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Question:
Why can't I have an orgasm in any position other than me on top AND why does it take so long? I have been married 24 years and he is the only one I have had sex with all my life. We have tried every position you can think of and I still can only have it when I am on top of him.

Answer:
by Mitchell Tepper:
(06/06/2004)
24 years is a long time to suffer with a sexual difficulty, but unfortunately so many people like yourself do. I'm glad we've created a forum to help end silent suffering. Before I reflect on your situation I have a few questions. In addition to experiencing orgasm while on top, are you experiencing orgasm during masturbation? If so, do you reach orgasm faster during masturbation and have you tried incorporating masturbation during intercourse in other positions? When masturbating, have you used a vibrator? Comparing sexual response during masturbation with sexual response with a partner is useful in sorting out the issues; is this a problem of anatomy, a conditioned response, or is it an issue of only feeling in control when you're on top. Then there's the issue of fears of our own sexual inadequacy if we or our partners do not respond as expected. Neither is necessarily a negative reflection on the relationship or sexual feelings toward the other. At least you are both concerned about satisfying each other which is not the worst problem couples face. Feel free to reply to these questions by responding to this e-mail.

Sincerely,

Dr. Tepper

Reviewed by Sexual Health Editorial Team

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