Anorgasmia (Lack Of Orgasm) In Men Causes And Treatment

Anorgasmia is a condition in which a man cannot get a vivid orgasmic sensation, while sex drive, erection, fertility and ejaculation at the end of sexual intercourse can persist. Anorgasmia can affect men of different ages – both young men and the elderly.

Causes

There are many reasons for this condition. Orgasm is a complex interaction of psychological and organic elements and any disturbance in the chain produces an orgasm disturbance. An orgasmic sensation arises precisely in the brain (as confirmation – nocturnal emissions are accompanied by ejaculation, but not an orgasm), so any psychological disturbance in the sexual sphere can be accompanied by a decrease in strength or lack of orgasm.

Psychological

The psychological causes of anorgasmia include many factors, but the main ones are:

• • childhood violence, including sexual violence;

• • the formation of a wrong idea of sex, the perception of sex as something nasty, wrong;

• • unsuccessful first sexual contact, “fear of failure” in the future (see “Syndrome of anxious expectation of sexual failure (STOS) – how to get rid of it?”);

• • prolonged stress and depression in a man, especially related to sexual soil;

Organic

Organic causes can also be varied:

• • damage to any part of the pathways – from the genitals to the brain and vice versa;

• • damage to the spinal cord and its elements;

• • inflammation of the seminal vesicles, prostate – also this can lead to a decrease in the quality of the ejaculate and fertility;

• • inflammatory processes that are localized in the urethra and vas deferens – the orgasm may be accompanied by pain and over time, orgasmic sensations will begin to lose strength;

• • damage, violation of innervation or other disorders in the work of the bulbospongious muscle, the contractions of which cause pleasant sensations;

• • hormonal imbalance.

Bad habits can also lead to anorgasmia – smoking, alcohol, the use of drugs that inhibit sexual functions, tranquilizers, antidepressants.

Diagnostics

The diagnosis of anorgasmia is usually based on patient complaints and medical history. The disease can be congenital or manifest over time, accompanied by other pathologies (lack of ejaculation, sex drive, erectile dysfunction). Anorgasmia can be partial (orgasm does not occur during intercourse, but occurs during self-stimulation of erogenous zones).

Treatment

In the absence of pain, most often the reason for the lack of male orgasm lies precisely in psychology. Therefore, adequate treatment consists in eliminating the psychological causes, the formation of the correct worldview on sexual life. In severe cases, it is necessary to prescribe the use of hormonal drugs, antidepressants.

As therapy, physiotherapeutic methods are used:

• • cold dousing;

• • acupuncture;

• • electrical stimulation;

• • vibration massage.

These methods help to awaken new sensations in a man.

In the presence of inflammation in the urinary tract – the appointment of anti-inflammatory drugs and antibiotics. In some cases, consultation with a family sex therapist is necessary. If there is a suspicion of hormonal imbalance, adequate hormone therapy is necessary after consulting an endocrinologist.