To Infinity and Beyond ED Drugs

Erectile dysfunction drugs do not always enable orgasm

/ Author:  / Reviewed by: Joseph V. Madia, MD

(RxWiki News) Erectile dysfunction patients still want to rock their world and their partner's world. Drugs help 70 percent of these patients achieve an erection, but there's more to sex than that.

According to a recent study review, 65 percent of men with erectile dysfunction (ED) weren't able to achieve an orgasm and 58 percent of the same group ran into troubles ejaculating.

"Talk to a urologist or therapist if sexual satisfaction isn't realized."

Half the men over 40 have trouble achieving or sustaining an erection. Darius Paduch, M.D., the study's lead author and male sexual medicine specialist at NewYork-Presbyterian Hospital/Weill Cornell Medical Center reports that while medications like Viagra or Cialis have been successful in helping many of these men, this new research implies that many other common sexual issues need to be addressed.

An expanded definition of quality of life regarding sexual performance needs to be implemented, adds Dr. Paduch. With drug therapy, penile rigidity has largely been addressed, but patients are desiring a renewed standard of orgasm and ejaculation that will add to their sexual well-being. These dynamics are just as critical for sexual happiness.

Non-erectile sexual dysfunction issues are underreported and thus, undertreated. Dr. Paduch perceives the reason for this are misunderstandings regarding the physiological male response. His research indicates that women aren't the only ones having orgasm issues. Men do too.

Dr. Paduch concedes that while the severity of dysfunctional ejaculation and orgasm do correlate with ED severity, these problems are still quite common in men with very mild ED. Of the group reporting mild ED, 26 percent also reported an inability to achieve orgasm. From the same group, 18 percent reported ejaculatory dysfunction.

Dr. Paduch informs that these findings suggest that non-erectile dysfunction is quite common in men without ED.

He also reports that sexual satisfaction is absolutely linked to orgasm, which definitely impacts emotional intimacy and relationship bliss. The surprisingly high prevalence of both ejaculatory and orgasmic dysfunction validates further research into new therapies to improve sexual health and quality of sexual life for hundreds of thousands of affected men and their partners.

The current study followed 12,130 men with mild to severe ED participating in clinical trials for tadalafil (Cialis).

The study findings include factors that can be associated with anorgasmic and ejaculatory dysfunction include:

  • Antidepressant medicines
  • Low testosterone
  • Multiple concussions
  • Minor brain injuries

Dr. Paduch and his team will examine biological and subjective changes that occur in men during orgasm and ejaculation. The scientists will also look at testosterone-replacement therapy as a possible treatment for those who aren't sexually satisfied.

This study's findings are published in the British Journal of Urology International.

Reviewed by: 
Review Date: 
August 24, 2011
Last Updated:
September 11, 2011