Weak male orgasm may be sign of underlying problems
I’m a 35-year-old single man. I have sexual relationships with women — but I feel that my orgasms are quite weak. There isn’t very much sensation when I climax. Is there a way of making them stronger? >> Weak orgasm and loss of sensation are common complaints in elderly men, but you are only 35, so you need to talk to a doctor because it could indicate underlying problems. More likely, however, at your age, is that it is lifestyle related. Being very overweight or obese is particularly associated with this issue. Smoking, drinking too much, and not exercising enough are also known to affect erectile function and orgasm.
Sitting at a desk all day also doesn’t help. Data from the Massachusetts Male Ageing Study suggests that men who have jobs that involve sitting for long periods are more at risk of sexual difficulties than men who have jobs that allow them to be more active.
In contrast, the same study found that increased physical activity improves sexual function. The precise reason for this is unknown. It could be because activ- improves vascular tone and cell condition, or it may increase the release of important neurotransmitters.
Weak orgasm or loss of sensation can also indicate underlying circulatory problems. Men who have clogged arteries in their heart, for example, often have the same problem with the arteries that supply blood to the penis.
Loss of sensation is more commonly associated with nerve damage. The nerves that relay information from the brain to the pelvis play a crucial part in sensation, orgasm and ejaculation, and any damage along the line can cause sexual difficulties.
Similarly, the pudendal nerve, one of the main nerves in the pelvis, is particularly important for sensation and sexual function; any form of injury or trauma to the perineum and the penis can damage it.
I don’t know how long you have had this problem for, but I know that men are notoriously bad at going the doctor and are particularly reticent about getting help with matters of a sexual nature. If the idea of talking to your doctor about something so personal fills you with dread book an appointment with a private urologist without a GP referral. It’s important because the symptoms you describe can be an early warning sign of much more serious probity lems with the heart, prostate, or nervous system. They can also be a marker for type 2 diabetes-related nerve damage.
Your symptoms could also fit a condition known as “orgasmic anhedonia”, where sexual stimulation occurs, but there is a disconnect between the sensation and the part of the brain that recognises that sensation as pleasurable. Experts believe that this occurs as a result of disruption to neurochemicals in the brain, particularly dopamine, but it may also be linked to psychological issues such as depression. The problems you describe can also be a side-effect of antidepressants.
Finally, you don’t say anything about your masturbatory habits. It is true that when you get used to inducing orgasm and ejaculation in a very particular way on your own, it becomes increasingly difficult to translate those sensations, or their absence, into satisfactory partnered sex. If this resonates with you it may be a good idea to knock the self-service on the head until you have seen a doctor.
“Men who have jobs that involve sitting for long periods are more at risk of sexual difficulties than men who have jobs that allow them to be more active