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What Causes Poor Orgasms After A Vasectomy?

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Posted on Thu, 11 Sep 2014
Question: I am 39 years old I had a vasectomy about 5 years ago I had an extremely strong enjoyable sex drive with strong orgasms which ended immediately after my vasectomy I find it frustrating when people suggest that it is psychological i feel that it must have been connected to the vasectomy I made an effort to visit urologistand said that it was all in my head.its been 5 yearsand I've never had an earth shattering orgasm since sometimes I do get a mild mild orgasm but nothing to smile aboutI really miss the old days and hope for some recommendations suggestions advice please help
doctor
Answered by Dr. Shafi Ullah Khan (2 hours later)
Brief Answer:
Sex therapist for work up, likely psychological

Detailed Answer:
Thank you for asking
Vasectomy is a permanent procedure of a contraception and fertility control. It prevents the release of sperm when a man ejaculates.

I want you to know that A vasectomy will not interfere with your sex drive, ability to have erections, sensation of orgasm, or ability to ejaculate. You may have occasional mild aching in your testicles during sexual arousal for a few months after the surgery. So it might be a psychological trigger as perception of infertility is a blow below the belt to any sane person despite all the self education and will for the procedure. A little sex therapy may help that .

I want you to know that The mechanism of orgasm is still the least well understood part of the sexual process. It probably involves central (cerebral) integration and response to sexual stimulation. Emission, ejaculation, and orgasm are typically associated with several other concomitant nongenital responses, which may include involuntary rhythmic contractions of the anal sphincter, hyperventilation, tachycardia, and elevation of blood pressure.

Transient sympathoadrenal activation during sexual activity, reflected by increases in epinephrine and norepinephrine plasma levels, together with increased cardiovascular activity, has been reported to be associated with orgasm in males.

The association of vasopressin, cortisol, luteinizing hormone (LH), follicle-stimulating hormone (FSH), growth hormone (GH), beta-endorphin, and testosterone with male orgasm remains unclear. Whereas both oxytocin and prolactin levels have been reported to peak immediately after orgasm, plasma prolactin levels seem to represent a more sustained and reliable endocrine marker of orgasm in males.

Nut shell , It might be a psychological oor a game of hormone and slight imbalance as i tried to explain in hte mechanism.

Now how to find out, Sex therapist. Thats right .. Seek a sex therapist and let them sort it out for you.

I hope it helps. take good care of yourself and dont forget to close the discussion please.

May the odds be ever in your favour.

Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shafi Ullah Khan (3 hours later)
I don't understand how a sex therapist is going to help is this an excuse that doctors use because they don't understand why is it when I look online there are many people that suffer from what I doit seems that it is never resolvedI wanted my vasectomy I don't care that I can't have children that's why I did itI don't understand how that could possibly be stopping me from orgasm I enjoy sex I just don't orgasm after ejaculatingthis happened in 48 hours from my vasectomy sometimes lately I have a mild orgasm I find if I masturbate multiple times in a daythat the mild orgasm increases a but if I go a couple of days without sex or masturbating I don't get any fireworks after ejaculating
doctor
Answered by Dr. Shafi Ullah Khan (5 hours later)
Brief Answer:
Need a sex therapist

Detailed Answer:
Thank you for getting back
Sex therapists are specialised people for orgasm and performance issues. Pay them a visit and you will understand how it helps. Please comply to the request for your own benefits. Its either psychological or hormonal. And that eneds to be ruled out.
As simple as that.
I hope it helps.
Take care
Khan
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Poor Orgasms After A Vasectomy?

Brief Answer: Sex therapist for work up, likely psychological Detailed Answer: Thank you for asking Vasectomy is a permanent procedure of a contraception and fertility control. It prevents the release of sperm when a man ejaculates. I want you to know that A vasectomy will not interfere with your sex drive, ability to have erections, sensation of orgasm, or ability to ejaculate. You may have occasional mild aching in your testicles during sexual arousal for a few months after the surgery. So it might be a psychological trigger as perception of infertility is a blow below the belt to any sane person despite all the self education and will for the procedure. A little sex therapy may help that . I want you to know that The mechanism of orgasm is still the least well understood part of the sexual process. It probably involves central (cerebral) integration and response to sexual stimulation. Emission, ejaculation, and orgasm are typically associated with several other concomitant nongenital responses, which may include involuntary rhythmic contractions of the anal sphincter, hyperventilation, tachycardia, and elevation of blood pressure. Transient sympathoadrenal activation during sexual activity, reflected by increases in epinephrine and norepinephrine plasma levels, together with increased cardiovascular activity, has been reported to be associated with orgasm in males. The association of vasopressin, cortisol, luteinizing hormone (LH), follicle-stimulating hormone (FSH), growth hormone (GH), beta-endorphin, and testosterone with male orgasm remains unclear. Whereas both oxytocin and prolactin levels have been reported to peak immediately after orgasm, plasma prolactin levels seem to represent a more sustained and reliable endocrine marker of orgasm in males. Nut shell , It might be a psychological oor a game of hormone and slight imbalance as i tried to explain in hte mechanism. Now how to find out, Sex therapist. Thats right .. Seek a sex therapist and let them sort it out for you. I hope it helps. take good care of yourself and dont forget to close the discussion please. May the odds be ever in your favour. Regards Khan