The Doctor is In!

Diminished Sexual Response

By susan96003 on Sep 28, 2010 at 11:16 PM

I am 57, my boyfriend is 66. We are both youthful,attractive & have fantastic chemistry. He is a very successful(retired), confident man. He doesn't like porn. I would not care if he did.

He has no problem achieving or maintaining an erection. For the past year his orgasm has grown weaker to about 10% of what it was. It is difficult to reach orgasm and there is little ejaculate.

He has seen a urologist and tests show he does not have low T. Switching BP meds had no effect. He takes no other drugs or alcohol.

I understand that men change sexually as they age, but, this seems different in that he still has a strong libido.

I am convinced the problem is related to the fact that he is a heavy smoker. About 1 year ago he started suffering from very weak, achy legs.

I was a heavy smoker for 35 yrs, & I also had difficulty achieving orgasm, even through masturbation. Once I quit smoking my sexual response improved dramatically.

Is it the smoking or something else?

2 replies

Ian Kerner, Ph.D., LMFT | Oct 1, 2010 at 3:17 PM | Reply | Report

The problem could have a basis in smoking -- how's the rest of his health? Lifestyle definitely affects erectile quality, particularly as men change. I wouldn't worry so much about the volume of his ejaculate, but rather about the quality of his erections and the quality of his orgasms. Also, has he tried an erectile stimulant such as Viagra or Cialis? He could be a viable candidate.

susan96003 | Oct 4, 2010 at 11:24 PM | Reply | Report

Thank you for your response.
As I said previously, he does not have a problem acheiving or maintaining an erection. Does Viagra or Cialis also increase the intensity of orgasm?
Other than the smoking and controlled hypertension, he is in good health. He has been very athletic and involved in sports throughout his life. He is still active and plays golf on a regular basis.

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