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Mental Health (Expert Forum)
Male lack of pleasure, orgasm (but erection and ejaculation)
Answered by
Roger Gould, M.D. - Mental Health, Wellness
Questions posted in the Mental Health forum are being answered by Dr. Roger L. Gould, author of the Mastering Stress and Depression program and affiliated with the UCLA. Department of Psychiatry. Topics covered include anger, attention deficit disorder (ADD), bipolar disorder, dementia, electroconvulsive therapy (ECT), learning disabilities, memory, obsessive compulsive disorder (OCD), panic, personality disorders, phobias, post-traumatic stress disorder (PTSD), schizophrenia, stress, transitions, and work problems.
Male lack of pleasure, orgasm (but erection and ejaculation)
by jimbob224, Jan 01, 2002 12:00AM
Hello,
I'm a 25 year old male that first began sexual intercourse at age 17 (and masturbation before that, of course). In any such instances of sexual activity (with or without a partner), I have been able to achieve erection, use that for a while, and then ejaculate. However, there is no particularly pleasurable sensation to the activity, and definitely no orgasm. I liken it to shaking hands with my penis - flesh on flesh, but nothing to get excited about. Sex/masturbation has become an activity performed for one of two reasons: 1. I have an erection that needs to be satisfied, 2. My partner needs to be satisfied. In either case, once the erection is present, there is a need to ejaculate that drives me to/through the sexual or masturbatory act, but again, no real "pleasure," either during stimulation or during/after ejaculation.
Of course, I suspect a psychological basis for this, but I'm loathe to expose myself to the stigma of psychological care/diagnosis (and the associated records that will inevitibly be distributed, despite any assurances otherwise). My questions are thus as follows:
1. Is this likely to be psychologically based, or is possibly a medical condition? If so, what is known about this type of thing?
2. What resources are there for an individual (and perhaps his partner) to be able to work through this on his/their own? I'm referring to books, primarily.
Thank-you.
I'm a 25 year old male that first began sexual intercourse at age 17 (and masturbation before that, of course). In any such instances of sexual activity (with or without a partner), I have been able to achieve erection, use that for a while, and then ejaculate. However, there is no particularly pleasurable sensation to the activity, and definitely no orgasm. I liken it to shaking hands with my penis - flesh on flesh, but nothing to get excited about. Sex/masturbation has become an activity performed for one of two reasons: 1. I have an erection that needs to be satisfied, 2. My partner needs to be satisfied. In either case, once the erection is present, there is a need to ejaculate that drives me to/through the sexual or masturbatory act, but again, no real "pleasure," either during stimulation or during/after ejaculation.
Of course, I suspect a psychological basis for this, but I'm loathe to expose myself to the stigma of psychological care/diagnosis (and the associated records that will inevitibly be distributed, despite any assurances otherwise). My questions are thus as follows:
1. Is this likely to be psychologically based, or is possibly a medical condition? If so, what is known about this type of thing?
2. What resources are there for an individual (and perhaps his partner) to be able to work through this on his/their own? I'm referring to books, primarily.
Thank-you.
Doctor's Answer
by Roger Gould, M.D., Jan 02, 2002 12:00AM
, Jan 02, 2002 12:00AM
Its most likely psychologically based. The common dynamics to watch out for is a fear of being out of control, guilt about sexual pleasure, re-igniting half buried memories of traumatic experiences, like over hearing parental sexual intercourse when a young child, or other over-stimulating experiences that would cause you to put up a protective wall.
Regarding books, I can't be of much help, but big bookstores are you best bet.
I wouldn't be so afraid of psychotherapy if I were you. It is a good education in itself, and there is very little stigma these days, half of new york city is in therapy. It could help a lot.
Regarding books, I can't be of much help, but big bookstores are you best bet.
I wouldn't be so afraid of psychotherapy if I were you. It is a good education in itself, and there is very little stigma these days, half of new york city is in therapy. It could help a lot.
Member Comments (4)
by trixie, Feb 12, 2002 12:00AM
i find it good to take hrt and finisteride i find it good to lose interest in sex,i just want to be impotent
by trixie, Feb 12, 2002 12:00AM
i find it good to take hrt and finisteride i find it good to lose interest in sex,i just want to be impotent
by williamw333, Mar 15, 2002 12:00AM
you're gay.
by rc62, Mar 17, 2002 12:00AM
I have a problem with ocd masterbating and deprstion to I am trying to understand and am taking rx for it
