Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/26/2025

Orgasm and Ejaculation in Men

Clinical Evidence and Considerations

  • Among men with diabetes and erectile dysfunction, 20% experienced orgasmic dysfunction while 34% had erectile dysfunction, demonstrating these functions can be impaired independently 1, 2
  • The American Urological Association suggests that erectile dysfunction and orgasmic/ejaculatory dysfunction are not synonymous conditions, and men should be evaluated separately for erectile function versus orgasmic/ejaculatory function, as treatments differ 3, 4
  • Adequate arousal enhances ejaculatory function through psychosexual mechanisms, but does not require full penile rigidity 5