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Lack of sensation in penis when masturbating, ejaculation but little orgasm

M22. Hi all, this is something that’s really been bothering me lately.

For the past month to two months I have had little sensation in my pen is from masturbating, and little actual orgasm even though I can still ejaculate, and I’m wondering why even though prior to this I could easily feel something and had no issues with achieving the orgasm I wanted.

I believe I have mild BPH due to increased adrenaline in my body, and I have a theory that because the probate is so involved with pleasure ‘down there’, inflammation in this area can lead to lack of feeling in the penis. Not sure if this is true and please feel free to correct, but if this is the case, how would I lower adrenaline in my body?

I also drink/vape nicotine moderately (nicotine also increases adrenaline in small amounts) and take speed (Increases adrenaline and dopamine) twice a year for recreational purposes. The substance use could potentially be a cause of low dopamine for me, potentially this is a reason why I don’t feel much down there when trying to ejaculate? Again correct me if I’m wrong.

It’s also worth noting something else... Usually I only take a well measured out amount of amphetamine for recreation, but 3 weeks ago I accidentally overdosed with a gram. No damage was done thankfully, and I’ve recovered just fine, but since then I’ve noticed that it still feels like there are slightly raised levels of adrenaline in my body, and my dopamine feels more depleted than usual if that makes sense. Can’t help but feel this may have something to do with the EJ anhedonia/lack of feeling. Going back to the hospital in two month for a follow up, so maybe I should bring this up with them?

Medications-wise, I take none, so this isn’t due to that as far as I can tell.

Okay, think that’s all that can be said, gave all the info on my lifestyle that I can. What do you think is the cause? I asked this in another forum with no response, so I’m really hoping for a one here, as for obvious reasons this is a pretty crap thing to have.

Thank you.
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20620809 tn?1504362969
You sound very smart.  I appreciate how you wrote this, very factual and informative and clearly you know a lot about your body.  I'm thinking I'd go with a simple solution to try.  Stop masturbating for a period of time.  Believe it or not, we can do that so much that we do begin to lose sensation and ability. We get 'desensitized'.  When you ask what I think the cause is, I'm thinking it is simply masturbating to the point that you've lost some sensation.  I'd give that a rest and try again down the road.  I know it's hard.  But worth a shot.
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Avatar universal
GuitarRox may have a point about ‘backing off’ a bit & see if that helps. From my perspective, yes, the prostate IS part of the male sexual apparatus & if anything is outta whack there, it could affect pleasure. I was diagnosed w/ prostate cancer, had surgery to remove it 14 mos ago & now trying to regain function. I can still have orgasms but it feels like smthg’s missing - the prostate & its fluids are gone & I feel like that may be interfering w/ the sensation somewhat. Also, when I got into my 50s I was starting to have some prostate issues (unrelated to the cancer later on) & whenever that flared up, I did notice that the pleasure was reduced & there were times when I’d ejaculate but didn’t feel much pleasure, so that could be part of it.

Also, you mention the use of amphetamines - that can definitely interfere w/ the natural amount of dopamine & might also deplete serotonin, so that could be a factor too. I would indeed mention this to your Dr. - it’s always best to let them know if there’s anything you’re doing that could contribute to the prblm. Just like if you took your car to the mechanic but failed to tell them smthg that might be contributing to the issue, you cdn’t necessarily expect them to diagnose the prblm properly...

Overall, I’d say you’re on the right track w/ your thinking. Good luck & please let us know how it turns out...
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Avatar universal
Don't think anyone is following this thread, but here's a reply. Keep it short, went to my GP and said there's probably nothing wrong with my **** it's more to do with my brain, the amphetamine overdose is on my record (he wasn't judgy about it) and we both agreed it may be most likely dopamine, possibly serotonin related. Asked me to consider contacting my local mental health service to see if I could get an antidepressant (could be dopamine or serotonin related) prescribed, but warned of the risks of paradoxical erectile dysfunction, and to be honest I don't know how long I would need to take it to re balance dopamine, and even then, would it return shortly after stopping? To my limited knowledge, I'm thinking maybe wellbrutin may help:

