To say that erections are mysterious is a bit of an understatement. When we were younger, erections seemed to happen at the most random and embarrassing moments! As we got older, an erection became a symbol of virility and deeply connected to our personal identity. For most men, erections are summoned and seem to arise of their own accord at the appropriate time. Then there are the times when you desperately want to have an erection, and for some reason, maybe anxiety, it either doesn’t show up at the party or its leaves a bit early. Our relationship with erections is complicated, to say the least.
Most men rely on an erection to be the primary focus of all sexual expression and pleasure. And, while we definitely want erections on the menu, it’s always important to remember that erections are not necessary for either ejaculation or an orgasm; erections are not mandatory to enjoy sexual pleasure. Many men are surprised to discover this. I find that if a man gradually develops erectile dysfunction, he will often figure this out on his own through masturbation. However, men who have experienced sudden onset erectile dysfunction, such as from prostate cancer surgery or some kind of trauma, tend to be almost immobilized sexually because they cannot get an erection. I have had many patients express astonishment that they are able to experience an orgasm and ejaculation with a flaccid penis.
Does it feel different? Yes, slightly. The muscular contractions are different; they are somewhat diminished. Some men feel the orgasm may be slightly less intense, but other men say they experience the orgasm more fully in their entire groin area with a flaccid penis. But no matter what, all men concur that an orgasm/ejaculation with a flaccid penis is better than no orgasm/ejaculation at all!
Obviously, penetrative intercourse is not possible, but with sex education and a sense of exploration, one can find fulfilling sexual activity. Masturbation techniques will definitely change. With a flaccid penis it is impossible to stroke the penis, so many men develop different ways of stimulating the penis. Lubricant is mandatory. We also recommend men use body massager vibrators which are much stronger than the usual sex toy vibrator. I instruct men to simply wrap the penis around the vibrating head and hold it there and especially apply pressure at the frenulum. It may take a bit of practice, but there is no reason to discontinue having fun. It is very common for men who are unable to get an erection to avoid letting their partner play with their flaccid penis. There is often an underlying sense of shame about the lack of an erection. I frequently hear from partners how much they enjoy performing oral sex on a flaccid penis because it is softer, they don’t gag, it’s fun, and it’s just different.
Yes, erections remain mysterious. But let’s remember that erections are not mandatory. Our goal is to get every man who wants an erection the ability to have an erection – and trust me, we can do that. But just because we do not have an erect penis should not prevent us from engaging in sexual fun. For more information about Erectile Dysfunction and ways to enhance your sex life, contact us for a free phone consultation. We’re happy to help.