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Question:
I am a 24 year old male and I don't think I have problems with impotence because I am able to have erections. However, many times the sensitivity or sensation just isn't there. I usually don't have any problem while masturbating because I can apply a lot of pressure. However, during intercourse, I don't have as much sensation. Is this normal? I used to ride a bicycle a lot and i heard that bicycling can cause problems. Is it possible there is nerve damage? I would appreciate any help you could offer.

Answer:
by Yvonne Fulbright:
(05/13/2004)
Bicycling can cause problems with circulation to the penis and result in a greater chance of erectile dysfunction. If you are concerned about nerve damage you should consult your doctor or urologist. There are other possibilities too. Since you do experience sensation with firm pressure during masturbation, it sounds like your lack of sensation during intercourse is situational. Since I don't know the details of your sex life, I find myself wondering: Is he having this problem with a particular partner? Does his partner have an overly slack vagina? Does wearing a condom make a difference in the amount of sensation he experiences? Is he using lubrication during sex? Based on thoughts like these, I have a couple of suggestions for you. I don't recommend unprotected intercourse, despite the claim by some that it provides for greater sensation. So to deal with lack of sensation, but still use protection, I recommend putting a few drops of lubricant on the inside tip of your condom before rolling it down your shaft. This helps to increase sensation. If the problem is due to a size or muscle strength incompatibility with your partner, perhaps she would be willing to strengthen her pubococcygeus (PC) muscle with Kegel exercises. Strengthening this muscle will help her to better grip and squeeze your penis during sex, and hence provide you with greater stimulation. If your lack of sensation is due to the person you're having sex with, then perhaps you need to re-evaluate your relationship and sexual relations with this individual. Thank you for visiting the Sexual Health Network. Yvonne K. Fulbright, MS.Ed.

Reviewed by: Kathleen VanKirk DHS

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