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Male Sexual Dysfunction
Anhedonic Ejaculation
Anhedonic ejaculation, also called pleasureless ejaculation or orgasmic anhedonia, is a condition where men experience the physical process of ejaculation without the subjective feeling of pleasure or orgasm.
60%
Success Rate
4-8 weeks for medication changes; longer for therapy approaches
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Anhedonic Ejaculation?
Anhedonic ejaculation, also called pleasureless ejaculation or orgasmic anhedonia, is a condition where men experience the physical process of ejaculation without the subjective feeling of pleasure or orgasm.
Prevalence: Underreported; affects an estimated 1-3% of men; higher in SSRI users
Symptoms and Signs
- •Ejaculation occurs without pleasurable sensation
- •Physical release without emotional satisfaction
- •Normal ejaculatory force and volume
- •No change in sexual desire or erectile function
- •Frustration or distress about lack of pleasure
- •Partner confusion or concern
Causes and Risk Factors
Common Causes
- →SSRI and antidepressant medications
- →Dopamine deficiency or dysregulation
- →Neurological conditions (multiple sclerosis, neuropathy)
- →Spinal cord injury
- →Prostate surgery
- →Psychological factors (depression, trauma)
- →Chronic stress or burnout
Risk Factors
- ⚠️Antidepressant use (most common cause)
- ⚠️Neurological disease
- ⚠️Spinal cord injury
- ⚠️Prostate surgery
- ⚠️Chronic stress
Treatment Options
Expected Outcomes: 50-70% improvement with medication adjustment; variable results with other treatments
Available Treatments:
- ✓Medication adjustment (antidepressant dose reduction or switch)
- ✓Addition of bupropion to SSRI therapy
- ✓Dopaminergic medications
- ✓Sex therapy and counseling
- ✓Pelvic floor physiotherapy
- ✓Mindfulness-based sexual techniques
- ✓Treatment of underlying neurological conditions
Prevention Tips
- →Discuss medication side effects with prescriber
- →Manage stress and mental health
- →Maintain healthy dopamine levels (exercise, sleep)
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