Anejaculation (Inability to Climax)
Anejaculation may present as either situational or total.
Situational anejaculation is frequently stress-induced, and the man may be able to ejaculate in some instances but not in others. Psychological conflicts may be a factor in such cases.
In total anejaculation, however, the man is unable to ejaculate in any situation, and he may or may not be able to achieve orgasm. Obviously, a scenario like this may result in strained relationships and a loss of sexual intimacy, either of which can add to psychological damage.
The causes of anejaculation are numerous—including some medications, underlying medical conditions, or psychosocial issues.