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What is the cause and treatment for anorgasmia?

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Posted on Sat, 12 Jul 2014
Question: Hello Im 51 years old and I have never had a orgams from bj or intercourse Im a male
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Answered by Dr. Sunil Gupta (1 hour later)
Brief Answer:
Please see details below.

Detailed Answer:
Hi,

I can understand your concern regarding not being able to have orgasms. You seem to be suffering from a condition termed anorgasmia.

Before I go on to answer, I would have liked to know a few things. You have mentioned that you have never had a orgasm from oral sex or intercourse. Does that mean that you have been able to have orgasm during masturbation? And just to be sure, never means ever since you became sexually active.

The most common cause for Anorgasmia is actually psychological. More importantly, it is the fear of performing well, termed as performance anxiety which impairs the ability to have an orgasm. If you have had ejaculations during masturbation, but not able to do so during sex, it is most probably linked to performance anxiety.

In addition, taking alcohol or other drugs including opioids impairs out capability to have an orgasm. Some medicines or conditions like diabetes can also cause anorgasmia but since you have mentioned that you have never ad orgasm, it doesn't seem to be the cause.

The solution for anorgasmia is therapy sessions which will consist of learning relaxation, sex education and step wise activities starting with stopping all sexual activities initially followed by graded measures focusing on attaining orgasm. It will be more beneficial if your sexual partner is able to attend the sessions as that will improve the chances of success.

I hope that answers your query. Please feel free to ask any further query that you might have.

Best wishes,

Dr. Sunil Gupta
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sunil Gupta (16 minutes later)
have had orgams from masturbation many many times. oral sex just feels ok not bad or great intercores feels like about I only thing I feel is is pressure around peliv bobne penis doesn't feel like it is her most of the time

have had orgames many times by masturbation oral sex feels ok not bad or great intercourse feels mostly a little pressure on my pelvic bone doesn't feel like im in her most of the time. I don't have the partner all the time??
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Answered by Dr. Sunil Gupta (9 minutes later)
Brief Answer:
You will need therapy sessions.

Detailed Answer:
Hi,

Thanks for following up. Since you have orgasms normally during masturbation, your problem is definitely due to psychological reasons.

It seems that you have ejaculations during oral sex and intercourse but not able to get the real pleasure out of it. The best course of action will be to start the therapy sessions like I mentioned in the last response. It will really help you in making you able to enjoy the sexual experiences that you have. It will take a few weeks time, but it will be the time worth spending.

I do hope that you are able to enjoy your orgasms soon. In case of any further doubt, please do ask. I will be glad to help you out in the best possible way. In case you don't have any further queries, please do close the discussion and rate the answer.

Best wishes,

Dr. Sunil Gupta




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sunil Gupta (26 minutes later)
I only have orgams from masturbation never from oral or intercourse what type of doctor should I see .
doctor
Answered by Dr. Sunil Gupta (12 minutes later)
Brief Answer:
A psychiatrist or psychologist

Detailed Answer:
Hi,

Thanks for following up. You should visit a psychiatrist or a psychologist who provides therapy sessions. And like I mentioned earlier, participation of your wife in the therapy sessions will greatly enhance the chances of positive outcome of your problem.

It will require some time and commitment from your side but with proper treatment, I am very sure that you will soon be able to experience orgasms and have sex like never before.

Please feel free to contact me anytime in case of any doubt regarding your condition and regarding your treatment.

Best wishes,

Dr. Sunil Gupta


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sunil Gupta

Psychiatrist

Practicing since :2005

Answered : 637 Questions

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What is the cause and treatment for anorgasmia?

Brief Answer: Please see details below. Detailed Answer: Hi, I can understand your concern regarding not being able to have orgasms. You seem to be suffering from a condition termed anorgasmia. Before I go on to answer, I would have liked to know a few things. You have mentioned that you have never had a orgasm from oral sex or intercourse. Does that mean that you have been able to have orgasm during masturbation? And just to be sure, never means ever since you became sexually active. The most common cause for Anorgasmia is actually psychological. More importantly, it is the fear of performing well, termed as performance anxiety which impairs the ability to have an orgasm. If you have had ejaculations during masturbation, but not able to do so during sex, it is most probably linked to performance anxiety. In addition, taking alcohol or other drugs including opioids impairs out capability to have an orgasm. Some medicines or conditions like diabetes can also cause anorgasmia but since you have mentioned that you have never ad orgasm, it doesn't seem to be the cause. The solution for anorgasmia is therapy sessions which will consist of learning relaxation, sex education and step wise activities starting with stopping all sexual activities initially followed by graded measures focusing on attaining orgasm. It will be more beneficial if your sexual partner is able to attend the sessions as that will improve the chances of success. I hope that answers your query. Please feel free to ask any further query that you might have. Best wishes, Dr. Sunil Gupta