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For many couples, great sex without intercourse means experimenting, which can feel strange. Doing things differently stimulates the brain to release dopamine, and dopamine heightens erotic intensity.

And it increases her confidence in her own erotic prowess and attractiveness.

Masturbating for a lover also deepens the couple’s intimacy.

As men age, an increasing proportion suffer balky erections. Viagra and the other erection drugs usually help, but not always.

For around 30 percent of men, they don’t work very well if at all.• Finally, many medical conditions can make intercourse difficult or impossible: diabetes, heart disease, sciatica, back pain, cancer treatment, etc.

A man who can’t manage vaginal intercourse may be able to slide (or stuff) his penis into a sleeve.

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