More men than known have trouble with orgasm, ejaculation

Kathleen Blanchard's picture
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In a new analysis, researchers found high numbers of men with erectile dysfunction or ED also have trouble with orgasm and ejaculation. The finding suggests orgasm difficulty isn’t just a woman’s problem. Drugs like Cialis and Viagra are only addressing a portion of men’s sexual issues, say researchers.

Sixty-five percent of men with ED can’t orgasm

In the study, led by Dr. Darius Paduch, male sexual medicine specialist at New York-Presbyterian Hospital/Weill Cornell Medical Center; and assistant professor of urology and reproductive medicine at Weill Cornell Medical College, researchers discovered sixty-five percent of men with ED can’t orgasm.

Fifty-eight percent of men studied said they have dysfunctional ejaculation, which can mean delayed, premature, weak, painful or lack of ejaculation. For some men it means less volume.

The study, published in the British Journal of Urology International, followed 12,130 men in 28 clinical trials with mild to severe ED, and is the largest study ever done tracking ejaculatory and orgasm dysfunction in men.

The men were enrolled in Cialis trials.

Men’s sexual issues underreported

The analysis showed sexual problems occur frequently for men, but Paduch says they’re underreported and untreated.

He says the reason might be from social stigma or lack of understanding about the male sexual response, especially when it comes to orgasm.

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“For decades it was believed that only women had problems with orgasm; our study shows that orgasmic dysfunction could be as prevalent among men as it is among women”, said Paduch.

Even for men with mild erectile dysfunction, problems were found with orgasm and ejaculation, suggesting men without ED regularly experience the same problems.

In the study, 26 percent of men with very mild erectile dysfunction said they had trouble with orgasm and 18 percent reported ejaculation difficulties.

Causes of ED can include undiagnosed heart disease, prostate surgery and emotional issues. Orgasm and ejaculation difficulty can stem from use of common antidepressants, low testosterone levels and brain injury, including concussion.

"For the last few decades, we have focused on penile rigidity, with erection as a synonym of normal sexual function. However, many patients say that problems with ejaculation -- like decreased force or volume or decreased sensation of orgasm -- are just as critical.

Paduch explains sexual satisfaction is important for quality of life and emotional intimacy. He says more research is needed to address men’s sexual problems that has a negative impact on “…”hundreds of thousands of affected men and their loved ones,"

Approximately half of American men age 40 to70 have some difficulty obtaining or maintaining an erection. The new analysis shows a majority of men with ED also suffer from orgasm and ejaculation difficulty that should also be addressed.

The researchers plan to continue their studies to see if testosterone therapy might help men with sexual dysfunction that is unrelated to erectile dysfunction.

Image credit: morguefile

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