Anorgasmia alternately known as orgasmic dysfunction or Coughlan's syndrome is the persistent inability to reach orgasm during sex. It is less common in men than women and is especially rare in younger men. Male anorgasmia is closely associated with delayed ejaculation , a condition that itself is more common in older men. Beyond age, there are many different reasons why a man may experience anorgasmia, both physiological and psychological. The condition may be described as primary anorgasmia , in which a man has never experienced a climax, or secondary anorgasmia , in which the inability to orgasm is caused by an external factor that has altered a man's ability to climax.
Orgasmic dysfunction: Everything you need to know
A new option for orgasm problems in men - Harvard Health Blog - Harvard Health Publishing
Table Although there is some subjective judgment involved in just what length of time is required to constitute delayed orgasm, most men with this disorder who are seen in clinical practice complain of the absence of rather than delay in orgasm. The majority of men who seek treatment for inhibited orgasm show a pattern of situational, rather than global, inability to reach orgasm. Perhaps the most common syndrome is when the man can reach orgasm in his own masturbation, or during manual or oral stimulation by his partner, but cannot have orgasm intravaginally during intercourse. Other men complain of being able to reach orgasm only occasionally.
Delayed Orgasm and Anorgasmia
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, amongst others. Delayed orgasm DO and anorgasmia AO have been described as one end of a spectrum of orgasm timing disorders with the other end being premature ejaculation 1.