Diabetes, thyroid or nerve problems, certain medications, pelvic surgery, stress and relationship difficulties can all play a role.
Many men choose to suffer quietly because they feel embarrassed or believe they simply have to live with it.
G.O., a man in his late 50s, thought his fading ability to climax was simply part of ageing. He still had erections and felt desire, yet orgasm never came. Months of frustration left him embarrassed and withdrawn until a medical check revealed the real story.
“Poorly controlled diabetes, anxiety and the antidepressant he was taking were all contributing to the condition known as anorgasmia,” recalls Dr Winstar Mokua Ombuki, consultant urologist at The Aga Khan Hospital. With treatment and counselling, G.O.’s confidence and ability to climax gradually returned.