There may be no safe, private place in which the patient can exercise sexual activity or he may be too fatigued from other activities to participate sexually. The difficulties in striving for safe sex and the psychological effects and stresses that may result from homosexuality may also interfere with sexual function. Symptoms In order to be diagnosed with male orgasmic disorder, the following symptoms must be present according to the DSM-IV-TR: Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity that the clinician judges to be adequate.
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