Materiały źródłowe

• #1 Anorgasmia in women – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anorgasmia/symptoms-causes/syc-20369422

  Anorgasmia is delayed, infrequent or absent orgasms or significantly less-intense orgasms after sexual arousal and adequate sexual stimulation. Women who have problems with orgasms and who feel significant distress about those problems may be diagnosed with anorgasmia. […] Anorgasmia, or female orgasmic disorder, is defined as experiencing any of these in a significant way: Delayed orgasm. Absence of orgasm. Fewer orgasms. Less-intense orgasms. […] Talk to your healthcare professional if you have concerns about your sex life, especially if you’re concerned about your ability to have an orgasm. […] Sexual arousal and orgasms are complex reactions to various physical, emotional, sensory and psychological factors. Difficulties in any of these areas can affect your ability to have an orgasm.

• #2 Anorgasmia in women | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/anorgasmia-women

  Anorgasmia is delayed, infrequent or absent orgasms or significantly less-intense orgasms after sexual arousal and adequate sexual stimulation. Women who have problems with orgasms and who feel significant distress about those problems may be diagnosed with anorgasmia. […] Female orgasmic disorder is another term for the spectrum of problems with orgasms. The word „anorgasmia” specifically refers to not being able to have an orgasm, but it’s also used as shorthand for female orgasmic disorders. […] Anorgasmia, or female orgasmic disorder, is defined as experiencing any of these in a significant way: Delayed orgasm. Absence of orgasm. Fewer orgasms. Less-intense orgasms. […] Talk to your healthcare professional if you have concerns about your sex life, especially if you’re concerned about your ability to have an orgasm.

• #3 Female Orgasmic Disorder: Practice Essentials, Background, Pathophysiology

  https://emedicine.medscape.com/article/2185837-overview

  Female orgasmic disorder (FOD) involves difficulty in achieving orgasm, substantially decreased intensity of orgasm, or both. […] According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), the diagnostic criteria for FOD are: Presence of either of the following symptoms and experienced on almost all or all occasions of sexual activity: Marked delay in, marked infrequency of, or absence of orgasm; Markedly reduced intensity of orgasmic sensations. […] The symptoms have persisted for a minimum duration of approximately 6 months. […] They symptoms cause clinically significant distress in the individual. […] Another disorder does not account for the orgasmic dysfunction better than FOD does. […] The dysfunction is not exclusively due to a direct physiologic effect of a substance (eg, a drug of abuse or medication) or a general medical condition.

• #4 Orgasmic dysfunction in women: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/001953.htm

  Orgasmic dysfunction is when a woman either cannot reach orgasm, or has trouble reaching orgasm when she is sexually excited. […] About 10% to 15% of women have never had an orgasm. Surveys suggest that up to one half of women are not satisfied with how often they reach orgasm. […] A complete medical history and physical exam needs to be done, but results are almost always normal. If the problem began after starting a medicine, tell the health care provider who prescribed the drug. A qualified specialist in sex therapy may be helpful. […] Important goals when treating problems with orgasms are: A healthy attitude toward sex, and education about sexual stimulation and response. […] The role of taking female hormone supplements in treating orgasmic dysfunction is unproven and the long-term risks remain unclear. […] Women do better when treatment involves learning sexual techniques or a method called desensitization. This treatment works to gradually decrease the response that causes lack of orgasms. Desensitization is helpful for women with significant sexual anxiety.

• #5 Orgasmic dysfunction: Symptoms, causes, diagnosis, and treatment

  https://www.medicalnewstoday.com/articles/324112

  Orgasmic dysfunction is the medical term for difficulty reaching an orgasm despite sexual arousal and stimulation. […] Orgasmic dysfunction is also known as anorgasmia. […] Researchers estimate that female orgasmic disorder, which is recurrent orgasmic dysfunction, may affect between 11 to 41 percent of women. […] The North American Menopause Society report that 5 percent of all women have difficulty achieving orgasm. […] Orgasmic dysfunction can affect the quality of peoples relationships, as well as a persons self-esteem and mental health. […] Before diagnosing orgasmic dysfunction, a doctor will likely ask about a persons symptoms and how long they have existed. […] The doctor will also note any factors that could contribute to orgasmic dysfunction, such as underlying health conditions or the medications a person is taking.

• #6 Treatment of Orgasmic Dysfunction in Women | GLOWM

  https://www.glowm.com/section-view/heading/Treatment%20of%20Orgasmic%20Dysfunction%20in%20Women/item/431

  Difficulty reaching orgasm is the second most common sexual complaint reported by women. […] Orgasmic disorders among women are particularly intriguing because female orgasm is so variable. […] The diagnosis of Female Orgasmic Disorder should be based on the clinician’s judgment that the woman’s orgasmic capacity is less than would be reasonable for her age, sexual experience, and the adequacy of sexual stimulation she receives. […] The disturbance causes marked distress or interpersonal difficulty. […] The orgasmic dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g. a drug of abuse, a medication) or a general medical condition. […] Changes in DSM-IV mirrored a shift in treatment from an inhibition-focused, intrapsychic perspective toward an interpersonal, systemic approach to understanding and resolving orgasmic difficulties.

