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Tuesday, May 17, 2011

Erectile Dysfunction, Orgasms, and Ejaculation: Part I

After reading some interesting perspectives by men suffering from erectile dysfunction, I thought it important to discuss the relationships and non-interdependence of the three quite separate man functions of ED, orgasm and ejaculation.

Ejaculation is an essential part of male sexual satisfaction. We men are in awe at a woman’s ability to achieve multiple orgasms; we wonder what that would be like to have even three in a row... or just two. But women can’t imagine that special sensation when a full prostate lets it rip and the physical sensation of ejaculation accompanies a well stimulated orgasm. That’s why the first one of the day is always the best.

But not all men can ejaculate, and that’s where we’ll start.

Most men believe that orgasm and ejaculation are part of the same process. That is, most men excepting those who suffer from a condition known as anejaculation. This term describes a condition in which ejaculation will not occur. There are two types of anejaculation: situational and total. 

Like ED itself, situational is a failure to ejaculate sometimes and under some circumstances and can have a large psychological component. Total anejaculation is the inability to ever achieve ejaculation.

Further, these can be broken down into orgasmic anejaculation and anorgasmic anejaculation. Yep, you figured it out, failure to ejaculate while still experiencing an orgasm, and failure to achieve orgasm and failure to ejaculate. Just to complicate the matrix, it is possible to have an ejaculation with no orgasm.

Because the prostate gland produces the majority of the fluid – semen – that is responsible for the volume of ejaculation, radical prostatectomy – the complete surgical remove of the prostate, usually due to disease – always causes anejaculation. It has more recently been reported that radiation therapy performed on the prostate as an alternative to surgical removal, also causes anejaculation in a majority of men receiving that treatment. Some men recover and begin to achieve ejaculation over time following the treatments, but never return to their pretreatment volume or sexual satisfaction.

Causes of anejaculation are varied and include, but are not limited to, damage to the spine or nerves involved in ejaculation, multiple sclerosis, Parkinson’s disease, a condition called retrograde ejaculation in which the seminal fluid and sperm are pushed back into the bladder instead of out the urethra through the penis, or a blockage in the ducts that carry semen due to damage or infection.

Anejaculation can be more than an inconvenience or simply reduce your level of sexual satisfaction. It may be a symptom of something more profound occurring in your body, so you should seek medical counsel at its onset. Not just as a one-off (or not-off), but see a doctor if you find your failure to ejaculate becomes a regular occurrence.

In all the cases just described, orgasm is achieved, ejaculation is not. Ejaculation without orgasm has been reported as a result of taking certain anti-anxiety drugs. Serotonin re-uptake inhibitors – SRIs – such as Paxil, Zoloft, and Lexapro, have been associated with this condition.

Anorgasmic anejaculation is the inability to achieve either orgasm or ejaculation while awake. Often the sufferer can achieve both during a dream state. This is most commonly associated with psychological issues or extreme physiological states. That is, you’re too tensed, too drunk, or you just don’t want to be with the person you’re with. However...

...anorgasmy, the inability to have an orgasm which will almost always deny ejaculation, can also be due to a drastic reduction in the sensitivity of your penis. Too much masturbation or just too much sex can cause this problem. This leads to ED... Erectile Depletion. Just leave the freaking house for a few hours and take a rest. Penile sensitivity – and the snake-oil remedies available on the Internet – will be discussed in a future posting.

Finally, let’s bring erectile dysfunction back into the conversation. Just because one cannot achieve an erection does not preclude being able to achieve both orgasm and ejaculation. This, most of you already know from practice... but it’s worth stating for those newer to the game.

More about erectile dysfunction, orgasms, and ejaculation, including some issues you may have to address in Part II.

HARD! Maintaining Potency, Eliminating Erectile Dysfunction, and Enjoying Healthy Sex for Life is not just for those with ED, but for all men who want to keep functioning throughout their life. A concise and powerful men’s health guide, HARD! provides a protocol for how to do everything right. 

Available at, Apple, and Amazon/Kindle.

Also available in all eBook formats for immediate download:

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