"It is very uncommon that a neurological examination and blood tests can determine the cause of a specific case of sexual anhedonia. Patients may be prescribed sustained-release bupropion to aid in treatment, which has been shown to relieve sexual dysfunction even in patients without depression" (which I don't have). Might be the only shot along with cutting back on drinking, porn, nicotine, and taking l-tyrosine. Looks like I'm on my own with this, any advice?
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4 Comments
I follow, so thank you for replying back with the update. What I'd do first, I'd give up the drinking, porn, nicotine and taking l-tyrosine.  I'd start there.  Only say that because ya, trying to rebalance the brain sounds daunting and a fine line.  I'd give lifestyle changes a chance to do the job along with tackling the psychological component to it.  What if that does the trick?  Would be great. If not, then go the route of trying to rebalance the dopamine theory. How do you feel about all of this?  
^ Fine. Sort of what I had in mind. Not really sure what else I could do, but then again I already tried stopping drinking for two weeks and it had little effect. It's the same sort of thing as when people overdose on MDMA or use it chronically, it messed with their serotonin, but for me it's dopamine. I doubt it's permanent messed up but if it is, I may need to try and antidepressant.
Ya, I get what you are saying.  I wish we all just came with a reset button or reboot tab.  lol  I also doubt that this is permanent but would hate for anything to get even further messed up.  Sometimes I think doctors try to manipulate too much if you know what I mean. So, I'd try to give the lifestyle things a try and if not, you know what to do.  Let me know how it goes.  
Another thing if anyone is following here... this is a medhelp forum, so naturally many of us either have medical issues ourselves or are asking for someone else, so this is a good place to ask, especially for the older folks on this forum.

How to you accept you have a problem, and not let it bother you/how you feel about yourself? Gonna get worse than this in life and I need ways to mentally cope, how do you guys/gals do it?
Avatar universal
I’d just like to add a cpl add’l thoughts here - I think we’re all kind of on the same track thinking about this. But I’m thinking giving up drinking for 2 wks might not be enuf time to see improvement. I would try to stop (or at least cut WAY back) for a month or longer. All these various drugs can impact your ability to experience pleasure.

Also, you mentioned prostate issues. Is that still smthg that bothers you? I can personally attest to the fact that anything that nesses up that area of functioning can have an impact. If you have prostatitis (very common even for younger guys), that can cause a decrease in sensation & pleasure...

So it sounds like there are actually multiple factors - the drug use, alcohol, porn & prostate prblms - that could all be having an effect. Try to get all these issues under control & I think you’ll see some improvement. Also, Wellbutrin would definitely be the drug of choice, it’s known to have fewer sexual side-effects & in some cases, might actually help a bit.

Glad you updated us on this issue - often ppl come here for advice, we do our best to offer help, but then we never hear back. It’s helpful for both other readers & for those giving advice to get some ‘feedback’, which might help all of us going forward...
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Avatar universal
"Glad you updated us on this issue - often ppl come here for advice, we do our best to offer help, but then we never hear back. It’s helpful for both other readers & for those giving advice to get some ‘feedback’, which might help all of us going forward... "

Fairs. Yep, it's been months now, nearly half a year and time has flown like nothing. Thinking about it, it's probably not my prostate, as I've actually tried a prostate massage (sort of) and still felt something, I can also precum/my prostate can leak fluids. Been bothering me a lot lately, little enjoyment out of most things, including booze, and of course I haven't really felt an orgasm since months ago and when I do cum (no issues with that thankfully) I actually feel down afterwards, yep, definitely chemical related.

Life just doesn't feel right even though I know it's temporary, not going to lie -- because of the way I am it impacts my self-esteem as well, don't even really want to open up about how much it make me feel to anyone IRL either, partly due to not wanting to seem whiny, and also because it bothers others as well. When I was telling the cardiologist about it (who considered it may be due to cardio issues naturally) he seemed like he was getting vicariously upset by me just talking about it; hate keeping issues like this to myself but it seems I have little choice besides here and my GP.

I seriously doubt anyone likes feeling like they have permanently flucked themselves up, but it gets to me more than others I think :(

Now that I know it's dopamine related, I've been kinda tempted to use a stronger stimulant (in a failed attempt) to get back to normal feelings, like methamphetamine or something lol (I'm not actually laughing), course I'm not going to do that because I'm wise enough to know this is a route many have gone down and not returned from.

Gonna call up my GP on Monday and ask for Zyban (UK Wellbutrin), if they won't give me it (they had offered an antidepressant before but an SSRI not something dopamine related) that's basically patient neglect.

