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 psychological tests.
• 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 neuropathy 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.
Lead writer: Nick Burns
Last Updated: May 22, 2008
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