Diagnostic and Statistical Manual of Mental Disorders. Causes and symptoms Causes The cause of male orgasmic disorders may be organic related to a condition in the body , but, in most cases, is of psychological origin. The sensation of orgasm differs between individuals, and individual orgasms may differ in the same person. The responsible psychological mechanisms may be "intrinsic" due to basic internal factors , or "extrinsic" due to external or environmental factors. The Impotence Source Book. In order for a penis to become erect, its smooth muscles are relaxed and it becomes congested with blood vessels. Male orgasmic disorder may be part of a complex of sexual malfunctioning that may include erectile dysfunction , abnormalities in ejaculation such as premature ejaculation or retrograde ejaculation , and hypoactive sexual desire disorder. A penile implant is an excellent option and is associated with a very high rate of patient and partner satisfaction. By Melinda Wenner, Scienceline February 1,
The affected man may regularly experience delays in orgasm, or may be unable to experience orgasm altogether. In order for a penis to become erect, its smooth muscles are relaxed and it becomes congested with blood vessels. As with all of the sexual dysfunctions, the manual states that the dysfunction must cause the affected man "distress or interpersonal difficulty. Once ejaculation takes place, a period of recovery time is required prior to a subsequent orgasm. Oxytocin is also thought to reduce stress levels, which again could lead to relaxation and sleepiness. Prognosis The prognosis of the patient with male orgasmic syndrome is dependent on whether the condition is lifelong or acquired and the condition's causes. We have been together less than a year but are making plans for our future. Autonomic feedback is already known to regulate other physiologic systems, such as breathing, blood pressure, and gut motility. The mechanisms of this system may be blocked by impaired function of the brain or of the hormonal, circulatory, and neurological systems. In certain genetic hypogonadism disorders, such as Klinefelter's syndrome, certain bodily signs and symptoms may alert the physician. Their release frequently accompanies that of melatonin, the primary hormone that regulates our body clocks. Masters and Johnson on Sex and Human Loving. A step-wise program of partner stimulation of the patient to initially ejaculate outside the vagina, then at the vaginal labia, and finally inside the vagina may be helpful. The sensation of orgasm differs between individuals, and individual orgasms may differ in the same person. One thing, however, is certain: In both of these conditions, orgasm occurs but is delayed or, in the case of retrograde ejaculation, occurs in a retrograde direction into the bladder. Diagnostic and Statistical Manual of Mental Disorders. Other articles you might like: The physician should differentiate male orgasmic disorder from other sexual disorders such as retarded or delayed ejaculation and retrograde ejaculation. Try out pelvic floors exercises to improve orgasm and urinary control. Dave Zinczenko, the author of Men, Love and Sex: But perhaps since he cannot immediately run off with another woman anyway — damn that recovery time! Research shows that during ejaculation, men release a cocktail of brain chemicals, including norepinephrine, serotonin, oxytocin, vasopressin, nitric oxide NO , and the hormone prolactin. Hypogonadism, in which the testes do not produce enough testosterone. And although there is conflicting information as to whether women feel sleepy after sex, a woman often falls asleep with the man anyway or uses it for some key cuddling time , which is good news for him: David Samadi says restoring an enjoyable sex life after prostate cancer surgery is in part dependent on the prostate cancer treatment and choice.
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