Recently, my spouse has had ejaculation without orgasm. He is 50 years old, uses alcohol, has a positive family history for diabetes. This condition has never occured before and had sudden onset. Is there a medical cause for this? Since the onset of this problem, he has not been able to have an orgasm, although he does acheive a full erection, is not ejaculating prematurely, and does ejaculate without orgasm or pleasure. What causes this and is there a way to treat it?