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Stamina is a hot topic when it comes to men and s*x. If one were to believe everything written on the web, a man who can last a long time in bed is the gold standard of doing it. For some people, long sessions in the sack are exactly what they need to feel satisfied but not everyone defines stamina the same way and, what's more, for many, it doesn't hardly matter. Anyone who wants to actually improve their performance in bed should think more holistically because s*x isn't something that can be separated from the rest of life.

"Erections are often a barometer of a man's overall health both physically and psychologically," says Dr. David R. Paolone, associate professor in Department of Urology at the University of Wisconsin School of Medicine and Public Health. "I think that's something that we recognize more and more." For those still aching to address unsatisfactory endurance, Dr. Paolone and Eric Marlowe Garrison, clinical therapist and author of Mastering Multiple Position S*x, offer some advice.

RELATED: 10 Ways to Maximize Pleasure During S*x
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Define "Stamina"


S*xual endurance is loosely defined as how long someone can last in bed but suboptimal stamina means different things depending on who is defining it. Generally, if a man isn't lasting as long as he wants it means he's experiencing early ejaculation, erectile dysfunction, or doesn't feel physically able to have the kind of s*x he wants. Figuring out which category applies is the first step to solving someone's stamina issues.
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Get a Physical


In all cases, if a man is concerned about his s*xual endurance, he should get a physical to figure out the answer. S*xual shortcomings aren't always as simple as being caused by fitness or age. Even a young athlete may experience difficulties while there are plenty of senior citizens doing just fine. Also, it's a myth that endurance is all about fitness level. "S*xual intercourse is not as rigorous as men like to think that it is," says Paolone. "From a cardiovascular standpoint, it's really about the equivalent of going up two flights of stairs (the typical s*xual encounter)." If a man truly does not feel physically well enough for s*x, that can indicate a serious medical condition.