Why are some men unable to orgasm? – VnExpress

Some physiological diseases or simply anxiety, stress, can prevent men from achieving climax when having sex.

Male orgasmic disorder is a condition in which a man is constantly unable to achieve orgasm, even with sexual stimulation. This condition often occurs with delayed ejaculation. This is the time when men should be able to orgasm, but they are difficult and can take longer to achieve.

Statistics estimate that about 8% of men have delayed or no orgasm, which is less common in young adults and increases with age. This condition is different from erectile dysfunction or low sex drive, but these conditions can co-occur in the same man.

Male orgasm is a complex process. This is the third of the four phases of the sexual response cycle: desire, arousal, orgasm, and gratification. Male orgasm is the result of sexual activity and stimulation, involving many hormones, organs and nerves.

Testosterone, a hormone produced in the testicles, plays a central role in this process by enhancing libido, leading to arousal, erections, and ultimately orgasms. Contractions of the muscles of the penis, anus, and perineum also play a role in helping men “climax” by pushing semen out of the body. During orgasm, the center of a man’s brain is flooded with neurochemicals. These chemicals are responsible for creating intense emotional responses.

Orgasm disorders can have a major impact on the physical, psychological, and emotional life of a man and his partner. Image: Weillcornell Medicine

A man may not achieve orgasm when physical or emotional problems affect any part of the process.

There are two types of male orgasmic disorders, primary and secondary. Orgasm Disorder primary refers to a person who has never been able to orgasm. Secondary dyskinesia is when orgasm can only be achieved under specific conditions.


The potential causes of this syndrome in men are physiological and psychological.

Physiology: includes conditions such as multiple sclerosis, diabetic neuropathy, and high blood pressure; hypogonadism (low testosterone levels) and endocrine disorders; complications from prostate surgery or radiation to treat prostate cancer; Lack of bulbar reflex causes the anal sphincter to contract during ejaculation.

Substance abuse, especially heroin use, or the use of Certain medications, such as antipsychotics, opioids, and antidepressants, can also cause orgasmic disturbances. A study of about 2,000 men on the effects of antidepressants on sex found that the inability to achieve orgasm was seven times more common in those taking antidepressants.

Mentality: including general mental health issues such as stress, depression, anxiety about sexual ability. People who have experienced early sexual abuse and trauma are also more likely to have certain obsessions in relationships and difficulty reaching orgasm.


There is no universal treatment for orgasmic disorder. The specific approach depends on the cause as well as the outcome of the examination in the individual patient.

Your doctor may prescribe testosterone replacement therapy or a medication that restores a man’s ability to orgasm. Use therapy and/or medication to treat depression, anxiety, or other psychological disorders that contribute to the condition. Apply psychotherapy to overcome anxiety about sexual ability or past sexual and non-sexual trauma.

A guide to prostate massage to help stimulate orgasm in men. Sometimes, just changing the dose of a prescription medication can restore normal sexual function.

Male orgasmic disorder, like any other type of sexual dysfunction, can have a major impact on the physical, psychological, and emotional life of a man and his partner. The most important thing is to actively contact a specialist for examination and appropriate treatment advice. It’s not good to let fear or embarrassment keep you from facing the problem.

Treatments may not work for men who have had a radical prostatectomy, have had severe pelvic trauma, or have multiple sclerosis. In this case, the best solution may be to focus on enhancing sexual pleasure and intimacy without orgasm.

Mr. Ngoc (Follow Very Well Health)


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