Male orgasmic disorder Symptoms In order to be diagnosed with male orgasmic disorder, the following symptoms must be present according to the DSM-IV-TR : • Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician judges to be adequate. The affected man's age is considered, as well. • As with all of the sexual dysfunctions, the manual states that the dysfunction must cause the affected man "distress or interpersonal difficulty." According to the DSM-IV-TR, the orgasmic dysfunction cannot be better accounted for by another disorder (except another sexual disorder), and cannot be due exclusively to the direct effects of substance abuse, a medication, or a general medical condition. This entry, however, discusses the full scope of male orgasmic difficulties, and so discusses general medical conditions and medications as well as psychological factors.
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