Anorgasmia: The Failed Finish

Anorgasmia: The Failed Finish

Written by: Dr. Joshua Gonzalez

Key Takeaways

Anorgasmia is the inability to orgasm, even with stimulation and arousal.

It can be caused by physical, psychological, or relational factors.

Treatments range from hormone therapy and CBT to pelvic floor training.

Communication, therapy, and self-exploration are crucial steps.

Popstar Volume + Taste Supplement may support orgasmic health.

Let’s talk about anorgasmia, shall we? And no, it’s not a Greek goddess or a new moon in retrograde. Although it sounds like a mysterious villain from a Marvel movie, anorgasmia is a real, very unsexy condition that involves the inability to orgasm, even with plenty of stimulation, excitement, and effort. In short: you’re turned on, but nothing’s turning out. Not ideal.

Anorgasmia can happen to anyone. It affects your sexual satisfaction, mental health, relationships, and for some, even your ability to have kids. Because let’s face it, you can’t make a deposit if the bank's closed.

Primary vs Secondary Anorgasmia: The Mystery of the Missing Finish

There are two main types of anorgasmia, and no, neither are more fun than the other:

  • Primary anorgasmia is when someone has never experienced an orgasm. Not once. Not ever.

  • Secondary anorgasmia is when someone who used to orgasm suddenly... doesn’t. Cue the Scooby-Doo mystery theme.

In both cases, the body might be doing everything else right: getting aroused, feeling pleasure, moving through the motions. But the finale? Missing. Ghosted. Blocked. Like waiting for the fireworks on the Fourth of July and getting silence.

Common Causes of Anorgasmia (Spoiler: It’s Not Just in Your Head)

So what are the causes of anorgasmia? Plenty. And it’s usually a mix of physical, psychological, and relational factors.

Psychological Causes of Anorgasmia

Let’s start with the brain. It turns out your biggest sex organ is the one between your ears.

  • Anxiety and sexual performance worries can keep your brain too busy to focus on pleasure.

  • Depression and sexual dysfunction are often linked. Depression dulls the brain’s pleasure center, making it hard to feel much of anything.

  • Relationship issues and orgasm? Absolutely connected. Emotional distance or unresolved tension can kill the vibe fast.

All of these are considered psychological causes of anorgasmia, and they’re super common.

Physical Contributors

Then there’s your body:

  • Low testosterone and orgasm problems often go hand in hand. Testosterone plays a huge role in libido and orgasmic function.

  • Nerve damage and sexual function are closely related. Conditions like diabetes, multiple sclerosis, or even pelvic surgeries can mess with the signals that lead to climax.

  • Medications can be mood killers. Medications that cause anorgasmia include antidepressants, blood pressure meds, and some SSRIs.

If it feels like you need a PhD to have good sex, you’re not alone. Luckily, we’ve got some Popstar-certified solutions.

How to Fix Anorgasmia (And Yes, You Can )

We’re not going to leave you hanging. Here are some tools that might help you reclaim your orgasmic glory.

1. Hormone Replacement Therapy for Men

If you’re struggling with low testosterone and orgasm problems, hormone replacement therapy for men may be an option. But don’t go injecting anything yourself. Talk to a professional to get your levels checked and your options outlined.

2. Cognitive Behavioral Therapy for Sexual Dysfunction

CBT isn’t just for anxiety. Cognitive behavioral therapy for sexual dysfunction can help you rewire negative thinking patterns and address emotional blocks. In plain English: therapy might help you get off.

3. Couples Counseling for Sexual Issues

Sex doesn’t happen in a vacuum. Couples counseling for sexual issues can help you and your partner reconnect, work through stressors, and communicate about what actually feels good.

4. Pelvic Floor Therapy for Men

This one doesn’t get talked about enough. Weak pelvic floor muscles can sabotage climax. Pelvic floor therapy for men (yes, men have one too) or even just basic Kegel exercises for men can make a huge difference. Stronger muscles = better control and sensation.

