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Dictionary of Terms

Delayed Ejaculation

Delayed ejaculation — sometimes called impaired ejaculation — is a condition in which it takes an extended period of sexual stimulation for a man to reach sexual climax and release semen from the penis (ejaculate). Some men with delayed ejaculation are unable to ejaculate at all. 

Delayed ejaculation can be temporary or a lifelong problem. Possible causes of delayed ejaculation include certain chronic health conditions, surgeries and medications. Treatment for delayed ejaculation depends on the underlying cause. 

It's normal for men to have delayed ejaculation from time to time. Delayed ejaculation is only a problem if it's ongoing or causes stress for you or your partner.

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Ejaculation

Ejaculation is the ejection of semen (usually carrying sperm) from the male reproductory tract, and is usually accompanied by orgasm. It is usually the final stage and natural objective of male sexual stimulation, and an essential component of natural conception.. Ejaculation may also occur spontaneously during sleep.

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Foreplay

Foreplay is a set of emotionally and physically intimate acts between two or more people meant to create sexual arousal and desire for sexual activity. Either or any of the sexual partners may indicate sexual interest to initiate foreplay, and the initiator may not be the active partner during the sexual activity. Foreplay stimulates both partners' sexuality, lowers inhibitions and increases emotional intimacy between partners, and implies a certain level of confidence and trust between the partners.

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G-spot

The G-spot, also called the Gräfenberg spot (for German gynecologist Ernst Gräfenberg), is characterized as an erogenous area of the vagina that, when stimulated, may lead to strong sexual arousal, powerful orgasm. It is typically reported to be located 2–3 inches (5.1–7.6 cm) up the front (anterior) vaginal wall between the vaginal opening and the urethra and is a sensitive area that may be part of the female prostate.

Neither the G-spot nor the existence of female ejaculation has been proven. Sexologists and other researchers are concerned that women may consider themselves to be dysfunctional if they do not experience the G-spot, and emphasize that it is normal not to experience it.

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Intercourse

Principally the insertion and thrusting of a male's penis, usually when erect, into a female's vagina for the purposes of sexual pleasure or reproduction, or both. This is also known as vaginal intercourse or vaginal sex. Other forms of penetrative sexual intercourse include penetration of the anus by the penis (anal sex), penetration of the mouth by the penis or oral penetration of the female genitalia (oral sex), sexual penetration by the fingers (fingering). These activities involve physical intimacy between two or more individuals and are usually used among humans solely for physical or emotional pleasure and commonly contribute to human bonding.

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Nipple stimulation

Stimulation of nipples is a common human sexual practice, either for itself or as part of other sexual activities. The practice may be performed upon, or by, people of any gender or sexual orientation. Adult women and men report that breast stimulation may be used to both initiate and enhance sexual arousal. 

The male or female breast, nipple and areola develop similarly in the fetus and during infancy. At puberty the male's breasts remain rudimentary but the female's develop further, mainly due to the presence of estrogen and progesterone, and become more sensitive. All breasts have the same number of nerve endings no matter how large they are. Accordingly, smaller breasts are more sensitive while larger breasts may require more forceful stimulation.

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Orgasm

Orgasms usually result from physical sexual stimulation of the penis in males (typically accompanying ejaculation), and the clitoris in females. Sexual stimulation can be by self-practice (masturbation) or with a sex partner (penetrative sex, non-penetrative sex, or other sexual activity(. 

The sudden discharge of accumulated sexual tension during the sexual response cycle, resulting in rhythmic muscular contractions in the pelvic region characterized by sexual pleasure. Experienced by males and females, orgasms are controlled by the involuntary or autonomic nervous system. They are often associated with other involuntary actions, including muscular spasms in multiple areas of the body, a general euphoric sensation and, frequently, body movements and vocalizations are expressed. 

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Outer course 

Non-penetrative sex or outer course is sexual activity that usually does not include sexual penetration. It generally excludes the penetrative aspects of vaginal, anal or oral sexual activity, but includes various forms of sexual and non-sexual activity, such as frottage, mutual masturbation, kissing or cuddling. 

People engage in non-penetrative sex for a variety of reasons, including as a form of foreplay or as a primary or preferred sexual activity. Heterosexual couples may engage in non-penetrative sex as an alternative to penile-vaginal penetration, to preserve virginity, or as a type of birth control.

