Although premature ejaculation is a more common sexual dysfunction in men, delayed ejaculation, or inability to reach orgasm is not unusual. Unlike women, men cannot fake an orgasm because there is physical evidence of orgasm in men. Men who are unable to reach orgasm during intercourse may have a physical or psychological problem.

For men, sexual dysfunction can be devastating. There are many factors, both physical and psychological that can lead to sexual dysfunction. Stress, disease and exhaustion can all create sexual problems for men and women. It’s just men can’t hide their problem. One sexual problem encountered by men is a failure to ejaculate. In this situation, no amount of erotic stimulation will bring a man to orgasm. This condition is physically uncomfortable, even painful, and can be emotionally debilitating. Worse, in men, one sexual failure can lead to another which can make it difficult to determine if the cause is physical or emotional.

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The first step to solving the problem is to determine whether it is physical. If a man can reach orgasm with self stimulation (masturbation), but not with a partner, or if he can reach orgasm with a partner and not through self stimulation, the problem is probably psychological. If a man cannot reach orgasm at all, and if the problem is a relatively recent one, he should seek medical attention imm ediately. The delayed ejaculation may be a symptom of a physical problem or disease. This could be serious and only a qualified medical doctor can make the diagnosis.

Psychological and emotional problems effecting male sexual dysfunction can include guilt. Guilt due to religious beliefs or caused by a sexual indiscretion can have a serious impact on a man’s ability to perform. Attraction is another issue for men. If a man is not attracted to his sexual partner, he may not be able to be sufficiently stimulated to reach orgasm. A trained psychologist or sexual therapist can help men overcome obstacles to their normal sexual function.

Whether the cause is physical or emotional, this is a condition that requires treatment. If disease or other physical causes have been ruled out by a doctor, help should be sought from a qualified psychologist or sex therapist. The problem won’t go away if it’s ignored. A qualified professional, trained in areas of male sexual dysfunction can assist a man to over come obstacles that are preventing him from enjoying normal sexual release.

Treatment with a therapist or psychologist will probably include the man’s regular sexual partner. A supportive partner can be a valuable asset in resolving this problem. The therapist can help men get over guilt caused by religious dogma or by cheating on a life partner. Therapy also includes explorations of new sexual techniques and physical intimacy without intercourse. Relaxation and setting a proper ambiance are important areas of therapy. Removing performance anxiety and pressure are important. Cooperation and support from a sexual partner help.

In addition to treatment, there are exercises that men can practice to strengthen the pubococcygeus muscle. Training of the muscle promotes control over ejaculation. The Penis Health Program has instructions for exercises that can promote sexual pleasure for men and their partners.

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