• #7 Female Orgasmic Disorder: Practice Essentials, Background, Pathophysiology

  https://emedicine.medscape.com/article/2185837-overview

  Laboratory workup should include the following: Complete blood count (CBC), Chemistry panel, Hormone panel, Vitamin B-12 and folate levels. […] The specific DSM-5-TR criteria for FOD are as follows: In almost all or all (75-100%) sexual activity, the experience of either (a) markedly delayed, markedly infrequent, or absent orgasms or (b) markedly less intense orgasms. […] The symptoms above have persisted for approximately 6 months. […] The symptoms above cause significant distress to the individual. […] The dysfunction cannot be better explained by nonsexual mental disorder, a medical condition, the effects of a drug or medication, or severe relationship distress or other significant stressors.

• #8 Prosayla | Anorgasmia

  https://www.prosayla.com/articles/anorgasmia

  Anorgasmia is a general term used to describe the absence of orgasm during sexual activity. Anorgasmia falls under the broader categories of Female Orgasmic Disorder. It is typically defined as the absence of orgasm in all or almost sexual encounters over a minimum duration of 6 months. […] A healthcare provider can help with diagnosing anorgasmia. They may refer you to a provider who is specifically specialized in treating female sexual dysfunction. Although anorgasmia is a type of orgasmic dysfunction, the clinical diagnosis falls under the umbrella of female orgasmic disorder (FOD) in the DSM V. To be categorized as such it must fit specific criteria: […] Presence of symptoms for greater than 6 months […] Absent orgasm after a normal sexual arousal phase on all or almost all occasions of sexual activity(75-100% of the time) […] The orgasmic dysfunction leads to distress or interpersonal problems […] There is no other medication, substance or disorder that is identifiable as the cause of the orgasmic dysfunction.

• #9 Female Orgasmic Disorder Differential Diagnoses

  https://emedicine.medscape.com/article/2185837-differential

  According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), the diagnostic criteria for FOD are: […] The first steps in clarifying the diagnosis and establishing a treatment plan are taking a good medical history, carrying out a comprehensive examination (including neurologic examination), and performing appropriate laboratory testing (including evaluations of estrogens and testosterone levels, as well as of thyroid function). […] Anorgasmia has been reported in at least one third of patients treated with antidepressants, including selective serotonin reuptake inhibitors (SSRIs), or venlafaxine. […] Medical conditions that affect the blood and nerve supply to the pelvis, ranging from hypertension to multiple sclerosis to Parkinson disease to diabetic neuropathy, can sometimes result in anorgasmia.

• #10 Anorgasmia: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/24640-anorgasmia

  Anorgasmia is when an orgasm is absent, delayed, infrequent or lacks intensity despite being aroused. This disorder causes distress and affects your sexual relationships. Several medical, physical and psychological factors play a role in causing it. […] Anorgasmia in women (also called female orgasmic disorder) is classified into four types: Primary (or lifelong): You’ve never had an orgasm. Secondary (or acquired): You were once able to have an orgasm but can’t now. This is common with menopause. Situational: You can only reach orgasm in specific situations like with masturbation (self-stimulation). General: You don’t reach orgasm in any situation, even when you feel aroused or excited. […] Anorgasmia can affect anyone. It’s most common after menopause in women. […] Your healthcare provider can diagnose anorgasmia based on your symptoms and a discussion about your sexual history. This discussion could shed light on reasons or underlying causes for sexual dysfunction.

• #11 Orgasmic Disorder | Psychology Today

  https://www.psychologytoday.com/us/conditions/orgasmic-disorder

  The DSM-5 characterizes orgasmic disorder as lifelong or acquired. Lifelong female orgasmic disorder indicates that orgasmic difficulties have always been present, whereas the acquired subtype applies to orgasmic difficulties that developed after a period of normal functioning. […] Difficulty achieving orgasm is very common and its often not indicative of a mental disorder. […] Data on success rates in sex therapy indicates that these interventions are helpful in 65 to 85 percent of cases. In primary orgasmic dysfunction, treatment is usually successful in 75 to 90 percent of cases. A positive prognosis is usually associated with being younger, emotionally healthy, and having a loving, affectionate relationship with a partner.

• #12 A Patient Complains of Anorgasmia – What Next? – The ObG Project

  https://www.obgproject.com/2016/07/20/anorgasmia-differential-diagnosis/

  A Patient Complains of Anorgasmia – What Next? […] The most important issue in anorgasmia treatment is to differentiate between primary and secondary anorgasmia and universal, versus situational, anorgasmia. […] For all types of anorgasmia, a practitioner can choose to initiate basic treatment or refer out. Secondary anorgasmia is significantly easier to treat than primary anorgasmia. […] Patients who are concerned because they are unable to achieve orgasm broadly fall into one of four categories. Patients are often unclear on the various distinctions in orgasmic issues and it is critical for a practitioner to distinguish between types of “anorgasmia” in order to effectively counsel or treat the patient. […] A patient who has been unable to achieve orgasm in any situation, at any time, whether by herself or with a partner is primarily anorgasmic.

• #13 A Patient Complains of Anorgasmia – What Next? – The ObG Project

  https://www.obgproject.com/2016/07/20/anorgasmia-differential-diagnosis/

  A patient who, at one time could achieve orgasm but no longer can, or is frustrated at the time she would expect to achieve orgasm, or complains of the resulting orgasm being unremarkable is classified as having secondary anorgasmia. […] A patient who can achieve orgasm using a hand, mouth, vibrator or by other means, but cannot do so in the presence of a partner is experiencing situational anorgasmia. […] A patient who can achieve orgasm in the presence of a partner, using the same methods they use by themselves but cannot achieve orgasm via penile penetration of the vagina alone, is not classified as a dysfunction. […] Once the patient’s current situation is defined, a determination can be made whether to treat primary anorgasmia or secondary anorgasmia. […] DIAGNOSIS CODES: Female Orgasmic Disorder […] DSM-5 302.73 […] ICD10 – F52.31.

