The orgasm disorders are diverse in nature and so far only little studied. A special form of orgasm disorder is the so-called anorgasmia, which will be discussed in more detail below.



Anorgasmia is the absence of sexual climax (orgasm). As a rule, this orgasm disorder is also associated with a lack of ejaculation (anejaculation). But there is also the possibility of achieving ejaculation without the subjective experience of pleasure (Ejaculatio sine orgasmo). To be distinguished from anorgasmia is the diminished feeling of pleasure (libido deficiency), often associated with a diminished ejaculation.


Pure anorgasmia is a very rare disease. Exact numbers are not available.


Organic causes
Organically induced anorgasmia is very often associated with a lack of ejaculation. Probably the most common cause, however, is a lack of pleasure due to medication (for example antidepressants, tranquillizers, antihistamines). But multiple sclerosis (encephalitis disseminata) or peripheral neuropathy as a result of diabetes mellitus are also causally involved.

Regardless of the causes mentioned above, it should be noted at this point that, due to age, there is not only reduced sensitivity in the area of ​​the external reproductive organs, but also a loss of pleasure. This is accompanied by a weakening of the ejaculation reflex. The affected men report that the "throwing out" of the seed, which is usual from a young age, is lost and instead the seed only runs out.

In younger men, however, psychological causes are far more common:

Mental causes
# sexual aversion
# Fear of sexuality, women and / or intimacy
# Fear of pregnancy, regardless of contraceptives used
# traumatic childhood experiences
# Identity problem
# religious-cultural conflicts


# Causal therapy of organically induced anorgasmia
# Psychotherapy, sex therapy, couples therapy, hypnosis