Urology, Uro-oncology and Sexology Update

16 SEXUAL FUNCTION BY DECADE Age 18-30: Your sexual appetite is mighty, and sex often occupies the front burners of your mind. It requires very little stimulation to achieve an erection—even the wind blowing the right way might be enough to stimulate a rigid, gravitydefying erection, pointing proudly at the heavens. The sight of an attractive woman, the smell of her perfume, the mere thought of her can arouse you fully. You get erections even when you don't want them… if there was only a way to bank these for later in life! You wake up in the middle of the night sporting a rigid erection. When you climax, the orgasm is intense, forceful, and powerful. When you arise from sleep, it is not just you that has arisen, but also your penis. It doesn't get better than this… you are an invincible king… a professional athlete at the pinnacle of your career! All right, maybe not invincible… you do have an Achilles heel—you may at times ejaculate rapidly because you are hyper-excitable and sometimes in a new sexual situation you may have performance anxiety, a form of stage fright brought on by your all-powerful mind dooming the capabilities of your perfectly normal plumbing. Age 30-40: Changes occur ever so slowly, perhaps so gradually that they are barely noticeable. Your sex drive remains vigorous, but not as obsessive and all-consuming as it once was. You can still get quality erections, but they may not occur as spontaneously, as frequently and with such little provocation as they did previously. You may require some touch stimulation to develop full rigidity. You still wake up in the middle of the night with an erection and experience “morning wood.” Ejaculations and orgasms are hardy, but you may notice some subtle differences, with your “rie” being a little less powerful and of smaller caliber. The time it takes to achieve another erection after ejaculation increases. You are that athlete in the twilight of his career, seasoned and experienced, with the premature ejaculation of yonder years occurring much less frequently. Age 40-50: After age 40, changes become more obvious. You are still interested in sex, but not nearly with the passion of two decades earlier. You can usually get a decent-quality erection, but it now often requires more tactile stimulation and the rock-star rigidity of years gone by has given way to a “rm” penis, still quite suitable for penetration. The gravity-defying erections don't have quite the upward angle they used to. At times, you may lose the erection before the sexual act is completed. You notice that orgasms have lost some of their kick and ejaculation has become feebler than previously. Getting a second erection after climax is not only more difcult, but also may be something that you no longer have much interest in. All in all though, you still have some game left. UROLOGY, URO-ONCOLOGY AND SEXOLOGY UPDATE

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