I am a male. Recently when I reach orgasm, I don't 'feel' anything. There is just as much semen as before, but I don't feel the pleasurable 'pumping' sensation. Everything else is the same, and the feeling leading up to the orgasm is the same, but the orgasm itself is no longer pleasurable. I am worried that there is something wrong with 'the plumbing'. Thank you for your help.

You may have a medical problem--anything from hormones to enlarged prostate. The British Medical Journal recently came out with research that said that sexual dysfunction can be an indicator of other medical problems. Take heed, and take care. Off to the medical doctor, please! - Answer provided by Stephanie Buehler, PsyD, Psychologist and Certified Sex Therapist, drbuehler@cox.net, www.thebuehlerinstitute.com.

You must see a urologist and have the "plumbing" checked out immediately. Be sure to mention any medications or herbals that you may be taking. I have 2 clients who have prostrate issues who are reporting similar symptoms. - Answer provided by Tim Britton, Ph.D., AASECT, ABS, timbritton@yahoo.com.

From your note, it sounds like this change in sensation has happened fairly quickly. You also note that you are worried about a possible physical problem. Without a history and physical exam there isn't a good way to know what's going on for you, so I'm encouraging you to go to your physician to be sure there is no physical problem first. Several factors, including drugs and alcohol, injury, and stress can impact sensation, but before any of those can be considered it's essential to rule out physical problems such as injury or infection. You deserve good care. - Answer provided by Jacqueline Richard, Psy.D., LMFT, ASSECT Certified Sex Therapist, Jrichardpsyd@aol.com, www.JacquelineRichardPsyD.com.

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