‘Refractory Period Prolongs With Age’
Discuss with Dr Narayana

Q I am a 40-year-old man. I have observed that I do not ejaculate if I have intercourse more than once on a single day, even though erection is there. Do I have to take any medicine for that? I have high BP for the last 7-8 years and take medicines for the same.
A man requires a (sexually) resting period between two acts of sexual intercourse. This period in known as refractory period. During this time, a man may not get a good erection or even if he gets one, he may not be able to ejaculate. The duration of this refractory period differs from individual to individual and in the same individual (it differs) from time to time depending upon the age, physical condition and emotional status. In general, as a man ages, his refractory period duration lengthens. Hence do not get worried. Enjoy the sensual aspects of sex instead of focusing on ejaculation.
Q You have mentioned in your column that the foreskin covers the penis’ head and should be able to move freely. But in my case, I can move my foreskin without any pain when it is not erect, but it’s painful when the penis is erect. Will this cause issues in intercourse? Please advise.
You have not understood the article properly. The foreskin need not be pulled back during intercourse. It has to be pulled back only for cleaning the penis head. You seem to have partial phimosis. That is why you are able to pull the foreskin back when the penis is not erect but find it difficult to do so when the penis is erect. I suggest that you undergo circumcision.
The writer is a sexologist. Mail him at dr.narayana@deccanmail.com