Premature ejaculation, orgasming too quickly, is a well-know problem. However, for approximately 10 percent of men, anorgasmia, the inability or difficulty in reaching orgasm, is just as problematic.

Tens of thousands of men, especially as they get older, experience this male orgasmic disorder. It can be just as frustrating as premature ejaculation.

What is Anorgasmia?

Anorgasmia, also known as male orgasmic disorder, is the inability to reach orgasm, despite adequate stimulation. Some suffering from anorgasmia are only able to reach orgasm through manual or oral stimulation. Others are not able to reach orgasm at all.

There are two types of anorgasmia. Primary anorgasmia is defined as men who have always had difficulty orgasming. Secondary anorgasmia happens when a man used to be able to orgasm normally, but has lost this ability. Both types of anorgasmia can be equally frustrating for both the man and his partner.

What Causes Anorgasmia?

Anorgasmia can be caused by either psychological or physiological problems, or both. Psychological issues causing this male orgasmic disorder include depression and anxiety. Increases in stress in a man’s life can be the catalyst to this condition. This can then lead to increased stress, due to the inability to orgasm, creating a dangerous snowball effect. Furthermore, use of some anti-depressants, especially selective serotonin reuptake inhibitors (SSRIs) can cause anorgasmia. In fact, approximately 25% of SSRI users experience this problem, as a side effect.

Physiological problems are also a cause of anorgasmia. Diabetic neuropathy and multiple sclerosis both can result in male orgasmic disorder. Trauma and injury too can be a root cause, including spinal cord injury, genital trauma or surgery, pelvic trauma, and radical prostatectomy. Even hormonal issues, such as low testosterone and low thyroid, can negatively affect a man’s ability to orgasm.

What Should I do if I Think I have Male Orgasmic Disorder?

If you have consistent and persistent trouble orgasming, speak to your doctor. There may be an underlying medical issue that needs to be addressed that you’re not aware of. Be sure to tell your physician about any and all medications you are taking. Once physiological causes are ruled out, a mental health professional can help you address any psychological issues that may be affecting your ability to orgasm.

The important thing to know is you’re not alone.  Don’t give up hope!