Male Orgasmic Disorder
Delayed or inhibited ejaculation following normal sexual arousal and adequate sexual stimulation is a rare condition, affecting up to only 3% of the male population (Laumann et al., 1994). Impairments in orgasm and ejaculation have often been noted as a side effect of SSRI antidepressant use and this has led some researchers to speculate that serotonin may play a role in the etiology of this disorder. In most cases, however, delayed or inhibited ejaculation tends to be psychological rather than physiological, and performance anxiety seems to play a major role. Also, rigid views about sexuality, such as the belief that orgasm is the only way to experience sexual satisfaction can direct the focus of attention during sexual activity to reaching an orgasm, and this may distract a man from experiencing sexual pleasure which can cause impaired ejaculation and orgasm. Lack of communication about sexual likes and dislikes between partners and feeling uncomfortable with one’s partner are typical relational factors that may prevent a man from enjoying sexual interactions with his partner and impair ejaculatory ability. Treatment for delayed or inhibited ejaculation generally includes helping the couple to break their focus on orgasm and refocus their attention to sexual pleasure and intimacy.