Although a medical cause needs to be ruled out first, male orgasm disorder is often thought of as beginning in adolescence or early adulthood because sexual intimacy becomes related with a negative life event or aspect.


Delay or absence of orgasm following normal excitement and sexual activity. Due to the widely varied sexual response in men, it must be judged by a clinician to be significant, taking into account the person’s age and situation. The condition is persistent or occurs frequently and causes significant distress. Is not a direct effect of substance use.


Typically once a medical cause is ruled out, working through the underlying issues is very helpful. Some therapists also use behavioral techniques such as sensate focus which is a more direct approach if underlying issues are not significant.


Prognosis is very good.