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How to Intensify Your Orgasm

Plus, why does it burn when I pee after sex?


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Kirsten Essenpreis

To prepare for this column, I googled “male orgasm intensity” — and learned quite a bit. My favorite search result? A Cosmo article titled “What Having a Male Orgasm Really Feels Like.”

But nothing delighted me as much as learning this new term: Brain crotch. Yep, it’s a thing, as you’ll read below.

This week I talked to four sexuality experts about a 70-something man who wonders whether the diminishing strength of his orgasms is normal. The short answer is yes.

We also tackle this question from a female reader: Why does it burn when I pee after sex?

spinner image In the Mood columnist

In the Mood

For AARP’s In the Mood column, writer Ellen Uzelac will ask experts your most pressing 50+ sex and relationship questions. Uzelac is the former West Coast bureau chief for The Baltimore Sun. She writes frequently on sex, relationships, travel and lifestyle issues.

Do you have a question? Email us at sexafter50@aarp.org

I’m in my 70s and my wife and I are still sexually active. But I’ve noticed that my orgasms aren’t as strong as they once were. Is this normal?

First off, don’t panic. Physical changes associated with aging often result in less intense orgasms, according to our experts. No surprise there.

What may surprise you is that the intensity of your orgasms is as much about your aging brain as it is your aging penis.

Sensations coming from the genitals register in a part of the brain called the sensory cortex, or brain crotch, as neuroscientist Nan Wise calls it.

When you age, she says, the connections or neural pathways between your genitals and the brain crotch can become slower and less powerful — resulting in weaker orgasms.

But Wise, a certified sex therapist, says there’s a work-around: Add sexual stimulation that can help turn up the volume on sensations. “Playing more keys on the pleasure keyboard makes for a bigger bang in the brain.”

Here’s how.

Expand your erogenous zone. A study Wise coauthored showed that stimulating the testicles, scrotum, shaft, rectum, prostate and nipples activated different places in the brain’s genital sensation centers. As an example, Wise says your wife could stimulate your nipples or finger your anus — foreplay that may lead to stronger orgasms.

Try this sexercise. Wise recommends playing a game she calls “Touch. Imagine Touch.” Touch your genitals and then imagine touching your genitals. Wise’s research has shown that simply thinking about having pleasurable genital stimulation without any actual touch can activate the brain’s pleasure centers similarly to orgasm. “It’s getting out of your head and into sensation,” she says.

Bring out the toys. Extra stimulation using sex toys should make your sex hotter and your orgasms more accessible and dependable, according to Joan Price, author of Naked at Our Age: Talking Out Loud About Senior Sex.

Price, who reviews sex toys for older adults on her blog, says there are some wonderful toys that can help men become aroused, including vibrators for men that don’t require an erection to use them.

For your wife, Price recommends a vibrator that stimulates the clitoris.

Take turns giving each other an orgasm. Pleasure your wife to orgasm, then after some cuddle time, have her bring you to climax, Price suggests. “Concentrate on what excites and pleasures and satisfies one person at a time,” she says. “That will lead to stronger orgasms right there.”

Consult a physician. Just to be on the safe side, certified sexuality educator Tameca N. Harris-Jackson advises talking to a primary care doctor or urologist about what specifically is different about your orgasms.

Topics to explore with a health care professional: Is the ejaculatory experience different?  Is there a different amount of ejaculate? Is the erection different? “You want to rule out that anything medical is going on,” she says.

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Why does it burn when I pee after sex?

That burning sensation could be caused by any number of things but our sexual health physicians point to a lack of lubrication during sex as the most likely culprit.

Among the possibilities:

Vaginal atrophy. Due to the loss of estrogen, peri- and postmenopausal women experience atrophy of the cells of the vulva, vagina and genital tract, which can cause burning and irritation while urinating — or sometimes constantly, says Anita Mikkilineni, an ob-gyn at George Washington University Hospital in Washington, D.C. It’s a common condition that can be treated with moisturizers and vaginal hormones.

Rough sex. A friction-based activity like rough sex or sex without adequate lubrication can cause “micro tears” in the vaginal tissue, according to certified sexuality counselor Maureen Slattery, an ob-gyn who practices at Rochester Regional Health in New York. Lube should be applied early and often during sex, rough or not.

Allergens. Spermicides, lubricants, soap and moisturizers are among potential allergens associated with sexual activity, Slattery says. For some women, they can cause skin irritation that can be felt as burning when urinating after sex. If you’re using a new product, Slattery suggests switching brands to rule it out as the source of irritation.

Urinary tract infection. A UTI causes inflammation, which leads to pain, a burning sensation and sometimes bleeding, Mikkilineni says. A urinalysis — which your doctor or urgent care health practitioner can order from a lab — will detect a UTI.

Sexually transmitted infection. Worst case scenario, according to Slattery, the burning could be caused by an STI like gonorrhea, chlamydia, trichomoniasis or herpes lesions. Gonorrhea, chlamydia and trichomoniasis can be treated with antibiotics. An antiviral med will help the herpes lesions heal. To get tested, consult your gynecologist or primary care provider.

Do you have questions about sex or relationships as a 50-plus adult? Send them to sexafter50@aarp.org.​

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