Male Orgasmic Disorder

Male Orgasmic Disorder is characterized by the delay or absence of an orgasm, despite sufficient arousal or lengthy sexual acts. There are two different kinds of Male Orgasmic Disorder, known as primary and secondary. Primary Male Orgasmic Disorder is diagnosed when a man has never experienced an orgasm; and secondary Male Orgasmic Disorder is diagnosed when a man loses his ability to achieve orgasm when he has experienced them in the past.

Common Symptoms of Male Orgasmic Disorder:

  • Persistent, recurring inability to have an orgasm
  • Distress and dissatisfaction in personal relationships
  • Anxiety and fear regarding sexual performance
  • Lack of interest in sex, disappointment and frustration
  • Symptoms are present even during masturbation

Causes of Male Orgasmic Disorder

There are two basic categories of Male Orgasmic Disorder causes: physical and psychological. Physical causes of Male Orgasmic Disorder include hypogonadism (testes do not produce enough testosterone), thyroid disorders, diseases of the nervous system, diseases of the penis, surgery, substance abuse and certain medications. Psychological concerns include depression, anxiety, fear and self-esteem issues. Guilty feelings about sex, fear of getting a woman pregnant or of STDs can also affect orgasm ability. Other factors that contribute to Male Orgasmic Disorders include stress, past physical or sexual abuse, unpleasant sexual experiences, dissatisfaction with relationships and so on.

Treatment for Male Orgasmic Disorder

Treatment for Male Orgasmic Disorder is dependent upon the cause. If there is an extraneous cause such as substance abuse, then the substance abuse problem should be treated in order for the orgasmic disorder to be treated. Keeping a healthy lifestyle with a nutritious diet and exercise can be of help. Most of the time, the underlying cause of the disorder is psychological; therefore, the psychological issue needs to be addressed. In this case, a therapist is of great help. Professional psychological help can assist you in getting to the root of the problem, whether it is anxiety, stress, fear or depression. Another source of help is a certified sex therapist, who is trained to help couples better their sex lives by discussing problems and offering techniques and exercises to improve the situation.

What Should You Do?

If you are experiencing Male Orgasmic Disorder, then you are experiencing stressful, unsatisfying intimacy on a regular basis. This isn’t considered “normal,” and you shouldn’t feel like you are stuck here. Try not to be embarrassed to discuss issues with your partner, as having honest communication about sex is a wonderfully healthy practice between couples. Also, talk to your regular health care provider or contact a local therapist to get started with diagnosis and treatment. If you can get to the bottom of the cause, then you can begin a journey of treatment to the fulfilling, satisfying sex life you deserve.

View Resources

  • Encyclopedia of Mental Disorders – Extensive information about Male Orgasmic Disorder, including symptoms, cause, diagnosis, treatment and links.
  • American Medical Network – Information about various treatment options for Male Orgasmic Disorder.
  • Health Line – Information about Male Orgasmic Disorder, including how normal male orgasms differ.
  • PsychCentral – Description of Male Orgasmic Disorder, citing the American Psychiatric Association.

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