The delay or absence of orgasm following what is typically a normal sexual excitation phase is not uncommon. As with other sexual disorders, it can have an onset later in life or have been in effect for the person's entire life, and it can manifest in specific situations or in almost all situations.

After a normal phase of sexual excitement, the man's orgasm is persistently or repeatedly delayed or absent. The clinician's judgment of this is based on the man's age and the adequacy of duration, focus and intensity of sexual activity.

Except for another Sexual Dysfunction.

It is not directly caused by substance use (medication or drug of abuse) or by a general medical condition.

It causes marked distress or interpersonal problems.

Associated Features:

Inability to achieve orgasm despite adequate sexual desire and arousal a rare condition in adult males.

Differential Diagnosis:

Some disorders have similar or even the same symptoms. The clinician, therefore, in his/her diagnostic attempt has to differentiate against the following disorders which need to be ruled out to establish a precise diagnosis.

None Detailed

Cause:

In its life long form, Male Orgasmic Disorder is fairly rare. In its acquired form this dysfunction is not uncommon. The cause of this dysfunction is rarely physical although it is sometimes confused with retrograde ejaculation. Retrograde ejaculation is when the man ejaculates into his bladder instead of out the urethra. More often than not, the cause is a traumatic sexual experience, strict religious upbringing, hostility, over control, or lack of trust.

Treatment:

There are physical causes and drug related causes which must be differentiated, and there are psychological causes, the predominance of which is the anxiety associated with once again experiencing the frustrating outcome.
 

Counseling and Psychotherapy [ See Therapy Section ]:

It is important to seek a complete psychological and physical evaluation since there are a number of causes that may have this as a symptom and not be the core cause of the problem. Most communities have specialists in the area of sexual dysfunction and/or have university programs that deal with the problem.