Thanks for the reassuring words and excellent advice on this page. If I ever get out of this I'll probably write a small journal entry online about being cautious about using this in the future for others, not like "drugs are bad m'kay" but just to be careful, lot of people link stims to stints in their hearts but not many consider anhedonia, least not off one single overdose.
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2 Comments
You mention being tempted to use a stronger stimulant to get pleasurable feelings back - please DO NOT go down that road! I think using all these various substances (mostly stimulants) is a big part of what got you in this situation in the 1st place.

Also, I can sense that a part of your prblm is anxiety-related. Since talking to Dr’s has not helped much (obviously, this is not their specialty), I think it might help to get some counseling. If you can’t afford one-on-one counseling w/ a Psychiatrist or Psychologist, maybe you can find group counseling that might help. In those settings, ppl are encouraged to share what they’re feeling & just getting things off your chest could help. Also it’s helpful knowing there are other ppl out there going thru similar issues & they can share what has helped them get thru these issues.

Once again, good luck & let us know how you’re doing...
Got another appointment with the same doc in a months time, it's busy this time of year. Gonna be a little over a month then after I've taken it for several days before I report back, hopefully some folks will keep following this thread. Also got some stack advice over on reddit for neurotransmitter imbalance, so I can try that (after?) I've finished a course on an antidepressant, looks like the road ahead will be bumpy, and the AD will probably cause more temp issues along the way to.
Avatar universal
Hi again, just a quick note to say lately I've had to delay the appointment for something else, lately though I've been struggling, often times I can't even feel my d*ck and not feeling much there, almost no feeling, or any orgasm in almost 7 months is bringing me down, ya can only keep yourself sane with other things and hobbies before it starts to grind on your psyche, and life sucks oy numbness now. Wondering why it seems to be getting worse before it gets better, wondering bif there may be a second problem. If the zyban doesn't work, only some supplement ideas might make it better, take caution to overamping, there will be regrets.
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Also being single and having to listen to all the young adults around me bragging about there sex life just destroys me, the feelings of  envy, inadeqacy, shame, depression; there's only so much a guy can take. Guess I just need to get it out there, wondering if anyone there can give advice on how to deal, and if you relate. Guess I'm not the only one, many people got this from citalopram and it probably be isn't actually that rare in an age of drugs and medication.
Avatar universal
Wow, sorry to hear you’re still experiencing all these issues. Keep in mind that the anti-depressants themselves can sometimes cause odd thoughts, suicidal thoughts, and sexual difficulties, so it’s possible that’s part of the issue.

At this point, with all you’ve been thru,  I’m starting to think the best course of action is to just get off EVERYTHING - no stimulants, no anti-depressants, eliminate alcohol or at least limit it to just a cpl drinks a week, and get into some type of physical activity - working out or playing a sport that gets the blood flowing, and of course, eating a good balanced diet with adequate (but not excessive) protein, moderate fats & carbs, and then just give it a cpl months. I think your body just needs to kind of ‘reset’ itself.

As for hearing your friends talk about their sex lives, I can understand where you’re coming from. I went for a period with no girlfriend & felt like everyone but ME was having all this great sex - but remember, a lot of what ppl say is kind of bragging, they want others to think evthg’s great & they’re having all this fun, but often it’s not as great as they’re portraying!

Right now it might not be the best thing to jump into a relationship anyway, until you’ve had a chance to sort things out in your own life. Relationships can be great in the beginners, but over time, as prblms develop, they can actually be fairly stressful, and adding stress in your life right now sounds like the last thing you need. So basically, try to focus on getting your body & mind as healthy as possible & hopefully some of these issues will resolve as things begin to normalize for you. Good luck!
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1 Comments
Hi again, thanks for the comments try to keep this short. According to my gp the only way I'd get zyban is through the drug and alcohol services, and there's someone over the other town near me who has an interest in male sexual issues, so once this Coronavirus thing has blown over, I can seek out the help of both  of these places. I've been taking 5htp (I know it depletes dopamine a bit with an increase of serotonin) and also lithium orotate 20mg as a way to rebalance and induce neurogenesis... For a few weeks now; somedays feel a slight improvement most not, just sort of testing the waters here to see what works. Guess I'll just have to wait, I rarely masturbate with my hand as the feeling of disconnection is disturbing... But I usually no use a fleshlight with reduced but still a decent-ish level of enjoyment due to not having a partner. Also reduced smoking and went back to vaping. Least I know there's specialists out there for this sort of thing, I just have to wait, until then I can kind of cope.
Avatar universal
Sounds like you're on the right track, CD. Patience is the key right now & it seems like you're coming to terms with it yourself. Glad to know that you've made some positive changes, just be a little careful w/ vaping. As I'm sure you're aware, there've been a number of stories in the news about the dangers of vaping for those who over-indulge. It's ironic, because many who gave up smoking (which is good) thought they were doing something positive, then overdid it w/ vaping & got into trouble. Prbly OK in moderation, just don't overdo it...

