What can cause orgasm problems in men?

Information written and reviewed by Certified Doctors.

There are several things that can affect a man’s orgasm. These are often associated with ejaculation problems, but not always.

These include:

  • erectile dysfunction (impotence)
  • retrograde ejaculation
  • premature ejaculation
  • delayed ejaculation
  • anejaculation (orgasm without ejaculating)

What happens during an orgasm?

Semen is made up of sperm produced in the testicles, as well as fluid from the prostate gland and seminal vesicles (two glands behind a man’s bladder). When a man has an orgasm, he usually ejaculates at the same time. The semen produced is squirted out of the penis (ejaculation).

The male orgasm lasts from just before the semen first spurts out until the last semen is ejaculated.

Can I increase how much semen I produce?

If there’s no obvious cause for the reduced amount of semen, you may be able to increase it by:

  • stopping smoking – men who smoke have lower quality sperm than non-smokers
  • avoiding sex or masturbation for a few days at a time
  • delaying ejaculation during sex.
Content supplied by NHS Choices