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Having a healthy sex life is very important for couples, and the lack of it threatens to cause several problems in the relationship. Therefore, if men face any sexual health issue, the best is to consult a doctor and treat it.

Now, sexual problems are not just about erectile dysfunction, but there are plenty of other issues that exist among men. Many men tend to have problems during sexual activities in their daily lives. However, an essential factor of sexual health problems is that it affects the mental health of the patient, irrespective of the type of disorder they face.

One of the growing complaints from men in recent years has been that they are not able to experience an orgasm, despite everything else about their sexual activity is normal. This problem is known as Male Orgasmic Disorder. This problem is defined as the persistent inability (or recurrent) to achieve orgasm, despite the person having healthy, lengthy sexual activity or intercourse, with normal excitement levels. In this disorder, there are either long delays in achieving orgasm or in some cases, men are unable to experience it altogether.

Most people are led to believe that orgasm and ejaculation are the same things. They certainly are not. Ejaculation is the process, a more physical function of releasing semen. On the other hand, orgasm is all about involuntary muscle spasms and then there is a more emotional side to orgasms.

Orgasm is generally a sensation of impending ejaculation. This sensation is due to the contractions of the prostate gland, urethra and seminal vesicles accompanied by muscular tension, perineal contractions, and involuntary pelvic thrusting. So when a man sufferers from an orgasmic disorder, these functionalities are not at play.

What causes the male orgasmic disorder?

The Male Orgasmic disorder is a problem known to be caused by psychological issues, medical issues and many other reasons. Medical matters like diabetic neuropathy, multiple sclerosis or any complications from an injury to either the spinal cord or genitals or genital surgery, pelvic trauma, radical prostatectomy or hormonal issues connected to low testosterone levels or low thyroid are all attributed to being the cause of the male orgasmic disorder.

At CSM, Dr Srinivas Madhavaram also believes that one of the common causes of the male orgasmic disorder is connected to the use of antidepressants. In fact, one-quarter of men who take antidepressants like selective serotonin reuptake inhibitors are known to be affected by this orgasmic disorder.

Diagnosis & Treatments

There is primary and secondary male orgasmic disorder. In the primary type, not all one might have no personal distress. These are the people who do not worry about having an orgasm, because they tend to enjoy the sexual activity, despite the lack of orgasm. However, in the long run, sexual activity in this type of men could become a chore rather than an experience of pleasure, nor will it be a satisfying, intimate experience. There are repercussions to the primary model. Psychological effects are common, including depression in the long run. Another problem is with the visible decline in sexual desires, which in turn could have consequences on their relationships and family.

For this type Dr Srinivas Madhavaram offers treatment options that are the combination of psychologic and physiologic sexual medicine evaluation.

The secondary type of male orgasmic disorder is when men do not experience an orgasm while having sex, even though they could do so before. This is probably due to their persistent issues with drugs, alcohol, depression, grief or loss. On the other hand, some men develop the secondary type of male orgasmic disorder from physiological topics.

These issues include reduced sexual arousal, erectile dysfunction, hypoactive sexual desire disorder, medications, low testosterone levels, other hormonal problems, diminished genital sensation, pelvic surgery, injury to the pelvis or spinal cord etc. Either way, this type of male orgasmic disorder does have personal distress for the patient, irrespective of if it’s psychological or physiological in nature. Dr Madhavaram has always deployed a combined method inclusive of mental and physiological sexual medicine to treat the problem.

For both the primary and secondary type of Male orgasmic disorder, Dr Srinivas Madhavaram believes that a total evaluation of one’s mental health is vital in understanding what kind of treatment will be best suited for the candidate. Helping the person not only with sexual medicines but also understanding their idea of a sexual being as well as helping them through the mental trauma this problem might be causing is vital in treating the male orgasmic disorder.