Delayed orgasm and anorgasmia are associated with significant sexual dissatisfaction. A focused medical history can shed light on the potential etiologies; which include: medications, penile sensation loss, endocrinopathies, penile hyperstimulation and psychological etiologies, amongst others. Delayed orgasm DO and anorgasmia AO have been described as one end of a spectrum of orgasm timing disorders with the other end being premature ejaculation 1. DO has also been termed retarded orgasm, inhibited orgasm, retarded ejaculation and or inhibited ejaculation. We believe that DO is the correct term as some men fail to ejaculate for medical reasons but still experience orgasm retroperitoneal surgery, radical prostatectomy. One of the major concerns with DO and in particular anorgasmia, young males or men with reproductive interest, is the failure to inseminate and therefore male infertility. Men with DO may develop anxiety and frustration, which may lead to other sexual problems such as erectile dysfunction ED and loss of sex drive.
Inability to ejaculate anejaculation is usually caused by inability to reach orgasm anorgasmia. It usually occurs as part of erectile dysfunction. See also Overview of Sexual Dysfunction in Men.
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