• #14 Anorgasmia in women – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anorgasmia/diagnosis-treatment/drc-20369428

  Your primary care professional or gynecologist will review your medical history and conduct a general medical exam and pelvic exam. These exams may identify physical conditions that contribute to problems having orgasms. […] Your care professional may ask you questions about your experiences with orgasms and other related issues. You may also receive a questionnaire to fill out that answers these questions. You may be asked about: Your recent and past sexual experiences. Your partner or partners. How you feel about your sexual experiences. The types of stimulation or sexual activity you engage in. […] Your healthcare professional may want to talk with both you and your partner or meet with your partner separately.

• #15 Anorgasmia in women | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/anorgasmia-women

  Your primary care professional or gynecologist will review your medical history and conduct a general medical exam and pelvic exam. These exams may identify physical conditions that contribute to problems having orgasms. […] Your care professional may ask you questions about your experiences with orgasms and other related issues. You may also receive a questionnaire to fill out that answers these questions. […] Treatment for anorgasmia depends on what’s contributing to the problem. Possible treatments include lifestyle changes, therapy and medicines. […] Treatment for anorgasmia usually begins with one or more approaches to understand your body better, learn what works for you and change behaviors. […] Although some medicines have been tested for treating anorgasmia, there’s not enough evidence to support their use. […] If your lack of orgasm from sexual activity distresses you, make an appointment with your primary care professional or your gynecologist.

• #16 Compassionate Care for Women with Anorgasmia | Orgasmic Disorders | Female Sexual Health | University Hospitals | Cleveland, OH | University Hospitals

  https://www.uhhospitals.org/services/obgyn-womens-health/conditions-and-treatments/female-sexual-health/conditions-and-treatments/anorgasmia

  Orgasm is a complex physical, emotional and psychological response to intimate, sexual contact. Because it involves both body and mind, problems in either area can result in anorgasmia – the inability to reach a satisfactory climax. […] When a woman comes to us with symptoms of anorgasmia, our team of female sexual health professionals will conduct a thorough evaluation that includes a medical, surgical and sexual history and a physical exam to look for potential physical causes of her condition. The genitals will also be examined to look for any anatomical reasons that might be contributing to an inability to orgasm. […] The treatments we recommend will depend on our findings during the evaluation and may include: […] If anorgasmia began with the start of menopause, estrogen therapy may lessen symptoms such as night sweats and hot flashes that can interfere with sexual enjoyment.

• #17 Anorgasmia: Causes, Symptoms, Diagnosis and Treatment

  https://www.prepladder.com/neet-pg-study-material/psychiatry/anorgasmia-causes-symptoms-diagnosis-and-treatment

  Anorgasmia is a diagnosis for women who experience orgasmic difficulties and are highly troubled by it. […] A range of issues related to orgasms are referred to as „female orgasmic dysfunction.” The term „anorgasmia” describes female orgasmic disorders, namely the inability to experience an orgasm. […] In addition to reviewing your medical history, your gynaecologist or primary care physician will perform a pelvic exam and a comprehensive physical examination. These examinations could reveal medical issues related to orgasmic difficulties. […] Your doctor may inquire about orgasm experiences and other relevant matters. You can also access a questionnaire that has these answers. You might be questioned regarding: Your history of sexual encounters, both past and present; Your spouse or spouses; Your thoughts regarding the sex you’ve had; The kinds of sexual activities or stimulation you partake in.

• #18

  https://www.kuh.ku.edu.tr/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/anorgasmia-in-women

  Anorgasmia in women Last Updated on July 21, 2024 Overview Anorgasmia is delayed, infrequent or absent orgasms or significantly less-intense orgasms after sexual arousal and adequate sexual stimulation. Women who have problems with orgasms and who feel significant distress about those problems may be diagnosed with anorgasmia. […] Anorgasmia, or female orgasmic disorder, is defined as experiencing any of these in a significant way: Delayed orgasm. Absence of orgasm. Fewer orgasms. Less-intense orgasms. […] Diagnosis Your primary care professional or gynecologist will review your medical history and conduct a general medical exam and pelvic exam. These exams may identify physical conditions that contribute to problems having orgasms. […] Your healthcare professional may want to talk with both you and your partner or meet with your partner separately.

• #19 Anorgasmia – Wikipedia

  https://en.wikipedia.org/wiki/Anorgasmia

  Anorgasmia is a type of sexual dysfunction in which a person cannot achieve orgasm despite adequate sexual stimulation. Anorgasmia is far more common in females (4.6%) than in males and is especially rare in younger men. The problem is greater in women who are post-menopausal. […] About 15% of women report difficulties with orgasm, and 10% of women in the United States have never climaxed. […] Effective treatment for anorgasmia depends on the cause. In the case of women with psychological sexual trauma or inhibition, psychosexual counselling might be advisable and could be obtained through general practitioner (GP) referral. […] Women with anorgasmia with no obvious psychological cause would need to be examined by their GP to check for absence of disease. Blood tests would also need to be done (full blood count, liver function, oestradiol/estradiol, total testosterone, SHBG, FSH/LH, prolactin, thyroid function, lipids and fasting blood sugar) to check for other conditions such as diabetes, lack of ovulation, low thyroid function or hormone imbalances.

