Delayed orgasm and anorgasmia

Capsule:
Delayed orgasm and anorgasmia are associated with significant sexual dissatisfaction. There are many potential etiologies; unfortunately, there are no excellent pharmacotherapies. Treatment revolves around addressing potential causative factors and psychotherapy.

Authors:
Lawrence C. Jenkins, M.D., M.B.A., John P. Mulhall, M.D., M.Sc., F.E.C.S.M., F.A.C.S.

Volume 104, Issue 5, Pages 1082-1088

Abstract:

Delayed orgasm/anorgasmia defined as the persistent or recurrent difficulty, delay in, or absence of attaining orgasm after sufficient sexual stimulation, which causes personal distress. Delayed orgasm and anorgasmia are associated with significant sexual dissatisfaction. A focused medical history can shed light on the potential etiologies, which include medications, penile sensation loss, endocrinopathies, penile hyperstimulation, and psychological etiologies. Unfortunately, there are no excellent pharmacotherapies for delayed orgasm/anorgasmia, and treatment revolves largely around addressing potential causative factors and psychotherapy.

  • This is one of the more frustrating problems to address for a male due to the lack of good options to treat. This is especially true if they have a normal hormonal axis and hornones. It is very hard to convince a couple that psychotherapy and counseling can improve their already stressed situation. Nevertheless this article still points out important ways to discuss this with your patients.

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