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Pornography

Pornography (often abbreviated as "porn" or "porno") is the portrayal of sexual subject matter for the purpose of sexual arousal. Pornography may be presented in a variety of media, including books, magazines, postcards, photographs, sculpture, drawing, painting, animation, sound recording, film, video, and video games. The term applies to the depiction of the act rather than the act itself, and so does not include live exhibitions like sex shows and striptease. The primary subjects of pornographic depictions are pornographic models, who pose for still photographs, and pornographic actors or porn stars, which perform in pornographic films.

Pornography is often distinguished from erotica, which consists of the portrayal of sexuality with high-art aspirations, focusing also on feelings and emotions, while pornography involves the depiction of acts in a sensational manner, with the entire focus on the physical act, so as to arouse quick intense reactions.

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Premature Ejaculation (PE)

Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time. As long as it happens infrequently, it's not cause for concern.

However, you may meet the diagnostic criteria for premature ejaculation if you:

 •Always or nearly always ejaculate within one minute of penetration

 •Are unable to delay ejaculation during intercourse all or nearly all of the time

 •Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Both psychological and biological factors can play a role in premature ejaculation. Although many men feel embarrassed to talk about it, premature ejaculation is a common and treatable condition. Medications, counseling and sexual techniques that delay ejaculation — or a combination of these — can help improve sex for you and your partner.

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Sex Therapy

Sex therapy is a strategy for the treatment of sexual dysfunction when there is no medical etiology (physiological reason) or as a complement to medical treatment. The sexual dysfunctions which may be addressed by sex therapy include non-consummation, premature ejaculation, erectile dysfunction, low libido, unwanted sexual fetishes, sexual addiction, painful sex, or a lack of sexual confidence, assisting people who are recovering from sexual assault, problems commonly caused by stress, tiredness, and other environmental and relationship factors. Sex therapists assist those experiencing problems in overcoming them, in doing so possibly regaining an active sex life.

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Squirting

A term commonly found in pornographic movies.

The expulsion of fluid by the Para urethral ducts through and around the human female urethra during or before an orgasm. It is also known colloquially as squirting or gushing, although these are considered to be different phenomena in some research publications.

The exact source and nature of the fluid continue to be a topic of debate among medical professionals, which is also related to doubts over the existence.

Either way, it is neither necessary nor proof of a woman's sexual enjoyment.

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Viagra

Viagra, Levitra or Cialis is often the first oral medication tried for erectile dysfunction. For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), these medications work well and cause few side effects.

Sildenafil (Viagra), vardenafil (Levitra or Staxyn) and tadalafil (Cialis) are all medications that reverse erectile dysfunction by increasing nitric oxide, a chemical naturally produced by your body. Nitric oxide opens and relaxes blood vessels in the penis, helping you get and keep an erection. These erectile dysfunction medications don't increase your sex drive and only cause erections when you are sexually stimulated.

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Painful Intercourse:

Dyspareunia

Painful intercourse can occur for a variety of reasons — ranging from structural problems to psychological concerns. Many women experience painful intercourse at some point in their lives.

The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh) — which is defined as persistent or recurrent genital pain that occurs just before, during or after intercourse. Talk to your doctor if you're experiencing painful intercourse. Treatments focus on the underlying cause, and can help eliminate or reduce this common problem.

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Vaginismus

Vaginismus, is the physical or psychological condition that affects a woman's ability to engage in any form of vaginal penetration, including sexual intercourse, insertion of tampons or menstrual cups, and the penetration involved in gynecological examinations (pap tests). This is presumed to be the result of an involuntary vaginal muscle spasm, which makes any kind of vaginal penetration—including sexual intercourse—painful or impossible. 

A woman suffering from vaginismus does not consciously control the spasm. The vaginismic reflex can be compared to the response of the eye shutting when an object comes towards it. The severity of vaginismus, as well as the pain during penetration (including sexual penetration), varies from woman to woman.

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Vestibulitus 

Characterized by severe pain with attempted penetration of the vaginal orifice and complaints of tenderness with pressure within the vulvar vestibule. Usually there are no reports of pain with pressure to other surrounding areas of the vulva. The feelings of irritation and burning can persist for hours or days following sexual activity, engendering a sense of hopelessness and depression. VVS also can often cause dyspareunia. 

The pain may be provoked by contact with an object, such as with the insertion of a tampon or penis, or it may be constant, as in the case of generalized vulvodynia. Some women have had pain since their first penetration (primary vulvar vestibulitis) while some have had it after a period of time with pain free penetration (secondary vulvar vestibulitis). 

Relationship problems often occur as the result of chronic frustration, disappointment, and depression associated with the condition.