From the Guidelines
Ejaculation without orgasm is not explicitly defined in the provided evidence, but based on the context, it can be inferred that the condition where a man experiences ejaculation but not orgasm is related to delayed ejaculation (DE), which is defined as an acquired, consistent, bothersome inability to achieve ejaculation, or an increased latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate 1. However, it's essential to note that the provided evidence does not directly address the term for ejaculation without orgasm. The term "dry orgasm" is sometimes used to describe retrograde ejaculation, a condition where semen enters the bladder instead of emerging through the penis during ejaculation, but this is not exactly the same as ejaculation without orgasm. The evidence provided focuses on disorders of ejaculation, including premature ejaculation (PE) and delayed ejaculation (DE), and their impact on sexual satisfaction and relationships 1. Key points to consider include:
- Delayed ejaculation (DE) is defined as an acquired, consistent, bothersome inability to achieve ejaculation, or an increased latency of ejaculation, despite adequate sexual stimulation and the desire to ejaculate 1.
- The diagnosis of DE is determined by application of specified time-based criteria to when/if ejaculation occurs, and it can pose a major impediment to sexual satisfaction for both men and their partners 1.
- Education and referral to colleagues with experience in the psychological health evaluation and treatment of sexual problems are essential elements of care for patients with DE 1.
From the FDA Drug Label
- Sexual problems (dysfunction). Taking selective serotonin reuptake inhibitors (SSRIs), including sertraline hydrochloride tablets, may cause sexual problems Symptoms in males may include: • Delayed ejaculation or inability to have an ejaculation
5.11 Sexual Dysfunction Use of SSRIs, including sertraline hydrochloride, may cause symptoms of sexual dysfunction In male patients, SSRI use may result in ejaculatory delay or failure, decreased libido, and erectile dysfunction.
The term for ejaculation without orgasm is not explicitly mentioned in the provided drug labels. However, the labels do discuss delayed ejaculation or inability to have an ejaculation as potential symptoms of sexual dysfunction associated with SSRI use.
From the Research
Ejaculation without Orgasm
Ejaculation without orgasm is referred to as anejaculation or anorgasmia when it is characterized by the absence of orgasm 2.
- Anejaculation is defined as the inability to ejaculate 3
- Anorgasmia is characterized as the absence of orgasm [(4,2)]
- Delayed ejaculation is a minor form of anorgasmia 2
Causes and Management
The causes of anejaculation and anorgasmia can be psychological, neurological, or drug-related [(2,3)].
- Management of these disorders can be challenging and often requires a multidisciplinary approach [(4,5)]
- Treatment plans may include adjustment of offending medications, sex therapy, and psychosexual therapies [(4,3,5)]