• #20 Anorgasmia – Wikipedia

  https://en.wikipedia.org/wiki/Anorgasmia

  They would then need to be referred to a specialist in sexual medicine. The specialist would check the patient’s blood results for hormonal levels, thyroid function and diabetes, evaluate genital blood flow and genital sensation, as well as giving a neurological work-up to determine the degree (if any) of nerve damage.

• #21 Anorgasmia | Coughlan’s Syndrome – Types, Causes, Diagnosis, Treatment, Drugs

  https://www.medindia.net/health/conditions/anorgasmia.htm

  Anorgasmia is a common occurrence in females as compared to males. […] Past research indicates that about 10 to 40% of adult American women face problems in achieving orgasms. […] Diagnosis of anorgasmia is subjective and depends a great deal on the thoughts, emotions and feelings of the person experiencing it. […] A general physical examination would be conducted to evaluate any possible physical causes or underlying medical conditions. […] Blood tests are performed to check for co-existing medical conditions such as diabetes, folate and vitamin B-12 deficiency, amongst others. […] If you are found to be suffering from primary anorgasmia, then your doctor may ask questions to evaluate the relationship between sexual problems and mood changes. […] Your doctor will ask you questions about your past and present sexual as well as surgical history in order to find out the details and devise an effective treatment for you.

• #22 Anorgasmia: Symptoms, Causes, Treatment | Qwark

  https://qwarkhealth.com/conditions/anorgasmia

  Anorgasmia can be diagnosed through various diagnostic tests, such as a physical examination, hormone testing, imaging studies, nerve function testing, and blood tests. Additionally, physicians may use sexual questionnaires or ask patients about their sexual history to confirm the symptoms of anorgasmia. […] Psychological evaluations are essential for the diagnosis of anorgasmia. Anxiety or depression can lead to sexual dysfunction, so a psychiatrist or psychologist may evaluate a patient to determine if there are underlying psychological or emotional factors contributing to the condition. […] There are specific criteria and guidelines used to diagnose anorgasmia. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), has established criteria for diagnosing female orgasmic disorder and male orgasmic disorder. These criteria include significant distress or impairment in sexual function and the persistent inability to achieve orgasm during sexual activity. Healthcare professionals may also use various questionnaires or assessments to evaluate a patient`s sexual functioning and determine if anorgasmia is present. […] Anorgasmia cannot be diagnosed based on self-reported symptoms alone. Because the condition can indicate other underlying medical or psychological issues, a diagnostic evaluation by a healthcare professional is necessary.

• #23 Treatment of Orgasmic Dysfunction in Women | GLOWM

  https://www.glowm.com/section-view/heading/Treatment%20of%20Orgasmic%20Dysfunction%20in%20Women/item/431

  The most common form of female orgasmic dysfunction, anorgasmia during coitus, occurs in this category. […] Disease-based orgasmic dysfunctions in women are uncommon. […] Some orgasmic problems can be attributed to a medical condition alone, particularly those that affect the nerve supply to the pelvis and circulatory disorders affecting the pelvic region. […] Most diseases that inhibit orgasm do so through the physical and emotional depletion that accompanies them. […] Aging, apart from health problems, does not produce a decline in orgasmic capacity. […] Psychological factors seem to be implicated in most orgasmic complaints, but no particular psychiatric diagnosis has been found to correlate with these difficulties. […] Although psychological factors seem to be implicated in most orgasmic complaints, no particular psychiatric diagnosis has been found to correlate with these difficulties.

• #24 Treatment of Orgasmic Dysfunction in Women | GLOWM

  https://www.glowm.com/section-view/heading/Treatment%20of%20Orgasmic%20Dysfunction%20in%20Women/item/431

  Difficulty reaching orgasm is the second most common sexual complaint reported by women. […] Orgasmic disorders among women are particularly intriguing because female orgasm is so variable. […] The diagnosis of Female Orgasmic Disorder should be based on the clinician’s judgment that the woman’s orgasmic capacity is less than would be reasonable for her age, sexual experience, and the adequacy of sexual stimulation she receives. […] The disturbance causes marked distress or interpersonal difficulty. […] The orgasmic dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g. a drug of abuse, a medication) or a general medical condition. […] Changes in DSM-IV mirrored a shift in treatment from an inhibition-focused, intrapsychic perspective toward an interpersonal, systemic approach to understanding and resolving orgasmic difficulties.

• #25 Female Orgasmic Disorder Differential Diagnoses

  https://emedicine.medscape.com/article/2185837-differential

  If FOD is determined to be lifelong or generalized, an inquiry should be made about negative attitudes toward sex that might be the result of childhood sexual experiences or unresolved feelings associated with early experiences of sexual abuse or rape. […] It is appropriate to designate FOD as acquired or situational if a woman previously achieved orgasm on a regular basis but is not doing so at present or if the problem is limited to a specific relationship.

• #26 Secondary Female Anorgasmia in Patients with Obsessive Traits: A Study

  https://www.mdpi.com/2076-328X/14/10/953

  Secondary Female Anorgasmia in Patients with Obsessive Traits: A Study […] In the literature, female anorgasmia (AO) is closely related to obsessive–compulsive disorder (OCD), but no publication has explored the role of individual obsessive traits that may also be typical of other disorders, assuming that repetitive thoughts and compulsions must necessarily correspond to an obsessive-type neurotic profile. […] Today, AO is defined in the literature as the absence of orgasm (or the achievement of an orgasm with high difficulty) and, thus, the more or less complete interruption of the sexual pleasure cycle. […] Anorgasmia (AO), therefore, may be considered primary if a woman has never experienced an orgasm in her life, while it may be considered secondary when the absence is acquired after having already experienced it.

