The following methods can help to reduce erectile dysfunction, increase stamina, and improve the overall quality of sex:

1. Focus on foreplay

Some men believe that penetration is the most important, even the defining part of sex.

However, many who experience erectile dysfunction may be heartened to learn that they do not need an erection to please their partners. In fact, erectile dysfunction can even be an incentive to try new strategies that work better for their partner.

Foreplay can include touching, kissing, and oral sex. Making foreplay last can improve the sexual experience for everyone involved.

Foreplay may be especially important for women. A 2017 study found that very few women — around 18 percent — experience an orgasm from intercourse alone. According to the same findings, 36.6 percent of women said that clitoral stimulation was necessary for orgasm during intercourse.

2. Try the start-stop technique

Men who want to last longer during intercourse can try the start-stop technique Trusted Source.

To use this technique, stop sexual activity every time ejaculation feels imminent. Breathe deeply and start again slowly, then stop to delay ejaculation for as long as desirable.

This method can train the body to hold off ejaculation and help a man to feel more comfortable with not ejaculating, even during intense sexual activity.

3. Try something new

Sexual pleasure thrives in an environment of passion and excitement.

If a person has been with one partner for a long time, sex can begin to feel routine, and it may seem increasingly difficult to feel excited, remain focused, or please the partner.

It may help to try a new sexual activity or position or to have sex in a different location. Also, talking about sexual fantasies can make sex more exciting.

In addition, it can help to do something new with a partner outside the bedroom, such as:

• cooking together
• kayaking or hiking
• going to a museum
• seeing a new band
• trying a new sport

This can help people to feel more connected, and the excitement of the new activity can carry into the bedroom.

4. Manage anxiety and stress

Anxiety and stress can make it hard to get or maintain an erection. These feelings can also distract people from sexual intimacy.

If a man feels anxious about how he will perform sexually, he may feel less excited about sex and less engaged during it.

Strategies for managing anxiety and stress include:

• focusing more on physical sensations than sexual performance
• exercising
• getting more sleep
• working to improve relationships
• meditating
• spending more time on a favorite hobby
• going to therapy
• taking psychiatric medications

5. Quit smoking

Smoking cigarettes can lead to high blood pressure and other heart-related problems that cause erectile issues.

Smoking is also independently linked to erectile dysfunction. A 2015 analysis of 13 studies on smoking and sexual performance found that quitting smoking often improves sexual function and reduces erectile dysfunction.

6. Open communication

Speaking freely can significantly improve sexual experiences.

If issues related to sex have created tension or worry, it is best to bring this up with a partner. Working together on a solution can help a man to feel less isolated and address any concern or guilt.

A partner may be able to ease fears about sexual dysfunction, and they may have practical suggestions.

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