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 absence of ejaculation and vice versa.
Causes:
Dislike for partner. Testosterone deficiency.Religious restrictions. Myopathy, Neuropathy.Maturbation 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 highest degree and as man approaches ejaculation she inserts penis in vagina in woman on top position. If man is unable to ejaculate she again stimulates him manually and again reinserting whe ejaculation is imminent.
Vibrators:
Used for stimulation of penis.
Posted by Dr. Ramesh Maheshwari, Wnho Clinic, 2014 sadashiv peth, Tilak road, Pune. Free to call for further information.