Male Sexual Function, Part 4: Delayed Orgasm, Reduced Sensation and Sexual Pain

Practical options for delayed orgasm, reduced genital sensation and pain during sex or ejaculation.

You can have good erectile function and still have delayed orgasm, genital numbness or sexual pain.^{[1, 2]}

If you can reach orgasm during masturbation but struggle with a partner, start with section 3. For numbness, use section 4. For pain, use section 5, or section 7 if painful erections wake you from sleep. Section 2 covers changes after medication or hormones. Section 6 covers unwanted genital arousal. If the main problem is little or no semen, go to Part 6.

Contents

1. Identify what has changed

2. Medicines and hormone changes

3. Sexual habits and partnered orgasm

4. Reduced genital sensation and nerve problems

5. Genital pain, painful ejaculation and pelvic tension

6. Persistent unwanted genital arousal

7. Painful erections during sleep

8. Treatments for medication-related orgasm problems

9. Specialist treatments for persistent orgasm difficulty

10. Check whether orgasm and sensation improve