Why some men think the orgasms elusive

Most men, the same as 70 percentSay they reach orgasm faster than he would like. But there is the opposite problem that he may have ended with age: it lasts too long.

For some men, reaching the climax may take 30 minutes or more. Sex that lasts so long can be uncomfortable, painful and disturbing for men and their partners.

The delayed orgasm, as the condition is known, is more often associated with women – and for a reason, taking into account the lasting gap of orgasm in heterosexual relationships. But to 10 percent of men over 40 years old fight it too. In extreme cases, some men can never reach a climax, disorders called anorgasmia.

Orgasm disorders are not well studied or understood, and diminutive tests on which they focus on Premature ejaculationdefined as inadvertently reaching orgasm within two minutes by American Urological Association.

But sexual health experts are increasingly considering delayed orgasm as a “huge problem,” said Dr. Rachel Rubin, a urologist and sexual medicine specialist in Maryland. Although there are no interventions approved by the food and second administration, there are some treatment options, including drugs outside the sign, sexual therapy and stimulating devices, as well as changes in lifestyle and behavior.

How orgasms work

The orgasms are essentially a massive reflex, like a “giant sneeze,” said Dr. Rubin. Only one requiring a “excellent connection of the cerebral organs”.

The process begins with visual, mental or physical sexual stimulation, causing the brain to release dopamine, which increases emotions. After sufficient stimulation, the brain releases the surge of chemicals that cause pleasure, such as oxytocin, creating an impression that we consider orgasm.

For most men, ejaculation occurs simultaneously, “but these are separate processes,” said Dr. Alan Shindel, a urologist based in San Francisco. While orgasm occurs mainly in the brain, ejaculation is a series of involuntary muscle spasms.

Dr. Rubin said that complications affecting genitals, pelvic floor muscles, spinal cord and brain can cause premature, delayed, subdued, and even painful, delayed and even painful. Given the complexity, she said: “It’s really amazing that more things are not going wrong.”

Causes of delayed orgasm in men

Many physical, neurological or mental states can contribute to delayed orgasm. Here are some of the most common causes.

Medicines

The most common triggers of delayed orgasm are drugs and other drugs, including alcohol, said Dr. Landon Trost, utah utah. Guidelines From the list of Urological Association 45 different drugs related to delayed orgasm.

The class of antidepressants called selective serotonin reuptake inhibitors is one of the most common culprits. These drugs escalate serotonin, chemicals that inhibits the nerve trails involved in orgasm, thus raising the threshold required to culminate. (For this reason, SSRIs are a common treatment for men who ejaculate too quickly).

Opits, alcohol, antipsychotics and blood pressure, such as beta -blockers, can also hinder orgasm by suppressing the response of the nervous system to sexual stimulation.

Neurological problems

Many neurological states – including multiple sclerosis, Parkinson’s disease, brain injuries and brain injuries – impaired nerve routes between the brain and the genitals, which can cause matte pleasure, delayed orgasm or painful ejaculation.

Diabetes is another huge neurological factor that often leads to nerve damage. “It’s not only at the feet and fingers,” said Dr. Shindel. “Penis is also a edge.”

Spinal injuries are another common cause of delayed orgasm, added Dr. Irwin Goldstein, a urologist based in San Diego. They can cover something as elementary as a slip disk.

Concerns related to the partner

Another common trigger is pain or discomfort, men can cause their partners, which often causes delayed or lack of orgasm for both. About 75 percent of women experience pain during intercourse At some point in their lives, some are caused by dryness and irritation of the vagina, symptoms that can escalate significantly at the beginning of menopause. Dr. Rubin said that the condition can be easily healed with options such as the local estrogen of the vagina, but it is often unrecognized and not treated.

“Extremely critical” is for clinicians treating men for delayed orgasm to “ask about their partners,” said Dr. Rubin. Differences in libido, preferred types of sexual acts and performance -related expectations may also hinder orgasm.

Psychological factors

Mood disorders – such as depression, anxiety and stress – are other common factors contributing to delayed orgasm. In one reported study, 41 percent of men with moderate to severe delayed orgasm Anxiety and stress during sex He was the main reason why they were unable to culminate. Depression In particular, it can be the ability of the brain to process pleasure by obstructing or muffled orgasm.

Treatment of delayed orgasm

Dr. Trost said that before treatment men and their doctors should discuss when the problem began. The sudden beginning of delayed orgasm can have a clear trigger (for example, modern drugs, stress related to relationships or sleep disorders) and can often be easily reversed. Cases related to age -related conditions and chronic diseases may be more tough to treat.

Cases of lasting inability to achieve orgasm – caused by the lack of some dopamine receptors or brain or spine injuries – are the most tough to treat. There are no delayed orgasm treatment approved by the FDA, but clinicians have several tools at their disposal.

Medicines

Several drugs promoting dopamine-as as bupropion, bureaucron and kabergoline-and-helps to counteract delayed orgasm in men in some diminutive, randomized control tests.

Sexual therapy

Dr. Shindel said that sexual therapy and counseling are always a good idea for every man with sexual dysfunction. He added that therapy should perfectly involve partners, because sexual disorders “are never just a problem of one person.”

Stimulation devices

Sometimes “a little more stimulation” can assist men easier to achieve orgasm, said Dr. Rubin. Erotic toys like vibrating devices She said that in the case of crotch, prostate or anal genitals, she could be helpful in increasing stimulation to achieve orgasm.

However, these options do not work for everyone, said Dr. Shindel, who soon hopes for modern treatments. Just as Viagra transformed erectile dysfunction, he said that the same could have ever happened in the case of delayed orgasm.

“We are still looking for an orgasm pill,” he said.

David Dodge is an independent writer focusing on health problems, biological renewal and LGBTQ.