Also, be careful w/ the Lithium Orotate - use that in moderation, very low dose to avoid side effects, and please let your Dr. know you're taking it.

And yes - once this Coronavirus thing is under control, I think you should definitely seek the help w/ male sexual issues. I have a pretty good feeling you'll be back to normal (or close to it) fairly soon. Best wishes & I know you'll update us - hopefully your next posting will have some good news to report...
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Avatar universal
Okay so quick update for anyone reading. Called up my gp to tell them about some other problem I had (intamacy issues) and he said the psychosexual clinic would sort it out. He also said the same clinic would help me with any other sexual issue (i.e. this) and of course there's still the drug and alcohol service. I had actually partly forgotten about this and it had improved a bit after taking Royal jelly and something else (forgot the name) but it still remains and honestly without a total "brain reboot" this may not improve.

My gp still made a note in my records that it may be mood relate, I know for a fact it isn't, and I know or have read about other people with numb genitals who have been told by urologists that it's all in your head or not real, which makes me feel worse.

Still, this clinic is apparently good and even deals with ED (which I don't have) so thank God there are services out there. I just wait.now until the pandemic ends.
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3 Comments
Sounds good - I’m sure you’ll follow up w/ an app’t once things return to a little more normal. Good luck!
So many, many months on I am back for a late reply. As of right now, and fairly recently I know it isn't really penis issues anymore, it's anhedonia, which I've had on and off for over a year now. So many nootropics tried, so many many hours of researching the condition, some limited success if any. I haven't used any other substances other than vaping nicotine and alcohol, alcohol probably 'depletes' dopamine and prevents me from getting back to baseline pleasure, same with smoking I have minimized both...

My life feels like a hell right now, in the past some things worked like lithium or oat straw (mao-b blocker) and l-tyrosine, 5htp/ecgc etc. but only somewhat. I have a nagging sense of pain and guilt that i may never fully recover, a story i read today of a student who abused amphetamine (way way more than i did mind you), his brain stopped producing dopamine naturally and the end result was him taking his life. poor soul... i don't think my brain has, often after taking l-tyrosine/cordyceps and many others which i have tried or will soon try... it's pretty clear my brain can still make it, but the efficiency of it if that makes sense is reduced. maybe i shouldn't compare my case to more severe ones, but although I wasn't a meth head I was an alkie for a while and that contributed no doubt, ginko and homotaurine may help but i haven;t noticed much of a positive imapact. i remember a time when a cig wouldn't just give me a dopamine rush (i still can get these now same with orgasm but it's sporadic) but also an opiated feeling; anhedonia is complex and honestly the so-called "kappa opiod" receptors may play a part. i've been trying to get my head around it for ages now, still learning....

i have been in a fairly bad place the last few days, tomorrow i RE-contact my GP for blood tests and other things, the last two, one barely helped and the other referred me to that drug and alcohol service, after ages of waiting to speak to someone, months, i got the the psychiatrist only to be told "we don't prescribe anything other than opiate overdose drugs", i felt mortified, all that work and hope to get help and hold on and "they don't do that here". GP constantly refers me to them no matter how many times I explain they don't prescribe certain meds, it's unbelievable. Hopefully I can get through to them after an appointment made tomorrow. Also, anhedonia is almost always misdiagnosed as depression, treatments are similar but it misses the point in the case of substance abuse, many anhedonics will not report depression.

wish me luck.....
Thanks for the update, and I'm sorry you're going in circles with your doctors. I often think that some of the worst parts of having any kind of illness is dealing with doctors.

I don't have a lot to add - you seem to have a good understand of anhedonia - but I do wish you luck with everything. I don't know how it works in the UK - is it hard to change your GP? If you do change, does that mean this process starts all over again?

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