It is well-known that there are a lot of sexual dysfunctions men suffer from; among them we find anorgasmia
(orgasmic disorder, orgasmic dysfunction or orgasmic inhibition), which is the inability to have an orgasmic
response to sexual stimulation
. While 24% of women suffer from this dysfunction, anorgasmia occurs in only
8% of men.
But what exactly causes male anorgasmia? Among the possible causes men can encounter there are: medication
and their side effects (antidepressants, tranquilizers, antihistamines may cause ejaculation problems),
alcohol or other drugs, even a series of diseases like diabetes, multiple sclerosis, Parkinson's disease,
and Huntington's chorea. Also, one common type of anorgasmia is the surgery-induced one.
Some surgical procedures may cause anorgasmia in a surprisingly large percentage of patients.
For instance, bilateral anterolateral cordotomies and prostatectomies cause the loss of an orgasmic
response in men.
Some men may suffer from primary anorgasmia, when one cannot reach an orgasm
apart from any inducing agent.
Nevertheless, this type of anorgasmia occurs naturally and it is caused by a lack of the glandipudendal
reflexes. Primary anorgasmia is paired with anejaculation.
There are two categories of men who suffer from delayed or missing orgasm. The first category or group
refers to those who have aged, and this problem becomes a natural result of this process, occurring to men
between 40 and 50. The explanation is very simple: as people age, reflexes slow down, and because ejaculation
is also a reflex, it also slows down in men.
If at a younger age reaching an orgasm was almost inevitable
and quick, elder men who do not experience this explosion of orgasmic pleasure might feel upset, while
others might accept it quite easily. They argue that since they can still enjoy themselves, the lack of an
orgasm does not trouble them that much. Moreover, they might feel anorgasmia is a godsent, since it could
make them "go forever".
On the other hand, younger men having great anxiety about sex, women, or intimacy experience delayed or missing
orgasms and they have psychological difficulties. It is estimated that around 90 per cent of anorgasmia problems
are related to psychological issues and performance anxiety is the number one psychological problem.
In either case, the man may be unconsciously withholding part of himself, refusing to take part in
an activity he regards as dangerous or disgusting.
Since male anorgasmia still remains very poorly studied, treatments have not been thoroughly explored.
Treatment is likely to be facilitated by a qualified sex counselor or sex therapist, but the results are
not always guaranteed. Anorgasmia in younger man is difficult to resolve, because it typically represents
primitive wounds or unconscious decisions. Healthy ejaculation
is triggered by mental or physical stimulation.
Some men make a big mistake when they do not tell their sexual partners what is it they expect, want or
desire in bed. As men age, the stimulus need to be more direct, and firmer. To get better results, both
partners should work together.