• #27 Secondary Female Anorgasmia in Patients with Obsessive Traits: A Study

  https://www.mdpi.com/2076-328X/14/10/953

  The present research, examining patients with OCD, focuses precisely on the psychological factors in AO, aiming to frame it more systematically around its psychological and symptomatological profile. […] The main objective of the present research, based on the results from the literature, is to demonstrate that obsessive traits, regardless of the specific psychopathology (whether neurotic, dramatic, or psychotic), are involved in the mechanism of OA in cisgender woman. […] The present study has shown that it is obsessive traits and not obsessive compulsive disorder that correlate with female secondary anorgasmia, as presenting obsessive traits in one’s personality profile does not necessarily mean one has the obsessive disorder, as these traits are also present in other disorders, such as in the anxiety spectrum, psychotic spectrum, bipolar disorder, manic disorder, depressive disorder, masochism profile, and dependent disorder, according to the PICI model, and therefore assessing the personality profile is prodromal to the diagnosis of specific disorder.

• #28 Female Sexual Dysfunction | Doctor

  https://patient.info/doctor/female-sexual-dysfunction-pro

  It is important to identify which type or types of FSD are present: if pain is present this may drive the history towards organic causes, but there may be other contributing factors. […] Several self-reported questionnaires are available to assess sexual dysfunction. The Female Sexual Function Index is the most commonly used validated questionnaire. […] The management of FSD will depend on the predominant underlying causes and there will often be several. […] A number of different drugs are used to treat FSD but in the UK none is currently licensed for this indication. […] Oestrogens are the most commonly used medications for the treatment of FSD, especially in perimenopausal and postmenopausal women. […] Testosterone is one of the most frequently prescribed (off-label) medications for women with sexual interest/arousal disorder. […] Flibanserin is a centrally acting drug which activates 5-HT1A receptors in the prefrontal cortex, increasing dopamine and adrenaline (norepinephrine) levels and decreasing serotonin levels.

• #29 Primary Orgasmic Dysfunction: Diagnostic Considerations and Review of Treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3411116/

  Subdivisions have been made within the category of orgasmic dysfunction. […] The focus of this paper, primary orgasmic dysfunction, includes women who have never experienced orgasm under any circumstance except sleep or fantasy. […] Although the primary versus secondary distinction is not clear, attempts have been made to discover diagnostically discriminating variables. […] Investigations of women seeking sex therapy also provide information about possible distinctions between the two diagnostic categories. […] A few investigations have compared the response of primary and secondary subjects to treatment. […] Although the data from the survey, descriptive, and treatment outcome investigations are far from conclusive, taken together they provide reason to continue with the working hypothesis that the primary versus secondary distinction is an important one to maintain for research, if not clinical, purposes.

• #30 The Orgasm Part 1: Primary Anorgasmia — POYNOR HEALTH

  https://poynorhealthnewyork.com/the-orgasm-part-1-primary-anorgasmia

  10% of women have reported difficulty reaching orgasm all or most of the time. […] 29% of women reported orgasmic difficulties. […] An analysis of 33 studies over 80 years found that during vaginal intercourse just 25 percent of women consistently experience an orgasm, about half of women sometimes have an orgasm, 20 percent seldom or ever have orgasms, and about 5 percent never have orgasms. […] Problems reaching an orgasm are generally categorized into two subtypes corresponding to the nature of onset: lifelong versus acquired. […] Women who have never had an orgasm can be treated with success, and the sexual satisfaction of women whose orgasmic difficulties are situational can generally be improved. […] Women can benefit from the guidance of their physician in defining their orgasmic problem, and providing information about treatment.

• #31 Anorgasmia in women – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/anorgasmia/symptoms-causes/syc-20369422

  Women experiencing anorgasmia may have one or more related sexual problems. These may contribute to or complicate the problem with having orgasms. These conditions include: Problems with sexual arousal. Little or no desire for sex. Pain from sexual intercourse or other sexual stimulation. Dryness of the vagina or vulva. Involuntary tightening of the vagina, called vaginismus. […] Risk factors linked to having trouble with orgasm include: Low education level. Low income. Poor health. Depression and other mental health conditions. History of trauma, such as sexual abuse.

• #32 Female Orgasmic Disorder DSM-5 302.73 (F52.31)

  https://www.theravive.com/therapedia/female-orgasmic-disorder-dsm–5-302.73-(f52.31)

  Female orgasmic disorder is a sexual dysfunction disorder that effects as many as 42% of women at some time during the lifespan. According to the DSM-5, female orgasmic disorder is characterized by a significant change in orgasm such as delay, reduction of intensity or cessation. […] The presence of distress is necessary for proper diagnosis of female orgasmic disorder. […] Female orgasmic disorder can also be caused by physical conditions, illness or medication. […] A high level of comorbidity exists between female orgasmic disorder and other sexual dysfunctions. […] Although female orgasmic disorder is complex, several effective treatment options are available.

