Orgasmic disorder, AKA anorgasmia, is defined as an inability to reach climax despite lengthy sexual contact. In other words, you might be doing the deed for hours without any payoff. Here’s everything you need to know about the condition which affects men worldwide.
We hear a lot about women that are unable to orgasm. It’s estimated that 11-14% of women may suffer from female orgasmic disorder (FOD), so it’s not that uncommon. But what do we know about men? They suffer too, so why doesn’t anyone talk about it?
Men can have trouble orgasming too. It turns out that male orgasmic disorder (MOD) does exist. It occurs when men can’t orgasm at all or when they experience delayed ejaculation (when climax does happen but it takes an extended amount of time). It’s often associated with other sexual problems. For instance, men that suffer from anorgasmia may also experience low libido, erectile dysfunction, and pain while orgasming.
It’s rarer for men to have orgasmic dysfunction but it still happens. It’s been estimated that up to 4% of men experience delayed ejaculation, but that number is assumed to be underestimated partly because more research needs to be done. Even though it might not be as common, people should be aware of it so that if a guy does have this problem, he won’t be afraid to talk about it.
Anorgasmia can be lifelong or acquired at any point in a man’s life. Lifelong or primary anorgasmia is when you’ve never had an orgasm before. Acquired or secondary anorgasmia is when you’ve had an orgasm before but now you can’t.
You can have situational or generalized anorgasmia. Situational anorgasmia is when you can’t orgasm in specific circumstances but can in others. For example, some men can only ejaculate after masturbating or can only climax with a certain person. Generalized anorgasmia is when you have trouble no matter what the circumstances are.
Some physical conditions cause anorgasmia in men. Physical causes include diabetes, multiple sclerosis, high blood pressure, hormone disorders like low testosterone, pelvic or spinal injury, prostate surgery, UTIs, birth defects, and neurological disease. However, not all men with these health conditions will have MOD. Delayed ejaculation is also positively correlated with age, so it’s more common in older men.
Many psychological problems can cause MOD. If you have relationship issues, stress, anxiety, depression, or low self-esteem, it can trigger MOD. Past sexual abuse can also cause it. If you have feelings of guilt surrounding sex then you may also develop the condition. For instance, it can occur if you have certain religious beliefs that make sex taboo or if it was instilled in you as a child that sex is negative. Also, if you have an attention disorder like ADD/ADHD, this may be the cause.
Certain drugs and alcohol use can also trigger the condition. Antidepressant medications such as SSRIs, antipsychotic medications, and opioids may cause anorgasmia. High blood pressure medications and diuretics are possible sources as well. Drinking too much alcohol also puts you at risk. If something you’re on is causing you to have sexual problems, changing your medications and limiting your drug and alcohol use can help.
There are many treatment options. Ruling out or treating any underlying conditions with the help of a doctor is the first step. You’ll want to investigate whether or not your medications could be the culprit. Reducing alcohol consumption and maintaining a healthy lifestyle is important. Removing stressors in your life may improve your condition as well. Seeing a therapist can help treat stress and anxiety and can also help fix any relationship issues that might be causing it.
It’s only a problem if it makes you unhappy. Some men might be perfectly happy experiencing delayed climax. It’s only an issue if it causes you stress or causes your partner stress. If you or your partner is frustrated with the situation, then you may want to consider treatment options. If not treated, it can cause severe anxiety and depression in some people.
It’s nothing to be embarrassed about if you have it. Lots of men experience some sort of sexual dysfunction, so you’re not alone (for example, as many as 1 in 3 men may experience premature ejaculation). The best thing to do is to talk to your doctor if you think you have MOD to get to the source of the problem. It may take some trial and error, but it’s definitely possible to fix. You should also discuss it with your partner. Being on the same page will help lessen your stress about the situation, and working together to find a solution will strengthen your relationship.
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