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Male orgasmic disorder may be defined as recurrent inability to attain ejaculation despite prolonged sexual contact. The Diagnostic and Statistical Manual of Mental Disorders(DSM-IV-TR), places this problem among the sexual dysfunctions, along with premature ejaculation. A man affected by male orgasmic disorder cannot attain ejaculation even after a normal sexual excitement phase. The affected man may regularly experience delays in ejaculation, or may be unable to attain orgasm at all. A normal orgasm is made up of two stages: emission followed by ejaculation. The word emission refers to a sensation of impending ejaculation produced by contractions of the prostate gland, seminal vesicles, and urethra accompanied by generalized muscle tension, contractions of the perineum, and instinctual pelvic thrusting. Ejaculation is followed by the resolution phase of sexual activity which is marked by feelings of well-being and relaxation. There is also a period during which sexual activity is not possible. In this phase, men cannot normally respond to more sexual stimulation, may not be able to get an erection, and attain orgasm for a longer or shorter period of time. Despite the fact that we speak of orgasm and ejaculation as though they were the same thing, they are separate processes which almost always occur simultaneously. What we call orgasm is a peak emotional and physical experience, whereas ejaculation is simply a reflex action Which occurs when we are aroused enough to stimulate a reflex occurring at the lower part of the spinal cord. Some men can separate these processes and experience multiple orgasms without the occurrence of ejaculation. Once ejaculation takes place, a period of recovery time is required prior to a subsequent orgasm. The sensation of orgasm differs between individuals, and individual orgasms may differ in the same person. All orgasms are marked by particular characteristics which include rhythmic body and pelvic contractions, elevation of the heart rate, more rapid breathing and the sudden release of tension. Our sexual response cycle is controlled by the sympathetic and the parasympathetic nervous systems. The sympathetic nervous system prompts action whereas the parasympathetic system promotes recovery and relaxation. In order for a penis to become erect, its smooth muscles are relaxed and allow blood to flow into the penis. This process is mediated by complex cascade of humoral, neurological and circulatory events in which the parasympathetic nervous system plays a key role. Orgasm and ejaculation and the after effects of relaxation of the penis are mostly mediated by the sympathetic nervous system. Emission is a parasympathetic activity, but orgasm and ejaculation are predominantly 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 causes. 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 some drugs, 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 an unsatisfactory sexual relationship with one's partner, having been brought up in an atmosphere 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. Many men with 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 complex 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 men. 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 required. 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 support of the sexual partner 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.
Article Source: http://familygardenhome.com
The author is the publisher of Overcoming Male Orgasmic Disorder. You can find more information at Men Come First!.
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