huge, now she demand the same from me, which I dont have , even i cannot last for more than 5 to 6 minutes, sometimes I think of taking pills, but which dont know properly, I WANT TO GET RID OF THIS SITUATION
doctor
Answered by Dr. Dr. Chintan Solanki (1 hour later)
Brief Answer:
medicines can help you

Detailed Answer:
Hi,

Thanks for clarification about the situation.

I want to clarify about size of penis.

Size of penis varies according to individual.In flaccid state it ranges from 2-4 inches and in erect state 3.5-6 inches. Normally minimum 3-3.5 inches (8-9cm) penis in erectile stage is required to satisfy female partner.

There is no approved medicine/procedure which can increase penis size in normal state.Only surgery can do the same but that is only indicated for medical reason not for cosmetic purpose.

However during erection some medicines can help to increase the size.
5- PDE inhibitor group of medicines like sildenafil or tadalafil(cialis) are used. One of them should be used 2 hours prior to sex. They causes headache,stuffy nose nausea and gastric discomfort like common side effects. Proper physical check up of cardiac system should be done by a doctor before starting the same.These are prescription medicines and you need to consult doctor/psychiatrist/sexologist for the prescription.
Tadalafil is preferred in patients with blood pressure.


If you want to perform for longer duration medicines for premature ejaculation will help.
Premature Ejaculation (PME) or early discharge defined when male partner ejaculates early before the female partner reaches to orgasm. There is no absolute time by which we can diagnose PME. It is relative term and female partner is the best judge.

There are medicinal and non medicinal approaches to treat PME. They can also help to prolong the duration when required.

Medicines:
Clomipramine and paroxetine are choice of medicines which are used as antidepressants(For depression dose is higher).
I prefer clomipramine for PME. No significant side effects with these medicines. Initially say for 20-30 days daily after dinner and later on just on the day when you do the sex.
Paroxetine is more potent but it may cause side effects like headache, gastric discomfort, giddiness and sedation. In patients with blood pressure it should be used in consultation with physician/cardiologist.

One molecule called depoxetine has been used specifically for PME and should be taken before 2 hours of sex when required.
These medicines are prescription medicines and you need to consult doctor/psychiatrist/sexologist for prescription.

Another approach:
-Use of condoms. Sometime using condom while sex helps in delaying ejaculation by reducing sensitivity of glans penis.

--Topical application of anesthetic gel/spray. For this you have to consult doctor.


I suggest to discuss these all aspects with your wife.If she is ready to cooperate you consult sexologist/psychiatrist who can do couple counselling.

In any case if she does not cooperate and if I were your treating doctor I would recommend tadalfil and depoxetine for you.

Feel free to discuss further about doubts.

All the best.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2407 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Lack Of Sensation And Orgasm During Intercourse?

Brief Answer: required examination and evauartion for anorgasmia,provide more info Detailed Answer: Hello, Thanks for writing to us. If she does not feel orgasm while doing sex it is anorgasmia. - Ask her and Let me know in her words what actually happens while you do sex? - Since when are you married? And since when problem is there? - Does she have any past experience of sex with orgasm before this problem? - Her vagina is small. Is her hymen broken or not? - How much length of penis do you insert inside vagina while doing sex? - Does she have any problem while menses? - Does she have any history of physical, urogenital,gynecological or emotional problem? Hope to hear from you soon to guide you further. Regards, Dr.Chintan Solanki.