• #33 Female Orgasmic Disorder

  https://labs.la.utexas.edu/mestonlab/female-orgasmic-disorder/

  The female orgasm results from a complex interaction of biological, psychological, and cultural processes. Disruptions in any of these systems can affect a woman’s ability to orgasm. The most common causes of the disorder include disturbances in the sympathetic nervous system, different types of chronic illness, particularly spinal cord injury, sexual guilt, anxiety, and relationship concerns. […] Impairments in nervous system, endocrine, or brain mechanisms involved in female orgasm may cause orgasmic dysfunction in some women. […] A number of psychotherapeutic drugs have been noted to affect the ability of women to attain orgasm. […] The psychological factors associated with FOD include sexual guilt, anxiety related to sex, childhood loss or separation from the father, and relationship issues.

• #34 Why Can’t I Orgasm? It Might Be Anorgasmia In Women | Allo Health

  https://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/anorgasmia-in-women

  If these challenges still go on for at least six months and cause you any distress, its likely anorgasmia. If trouble isnt constant, then youre safe. […] The diagnosis of anorgasmia is usually done while the patient tells about the problems, and it may include a physical check-up. […] Your doctor might want to know the state of your current relationship (if you have one) and how satisfied you are with it. […] If you suspect you might have a medical cause, consult a sexual health professional for better evaluation. […] Can anorgasmia be treated? Yes in most cases, women might start getting orgasms. There are some treatment options available, but a mix of all works best. […] If your antidepressant is causing the problem, talk to your doctor about alternatives or dosage changes. […] Studies have shown that Directed Masturbation Training is very effective.

• #35 Anorgasmia in People with Vulvas: Types, Causes, Tips, More

  https://www.healthline.com/health/healthy-sex/anorgasmia-in-people-who-have-a-vulva

  Situational anorgasmia occurs when you arent able to orgasm during certain sexual activities. […] A 2011 study suggests that at least 5 to 10 percent of people with vulvas experience anorgasmia at some point. […] Environmental, emotional, mental, spiritual, and physiological factors all work together to mediate sexual response. […] Shame is a huge factor in sexual dysfunction including anorgasmia, says Nefertari Sloan, a radical sex educator and LGBTQ+ activist. […] If an underlying medical condition is interfering with your O, addressing the underlying condition can help you reach climax. […] A pelvic floor therapist can evaluate muscle function and determine whether orgasm is inhibited due to pelvic floor dysfunction or pelvic floor pain, says Jeffcoat. […] Yes, says Ossai. Its definitely treatable.

• #36 Secondary Female Anorgasmia in Patients with Obsessive Traits: A Study

  https://www.mdpi.com/2076-328X/14/10/953

  The confirmation of statistical significance (p < 0.01) emerges when comparing the two groups concerning the individual obsessive traits. [...] In conclusion, the present study was able to confirm that the clinical focus on OA should be more on the individual obsessive traits and not only on the stated disorder, such as OCD (mainly), bipolar disorder, borderline disorder, manic, or psychotic disorders (other psychiatric disorders where the obsessive component is markedly significant).

• #37 You’ve Diagnosed Primary Anorgasmia – Now What? – The ObG Project

  https://www.obgproject.com/2016/07/20/diagnosed-primary-anorgasmia-now-what/

  You’ve Diagnosed Primary Anorgasmia – Now What? […] Primary anorgasmia is a condition in which a patient has never had an orgasm in any context (via masturbation, manual, oral or penile stimulation). If a patient complains of never having achieved orgasm, and other causes of primary anorgasmia are ruled out following a good history and physical exam, consider the following approach: […] Primary anorgasmia, a condition in which a woman has never achieved orgasm, can be a complex multifaceted condition, but treatment is often successful. Before introducing medical interventions, consider providing appropriate education, recommendations for behavioral changes and referrals. If the healthcare provider lacks the expertise or resources to coach the patient, consider referral to a sex therapist for treatment. […] DIAGNOSIS CODES: Female Orgasmic Disorder DSM-5 302.73 […] ICD10 – (F52.31)

• #38 2025 ICD-10-CM Diagnosis Code F52.3: Orgasmic disorder

  https://www.icd10data.com/ICD10CM/Codes/F01-F99/F50-F59/F52-/F52.3

  F52.3 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. […] Applicable To: Inhibited orgasm, Psychogenic anorgasmy. […] A change in the ability to obtain orgasm or in the quality of the orgasmic sensation. […] F52.3 Orgasmic disorder. […] F52.31 Female orgasmic disorder.

• #39 2025 ICD-10-CM Diagnosis Code F52.31: Female orgasmic disorder

  https://www.icd10data.com/ICD10CM/Codes/F01-F99/F50-F59/F52-/F52.31

  F52.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. […] F52.31 is applicable to female patients. […] Anorgasmy, psychogenic (female) F52.31 […] inhibited orgasm (female) F52.31 […] orgasmic dysfunction (female) F52.31.

• #40 Anorgasmia: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/24640-anorgasmia

  Once an underlying cause is determined, many options are available to treat anorgasmia. Your provider may also refer you to a specialist (such as a gynecologist or urologist) who can help develop a treatment plan that addresses orgasmic disorders. […] It depends on the underlying cause. There’s no one method that fits all cases, and treatment may involve a combination of approaches. Some treatments for anorgasmia include: Changing medications. Treating any underlying health issues. Learning self-stimulation (masturbation) techniques. Counseling or psychotherapy to address relationship issues, mental health conditions or past sexual trauma. Sex therapy to address sexual needs or underlying factors preventing climax. Using hormone therapy to enhance blood flow and increase sensitivity. Introducing new stimuli to the relationship such as new techniques, sex toys and devices or erotic media. […] Talk to your healthcare provider if you have any concerns about your ability to orgasm. They can help you figure out why having an orgasm is difficult and find a solution to your problem.

