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Sex Positions For Erectile Dysfunction

Sex Positions For Erectile Dysfunction

The Opinions on Sex Position

"Physically, having a successful erection is about getting a good blood supply to the penis," says Michael Feloney, MD, urologic surgeon and expert on sexual dysfunction issues at the Nebraska Medical Center in Omaha. "I don't know of any studies that show one sex position is better than another, but it would make sense that a sex position that uses a lot of your big muscles and requires a lot of acrobatics will require more blood flow and could take away blood from your erection."

Traditionally, doctors concerned about blood flow during sexual intercourse have recommended a sex position with the woman on top. However, actual studies that measured blood flow and heart rate during intercourse did not find this position to be any better than others. Schnarch believes that how you adjust your emotional attitude about sex is much more important than the sex position you choose. "If you don't approach erectile dysfunction as an opportunity to get beyond the idea of sex as a performance and start to work on more important aspects of sex like desire and intimacy, the sex position you choose is not going to matter very much," Schnarch says.

Working Through Erectile Dysfunction

The best advice on sexual positions is to use common sense and find positions that are comfortable for you and your partner. The following tips may improve the experience for both of you:

Increase sexual excitement. "There are lots of other ways that a man can achieve an orgasm and give his partner an orgasm without using his penis," advises Schnarch. "Use your fingers, your mouth — use your imagination. For many men with erectile dysfunction, a mutual form of masturbation may be easier and more pleasurable than traditional sexual intercourse."

Find the right place and time. "Choose a place and time to have sex where you can feel relaxed and unhurried. Don't rush into sex or try to have sex when you are overtired or anxious," says Dr. Feloney.

Be comfortable. If your room is too cold or you can't get comfortable in bed, you will have a harder time sustaining good blood flow and maintaining an erection. Try taking a hot shower together before sex to get relaxed and get your blood flowing better.

Watch what — and how much — you drink. A little alcohol can relax you and may enhance your sexual experience, and that can be good for erectile dysfunction. On the other hand, too much alcohol can cause erectile dysfunction. You should also avoid caffeine and nicotine before sex, since both of these drugs constrict blood vessels, which can increase erection problems.

Since good erections are all about blood flow, certain sex positions may be more helpful than others for couples dealing with erectile dysfunction (ED):

Increase foreplay: Or you may have to spend a lot more time on foreplay and getting yourself physiologically aroused. Try a sexual warm-up, a technique that helps generate arousal but intentionally does not lead to climax or ejaculation. The idea is that the process of getting aroused will increase the person's ability to generate more of the sex hormone testosterone later in the day or later in the week.

Get on top: When a man is on top, on his knees, or standing during sex, he may rely on the large muscle groups of his thighs and glutes. This tends to divert more blood to these muscles -- and effectively steals blood away from the pelvis and penis. Try switching things up by getting on top and letting him lie on his back. You also might try lying on your sides, either facing each other or spooning, to keep the blood flowing to his erection.

Try oral and manual stimulation: Some couples find that giving a man oral sex with suction acts very similarly to a vacuum pump. At the same time, place your fingers at the base of his penis and add mild pressure: This helps constrict the outflow veins in his penis, allowing more of the blood entering the corpus caverosa and spongiosum to stay in the penis, contributing to an erection.

Increase variety: ED is less of an issue when you're not limited to just intercourse. That's why it's a good idea to have a wide range of sexual activities to choose from. Oral sex, manual stimulation, vibrators, and other sex toys give you plenty of sexy options to choose from that don't rely solely on an erection for pleasure.

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