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Urology (Expert Forum)
orgasm
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
orgasm
by jbz, Sep 23, 2003 12:00AM
I am 57 years old and very healthy. I get erected very easy and can have sex a very long time, but never reach an orgasm. I have been having this problen for about a year. Sometimes, if I have an orgasm an have a proper ejaculation, I can go for days having sex an not reach one again. Women are very satisfied, ofcourse, but I would like to correct this disfunction. What is the solution? Thank you.
Doctor's Answer
by Kevin Pho, MD, Sep 24, 2003 12:00AM
, Sep 24, 2003 12:00AM
One consideration would be to test the testosterone level (both free and total testosterone) - which decreases with age. It is possible that a low testosterone level may be affecting your orgasms.
The fact that you are able to maintain an erection suggests that the penile vasculature and nerves are intact and functioning.
For further evaluation I would be evaluated by a urologist. If everything checks out on the exam, testosterone levels, and imaging studies, you may want to consider counselling to address this issue.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
The fact that you are able to maintain an erection suggests that the penile vasculature and nerves are intact and functioning.
For further evaluation I would be evaluated by a urologist. If everything checks out on the exam, testosterone levels, and imaging studies, you may want to consider counselling to address this issue.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
