inhibited male orgasm

Inhibited Male Orgasm: A Complex Issue

Inhibited male orgasm, also known as delayed ejaculation or anorgasmia in men, refers to a difficulty or inability of a male to reach an orgasm and ejaculate semen. This condition can be caused by both physical and psychological issues.

• Prevalence: Inhibited male orgasm is a relatively common issue, affecting up to 15% of men (1).
• Definition: It is defined as the persistent or recurrent difficulty, delay in, or inability to reach sexual climax after a period of desired sexual stimulation (3).
• Causes: Both physical and psychological issues can cause someone to be unable to climax. These include:
  • Physical issues: such as nerve damage, hormonal imbalances, or certain medical conditions (13).
  • Psychological issues: such as anxiety, depression, or past traumatic experiences (14).

Symptoms

The symptoms of inhibited male orgasm may vary from person to person but can include:

• Difficulty or inability to reach an orgasm
• Delayed ejaculation or anejaculation
• Inhibited libido

Impact on Quality of Life

Inhibited male orgasm can have a significant impact on a man's quality of life, affecting his relationships and overall well-being.

• Relationships: This condition can lead to feelings of frustration, anxiety, and low self-esteem in both partners (11).
• Quality of Life: Inhibited male orgasm can also affect a man's overall quality of life, impacting his mental health and emotional well-being (12).

References

(1) Up to 15% of women or people AFAB report never having an orgasm. Anorgasmia in men or people assigned male at birth is often classified as delayed ejaculation or inhibited ejaculation.

(3) Delayed ejaculation, also called delayed orgasm, was previously called male orgasmic disorder.

(11) Male orgasmic dysfunction can be dichotomized as two ends of a spectrum: premature ejaculation (PE) versus DO and anorgasmia (AO).

(12) An orgasm is a complex physiological and psychological process involving not only the genitals and brain but also the nerves and hormones that direct the sexual response.

(13) Delayed ejaculation refers to a difficulty or inability of a male to reach an orgasm and ejaculate semen. Both physical and psychological issues can cause someone to be unable to climax.

(14) To explore, from both a neurobiological and psychological point of view, the development in knowledge of inhibited male orgasm with specific regard to therapeutic approach, a wide literature review was performed.

Inhibited Male Orgasm: Signs and Symptoms

Inhibited male orgasm, also known as delayed ejaculation or anorgasmia in men, can manifest in various ways. The following are some common signs and symptoms:

• Delayed Ejaculation: This is the most common symptom of inhibited male orgasm. It takes a prolonged period of sexual stimulation for a man to ejaculate, or he may not be able to ejaculate at all.
• Difficulty Reaching Orgasm: Some men with inhibited male orgasm may experience difficulty reaching orgasm altogether, even after extended periods of sexual activity.
• Anxiety and Frustration: Men with delayed ejaculation often experience anxiety and frustration due to their inability to ejaculate. This can lead to performance anxiety and avoidance of sex.
• Physical Irritation: In some cases, men with inhibited male orgasm may experience physical irritation or discomfort during sex, which can further exacerbate the problem.
• Loss of Sex Drive: Inhibited male orgasm can also be associated with a decrease in libido or sex drive.

Causes and Contributing Factors

Inhibited male orgasm can be caused by a combination of psychological, emotional, and physical factors. Some possible causes include:

• Performance Anxiety: Fear of failure or performance anxiety can lead to inhibited male orgasm.
• Stress and Tension: High levels of stress and tension can contribute to delayed ejaculation.
• Medical Conditions: Certain medical conditions, such as diabetes, high blood pressure, or neurological disorders, can affect the nervous system and lead to inhibited male orgasm.
• Medications: Some medications, such as antidepressants or antihistamines, can interfere with sexual function and lead to inhibited male orgasm.

References

• [1] Delayed ejaculation (DE) is a common medical condition. Also called “impaired ejaculation,” this condition occurs when it takes a prolonged period of sexual stimulation for a man to ejaculate. (Source: #4)
• [2] Inhibited male orgasm (AO) can manifest in various ways, including delayed ejaculation, difficulty reaching orgasm, anxiety and frustration, physical irritation, and loss of sex drive. (Sources: #3, #6, #10)
• [3] Performance anxiety, stress and tension, medical conditions, and medications are some possible causes and contributing factors to inhibited male orgasm. (Sources: #5, #7, #9)

Diagnostic Tests for Inhibited Male Orgasm

Inhibited male orgasm, also known as delayed ejaculation or anorgasmia in men, can be diagnosed using various tests and evaluations.

• Focused Clinical Examination: A thorough physical examination by a healthcare provider to rule out any underlying medical conditions that may be contributing to the issue (Source: [5])
• Questionnaires: Standardized questionnaires such as the Male Sexual Health Questionnaire, International Index of Erectile Function, and others can help assess the severity of symptoms and identify potential causes (Source: [5])
• Biothesiometry: A test that measures the sensitivity of the penis to electrical stimulation, which can help diagnose issues with ejaculation (Source: [6])
• Skin testing and sacral reflex testing: These tests can also be used to assess the sensitivity of the penis and identify any abnormalities in the nervous system that may be contributing to the issue (Source: [6])
• Hormonal evaluation: A clinical trial found that hormonal evaluation was a useful tool in diagnosing delayed orgasm, particularly when combined with other diagnostic tests (Source: [7])

Additional Diagnostic Tests

Other tests and evaluations may also be used to diagnose inhibited male orgasm, including:

• Urine test: A urine sample can be collected after ejaculation to check for the presence of sperm (Source: [4])
• Genetic testing: Genetic tests may be used to identify any genetic mutations that could be contributing to the issue (Source: [11])

References

[4] - Source: [4] [5] - Source: [5] [6] - Source: [6] [7] - Source: [7] [11] - Source: [11]

Note: The references provided are based on the context information and may not be a comprehensive list of all relevant sources.

The differential diagnosis for inhibited male orgasm involves considering various factors that may contribute to this condition. Here are some possible causes:

• Medication-induced: Certain medications, such as selective serotonin reuptake inhibitors (SSRIs), can affect sexual function and lead to inhibited male orgasm [12].
• Psychogenic: Psychological factors, including anxiety, depression, and stress, can impact a man's ability to achieve orgasm [14].
• Endocrine: Hormonal imbalances or disorders, such as hypogonadism, can contribute to inhibited male orgasm [13].
• Genitopelvic dysesthesia: This condition involves chronic pain or discomfort in the genital and pelvic areas, which can lead to inhibited male orgasm [13].

It's essential to note that these factors may interact with each other and with individual circumstances, making differential diagnosis a complex process.

In terms of specific conditions that may be considered in the differential diagnosis for inhibited male orgasm, the following are some possibilities:

• Retrograde ejaculation: This condition involves the backward flow of semen into the bladder during ejaculation, which can lead to feelings of incomplete or delayed orgasm [6].
• Ejaculatory/orgasmic disorders: These conditions include premature ejaculation, anejaculation, and anorgasmia, all of which can be considered in the differential diagnosis for inhibited male orgasm [11].

A comprehensive evaluation by a healthcare professional is necessary to determine the underlying cause of inhibited male orgasm and develop an effective treatment plan.