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How To Deal With Male Orgasmic Disorder

By: Roberto Garabelli

Male orgasmic disorder may be defined as persistent inability to attain orgasm despite prolonged sexual intercourse.

The Diagnostic and Statistical Manual of Mental Disorders(DSM-IV-TR), puts this disorder among the sexual dysfunctions, along with rapid ejaculation.

A man affected by male orgasmic disorder cannot attain orgasm even after a normal level of sexual excitement. The affected man may regularly experience problems in reaching orgasm, or may be unable to attain orgasm altogether.

A usual orgasm is made up of two stages: emission followed by ejaculation. The term emission refers to a sensation of approaching ejaculation produced by contractions of the prostate gland, seminal vesicles, and urethra accompanied by generalized muscle tension, contractions of the perineum, and involuntary pelvic thrusting. Ejaculation is succeeded by the resolution phase of sexual activity which is marked by feelings of relaxation and well-being. There is also a refractory period. In this phase, men may be unable to respond to more sexual stimulation, will not become erect, and attain orgasm for a longer or shorter period of time.

Although we speak of orgasm and ejaculation as though they were the same thing, they are separate processes which occur almost simultaneously.

What we call orgasm is a peak emotional and physical sensation, whereas ejaculation is simply an unconscious reflex Which occurs when we are aroused enough to stimulate an unconscious reflex mediated in the lower part of the spinal cord. Some men can separate these processes and experience ongoing multiple orgasms without the occurrence of ejaculation. Once ejaculation takes place, a period of time to recover is required before another orgasm can happen.

Orgasm differs between men, and individual orgasms may differ in the same person. All orgasms share certain characteristics which include regular body and pelvic contractions, elevation of the heart rate, more rapid breathing and the sudden release of tension.

Our sexual response cycle is under the control of the sympathetic and the parasympathetic nervous systems. The sympathetic nervous system causes action whereas the parasympathetic system promotes recovery and relaxation. When the penis becomes erect, its smooth muscle fibres are more relaxed and allow blood to flow into the penis. Though this sounds simple, it is an incredibly complex process mediated by an intricate system of humoral, neurological and circulatory events in which the parasympathetic nervous system plays a key role. Orgasm and ejaculation and subsequent relaxation of the penis are predominantly functions of the sympathetic nervous system.

So while emission is controlled by the interaction of the parasympathetic and sympathetic nervous systems, orgasm and ejaculation are mostly under the control of the sympathetic nervous system. We know that orgasm has more to do with the brain than with the body. The fact that orgasm occurs during sleep is supportive of this concept. In any event, this system may be blocked by various circumstances.

If male orgasmic disorder only occurs under a particular set of circumstances, for example with only one sexual partner, it is known as "situational" rather than "generalized" male orgasmic disorder.

The cause of male orgasmic disorder
may be related to some physical condition, but is more often psychological. The physical causes include hormonal problems such as hypogonadism, hyperthyroidism, hypothyroidism, and excessive production of the hormone prolactin. Other physical causes include certain medications, including drugs to treat high blood pressure, and antidepressants.

The most common causes of male orgasmic disorder are psychological. Some likely candidates include depression, anxiety, and fear of getting the partner pregnant. Other possible factors include a past history of traumatic sexual encounters such as sexual abuse, rape or incest, a history of strict sexual taboos in the family.

A diagnosis of male orgasmic disorder depends on the following factors being noticeable: a persistent or recurrent delay in, or absence of, orgasm following a level of normal sexual excitement that would be expected to produce orgasm. Most males who have male orgasmic disorder also complain of anxiety, shame and frustration, and low sexual self-esteem. Although this particular sexual problem usually occurs during partner sex, it can happen during masturbation as well! If it occurs during masturbation, it's more likely to be about the man's bodily sexual response system than any feelings associated with his partner. Male orgasmic disorder may be part of a wider set of sexual malfunctioning that can range across erectile dysfunction, ejaculation problems such as premature ejaculation or ejaculation into the bladder, and low sexual desire.

Male orgasmic disorder is found in all races and ethnic groups. It may develop around puberty or it may start later in life.

If some obvious physical cause is linked to male orgasmic disorder, the cure may be easy; for example, cessation of excessive drinking or a change in medications. But in most cases, some form of psychological treatment will be advisable. Since most men are too embarrassed to seek professional advice, the availability of self-help programs on the internet is a blessing. Treatment usually requires the partner's assistance for both the psychological and the physical aspects of the treatment. Behavioural programs can allow a man to recover the ability to ejaculate normally quite easily and quickly.

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The author is the writer of Overcome Retarded Ejaculation. You can find more information at Men Come First!.

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