Male Orgasmic Disorder

Etiology

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.

Symptoms

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.

Treatment

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

Prognosis is very good.