Male Orgasmic Disorder
Overview: Anorgasmia is a male sexual orgasmic disorder characterized by a persistent inability to achieve orgasm after adequate stimulation, causing personal distress. Approximately 10% of men report difficulties with orgasm. Primary anorgasmia refers to men who have never experienced orgasm, while secondary anorgasmia describes men who once experienced orgasm but lost the ability.
Cause: Anorgasmia can result from psychological issues or medical problems such as diabetic neuropathy, multiple sclerosis, spinal cord injury, genital surgery, radical prostatectomy, pelvic trauma, or hormonal imbalances like low testosterone or hypothyroidism. A common cause in men is the use of antidepressants, particularly SSRIs, affecting about a quarter of users. Often, both psychologic and physiologic causes are involved.
Diagnostic Tests: Men with primary anorgasmia may experience no distress, enjoying sexual activity through touch, holding, kissing, and caressing. Others experience significant distress, pelvic pain, and decreased sexual desire, which may cause relationship conflicts. Secondary anorgasmia can arise from psychological issues like drug addiction, depression, grief, or physiologic issues like diminished genital sensation, medications, chronic illnesses, or hormonal imbalances. Situational secondary anorgasmia affects some men in certain situations but not others.