5. Self Exploration and Sexual Pleasure

Time to get reacquainted with your own body. Self exploration and sexual pleasure can be incredibly effective, especially if you’ve never had an orgasm or you’re not sure what works anymore. Mindful solo sessions, sex toys, and patience go a long way.

Bonus Tips (Because You Deserve the Finish Line)

  • Try changing your routine. New positions, new settings, or even a break from sex to reset your system.

  • Switch up medications if you suspect yours is the culprit. Don’t DIY this one, consult your doc.

  • Add a Popstar product to the mix. Our Volume + Taste Supplement supports the whole pleasure system.

How to Increase Orgasm Intensity

Already hitting the finish line but want fireworks instead of sparklers? Try these:

  • Focus on breathing and edging techniques.

  • Strengthen that pelvic floor (seriously, Kegels are underrated).

  • Use arousal-boosting products or lubricants to enhance sensation.

Conclusion: You’re Not Broken. You’re Human.

Anorgasmia can feel like a lonely road, but you’re not alone and you’re not stuck. There are dozens of ways to work through the inability to orgasm, from therapy to hormones to good old-fashioned self-exploration. Whether it’s primary vs secondary anorgasmia, relationship tension, or something medical, there are paths forward. Don’t be afraid to talk to your doctor, your partner, or even yourself in the mirror.

And when you’re ready to get back to the fireworks? Popstar's here for it.

Frequently Asked Questions

What is anorgasmia?

Anorgasmia is a condition where a person is unable to achieve orgasm despite being sexually aroused and stimulated. It can affect people of all genders and ages.

What causes anorgasmia in men?

Common causes of anorgasmia in men include low testosterone, medications, nerve damage, psychological conditions like anxiety or depression, and relationship stress.

What is the difference between primary and secondary anorgasmia?

Primary anorgasmia means a person has never had an orgasm. Secondary anorgasmia means they used to, but no longer can.

Can low testosterone affect orgasm?

Yes. Low testosterone and orgasm problems are often linked because testosterone plays a role in libido and orgasmic function.

What medications can cause anorgasmia?

Medications that cause anorgasmia include antidepressants (especially SSRIs), antipsychotics, blood pressure meds, and opioids.

Is anorgasmia curable?

In many cases, yes. Treatments range from switching medications, hormone therapy, pelvic floor exercises, to therapy and couples counseling.

Can anxiety cause trouble reaching orgasm?

Definitely. Anxiety and sexual performance issues are among the top psychological causes of anorgasmia.

Does therapy help with anorgasmia?

Yes. Cognitive behavioral therapy for sexual dysfunction and couples counseling for sexual issues can be extremely helpful.

How do I start pelvic floor therapy for men?

Look for a specialist in pelvic floor therapy for men or start with basic Kegel exercises for men, which you can do on your own.

How can I increase orgasm intensity?

Focus on pelvic floor exercises, slow build-up (edging), and arousal-enhancing techniques or products like Popstar Delay Spray.

Can self exploration help with orgasm issues?

Absolutely. Self exploration and sexual pleasure are great ways to learn what works for your body and rewire your sexual response.

Dr. Joshua Gonzalez

Dr. Joshua Gonzalez

Dr. Joshua Gonzalez is a board-certified urologist who is fellowship-trained in Sexual Medicine and specializes in the management of male and female sexual dysfunctions. He completed his medical education at Columbia University and his urological residency at the Mount Sinai Medical Center. Throughout his career, Dr. Gonzalez has focused on advocating for sexual health and providing improved healthcare to the LGBTQ+ community.

Dr. Brian Steixner

Dr. Brian Steixner

Dr. Brian Steixner is a board-certified urologist and an expert in men’s sexual medicine. He completed his General Surgery and Urology training at The University of Pennsylvania and The Children’s Hospital of Philadelphia, one of the busiest and most comprehensive programs in the nation. During his career, Brian has treated thousands of men with sexual health issues including male factor infertility.