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Delayed or Absent Orgasm

Improving sexual wellness for men with delayed or absent orgasm

At Urology Specialists of Austin, we understand how delayed or absent orgasm can deeply affect your well-being, confidence, and relationships. Our experienced urology team offers discreet, compassionate, and comprehensive care to diagnose and treat this sensitive issue, helping you reclaim sexual health and intimacy.

What is delayed or absent orgasm?

Delayed or absent orgasm (sometimes called inhibited or delayed ejaculation) refers to difficulty or inability to reach orgasm or ejaculate despite sexual stimulation and desire. This may include: inability to climax at all; requiring prolonged sexual activity (for example, 30 minutes or more) to achieve orgasm; or having an orgasm without ejaculation of semen. Some men may experience these issues in all situations (solo or partnered), while others may only have trouble during intercourse, even if masturbation remains unaffected.

There are different forms of this condition. It can be lifelong (present since puberty), acquired (developing after a period of normal sexual function), generalized (occurring in most situa-tions), or situational (only under certain circumstances such as with a partner).

What causes delayed or absent orgasm?

The causes can be complex and often involve both physical and psychological factors. For in-stance, medical conditions such as diabetes, nerve damage (from injury, surgery, or other is-sues), hormonal imbalances, or side effects from medications (e.g. certain antidepressants, blood pressure drugs, or pain medications) can interfere with libido or nerve sensitivity.
Psychological and lifestyle influences are also common. Chronic stress, anxiety or depression, relationship problems, excessive alcohol or recreational drug use, or even habitual sexual pat-terns can contribute to delayed or absent orgasm.

How Urology Specialists of Austin approaches diagnosis and treatment

At Urology Specialists of Austin, we believe in a patient-focused, individualized approach. Our highly trained urologists begin with a thorough medical history, physical exam, and, when indicated, lab tests, such as hormone levels, urinary studies, or nerve function tests, to rule out infections, hormonal issues, or neurological causes.

Once the underlying cause is identified, we work with you to develop a tailored treatment plan. Treatment may include lifestyle modifications, adjusting medications, sexual counseling or therapy, or other interventions. For many men, combining these approaches provides the best outcomes.
Our goal is not only to restore sexual function, but also to support emotional well-being and relationship health.

Why choose Urology Specialists of Austin for care?

  • Our team specializes in men’s sexual health and understands how sensitive and personal issues like delayed or absent orgasm can be. We treat every patient with respect, privacy, and empathy.
  • We offer comprehensive evaluation and treatment options tailored to your unique situation, whether the cause is physical, psychological, or a combination.
  • With office locations in Austin, Dripping Springs, and Round Rock, we make access convenient so you can seek help in a comfortable and confidential setting.

Take the first step toward better sexual health

If you’ve been struggling with delayed or absent orgasm, whether occasional or persistent, don’t wait. Contact Urology Specialists of Austin today to schedule a confidential consultation at our Austin, Dripping Springs, or Round Rock offices. Let our urology specialists help you regain confidence, improve intimacy, and restore sexual function.