Exploring solutions for delayed orgasm and anorgasmia challenges in men

Exploring solutions for delayed orgasm and anorgasmia challenges in men

Orgasmic difficulties, though less discussed, are prevalent among men (about 30% to 40%), taking the form of anorgasmia (inability to achieve orgasm) or delayed orgasm (prolonged time to climax). Despite affecting a significant portion of the male population, these conditions are often shrouded in silence due to societal taboos and personal discomfort.

Understanding the Challenges

Premature ejaculation garners more attention, but anorgasmia and delayed orgasm are equally significant concerns. Anorgasmia entails the inability to reach climax despite arousal, while delayed orgasm involves prolonged time or difficulty in achieving orgasm and ejaculation.

Potential Causes and Triggers

The root causes of these conditions are multifaceted, ranging from physiological factors like changes in sensitivity and hormonal imbalances to psychological triggers such as performance anxiety and relationship stress. Men may also face pressure to conform to societal expectations of sexual performance, exacerbating their concerns.

Navigating Treatment Options

While anorgasmia and delayed orgasm aren’t indicative of severe health issues, they can impact sexual satisfaction and overall well-being. Seeking professional guidance is crucial for exploring effective strategies, including:

Sex Therapy:

Addressing psychological factors and improving the mind-body connection through therapy can be instrumental in overcoming orgasmic challenges, especially in the context of new relationships or performance anxiety.

Testosterone Evaluation:

Low testosterone levels may contribute to orgasmic difficulties. A simple blood test can determine if supplementation is necessary, although its effectiveness is still scrutinized.


While no FDA-approved drugs target these conditions directly, cabergoline shows promise in regulating prolactin levels, which are essential for orgasm. Antidepressant adjustments may also alleviate side effects contributing to orgasmic dysfunction.

Exploration of Sexual Practices:

Experimenting with different positions and foreplay techniques with a partner can enhance arousal and facilitate orgasm.

Penile Vibratory Stimulation

This non-invasive device stimulates penile nerves to promote orgasm and can be integrated into foreplay routines.

Alcohol Moderation:

While alcohol may initially enhance desire, excessive consumption can impair sexual function. Moderation is vital to maintaining performance and pleasure.

Embracing Support and Overcoming Stigma

Men should recognize that seeking help for orgasmic difficulties is a proactive step towards improved sexual health and well-being. Communicating well with healthcare professionals and partners leads to practical solutions.

In conclusion, addressing orgasmic challenges requires a holistic approach that acknowledges both physiological and psychological factors. Men can take control of their sexual experiences and enjoy intimacy without shame by seeking support and exploring treatment options.

Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy.  Dr. Samadi is a medical contributor to NewsMax TV and is also the author of The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncology and prostate cancer 911. 



Exploring solutions for delayed orgasm and anorgasmia challenges in men
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Dr. David Samadi