Delayed orgasm and anorgasmia

Fertil Steril. 2015 Nov;104(5):1082-8. doi: 10.1016/j.fertnstert.2015.09.029. Epub 2015 Oct 9.


Delayed orgasm/anorgasmia defined as the persistent or recurrent difficulty, delay in, or absence of attaining orgasm after sufficient sexual stimulation, which causes personal distress. Delayed orgasm and anorgasmia are associated with significant sexual dissatisfaction. A focused medical history can shed light on the potential etiologies, which include medications, penile sensation loss, endocrinopathies, penile hyperstimulation, and psychological etiologies. Unfortunately, there are no excellent pharmacotherapies for delayed orgasm/anorgasmia, and treatment revolves largely around addressing potential causative factors and psychotherapy.

Keywords: Delayed orgasm; anorgasmia; delayed ejaculation; inhibited orgasm; retarded orgasm.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Ejaculation*
  • Humans
  • Male
  • Orgasm*
  • Penis / innervation*
  • Predictive Value of Tests
  • Prevalence
  • Recovery of Function
  • Risk Factors
  • Sexual Behavior
  • Sexual Dysfunction, Physiological / diagnosis
  • Sexual Dysfunction, Physiological / epidemiology
  • Sexual Dysfunction, Physiological / physiopathology*
  • Sexual Dysfunction, Physiological / psychology
  • Sexual Dysfunction, Physiological / therapy
  • Sexual Dysfunctions, Psychological / diagnosis
  • Sexual Dysfunctions, Psychological / epidemiology
  • Sexual Dysfunctions, Psychological / physiopathology*
  • Sexual Dysfunctions, Psychological / psychology
  • Sexual Dysfunctions, Psychological / therapy
  • Terminology as Topic
  • Treatment Outcome