| |
Male Orgasmic Disorder - Male Orgasmic Disorder Symptom, Cause, Treatment
Male orgasmic disorder may be defined as a persistent or recurrent inability to achieve orgasm despite lengthy sexual contact or while participating in sexual intercourse. The delay or absence of orgasm following what is typically a normal sexual excitation phase is not uncommon. As with other sexual disorders, it can have an onset later in life or have been in effect for the person's entire life, and it can manifest in specific situations or in almost all situations. The clinician's judgment of this is based on the man's age and the adequacy of duration, focus and intensity of sexual activity.
- Except for another Sexual Dysfunction.
- It is not directly caused by substance use (medication or drug of abuse) or by a general medical condition.
- It causes marked distress or interpersonal problems.
Symptoms of Male Orgasmic Disorder
Delay or absence of orgasm following normal excitement and sexual activity. Inability to achieve orgasm despite adequate sexual desire and arousal a rare condition in adult males. The orgasmic dysfunction is not better accounted for by another mental disorder (except another sexual dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition. The condition is persistent or occurs frequently and causes significant distress. Is not a direct effect of substance use. Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician, taking into account the person's age, judges to be adequate in focus, intensity, and duration.
Causes of Male Orgasmic Disorder
Organic causes of male orgasmic disorder include the following:
- Hypogonadism, in which the testes do not produce enough testosterone.
- Thyroid disorders (both hyperthyroidism-too much thyroid hormone- and hypothyroidism, or abnormally low levels of thyroid hormone).
- Pituitary conditions (Cushing's syndrome, excessive production of the hormone that induces lactation called prolactin).
- Diseases that affect the nervous system, such as strokes, multiple sclerosis, diabetic neuropathy, spinal cord injuries.
- Surgery affecting the prostate and other pelvic organs.
- Diseases of the penis.
- Substance abuse, including alcohol.
Intrinsic psychological factors that may cause male orgasmic disorder include:
- depression
- feelings of guilt, anger, fear, low self-esteem, and anxiety
- fear of getting the partner pregnant or of contracting a sexually transmitted disease or HIV
- Extrinsic psychological factors that may cause male orgasmic disorder include:
- living under conditions that cause undue stress
- unsatisfactory relationship with sexual partner
- past history of traumatic sexual encounters such as sexual abuse
Treatment of Male Orgasmic Disorder
Therapy should be directed toward improvement of concurrent conditions such as diabetes that may be having an adverse effect on sexual function. Environmental factors that interfere with sexual activity should be corrected. Typically once a medical cause is ruled out, working through the underlying issues is very helpful. Some therapists also use behavioral techniques such as sensate focus which is a more direct approach if underlying issues are not significant. Treatment usually requires the support of the sexual partner in improving both the psychological as well as the physical aspects of the problem. A step-wise program of partner stimulation of the patient to initially ejaculate outside the vagina, then at the vaginal labia, and finally inside the vagina may be helpful. |
|
|
