What causes men to be unable to reach orgasm?

What causes men to be unable to reach orgasm?

Reaching climax should be a normal and healthy process. But what if it doesn't happen? If this occurs, you might have countless worries and questions: What did I do wrong? Did I damage something? Have I indulged in excessive sexual activity? Have I got any illness? Am I going through male menopause?As we will discuss, the reasons for not being able to reach climax are diverse and sometimes quite complex, including physiological, psychological, chemical, and even hormonal issues, or the combined effect of these factors. Let's explore some of the potential reasons for not being able to reach climax.

Sexual climax deficiency disorder

Anorgasmia is a commonly used term referring to the inability to achieve orgasm. Anorgasmia refers to the situation where, despite sufficient sexual stimulation, one is unable or has difficulty reaching orgasm. The causes of anorgasmia are diverse and may include physiological factors, psychological factors, or a combination of both.

Physiological problems that prevent reaching climax

Certain physical issues can contribute to anorgasmia, which may include:

  • Hormonal imbalances: Hormonal changes associated with male menopause or thyroid disorders can also impact sexual function. Low levels of testosterone can result in erectile dysfunction and delayed ejaculation. 

  • Nerve conditions due to disease: If you have diabetes or multiple sclerosis, Parkinson's disease or a spinal cord injury, these illnesses can affect nerve function and interfere with having an orgasm.

  • Surgery: Surgeries around the pelvic region, such as prostate surgery, or surgery for rectal cancer, can sometimes lead to anorgasmia due to the procedure potentially affecting nerves and muscles in the area related to ejaculation.

  • Age: As mentioned above, hormone levels of testosterone start to decline sometime around the age of 40, and continue to decline, on average at the rate of 1 percent each year. Testosterone has a large influence on the desire to have sex, or the libido.

  • Reliance on masturbation (prefer it over sex): Masturbation, or self-pleasure, can be a safe and satisfying method of sexual fulfillment. However, if you find yourself easily climaxing during masturbation and not being able to while you are with your partner, it may create some negative consequences, including relational tension. The “death grip” is an excessively strong grip when masturbating. When you have too strong a grip while masturbating and get used to it, other types of sexual stimulation can seem less satisfying. 

The psychological problem of being unable to reach climax

Likewise, psychological issues can also contribute to anorgasmia. A few common psychological issues include:

  • Stress and anxiety: High levels of stress, anxiety, or depression can interfere with your ability to relax and perform sexually.

  • Past Trauma or abuse: Sexual abuse can potentially trigger past memories, connected to negative feelings and lead to struggling with arousal or intimacy. This may also lead to challenges in reaching climax.

  • Self-esteem or performance anxiety issues: Not feeling “good enough” or feeling anxiety about being able to satisfy your partner can potentially impact your performance during sexual activity.

Is there a solution?

The treatment methods for sexual arousal disorders vary depending on the underlying condition. For mental illnesses that cause sexual arousal problems, doctors may recommend sexual therapy or couples counseling, focusing on issues related to the relationship, or addressing past traumatic experiences as the causes of sexual function and sexual arousal ability.

When men age or enter menopause, their testosterone levels begin to decline. In such cases, it is advisable to engage in exercise or undergo testosterone replacement therapy.

It is very important to discuss your condition with your doctor, as this will help determine what kind of assistance you need.