Orgasm and Your Health


Men's Orgasm Disorders

Orgasm and Health

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    Men's Orgasm Disorders: Pain, Sneezing, and Other Sexual Surprises

    Yawning and sneezing
    These aren't painful or debilitating reactions to an orgasm, but they can cause your sex partner to feel confused or insulted. One possible explanation is that in the brain, the center for orgasms is close to the centers for yawning and sneezing, says Irwin Goldstein, MD, director of San Diego Sexual Medicine and the editor in chief of the Journal of Sexual Medicine, so one center could activate another. "If your partner yawns during sexual activity, it probably means that he or she is just sexually aroused," he says.

    Migraine headaches

    "There's such a tremendous excitation of the nervous system and heavy-duty brain activity during orgasm, so it's no surprise that it could trigger a migraine for some people," says Dr. Goldstein. He suggests working with a neurologist or sexual medicine specialist, who may prescribe a vasodilator (including an erectile dysfunction drug such as Viagra), a migraine medication such as Imitrex, or a neurostabilizing drug such as Neurontin. Ask your doctor if a prescription is right for you.

    Abdominal pain

    A likely explanation for this sort of pain is the "tremendous muscular contraction in the pelvic floor, or lower abdomen, especially around the prostate and urethra," says Dr. Goldstein, but your doctor should rule out the possibility of a prostate infection that could require antibiotics. If there's no infection, physical therapy of the pelvic floor muscles may help.

    Inability to Orgasm

    A common sexual complaint among men is the inability to orgasm, according to Dr. Goldstein. There's a wide range of possible explanations, however, and doctors are generally able to pinpoint your problem through biological and psychological tests.

    These are some of the conditions that tests may turn up. See your doctor or a sexual medicine specialist to find out the cause.

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    Hypothyroidism

    The thyroid gland does not produce enough hormone.

    Hypogonadism

    Testicles do not produce enough testosterone.

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    Psychological causes

    These may include depression, anxiety or a panic disorder of some kind. (Difficulty achieving orgasm can also be a side effect of some antidepressant drugs, such as selective serotonin-reuptake inhibitors, or SSRIs.)

    Prostate problems

    These include infections or surgery affecting the prostate or other pelvic organs.

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    Physical injuries

    Spinal cord injuries and other major wounds can have an effect.

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    Neurological problems

    Strokes, multiple sclerosis, and diabetic neuropathy can limit your ability to orgasm.

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