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Last Updated: Jan 10, 2023
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Male Orgasmic Disorder

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Dr. Ramesh MaheshwariSexologist • 41 Years Exp.MBBS, MD - Alternate Medicine
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Male Orgasmic Disorder

Definition:

Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity.

In this disorder, a male cannot reach orgasm during intercourse although can ejaculate by partner's manual or oral stimulation. Some can ejaculate only during masturbation. Some have ejaculation during sleep but not in waking period.

Orgasm and ejaculation though occur simultaneously, are different entities. Orgasm can occur in the absence of ejaculation and vice versa.

Causes:

Dislike for a partner.
Testosterone deficiency.
Religious restrictions.
Myopathy, Neuropathy.

Masturbation guilt.
Spinal cord lesion.
Guilt regarding nocturnal.

Retrograde ejaculation.
Emission.
Fear of pregnancy.
Drugs.
Inadequate sexual stimulation.
High threshold of ejaculatory reflex.
Low Libido.
Mental Block.

Treatment:

Sensate Focus exercise (mutual pleasuring) is employed daily for first 3 days. Since sex is not allowed, it eliminates the pressure to perform.

Once this is achieved, she stimulates him to the highest degree and as a man approaches ejaculation she inserts penis in the vagina in a woman on top position. If a man is unable to ejaculate she again stimulates him manually and again reinserting when ejaculation is imminent.

Vibrators:

Used for stimulation of the penis.

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