Known Causes of Anorgasmia

[barrylandon]

I was orgasmic and ejaculated most of the time prior to implantation, but not since. So, I believe that the situation is quite different for men who have been implanted than for ones who have not.
The feeling is different, the sensitivity is different. At 9-1/2 months post-op now, the healing is done. I recall another member aptly describing the normal sensations leading to orgasm/ejaculation as "building blocks". I'm not getting out of the STARTING blocks.
What I feel from my wife's touch and sucking is pleasant...it just doesn't go anywhere from there!!! After yet another lovemaking session with my wife that ended once again with a failure to launch, I was so ramped up that I masturbated with my favorite pornographic videos for ONE AND A HALF HOURS before finally having a short orgasm and a weak ejaculation.
Here's a list of remedies I've tried that have not worked...
-- Daily 5 mg Cialis plus another 0-40 mg of Cialis a few hours before the onset of sexual activity
-- Twice weekly 0.5 mg tabs of Cabergoline
-- Bi-mix and Tri-mix urethral gels
-- Oxytocin nasal spray
-- High end vibrator for men
-- A few puffs of Sour Diesel Sativa medical grade marijuana (to increase sensitivity, according to the literature)
-- Shellfish for dinner (aphrodisiac)
-- Abstinence from maturbation
-- A beautiful, experienced and talented wife, greeting me in sexy lingerie
-- Blood tests done within the past few weeks show that my testosterone is WAY ABOVE normal range (865) and my prolactin level is virtually undetectable.
My surgeon claims and there's nothing in my operative report to suggest otherwise that nothing happened during my surgery to cause this problem. My surgeon has nothing more to suggest.

[barrylandon]

I had a 9+ month post-op appointment with my surgeon this afternoon. Everything is perfect except for my inability to orgasm/ejaculate. He took me off Cabergoline and wants me to take prescription Adderal about one hour before sex. He also suggested prostate massage to help "trigger" an orgasmic response. I'll report the result of these latest possible solutions when I know if they work or not.

[brickbat]

Barry: I have been following your frustration and I feel very smpatheIic to your situation.

I know since I am four years past seventy what Anorgasmia feels like and what lesser orgasms feel like..........the pits. To me, my anorgamia had an emotional or mindset problem attached to it. The more I concentrated on not being able to come, the worse the problems was.

However I want to tell you about a game changer for me on orgasms, arousal, erections, precum production, semen production and wonderful orgasms that go on and on and on.

It all started for me when i read 'keepitupjohnson's book LOVE SATISFIES available on amazon. I then followed that book with Vera and Greg Bodanskys book INSTANT ORGASM also available on amazon. The Bodanskys are both holders of PhDs Those two books and making my nipples erogenous while and playing with my cock introduced me to the nearest thing to the fountain of youth. I started doing what i call meditative relaxed masturbation, sometimes even flaccid, where i worked my nipples and focused and concentrated on the pleasure building in my erogenous areas (mostly prostate and penis) and encouraging those orgasmic feelings to build. I learned the pleasure of ruined orgasms which emitted some semen but did not invoke the refractory period. This is heavenly stuff I am telling you and worth any man's time.

My nipples were not erogenous when I started all this, but playing with them in meditative style while savoring the pleasure that relayed to my prostate, my glans, my shaft, my whole boy- - all this makes me cum like a teenager when I finally do decide to cum. I learned dry orgasms, ruined orgasms, the microcosmic orbit, my dick being on fire and orgasms in my belly button, my chest muscles, my thighs, as well as my prostate and rectum.

I would recommend these two books to you as the gateway to energizing your body and dick and prostate in a new fashion.

Just my thoughts as I see and feel your frustration.

[barrylandon]

Thanks for your empathy, brickbat. However, the greatest part of my despair about my anorgasmia is not being able to orgasm and ejaculate WITH MY WIFE. Your post only dealt with masturbation. That doesn't address the failure to launch with a partner. BTW, please add a signature to your posts so that we can all be more helpful to you and know the basics about your penile status from ED through post implantation.

[brickbat]

Both of the books I recommended to you involve solo play to learn to become multi orgasmic. But the end goal in both of the books is male multiple orgasms in intercourse with your wife, with the husband chosing to orgasm when he choses. They are good reads in my situation and I am so glad that i benefited from them both.

My anorgasmia had an emotional component and learning to relax meditatively helped greatly in solo play. I am in the phase now of putting what I have learned solo into lovemaking with my wife. So far so good.

Good luck to you Barry. I am not on Trimix or at the place that i definitely need an implant. For now, cialis plus viagra are working well.

[bldoink]

The very old post in the another (recently resurrected) thread in this sub-forum, which I'm assuming you read, contains an entry from the site administrator that has suggestions that may be very worth the effort to investigate:

It could be physical - but we also find many, many men end up with arousal issues. It is a bit of a mind game. But force yourself to stop watching yourself, looking, waiting, analyzing, etc. Also, do something to send stimulation through the roof. Try sex toys on yourself. Use an Aneros during sex...a Body Wand vibrator on your perineum, have her tie you up, get CRAZY. Lose yourself in fun sex. You have been a patient and science project for so long that you're very likely still in that mode. But talk to your doctor...have him do a penile sensitivity exam. Can you climax while masturbating? lots of questions, I know.

[notaes]

I am sixty eight years old and started having problems cuming about a year before my implant. Now every time we have sex I do not have an orgasm. I send my wife pussy to the moon and back and she can’t understand why I can’t cum. I may cum later and I may not but eventually I will cum. I will cum own my own eventually. It’s frustrating but just the way it is!

[barrylandon]

I had a 9+ month post-op appointment with my surgeon this afternoon. Everything is perfect except for my inability to orgasm/ejaculate. He took me off Cabergoline and wants me to take prescription Adderal about one hour before sex. He also suggested prostate massage to help "trigger" an orgasmic response. I'll report the result of these latest possible solutions when I know if they work or not.

I promised to update you all on the possible new treatments for anorgasmia, so here they are based on my personal experience...
Adderall
Took 15 mg as directed exactly one hour before commencing sexual activities; tactile sensation was improved but once again didn't lead to orgasm/ejaculation
Prostate Massage
My wife used a top-of-the-line vibrator for men in and around my anus while sucking on my cock...once again, no orgasm/ejaculation.
I was so ramped up by the amphetamine that I masturbated to video porno with and without the vibrator for FOUR HOURS in another failed attempt to orgasm/ejaculate and then did a bunch of stuff around the house because I wasn't the least bit tired. I didn't even try going to bed until 4 a.m. Anorgasmia sucks!!!

[bldoink]

Maybe retry the same thing again but without the speed.

[barrylandon]

I had a brief telephone consultation today with a world-renowned sexual health doctor referred by my surgeon. After running down the (long) list of remedies I've tried and that have failed, he suspects that my anorgasmia might be caused by a neurological deficit. He said the nerve bundle in the spinal cord controls the signals sent by the brain to the penis.
I had back surgery several years ago and a hematoma formed within 24 hours that required an immediate return to surgery. Unfortunately, the affected nerves never regenerated, leaving me with permanent paralysis in one of my legs from the knee down to my foot. For all I know, it could have contributed to my ED in the first place and the specialist thinks that my implantation might have led to a further neurological impingement. He wants me to get an MRI and go from there. It's a longshot but I've failed with every other possible intervention, so the flame of hope still flickers.