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
After a normal
phase of sexual excitement, the man's orgasm is persistently or repeatedly
delayed or absent. The clinician's judgment of this is based on the
man's age and the adequacy of duration, focus and intensity of sexual
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.
to achieve orgasm despite adequate sexual desire and arousal a rare
condition in adult males.
have similar or even the same symptoms. The clinician, therefore,
in his/her diagnostic attempt has to differentiate against the following
disorders which need to be ruled out to establish a precise diagnosis.
its life long form, Male Orgasmic Disorder is fairly rare. In its acquired
form this dysfunction is not uncommon. The cause of this dysfunction
is rarely physical although it is sometimes confused with retrograde
ejaculation. Retrograde ejaculation is when the man ejaculates into
his bladder instead of out the urethra. More often than not, the cause
is a traumatic sexual experience, strict religious upbringing, hostility,
over control, or lack of trust.
are physical causes and drug related causes which must be differentiated,
and there are psychological causes, the predominance of which is the
anxiety associated with once again experiencing the frustrating outcome.
and Psychotherapy [ See
Therapy Section ]:
It is important to seek a complete psychological and physical evaluation
since there are a number of causes that may have this as a symptom and
not be the core cause of the problem. Most communities have specialists
in the area of sexual dysfunction and/or have university programs that
deal with the problem.