PG Diploma in Sexology and Psychosexual Counseling. For More Info WhatsApp- 9604715783/9359863878. Male Orgasm: Orgasm and ejaculation, though co-occur are two separate entities. Orgasm can occur in the absence of ejaculation and vice versa. ETIOLOGY – causes. 1]Dislike for a partner, 2] Religious restrictions. 3] Masturbation Guilt 4] Guilt regarding nocturnal emission. 5] Fear of Pregnancy 6] Inadequate sexual stimulation. 7] Low libido. 8] Testosterone deficiency 9]Myopathy 10] Neuropathy 11} Spinal cord lesion. 12] Retrograde ejaculation 13]Drugs –Phenothiazines & amp; Guanethidine. 14] High threshold of ejaculatory reflex 15] Mental block.