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Male Sexual Dysfunction
Male Orgasmic Disorder
Male orgasmic disorder is characterized by a persistent delay in or absence of orgasm following a normal sexual excitement phase. It can cause significant distress and relationship difficulties.
60%
Success Rate
2-6 months for medication changes; 6-12 months for therapy
Duration
Multiple
Treatment Options
3+ Groups
May Affect
What is Male Orgasmic Disorder?
Male orgasmic disorder is characterized by a persistent delay in or absence of orgasm following a normal sexual excitement phase. It can cause significant distress and relationship difficulties.
Prevalence: Affects 5-10% of men; more common in men on antidepressants
Symptoms and Signs
- •Inability to reach orgasm despite prolonged stimulation
- •Need for excessive duration or intensity to climax
- •Orgasms only achieved with specific techniques
- •Loss of interest in sex due to frustration
- •Partner dissatisfaction or confusion
- •Anxiety about sexual performance
Causes and Risk Factors
Common Causes
- →Antidepressant medications (SSRIs, SNRIs)
- →Neurological conditions (nerve damage, MS)
- →Hormonal imbalances (low testosterone, high prolactin)
- →Psychological factors (anxiety, depression, trauma)
- →Relationship issues or communication problems
- →Age-related changes
- →Substance use (alcohol, marijuana)
Risk Factors
- ⚠️Antidepressant use
- ⚠️Age over 50
- ⚠️Neurological disease
- ⚠️Relationship problems
- ⚠️Performance anxiety
- ⚠️History of sexual trauma
Treatment Options
Expected Outcomes: 50-70% improvement with medication adjustment; therapy outcomes vary based on underlying cause
Available Treatments:
- ✓Medication adjustment or change
- ✓Bupropion augmentation for SSRI-induced anorgasmia
- ✓Sex therapy and sensate focus exercises
- ✓Cognitive behavioral therapy
- ✓Enhanced stimulation techniques
- ✓Pelvic floor physiotherapy
- ✓Couples counseling
Prevention Tips
- →Open communication with partner about needs
- →Review medications with healthcare provider
- →Manage stress and mental health
- →Reduce alcohol and substance use
Ready for Professional Help?
Our sexology specialists can provide expert assessment and personalized treatment plans.