Anorgasmia, or delayed ejaculation, can be a common problem for men. However, it’s possible to overcome this condition with a variety of treatments.

We’ll explain what anorgasmia is, as well as the factors that may cause you to have issues related to your ability to reach orgasm below.

What Is The Delayed Ejaculation (Anorgasmia)

Anorgasmia is a condition in which a man has trouble ejaculating. It can be a result of psychological, physical or neurological factors. Some men experience delayed ejaculation due to an underlying medical condition, such as diabetes, prostate cancer, or a spinal cord injury.

In some cases, it can be a side effect of some medications, including antidepressants, anti-seizure medications, and muscle relaxants, or even testosterone treatment. 

Male anorgasmia can be treated by either treating the underlying cause or treating erectile dysfunction. Men should consider counseling as they will learn more about their sexuality, self-esteem, and body image.

Anorgasmia is very common and may also occur in women. It may result from injury to the spinal cord or damage to areas in the brain responsible for sexual response. The condition can lead to significant pain and frustration. 

Symptoms

Men with DE may have difficulty ejaculating. Some men may report a repetitive pattern of difficulty with ejaculation, which may be uncomfortable for the man and the sexual partner.

Symptoms of male anorgasmia include:

• A lack of ejaculation
• Difficulty in reaching orgasm
• A lack of sexual desire
• Pain or discomfort during intercourse
• Pain during ejaculation
• Pain during orgasm
• A feeling of numbness or discomfort

What Causes Problems With Reaching Ejaculation 

One of the main causes of delayed ejaculation is the lack of sensation in the genitals. This can be a result of nerve damage, such as in a spinal cord injury.

Some men may experience this because of an underlying medical condition, such as diabetes, prostate cancer, or a spinal cord injury.

Other men may experience this because of an underlying psychological condition, such as depression, anxiety, or low self-esteem.

Another common cause of delayed ejaculation is a medication, such as a muscle relaxant. This is because it can cause the body to relax, which can in turn delay the ejaculation process.

Age

Age can play a role in the worsening of delayed ejaculation. As men get older, they may experience a slower ejaculation process. This is because the body may not produce the same amount of hormones, such as testosterone. Older men can also experience delayed ejaculations because of erectile dysfunction. This can occur when a man has issues reaching an erection.

Psychological Causes

Many men experience delayed ejaculation because of an underlying psychological condition, such as depression, anxiety, or low self-esteem.

In some cases, a man may feel a lack of control or a loss of confidence. This can cause him to be self-conscious, which can make it difficult for him to reach orgasm.

In other cases, a man may feel that he is not good enough to be intimate with a partner. This can make it difficult for him to feel that he is worthy of reaching orgasm.

This can be a result of a negative self-image, which can be a result of the feeling that his body is not good enough.

Physical Causes

There are many physical conditions that can cause anorgasmia. Below are some of them.

• Hypogonadism (low testosterone levels) and endocrine disorders that affect hormonal balance are among the most common hormone-related problems that can lead to anorgasmia.
• Prostate cancer (PCa) is a common disease in older men, and it can cause complications after treatment. These complications include incontinence, impotence, and other problems.
• Congenital absence of the bulbocavernosus reflex, which triggers the anal sphincter to contract during ejaculation, also known as “retrograde ejaculation,” is a condition in which ejaculation does not occur because of a lack of contraction of the sphincter muscles that are responsible for holding semen in the penis.

Medicines & Drugs

Some medications, such as antidepressants, anti-seizure medications, and muscle relaxants, can cause a delayed ejaculation. This is because these medications can cause the body to relax, which can in turn delay the ejaculation process.

Some men may experience a delayed ejaculation as a side effect of testosterone treatment.

The fact of the matter is that men who take drugs that affect their hormonal system are at a higher risk of developing anorgasmia than men who don’t take such medication. 

