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I am delighted with my 45 -minute erections – but why are my orgasms such a disappointment? | Life and style

I am a man in sixties. When my wife and I have sex, I can continue (so to speak) for 45 minutes, including about 20 minutes of coitus. Everything I really appreciate. The problem of recent years has been my orgasm. When it happens, it’s a bit of a letdown. This happens extremely quickly and looks like a premature ejaculation, even if it took a long time to get there. It makes no difference that I am at the top and in charge of the rhythm or if my wife is. How can I make my orgasms more pleasant?

Some drugs – whether prescription or sale below – may change the nature of his orgasm, so examine if the culprit could be in your pharmacy cabinet. If this is a possibility, you must consult the prescribing doctor to find out if there could be an alternative. Another element to study is whether your hormones may have something to do with that. For example, you can ask a doctor to watch your testosterone levels. Strong orgasms are partially fed by sex hormones such as testosterone, and insufficiency could lead to the symptoms you feel. Finally, I can say that you are proud of your sexual prowess, but it could be a good idea to relax a little about the expectations you have set yourself. A person generally has a better orgasm when he is able to let go of performance pressure. Try to focus just about pleasure.

Pamela Stephenson Connolly is a psychotherapist based in the United States specializing in the treatment of sexual disorders.

If you want Pamela advice on sexual issues, send us a brief description of your concerns in private.lives@theguardian.com (please do not send attachments). Each week, Pamela chooses a problem to answer, which will be published online. She regrets that she cannot enter into personal correspondence. Submissions are subject to our terms and conditions.

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