Male anorgasmia: causes and treatment

Sexual function is an element of human nature that has a significant impact on mental and physical health. In this sense, there are various problems that can affect the normal exercise of sexual function in men and women. Male anorgasmia is a common condition, but why many people do not consider going for a consultation.

However, that doesn’t mean it doesn’t have important effects on men’s satisfaction with their sex lives. After all, society tends to place a lot of importance on the way they live their sexuality.

What is male anorgasmia?

The term anorgasmia comes from the prefix “an” (‘without, no’) and “orgasm”. In this way, it is defined as the difficulty or inability to have an orgasm. This alteration can occur in both women and men, in the case of the latter it is known as male anorgasmia.

Anorgasmia in men is characterized by a marked difficulty in achieving orgasm during sexual intercourse. It is important to note that patients with this condition can feel pleasure and sexual desire normally.

For example, a man is capable of having erections and feeling erotic pleasure, the problem is that he cannot reach orgasm. Likewise, in many cases, there is also no ejaculation and if it occurs, it generates discomfort instead of satisfaction.

Thus, it is possible to see that anorgasmia in men is a disorder that can cause significant discomfort. Those who suffer from it report that they feel dissatisfied with their sexual life and even feel rejection or anxiety about sex.

On the other hand, it is common for anorgasmia in men to go undiagnosed, since many do not see it as a problem. In fact, they may think that taking too long to ejaculate or have an orgasm is beneficial for their sex life.

Nevertheless, This difficulty could also affect the couple in several ways. There are those who receive reinforcement from seeing their partner have an orgasm; Furthermore, if they do not perceive it, it can be frustrating for them.

Types of male anorgasmia

Continuing with the above, male anorgasmia is usually divided into several types. Firstly, we can classify it according to the moment in which it was established in the patient’s life:

Primary. It is considered primary when it is present from the beginning of sexual maturity in adolescence. That is, the person has lived with this condition their entire life.Secondary. We speak of secondary anorgasmia when the disorder appears after a period of normal sexual activity.

On the other hand, it is possible to create another classification based on the context where the difficulty in having an orgasm occurs. In this way, the following subtypes are found:

Absolute. It occurs when the man cannot experience orgasm under any circumstances.Relative. In this case, the person is unable to have an orgasm in particular situations. Like, for example, when having sexual relations with your partner.Situational. It occurs when the patient obtains orgasm only in certain situations. A typical case is that they can have orgasms when masturbating, but not in other types of sexual activity.

Causes of anorgasmia in men

Male anorgasmia is a complex disorder influenced by various factors. The underlying causes are usually psychological in origin.. If a person has low self-esteem and feels uncomfortable with their body, they might have trouble reaching orgasm.

Also, Personal beliefs regarding sex can negatively affect orgasm. For example, a homosexual patient may have ideas that sexual relations between men are sinful or “bad.” As a consequence, she may have difficulty reaching orgasm when performing her sexual function due to feelings of guilt or shame.

In addition, Feeling anxious about one’s sexual performance is a common cause. Some men worry excessively about having a “good performance” in the sexual act and that generates stress. Therefore, it would become more difficult for them to have orgasms.

In this same sense, the use of certain drugs tends to be related to male anorgasmia. Alonso (2021) published research on delayed ejaculation and its possible causes. Between these, It is mentioned that the use of antipsychotics and antidepressants generate problems with ejaculation and orgasm.

Intervention plans

There is no specific medicine or therapy for the treatment of anorgasmia in men. The first step is to identify the possible causes of the alteration. From there, an intervention plan can be developed that addresses the patient’s particular problem.

To better illustrate this, let’s imagine a person who feels very anxious about their performance in the sexual act. In that case, the focus of the treatment would be to evaluate the beliefs or misconceptions about sexuality that generate this anxiety. Then, Techniques such as cognitive restructuring could be used to dismantle these false beliefs. In this way, anxiety would be reduced and it would be possible to reach orgasm.

If this is a patient taking antidepressants or antipsychotics, the solution may be to change the drug or adjust the dose. In conclusion, Male anorgasmia is a complex disorder that warrants evaluation by a professional. Only in this way can the causes that exist in each case be identified and the ideal treatment developed.

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