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Male Orgasmic Disorder -1 Definition: Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase during sexual activity. In this disorder, a male cannot reach orgasm during intercourse although can ejaculate by partner's manual or oral stimulation. Some can ejaculate only during masturbation. Some have ejaculation during sleep but not in waking period. Orgasm and ejaculation though occur simultaneously, are different entities. Orgasm can occur in the absence of ejaculation and vice versa.