A common sexual complaint among men is the inability to orgasm,
according to Irwin Goldstein, MD, director of San Diego Sexual Medicine
and the editor in chief of the Journal of Sexual Medicine.
There's a wide range of possible explanations, however, and doctors are
generally able to pinpoint your problem through biological and
Hypothyroidism: The thyroid gland does not produce enough hormone.
Hypogonadism: Testicles do not produce enough testosterone.
Psychological causes: These may include depression,
anxiety, or a panic disorder of some kind. (Difficulty achieving orgasm
can also be a side effect of some antidepressant drugs, such as
selective serotonin-reuptake inhibitors, or SSRIs.)
Neurological problems: Strokes, multiple sclerosis, and diabetic neurothapy can limit your ability to orgasm.
Physical injuries: Spinal cord injuries and other major wounds can have an effect.
Prostate problems: These include infections or surgery affecting the prostate or other pelvic organs.
These are some of the conditions that tests may turn up.
See your doctor or a sexual medicine specialist to find out the cause.
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