• #41 Orgasmic dysfunction: Symptoms, causes, diagnosis, and treatment

  https://www.medicalnewstoday.com/articles/324112

  A doctor may do a physical examination as well. In some cases, they may refer a person to a sexual medicine specialist or a gynecologist. […] Treatment for orgasmic dysfunction varies, depending on the underlying cause. […] In many cases, a doctor may recommend a person who has orgasmic dysfunction try sex therapy or couples counseling. […] Hormone therapy may be effective for some females, particularly if the inability to orgasm coincided with the start of menopause. […] While situational orgasmic dysfunction is not uncommon, people should speak with their doctor if they have any concerns about their ability to orgasm. […] Orgasmic dysfunction is the medical name for the inability to reach orgasm. […] Many factors can contribute to orgasmic dysfunction.

• #42 Orgasmic Dysfunction: Causes, Symptoms, and Treatments

  https://www.healthline.com/health/orgasmic-dysfunction

  Orgasmic dysfunction is also known as anorgasmia or female orgasmic disorder. […] Many women have difficulty reaching orgasm with a partner, even after ample sexual stimulation. Studies suggest orgasmic dysfunction affects 11 to 41 percent of women. […] If you think you have orgasmic dysfunction, you should schedule an appointment with your doctor. Your doctor will be able to diagnose your condition and provide a proper treatment plan. […] During your appointment, your doctor will ask questions about your sexual history and perform a physical examination. Your responses and exam results can reveal any underlying causes of orgasmic dysfunction and can help identify other factors that may be contributing to your condition. […] Your doctor may refer you to a gynecologist for a follow-up exam. A gynecologist can recommend further treatments for orgasmic dysfunction.

• #43 Primary Orgasmic Dysfunction: Diagnostic Considerations and Review of Treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3411116/

  The diagnostic commonality in the research reviewed here is the complete absence of vaginal contractions or orgasm. […] The present series of studies have also addressed questions relevant to the format for conducting treatment. […] At present, directed masturbation is a multicomponent treatment package. […] The treatment involves the completion of a series of extratherapy sexuality and masturbatory activities. […] Directed masturbation has been regarded as a viable treatment for producing orgasm. […] Although cause-effect relationships between treatment and outcome cannot be determined, the presence of multiple replications across clients and therapists and the encouraging follow-up data offered directed masturbation as a viable treatment program requiring further empirical support.

• #44 Why Can’t I Orgasm? It Might Be Anorgasmia In Women | Allo Health

  https://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/anorgasmia-in-women

  Have you ever felt super aroused yet never quite reached that peak of pleasure? If so, youre not alone. Difficulty or inability to orgasm is something many women go through, though few feel comfortable talking about it. In fact, its a common sexual health concern that often goes unaddressed due to the fear of embarrassment or myths. The good news: there are solutions to enjoy a more satisfying sex life. In this blog, well find out about anorgasmia in women what it is, why it happens, how common it is, and research-backed ways to overcome it. […] Anorgasmia is the medical term for having problems reaching orgasm. In women, it means an orgasm happens late, very infrequently, or sometimes it doesnt even happen despite getting adequate sexual stimulation and arousal. […] Doctors call this condition female orgasmic disorder. Its diagnosed only when a woman rarely or never gets an orgasm. Even if they get one, the intensity is very low. And its been happening for at least 6 months.

• #45 What You Should Know About Anorgasmia Treatment, Causes, and Diagnosis | SELF

  https://www.self.com/story/anorgasmia

  Despite what you may see on TV, plenty of people have exciting, pleasurable sex without orgasming. But for some people, consistent difficulty having an orgasm can become a real issue that affects how they feel both physically and mentally when it comes to sex. If you never reach climax but would like to, then you may have a condition called anorgasmia. […] The condition is a complex topic in the sexual-health world; its diagnosis and even definition are still somewhat up for debate. […] Under guidance from the American College of Obstetricians and Gynecologists, some physicians may refer to anorgasmia as an orgasmic disorder, says Tara Scott, M.D., clinical associate professor of ob-gyn at Northeast Ohio Medical University. The condition is outlined as not climaxing in at least 75% of your sexual encounters (even with significant stimulation) for roughly six months and feeling upset about the situation, according to a July 2020 paper published in Obstetrics and Gynecology.

• #46 Female Orgasmic Disorder

  https://labs.la.utexas.edu/mestonlab/female-orgasmic-disorder/

  The DSM-5 defines female orgasmic disorder (FOD) as reduced intensity, delay, infrequency, and/or absence of orgasm. These symptoms must persist for at least six months, and they may not be related to other physical or relational problems. The presence of distress related to these symptoms is necessary for a diagnosis of FOD. The DSM-5 classification of FOD distinguishes between lifelong and acquired subtypes as well as between generalized and situational subtypes. […] Operationalizing FOD is complicated by the fact that the field still lacks a clear consensus on the definition of the female orgasm. […] Orgasm difficulties are the second most frequently reported sexual problems for women in the United States, with between 22% and 28% of women ages 18 to 59 years reporting they are unable to attain orgasm.

