Many men, approximately 70 percent, report that they reach orgasm quicker than they would prefer. However, a less discussed issue that tends to emerge with age is the challenge of lasting too long during sexual activity. For some men, achieving climax can take an astonishing 30 minutes or more. Extended sessions like this can lead to discomfort, pain, and distress for both men and their partners.
Delayed orgasm—the condition where men find it difficult to reach climax—is more frequently associated with women. This is largely due to the persistent orgasm gap in heterosexual relationships. Nevertheless, it’s important to recognize that up to 10 percent of men over 40 may also experience this issue. In severe cases, some men may face a condition known as anorgasmia, where they are unable to achieve orgasm at all.
Orgasm disorders, including both delayed orgasm and anorgasmia, are not extensively studied or understood. Much of the existing research concentrates on premature ejaculation, which is defined by the American Urological Association as reaching orgasm within two minutes of penetration. However, sexual health experts are increasingly acknowledging delayed orgasm as a significant concern. Dr. Rachel Rubin, a urologist and sex medicine specialist based in Maryland, emphasizes that this issue is indeed a “huge problem.”
While there are currently no treatments for delayed orgasm that have been approved by the Food and Drug Administration (FDA), several potential solutions exist. These include off-label medications, sex therapy, and stimulating devices. Additionally, lifestyle changes and behavioral modifications can also be beneficial in addressing this condition.
Understanding how orgasms work can provide insight into these disorders. Dr. Rubin describes orgasms as a “massive reflex,” akin to a “giant sneeze,” requiring a “perfect genital-brain connection.” This complex interaction highlights the intricate nature of sexual health and the importance of addressing both physical and psychological factors.
In summary, while many men face the challenge of reaching climax too quickly, others encounter the opposite problem as they age. Delayed orgasm is a condition that warrants attention and understanding, highlighting the need for further research and effective treatment options.