Medications that commonly cause this problem include the following:

• Steroid hormones used to treat diseases like lupus and rheumatoid arthritis.
• Certain types of chemotherapy drugs.
• Anti-seizure medications.
• Hormone medications used for treatment of some cancers, including breast and prostate cancer. 

What Can Help With Delayed Ejaculation (DE)

It’s often hard to know whether anorgasmia is caused by a physical, emotional, or mental issue. So it’s important to see a doctor to get a diagnosis. 

Your doctor may suggest a combination of lifestyle changes, mediation, and therapy or pelvic floor therapy, as well as some or all of the below.

Non-Medicines Treatment 

Lifestyle Adjustments

If you are experiencing DE symptoms, discuss these with your doctor or sex therapist. They can provide guidance on what lifestyle changes you can do. For some, improving sleep hygiene can already work to alleviate DE, while others have an underlying cause for their DE that requires a combination of lifestyle adjustments.

Alcohol, marijuana, cocaine, amphetamines and opiates may cause DE as a side effect. You may be able to control the symptoms of DE by moderating or eliminating the use of these substances. You may also be able to treat DE with medications that are not addictive.

Stress and DE are often related, so it’s important to get treatment for stress if you’re experiencing DE. If you’re experiencing DE, you may want to consider working with a doctor or sex therapist to identify the causes of your stress.

Sexual Technique Adjustments

If you’re a man who ejaculates easily during masturbation but have trouble ejaculating during partnered sex, you may benefit from the practice of masturbating before having sex. Once you’re close to orgasm from ejaculation, you can switch to penetrative sex to increase the likelihood of a timely ejaculation.

There are a variety of sexual aids that may be used in conjunction with penetrative sex, including vibrators, dildos, and other sex toys. For best results, seeking the help of a certified sex therapist is recommended.

Counseling

A sex therapist can perform a comprehensive evaluation once other causes are ruled out.

CBT for anorgasmia is a type of therapy that focuses on reducing the anxiety and stress that can interfere with the ability to have orgasms. It is based on the assumption that the most common causes of anorgasmia are the result of cognitive distortions and the presence of performance anxiety.

Pills To Help With Delayed Ejaculation

There are several types of medications that are used to treat DE.

• Vasodilators, for instance, can be used to increase blood flow to the penis. They may be used to treat DE. Vasodilators are medications that open blood vessels. They affect the muscles in the walls of the arteries and veins, preventing the muscles from tightening and the walls from narrowing. This leads to better blood circulation, which is essential for good health.Patients can be supplied with vials of a single agent or a combination of agents mixed in a single vial. Patients must be instructed in the proper technique for administration.
• Sildenafil citrate, a medication used to treat erectile dysfunction, is also used to treat DE. It works by relaxing the muscles of the urethra and the bladder neck. It can also be used in conjunction with other medications to treat DE.
• PDE5 inhibitors are used to treat erectile dysfunction and may be used to treat DE. They work by relaxing the muscles of the blood vessels, allowing blood to flow more freely into the penis. They are available as tablets, capsules, or liquid solutions. Indeed, men who experience DE should first try a phosphodiesterase type 5 inhibitor, such as sildenafil, vardenafil, or tadalafil, before trying other medical treatments. These medications have been shown to be effective in treating DE.

Preventing Delayed Ejaculation

Sexual dysfunctions are a real issue for many men, and they often have a big impact on their partners as well.

You need to get a medical diagnosis first, and it doesn’t do any good to let fear or embarrassment keep you from facing the issue.

If you don’t know which treatments to use, you’ll find it very difficult to find an effective treatment. You may need to be treated for erectile dysfunction first, and you may also need to be treated for other sexual dysfunctions, such as premature ejaculation, to prevent DE from happening again.

Conclusion 

Delayed ejaculation is an issue that many men have to deal with at some point in their lives. There are many different causes of DE, and it can be frustrating to find the right treatment. It is important to get the proper diagnosis and treatment as soon as possible.

As a man, it can be difficult to cope with the condition, and taking a proactive stance can help both partners resume sexual activities with confidence.