Anorgasmia is not the same as an ejaculation disorder. Medication, neurological, hormonal, sensory and psychological factors may all be relevant.
What is anorgasmia?
Anorgasmia is a marked delay or absence of orgasm despite adequate stimulation. Orgasm and ejaculation are separate events; ejaculation may occur without a clear orgasmic sensation and orgasm may occur without semen emission.
Possible causes
It may be lifelong or acquired. Antidepressants and other medicines, diabetes, neurological or hormonal conditions, pelvic surgery, sensory changes, anxiety and relationship factors may contribute. A single cause should not be assumed.
Assessment
Assessment covers desire, arousal, erection, ejaculation, medication, medical history and whether the problem differs between partnered and individual sexual activity. Physical examination and selected laboratory tests may be appropriate.
Options and limitations
Management depends on the cause. Medication changes must be discussed with the prescribing clinician rather than made independently. Appropriate counselling may help when sensory, psychological or relationship factors are relevant. There is no single treatment that works for everyone.
When should medical assessment be considered?
This page provides general information and does not replace diagnosis, examination or individual medical advice. New, recurring or concerning symptoms should be assessed by a qualified physician.
Sources1 source
European Association of Urology · 2026
EAU Guidelines on Sexual and Reproductive Health: Disorders of Ejaculation