Is anorgasmia stopping you from having fun with your partner and achieving sexual satisfaction? Learn all about what causes it and how you can treat it in this article.
In this article:
Everything You Need to Know About Male Anorgasmia
What Is Anorgasmia?
Male anorgasmia or orgasmic dysfunction is a condition where the man cannot orgasm during sexual intercourse.
A few young men might struggle with this condition, but most patients who suffer from this sexual disorder are at least over 50. It intertwines with other sexual problems common among older men such as delayed ejaculation.
Of course, the factors affecting orgasmic dysfunction go beyond age. You can generally classify them into two:
- Primary Anorgasmia: A sexual condition where one has never experienced an orgasm in their life. Primary anorgasmia in women is more common, but men who don’t have the bulbocavernosus reflex may also suffer from it.
- Secondary Anorgasmia: This sexual disorder is the loss of the ability to orgasm as the result of an external factor. Patients are not born with it.
Bulbocavernosus Reflex Definition: A reflex triggered by penile or clitoral stimulation
Note: Do not confuse anorgasmia with erectile dysfunction. Erectile dysfunction is the inability to get or maintain an erection long enough to achieve or provide sexual satisfaction to themselves and their partner.
They are two separate sexual conditions that may exist without the other, but they can also happen simultaneously.
Top Causes of Anorgasmia in Men
Anorgasmia is caused by a number of physiological and psychological factors, such as:
1. Performance Anxiety
Performance anxiety is a common cause of orgasmic dysfunction. It affects an array of men from all walks of life.
The thought of having to perform well scares and stresses out some men to the point that it hampers their sexual arousal. This leads to issues such as erectile dysfunction, delayed ejaculation, or anorgasmia.
The good news is that performance anxiety is not impossible to beat. There are a number of things you can do to get your head back in the game, including:
- Cutting back on porn
- Engaging in physical activity
- Shifting your focus to your senses
- Consulting a therapist
- Opening up to your partner
2. Sexual Trauma
Another psychological reason why one might not be able to orgasm is if they have an underlying sexual trauma. Phobias such as haphephobia and genophobia can cause one to have a negative attitude toward sex.
These types of traumas usually stem from childhood, especially if they were abused. Treatment for these conditions are very complex and should be administered by a professional.
Haphephobia Definition: The fear of touching or being touched
Genophobia Definition: Fear of sexual acts such as foreplay, oral sex, or intercourse itself
3. Depression or Marital Strife
Feeling depressed or generally unwell can cause one to have trouble climaxing.
This can also lead to situational anorgasmia. It’s a kind of orgasmic dysfunction where one can still climax but only in very specific situations.
For example, if you’re having issues with your partner, you might find it hard to finish when having sex with them but have no issues during masturbation.
4. Specific Medications
Some prescription medications might hinder your ability to orgasm. For example, antidepressants might mess up your hormones and cause you to have a hard time getting aroused.
In cases like these, it’s best to consult a specialist and report to them the side effects of the medications you’re taking. You might be able to resolve the issue if you undergo a new type of treatment program.
5. Alcohol and Drug Abuse
Abusing alcohol and drugs can make you numb to sexual stimulation. That means no amount of oral sex or foreplay will help you achieve an orgasm.
Also, consuming too much of these intoxicating substances can cause some serious long-term effects on your sexual health.
6. Low Testosterone Levels
Hypogonadism, a condition where your testosterone levels are lower than normal, can lead to difficulties in getting an orgasm. It also poses a threat to your ability to achieve and sustain an erection.
To ensure that you’re always at the top of your game, make sure you maintain a healthy testosterone level.
7. Physical Injuries and Diseases
Physical injuries and diseases that cause overall discomfort and pain hinder your ability to have sexual intercourse. Some common injuries and illnesses which might contribute anorgasmia are:
- Absence of Bulbocavernosus Reflex
- Multiple Sclerosis
- Pelvic Floor Muscles Injury
- Endocrine Disorders
- Spinal Cord Injury
- Diabetic Neuropathy
- Radical Prostatectomy
Treatments for Anorgasmia
Make sure you talk to a medical professional if you feel that you can’t achieve an orgasm. Some of your options might be:
- Testosterone Replacement Therapy: Men are advised to undergo testosterone replacement therapy if the lack of testosterone causes their anorgasmia.
- Substance Abuse Therapy: If your inability to orgasm is the result of substance abuse, you might have to go through alcoholism or drug abuse treatment sessions.
- Psychotherapy: Patients suffering from performance anxiety can schedule for psychotherapy.
- Couple’s Counseling: Couples going through tough times in their relationship can try going to couple’s counseling sessions. There are plenty of ways to bring back the intimacy and pleasure of having sex with your long-term partner.
- Sex Therapy: If you’re unsure of what the exact cause of your orgasm dysfunction is, you can schedule for sex therapy sessions. There, a specialist examines you to uncover the underlying cause. Afterward, they can refer you to an expert.
Overall, anorgasmia is a common sexual dysfunction among men, and there’s no need to feel embarrassed about it. Instead of feeling sorry for yourself, identify the cause of your orgasmic disorder and try to remedy it (if possible, under the supervision of a medical professional).
Also, try to make healthier lifestyle choices—smoking cigarettes, binge drinking, and watching too much porn lead to poor blood flow and lack of sexual arousal. Remember: good sexual health stems from a healthy mind and body.
Do you have any questions about male anorgasmia? Share your thoughts in the comments section below!