OJU  Vol.2 No.3 , August 2012
A Case of Male Anorgasmia with Cerebral Infarction
Abstract: Objective: The deficit of male orgasm is an unusual clinical condition. This is a case report on secondary male anorgasmia with cerebral infarction. Material and Method: The patient was a 55-year-old man who had suffered from male anorgasmia, acquired type. The patient had a normal erectile response, but ejaculated without any sensation of orgasm. The patient underwent an evaluation by a psychiatrist and an urologist trained in sexual medicine. Result: The results of physical, psychological, and laboratory examination were normal. Brain MRI revealed cerebral infarction at bilateral parietal lobes and frontal lobes. Conclusion: There is a possibility that these brain regions are related to male orgasmic dysfunction.
Cite this paper: M. Shirai, Y. Kawachi, S. Yanada, H. Watanabe, Y. Toyonaga, S. Sugimura, T. Sakurai and M. Fujime, "A Case of Male Anorgasmia with Cerebral Infarction," Open Journal of Urology, Vol. 2 No. 3, 2012, pp. 151-152. doi: 10.4236/oju.2012.23028.

[1]   J. L. Shifren, B. U. Monz, P. A. Russo, et al., “Sexual Problems and Distress in United States Women: Prevalence and Correlates,” Obstetrics and Gynecology, Vol. 112, No. 5, 2008, pp. 970-978. doi:10.1097/AOG.0b013e3181898cdb

[2]   D. Rowland, C. G. McMahon, C. Abdo, et al., “Disorders of Orgasm and Ejaculation in Men,” Journal of Sexual Medicine, Vol. 7, No. 4, 2010, pp. 1668-1686. doi:10.1111/j.1743-6109.2010.01782.x

[3]   A. A. Keller, R. Hamer and R. C. Rosen, “Serotonin Re- uptake Inhibitor-Induced Sexual Dysfunction and Its Treatment: A Large-Scale Retrospective Study of 596 Psychiatric Outpatients,” Journal of Sex & Marital Therapy, Vol. 23, No. 3, 1997, pp. 165-175. doi:10.1080/00926239708403922

[4]   W. W. IsHak, D. S. Berman and A. Peters, “Male Anorgasmia Treated with Oxytocin,” Journal of Sexual Medicine, Vol. 5, No. 4, 2008, pp. 1022-1024. doi:10.1111/j.1743-6109.2007.00691.x

[5]   J. P. Heaton and M. A. Adams, “Update on Central Function Relevant to Sex: Remodeling the Basis of Drug Treatments for Sex and the Brain,” International Journal of Impotence Research, Vol. 15, Suppl. 5, 2003, pp. 25-32. doi:10.1038/sj.ijir.3901069

[6]   J. R. Georgiadis, A. A. Reinders, F. H. van der Graaf, et al., “Brain Activation during Human Male Ejaculation Revisited,” Neuroreport, Vol. 18, 2007, pp. 553-557. doi:10.1097/WNR.0b013e3280b10bfe

[7]   M. W. Vernooij, M. A. Ikram, H. L. Tanghe, et al., “Incidental Findings on Brain MRI in the General Population,” New England Journal of Medicine, Vol. 357, 2007, pp. 1821-1828. doi:10.1056/NEJMoa070972