Why is my husband not reaching orgasm after his vasectomy?

My husband had his vasectomy performed 2 months ago. We've had sex, he gets aroused and has good erection but when he ejaculates he does not reach the climax. He is not having orgasms even though his erections are strong. He told me that he feels disconnected from the ejaculation. Is that normal after the period of time since the procedure? Will it get better with time?

Answers from doctors (3)


Robert G. Pugach, M.D.

Published on Aug 26, 2017

There is no medical reason for this. A vasectomy does not interfere with testosterone, penile blood flow or sensation. This may be a psychological issue. Give it some time. If it continues, seek a specialist in this issue.

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Answered by Robert G. Pugach, M.D.

There is no medical reason for this. A vasectomy does not interfere with testosterone, penile blood flow or sensation. This may be a psychological issue. Give it some time. If it continues, seek a specialist in this issue.

Published on Jul 11, 2012


More About Doctor John C. McHugh, MD

Published on Aug 19, 2017

The most common cause for having delayed or no ejaculation are serotonin related medicines used for anxiety or depression. Some pain medications like Ultram have this characteristic as well. The most probable scenario for your husband if he is on no medication is psychogenic. Having had a procedure on that area of the male's body can initiate a whole series of concerns for him with sex that before the vasectomy he did not think about. The "thinking about it" is the issue and yes this will improve as time goes on.

Answered by John C. McHugh, MD (View Profile)

The most common cause for having delayed or no ejaculation are serotonin related medicines used for anxiety or depression. Some pain medications like Ultram have this characteristic as well. The most probable scenario for your husband if he is on no medication is psychogenic. Having had a procedure on that area of the male's body can initiate a whole series of concerns for him with sex that before the vasectomy he did not think about. The "thinking about it" is the issue and yes this will improve as time goes on.

Published on Jul 11, 2012


Vasectomy does not affect orgasm or ejaculation. The most common cause of this are side effects from anxiety or depression medications.

Answered by Mark J. Saslawsky, MD - Memphis Office (View Profile)

Vasectomy does not affect orgasm or ejaculation. The most common cause of this are side effects from anxiety or depression medications.

Published on Jul 11, 2012


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