• #47

  https://www.yourdaye.com/en-us/vitals/cultural-musings/anorgasmia-in-women/?srsltid=AfmBOoovYgOcXhjfkpPP-yUwscHXe6jqgF5U7LHp1XXtnlMWpPGBS_pK

  In fact, anorgasmia affects an estimated 10-15% of women, while roughly 43% of women experience some type of sexual dysfunction. (Its worth noting however that the research here is somewhat lacking and since the terminology and classification systems around sexual dysfunction in women are confusing and complicated, the process of clinical diagnosis is pretty difficult.) […] We don’t know for sure whether anorgasmia can always be overcome, says Dr Gurney, but we do know that there are various things which help people along the road. And certainly, in practice, we see a change in people’s ability to orgasm when they practice these things. […] It can be a really good idea to do some work on your relationship with sex and your relationship with your body, as you say, and you can do that through sex therapy as you did, but also through guided reading, or the use of apps specifically designed for this, like Ferly.

• #48 Understanding Female Orgasmic Disorder & Get Help

  https://firstlightpsych.com/female-orgasmic-disorder/

  Female orgasmic disorder or Anorgasmia is a condition associated with slowed down or absence of proper orgasmic response even after complete sexual arousal or when a female is sexually active and this occurs for medical or psychological reasons. […] Female Orgasmic Disorder has several specifications in the Diagnostic and Statistical Manual that include whether the condition includes lifelong anorgasmia, acquired anorgasmia, generalized anorgasmia, or situational anorgasmia. […] Whether the problem is due to psychological or medical reasons, remaining unsatisfied physically can have drastic effects on your psychosocial life factors. […] If the condition is ignored it can result in depression, dysmorphia, cause problems in your significant relationship, lead to social isolation, or other physical health problems can develop.

• #49 Anorgasmia in women – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube

  https://www.augustahealth.com/disease/anorgasmia-in-women/

  Treatment for anorgasmia depends on what’s contributing to the problem. Possible treatments include lifestyle changes, therapy and medication. If an underlying medical condition is contributing to anorgasmia, your provider will recommend appropriate treatment. […] Although some medications have been tested for treating anorgasmia, there’s not enough evidence to support their use.

• #50 Female Orgasmic Disorder

  https://labs.la.utexas.edu/mestonlab/female-orgasmic-disorder/

  Assessment of FOD involves a comprehensive sexual, medical, and psychosocial history similar to that used for assessing FSIAD. […] In general, sex therapy for FOD focuses on promoting healthy changes in attitudes and sexually relevant thoughts, decreasing anxiety, and increasing orgasmic ability and satisfaction. […] To date, the most efficacious treatment for FOD is directed masturbation (DM). […] If the etiology of the FOD appears to be related to anxiety about sex, then anxiety reduction techniques such as systematic desensitization and sensate focus may be useful. […] For women who have orgasm difficulties resulting from hysterectomy and oophorectomy, combined estrogen and testosterone therapy has been shown to enhance orgasmic ability.

• #51 Account

  https://www.mindbodygreen.com/articles/how-to-know-if-you-have-anorgasmia-and-treatment?srsltid=AfmBOor0SkyvTpcsmeln4UT23_iqBQltrR4tG09t5ukQ_ZR0Ns_w9Wxi

  In the DSM-5, the criteria for being diagnosed with female orgasmic disorder or delayed ejaculation (the two official terms for anorgasmia for vulva owners and penis owners, respectively) are experiencing a „marked delay in, marked infrequency of, or absence of orgasm” during at least 75% of your sexual activity for at least six months. Additionally, this must be causing you „significant distress.” […] „Anorgasmia can be diagnosed via physical examination or medical history, or both, but it doesn’t have to, as generally speaking, any difficulties with achieving orgasm over a short or extended period of time can be called anorgasmia without having a medical professional to diagnose it,” Urman explains. […] If there’s a physical issue behind your anorgasmia, your doctor can help you figure out solutions—for example, adjusting medications, receiving estrogen therapy (through a pill, patch, or gel), or treating underlying conditions like depression or anxiety. […] A good sex therapist or sex educator can help you explore many of these psychological and psychosomatic causes for anorgasmia, and they can guide you in techniques, reflections, and practices that can help you discover your orgasm again.

• #52 Treatment of Orgasmic Dysfunction in Women | GLOWM

  https://www.glowm.com/section-view/heading/Treatment%20of%20Orgasmic%20Dysfunction%20in%20Women/item/431

  The outcome of sex therapy for female orgasmic problems is quite positive. […] Women benefit from permission and encouragement to masturbate, and from suggestions on how to masturbate; they also benefit from validation of the fact that they are entitled to sexual pleasure. […] Couples’ therapy for situational and/or secondary anorgasmia is generally helpful in improving the relationship and enhancing communication, although it does not always result in coital orgasm. […] The range and variety of women presenting with orgasmic complaints are so great that it is not always clear from the outset what treatment intervention will be most useful.

• #53 Why Can’t I Orgasm? It Might Be Anorgasmia In Women | Allo Health

  https://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/anorgasmia-in-women

  You can consult sexual health doctors and sex therapists to help you figure out any medical causes, adjust medications if needed, and guide you through directed masturbation or sensate focus exercises. […] Anorgasmia is when you have a persistent inability to get an orgasm. Don’t worry, its quite common and affects many women worldwide. […] Consult a sex expert to get it checked. Sex doctors will look at your medical history, possible underlying conditions, and sexual experiences.

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