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Delayed Orgasm

The male orgasmic disorder known as “Delayed Orgasm” refers to the experience of being unable to achieve orgasm despite sexual or medical stimulation in a reasonable time frame. Although many males experience delayed orgasm periodically without medical consequence, if the problem is persistent there may be an underlying clinical or psychological problem which can be helped with treatment. Delayed orgasm should not be confused with “Anorgasmia”, a clinically defined disorder in which orgasm cannot be achieved at all regardless of the time frame.

While both men and women can experience delayed orgasm, the experience and causes may be different for each, along with the treatment recommended to address the issue. Skyline Urology offers a comprehensive program to diagnose and treat a wide range of Men’s Sexual and Reproductive issues, including Orgasmic Dysfunction in the form delayed orgasm.

Causes & Risk Factors

Delayed orgasm in men can be caused by either physical or psychological conditions. As with most sexual and reproductive issues, the sooner a physician or psychologist is able to diagnose the underlying cause of the condition, the more likely the chances are that it will be successfully treated for a return to normal sexual activity.

Some of the physical causes for delayed orgasm include:

  • Insufficient arousal, either physical or psychological
  • Medications, particularly those SSRIs which are used to treat mood disorders
  • Medical conditions such as Hypogonadism, Hypothyroidism, multiple sclerosis, diabetic neuropathy, or Cushing’s Syndrome
  • Excessive use of drugs or alcohol
  • Disease of the penis or prostate
  • Injury to the groin, penis, or spine

Psychological or mental causes for delayed orgasm include:

  • Stress
  • Insufficient physical or mental stimulation
  • Dissatisfaction with relationship
  • Depression
  • History of past abuse, causing an inability to relax or concentrate

Treatment

The treatment for delayed orgasm varies depending on the underlying cause, so your physician will first do a complete medical examination to rule out physical causes, and will likely interview you as well to determine possible psychological factors for your condition.

In order to differentiate between the various potential physical disorders, your physician may request laboratory tests and/or may perform further diagnostic evaluations. Blood plasma levels of testosterone are of help in diagnosing hypogonadism, and tests of pituitary, thyroid, and adrenal functions can pinpoint hormonal imbalances or other issues in those areas as well.

Regardless of whether your delayed orgasm is caused by physical or psychological factors, Skyline Urology will work with you to find a solution. If the cause of your delayed orgasm is medication or disease, there may be alternative therapies available which will not have the same effect. You may be advised to seek therapy from a licensed therapist to address psychological barriers to achieving orgasm.