I am a 31 year old male that is having trouble reaching an orgasm (see details)?

Question

I am becoming increasingly concerned, I am a 31 yr old gay male and have a very heathly sex drive and I do not have any problems acheiving and maintaining an erection, but 9 times out of 10 I am unable to reach orgasm. My partner and I have tried many different things...toys/positions/lotions etc. I am comtemplating going to a Urologist because I do have Muscular Dystrophy and I have to wear Fentanyl patches for pain control. Is there any advice someone could give me with this problem?

Answer 1

It very well could be the Fentanyl patch, or an issue relating to your md. Since you do not say what type of md you have I am providing you with a link you may find helpful:
http://www.mdausa.org/publications/Quest/q43speak.html
but it also could be a sign of something more serious. Since pain management is involved here, I seriously suggest that you consult your physician about this.

Answer 2

I would guess that the Analgesic patches are contributing to a lack of penile sensitivity . I am 70 and slightly have the same problem . I find I have to concentrate my mind on some horny aspect of my very beautiful young wife . It might not happen if I try to do it every day , but every 2-3 days it will work OK . I do have to concentrate really hard on coming . If I try to prelong too much to give my wife the orgasm first , I may lose all feeling before it happens . Fortunately my wife is turned on by my c u m ing and orgasms soon after .
If you and your partner have tried all the options , a eurologist may be able to help . Orgasms are more in the mind , than a purely physical respose .

Answer 3

Your condition is quite unusual for a 16 year old. It is time you see a doctor. Of course being 16 you would need to have your parents involved. Not a pleasant thought for such a problem. Monumental embarrassment!! It may not be true but you could tell your parents it burns when you pee. Indicative of a urinary tract infection. Then discuss the real problem with the doctor. With the doctor you will have to man up and get over being embarrassed if you want a real solution. Talk with the doctor frankly because he is there to help you. Only if the problem is serious must he get your parents involved. Then it becomes a matter of treatments or meds and possibly health insurance. If you have had this problem for over a year it is well past time you did something about it. Best of luck to you.

Answer 4

Male Orgasmic Disorder

The delay or absence of orgasm following what is typically a normal sexual excitation phase is not uncommon. As with other sexual disorders, it can have an onset later in life or have been in effect for the person's entire life, and it can manifest in specific situations or in almost all situations.

After a normal phase of sexual excitement, the man's orgasm is persistently or repeatedly delayed or absent. The clinician's judgment of this is based on the man's age and the adequacy of duration, focus and intensity of sexual activity.

It is not directly caused by substance use (medication or drug of abuse) or by a general medical condition.

Associated Features:

Inability to achieve orgasm despite adequate sexual desire and arousal a rare condition in adult males.

Cause:

In its life long form, Male Orgasmic Disorder is fairly rare. In its acquired form this dysfunction is not uncommon. The cause of this dysfunction is rarely physical although it is sometimes confused with retrograde ejaculation. Retrograde ejaculation is when the man ejaculates into his bladder instead of out the urethra. More often than not, the cause is a traumatic sexual experience, strict religious upbringing, hostility, over control, or lack of trust.

Treatment:

There are physical causes and drug related causes which must be differentiated, and there are psychological causes, the predominance of which is the anxiety associated with once again experiencing the frustrating outcome which you are experiencing.

It is important to seek a complete psychological and physical evaluation since there are a number of causes that may have this as a symptom and not be the core cause of the problem. Most communities have specialists in the area of sexual dysfunction and/or have university programs that deal with the problem.

Best of luck.

Answer 5

beings that you are admitting your choice of partner you should know by now that YOU SHOULD HAVE A DOCTOR..I am not trying to fuss at you or be your mother but you are grown and problems like this are serious especially with all the prostrate cancer ...it is an early sigh of prostrate cancer to not be able to *** or pee...please for your sake I love you go see a doctor..love your self