Male Impotency and Ejaculation
The intensity of orgasm depends on many factors, including the setting in which sexual activity occurs, feelings toward the partner, the amount of fantasy and foreplay, the partner's physical response to stimulation, and the amount of time that has passed since the previous orgasm.
Partners who communicate during sex, including verbal communication about their deeper fantasies are able to achieve better orgasms. However this is not always possible since there is an invisible wall between most couples that prevents this kind of communication. This is especially a problem in cultures such as America and the Middle East.
Men with diabetes or with a neurological condition such as multiple sclerosis often experience decreased orgasmic intensity. With age, some loss of orgasmic intensity is normal.
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