The Treatment of Sexual Dysfunctions - Sex Therapy

The “Classic” Dysfunctions - The Treatment of Male Sexual Dysfunctions

Problems of Tumescence:
Lack of Erection - Psychological and Behavioral Therapy

3. Non-demanding Coitus
About a week later, when the man has overcome his fear of failure and has begun to have confidence in his responses, the couple may proceed to coitus in a deliberate and non-demanding fashion. Again, the woman takes the initiative. While the man remains passive lying on his back, she sits on top of him and masturbates him until he has an erection. She then lowers herself onto the erect penis and inserts it into her vagina. After the insertion, she remains still for a while, so that the man can get used to the feeling of being inside her. Within a few minutes, she begins to move slowly, thus stimulating the penis and keeping it erect. Should the erection be lost, she simply moves off the penis and masturbates it again until it is hard. Usually, however, the man will be able to keep his erection as long as the woman avoids quick and vigorous movements. Eventually, part of the initiative may be shifted to the man. That is to say, the woman remains in a position above her partner and she still inserts his penis into her vagina, but, after a while, she stops her gentle thrusting and allows him to move back and forth inside of her. Both partners stay under orders, however, not to aim for orgasm. When either of the partners does have an orgasm, it should be regarded as a pleasant surprise. Once a couple has learned to relax in this manner, they are usually also delighted to find that the penis can stay erect inside the vagina as long as either of them may wish. Finally, with their confidence strengthened, they are ready to make the most of each coitus and also to experiment freely with different coital positions.