[Diagnosis of male anorgasmia].
Anorgasmia (anejaculation without orgasm) is defined as persistent or frequent absence of orgasm after a normal phase of sexual arousal. Delayed ejaculation is a minor form of anorgasmia. The prevalence of male anorgasmia was estimated in the ACSF (France 1993) and NHSLS (USA 1999) surveys to be 14 and 8%, respectively. The aetiological diagnosis of anorgasmia is essentially based on clinical interview. The risk factors for anorgasmia are usually psychological but can also be neurological and drug-related in some cases. In particular, alpha-blockers, often used in urology, and serotonin and/or noradrenaline reuptake inhibitor antidepressants fairly frequently induce delayed orgasm or anorgasmia. A psychological assessment should be proposed for patients with anorgasmia with no organic risk factor.
Delavierre
Dominique
D
Service d'urologie-andrologie, Centre hospitalier régional La Source, Orléans. delav.uro@wanadoo.fr
D004542:Ejaculation; D005602:France / Q000453:epidemiology; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009948:Orgasm; D015995:Prevalence; D012307:Risk Factors; D012735:Sexual Dysfunction, Physiological / Q000139:chemically induced / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis*