Anorgazmia u kobiet
Epidemiologia

Anorgazmia u kobiet, obejmująca pierwotne, wtórne, sytuacyjne i uogólnione zaburzenia orgazmu, stanowi istotny problem kliniczny z częstością występowania szacowaną na 10-42%, zależnie od regionu i kryteriów diagnostycznych. Epidemiologia wskazuje na zróżnicowanie geograficzne – np. 16-25% w Australii, Szwecji, USA i Kanadzie, 37% w Iranie oraz aż 72,4% w Ghanie. Wiek jest istotnym czynnikiem ryzyka, z wyższą częstością anorgazmii u kobiet po menopauzie. W badaniu PRESIDE 21% kobiet zgłaszało zaburzenia orgazmu, a tylko 25% kobiet regularnie osiągało orgazm podczas stosunku pochwowego. Czynniki ryzyka obejmują niskie wykształcenie, niski dochód, zły stan zdrowia, zaburzenia psychiczne (depresja, lęk), historię traumy seksualnej oraz współwystępowanie innych problemów seksualnych, takich jak niskie libido, dyspareunia, suchość pochwy czy vaginismus. Ponadto, leki takie jak SSRI i SNRI powodują anorgazmię u 15-35% kobiet stosujących te farmaceutyki.

  1. Epidemiologia anorgazmii u kobiet
    1. Globalna częstotliwość występowania
    2. Zróżnicowanie geograficzne
    3. Częstotliwość według rodzaju anorgazmii
    4. Wpływ wieku i menopauzy na częstość występowania
    5. Anorgazmia a satysfakcja seksualna
  2. Czynniki ryzyka i współistnienia anorgazmii u kobiet
    1. Czynniki socjodemograficzne
    2. Czynniki psychologiczne
    3. Współwystępowanie z innymi zaburzeniami seksualnymi
    4. Schorzenia współistniejące
    5. Wpływ leków na występowanie anorgazmii
  3. Monitorowanie i nadzór epidemiologiczny anorgazmii u kobiet
    1. Wyzwania w monitorowaniu epidemiologicznym
    2. Potrzeba dalszych badań epidemiologicznych
    3. Znaczenie nadzoru klinicznego
    4. Rola badań klinicznych w monitorowaniu anorgazmii
    5. Potrzeby badawcze w kontekście farmakoterapii
  4. Skuteczność interwencji terapeutycznych w świetle danych epidemiologicznych
    1. Skuteczność leczenia różnych rodzajów anorgazmii
    2. Skuteczność metod psychologicznych
    3. Skuteczność terapii farmakologicznych
    4. Skuteczność podejść kompleksowych
    5. Znaczenie danych epidemiologicznych dla zdrowia publicznego
    6. Kolejne rozdziały

Epidemiologia anorgazmii u kobiet

Anorgazmia u kobiet, określana również jako zaburzenia orgazmu u kobiet, stanowi istotny problem kliniczny w obszarze medycyny seksualnej. Badania epidemiologiczne wskazują na znaczne zróżnicowanie częstości występowania tego zaburzenia w zależności od regionu geograficznego, wieku kobiet oraz zastosowanych kryteriów diagnostycznych.12

Globalna częstotliwość występowania

Według danych z badania PRESIDE (Prevalence of Female Sexual Problems Associated with Distress and Determinants of Treatment Seeking), które obejmowało ponad 30 000 kobiet odpowiadających na standaryzowane kwestionariusze, częstość występowania zaburzeń orgazmu u kobiet wynosi około 21%.12 Globalne badanie postaw i zachowań seksualnych (GSSAB) wykazało, że wśród kobiet w wieku 40-80 lat niezdolność do osiągnięcia orgazmu różni się znacząco w zależności od regionu świata – od 10% w Europie Północnej do 34% w Azji Południowo-Wschodniej.1

Ogólna częstość występowania anorgazmii w populacji kobiet szacowana jest na poziomie 10-42%, przy czym różnice wynikają z przyjętych kryteriów diagnostycznych oraz metodologii badań.12 Zaburzenie to stanowi drugi najczęstszy problem seksualny wśród kobiet po zaburzeniach pożądania.1

Zróżnicowanie geograficzne

Badania wskazują na istotne różnice w częstości występowania anorgazmii w zależności od regionu:1

  • Australia, Szwecja, Stany Zjednoczone i Kanada: 16-25%
  • Iran: 37%
  • Ghana: 72,4%

1

Interesujący przykład stanowi badanie przeprowadzone w Hesarak (Iran), gdzie częstość występowania anorgazmii wśród kobiet w wieku reprodukcyjnym wyniosła 26,3%.123

Częstotliwość według rodzaju anorgazmii

Anorgazmię klasyfikuje się na kilka typów, które występują z różną częstotliwością:

  • Anorgazmia pierwotna (kobieta nigdy nie doświadczyła orgazmu): szacowana na 4-10% populacji kobiet123
  • Anorgazmia wtórna (utrata zdolności osiągania orgazmu po wcześniejszych doświadczeniach): występuje u około 20-30% kobiet1
  • Anorgazmia sytuacyjna (trudności z osiągnięciem orgazmu w określonych sytuacjach): najczęstszy rodzaj zaburzenia1
  • Anorgazmia uogólniona (trudności z osiągnięciem orgazmu w każdej sytuacji): rzadziej występująca forma1

Wpływ wieku i menopauzy na częstość występowania

Wiek jest istotnym czynnikiem związanym z występowaniem anorgazmii u kobiet. Badania wskazują, że problemy z osiąganiem orgazmu zwiększają się wraz z wiekiem, choć mogą dotyczyć kobiet w każdej grupie wiekowej.12 Szczególnie wysoki odsetek anorgazmii obserwuje się u kobiet po menopauzie.12

Niektóre badania sugerują, że kobiety z anorgazmią są znacząco starsze niż kobiety osiągające orgazm.1 Jednakże, inne badania nie wykazują jednoznacznego związku między częstością anorgazmii a wiekiem.1

Anorgazmia a satysfakcja seksualna

Badania pokazują, że częstość osiągania orgazmu przez kobiety podczas stosunków seksualnych jest znacznie niższa niż powszechnie się uważa:

  • Tylko 25% kobiet regularnie osiąga orgazm podczas stosunku pochwowego1
  • 30% kobiet osiąga orgazm tylko czasami lub rzadziej podczas stosunków z głównym partnerem2
  • 7% kobiet nigdy nie doświadczyło orgazmu podczas stosunku3
  • 10% kobiet zgłasza trudności z osiągnięciem orgazmu przez większość czasu4

Kobiety z anorgazmią częściej wyrażają wysokie niezadowolenie ze swoich relacji seksualnych w porównaniu do kobiet osiągających orgazm.12

Czynniki ryzyka i współistnienia anorgazmii u kobiet

Anorgazmia u kobiet jest złożonym zaburzeniem, na którego występowanie wpływa wiele czynników ryzyka. Zidentyfikowanie tych czynników ma kluczowe znaczenie dla skutecznej diagnostyki i leczenia.12

Czynniki socjodemograficzne

Badania wskazują na kilka istotnych czynników socjodemograficznych związanych z anorgazmią:12

  • Niski poziom wykształcenia – badania przeprowadzone w Iranie wykazały, że anorgazmia występuje znacznie rzadziej u dobrze wykształconych kobiet12
  • Niski dochód – trudności ekonomiczne mogą wpływać na ogólny poziom stresu i jakość życia seksualnego1
  • Zły stan zdrowia – ogólny stan zdrowia kobiety ma istotny wpływ na funkcje seksualne1

Czynniki psychologiczne

Sfera psychologiczna odgrywa kluczową rolę w etiologii anorgazmii:1

  • Zaburzenia zdrowia psychicznego – depresja i inne zaburzenia psychiczne są istotnym czynnikiem ryzyka anorgazmii12
  • Lęk – badania wykazały wyższy poziom lęku w grupie kobiet z anorgazmią w porównaniu do kobiet osiągających orgazm12
  • Historia traumy – doświadczenie przemocy seksualnej zwiększa ryzyko wystąpienia anorgazmii12

Współwystępowanie z innymi zaburzeniami seksualnymi

Anorgazmia często współwystępuje z innymi problemami seksualnymi, co wskazuje na złożoność zaburzeń seksualnych u kobiet:12

  • Problemy z podnieceniem seksualnym – 31% kobiet z anorgazmią doświadcza również trudności z podnieceniem seksualnym1
  • Niskie pożądanie seksualne – brak lub niskie libido często towarzyszy trudnościom z osiąganiem orgazmu1
  • Ból podczas stosunku – dyspareunia i inne dolegliwości bólowe mogą uniemożliwiać osiągnięcie orgazmu1
  • Suchość pochwy – niewystarczające nawilżenie może przyczyniać się do dyskomfortu i trudności z osiągnięciem orgazmu1
  • Pochwica (vaginismus) – mimowolne skurcze mięśni pochwy mogą uniemożliwiać satysfakcjonujący stosunek seksualny1

Schorzenia współistniejące

Istnieje szereg schorzeń medycznych, które mogą przyczyniać się do wystąpienia anorgazmii:1

  • Choroby układu sercowo-naczyniowego – miażdżyca i inne schorzenia naczyniowe mogą wpływać na przepływ krwi w narządach płciowych12
  • Zaburzenia neurologiczne – stwardnienie rozsiane, choroba Parkinsona i inne schorzenia neurologiczne mogą upośledzać przewodnictwo nerwowe12
  • Zaburzenia hormonalne – niedobory hormonalne, szczególnie związane z menopauzą, mogą przyczyniać się do anorgazmii12
  • Fibromialgia – zespół objawów bólowych może wpływać na doświadczenia seksualne1

Wpływ leków na występowanie anorgazmii

Jednym z najlepiej udokumentowanych czynników ryzyka anorgazmii wtórnej jest stosowanie określonych leków:12

Szacuje się, że 15-35% kobiet stosujących SSRI doświadcza anorgazmii jako skutku ubocznego leczenia.1

Zidentyfikowanie czynników ryzyka anorgazmii u kobiet jest kluczowe dla opracowania skutecznych strategii diagnostycznych i terapeutycznych. Wieloczynnikowy charakter tego zaburzenia wymaga kompleksowego podejścia uwzględniającego zarówno aspekty fizyczne, jak i psychologiczne.12

Monitorowanie i nadzór epidemiologiczny anorgazmii u kobiet

Monitorowanie epidemiologiczne anorgazmii u kobiet stanowi istotne wyzwanie ze względu na złożoność tego zaburzenia oraz trudności metodologiczne w prowadzeniu badań. Systematyczne śledzenie częstości występowania oraz czynników wpływających na anorgazmię jest kluczowe dla opracowania skutecznych strategii diagnostycznych i terapeutycznych.12

Wyzwania w monitorowaniu epidemiologicznym

Badacze zajmujący się epidemiologią zaburzeń orgazmu u kobiet napotykają na szereg wyzwań:1

  • Subiektywność oceny – brak obiektywnych markerów diagnostycznych dla anorgazmii powoduje, że badania opierają się głównie na subiektywnych relacjach pacjentek1
  • Trudności w weryfikacji – w przeciwieństwie do zaburzeń erekcji u mężczyzn, równoważna patologia u kobiet nie może być łatwo obiektywnie zmierzona ani potwierdzona przez osoby trzecie1
  • Różnice w metodologii badań – zróżnicowane sposoby oceny objawów wpływają na raportowane częstości występowania1
  • Uwzględnienie kryterium dystresu – nie wszystkie kobiety doświadczające trudności z osiąganiem orgazmu zgłaszają związany z tym dystres, co wpływa na rzeczywistą częstość klinicznie istotnych przypadków1

Potrzeba dalszych badań epidemiologicznych

Ze względu na brak dobrze kontrolowanych badań, dużą zmienność wyników oraz brak obiektywnych markerów diagnostycznych dla anorgazmii u kobiet, dostępne dane epidemiologiczne mają ograniczoną wartość informacyjną.1 Eksperci podkreślają potrzebę dalszych badań epidemiologicznych w celu uzyskania dokładnych szacunków częstości występowania zaburzeń orgazmu u kobiet w różnych grupach wiekowych, rasach, kulturach, a także w zależności od statusu związku i kraju pochodzenia.1

Znaczenie nadzoru klinicznego

Pomimo trudności metodologicznych, monitorowanie kliniczne anorgazmii ma istotne znaczenie dla zdrowia publicznego i indywidualnego:1

  • Wpływ na jakość życia – zaburzenia seksualne, w tym anorgazmia, znacząco wpływają na relacje i jakość życia kobiet1
  • Niedostateczne rozpoznawanie i leczenie – zaburzenia funkcji seksualnych u kobiet pozostają niedostatecznie rozpoznawane i niedostatecznie leczone1
  • Zmiany w funkcjach seksualnych związane z wiekiem – 45% kobiet w średnim wieku doświadcza problemów seksualnych, a 15% ma problemy seksualne powodujące znaczny dystres osobisty1

Szczególnej uwagi w zakresie monitorowania wymagają określone grupy kobiet, u których ryzyko anorgazmii jest podwyższone:12

  • Kobiety w ciąży i po porodzie – częstość występowania zaburzeń funkcji seksualnych wśród kobiet ciężarnych wynosi 50-80%, głównie w pierwszym i trzecim trymestrze1
  • Kobiety z chorobami układu sercowo-naczyniowego – choroby te wiążą się ze zwiększoną częstością występowania zaburzeń seksualnych u kobiet1
  • Kobiety starsze – zaburzenia funkcji seksualnych występują często u starszych kobiet1
  • Kobiety z przedwczesnym wygaśnięciem funkcji jajników – menopauza (w tym przedwczesna niewydolność jajników) zwiększa ryzyko zaburzeń seksualnych1

Rola badań klinicznych w monitorowaniu anorgazmii

Badania kliniczne stanowią istotny element monitorowania epidemiologicznego anorgazmii, pozwalając na ocenę skuteczności nowych metod terapeutycznych:1

  • Columbia University School of Nursing w USA jest jednym z 30 międzynarodowych ośrodków wybranych do udziału w badaniu klinicznym mającym na celu leczenie nabytych zaburzeń orgazmu u kobiet1
  • Badanie kliniczne, obejmujące 240 uczestniczek z USA, Kanady i Australii, oceni, czy dochodzi do zwiększenia częstości występowania orgazmu w okresie leczenia w porównaniu z poziomami wyjściowymi u kobiet doświadczających zaburzeń orgazmu1
  • Tego typu badania kliniczne są niezbędne do ustalenia, czy nowatorskie podejścia terapeutyczne są bezpieczne i skuteczne w leczeniu poważnych zaburzeń seksualnych, które mogą wpływać na życie kobiet1

Potrzeby badawcze w kontekście farmakoterapii

Eksperci wskazują na niedobór badań dotyczących farmakoterapii anorgazmii, co utrudnia opracowanie skutecznych interwencji:1

  • Brak leków zatwierdzonych przez FDA – obecnie nie ma leków zatwierdzonych przez Amerykańską Agencję ds. Żywności i Leków (FDA) specjalnie do leczenia zaburzeń orgazmu u kobiet1
  • Ograniczenia dotychczasowych badań – przeglądy wskazują, że choć istnieją obiecujące wyniki dotyczące terapii hormonalnych i leków takich jak Viagra, większość badań jest zbyt mała lub źle zaprojektowana, by wyciągnąć jednoznaczne wnioski1
  • Potrzeba większych badań – eksperci podkreślają konieczność przeprowadzenia większych badań z większymi próbami i odpowiednim dawkowaniem leków, aby skutecznie przetestować ich działanie2

Monitorowanie epidemiologiczne anorgazmii u kobiet jest kluczowe dla zrozumienia skali problemu oraz opracowania skutecznych strategii profilaktycznych i terapeutycznych. Pomimo istniejących wyzwań metodologicznych, systematyczne gromadzenie danych oraz prowadzenie dobrze zaprojektowanych badań klinicznych może przyczynić się do poprawy jakości opieki nad kobietami doświadczającymi zaburzeń orgazmu.123

Skuteczność interwencji terapeutycznych w świetle danych epidemiologicznych

Dane epidemiologiczne dotyczące anorgazmii u kobiet stanowią podstawę do oceny skuteczności różnych interwencji terapeutycznych. Zrozumienie wzorców występowania zaburzenia oraz jego naturalnego przebiegu jest kluczowe dla opracowania optymalnych strategii leczenia.12

Skuteczność leczenia różnych rodzajów anorgazmii

Badania epidemiologiczne wskazują na zróżnicowaną skuteczność leczenia w zależności od rodzaju anorgazmii:12

  • Anorgazmia pierwotna – badania wykazują, że 95% kobiet z pierwotną anorgazmią może być skutecznie leczona1
  • Anorgazmia wtórna – jest zasadniczo łatwiejsza do leczenia niż anorgazmia pierwotna i często może być skutecznie rozwiązana za pomocą leków lub leczenia behawioralnego1

Paradoksalnie, dane epidemiologiczne pokazują, że leczenie anorgazmii pierwotnej (gdy kobieta nigdy nie doświadczyła orgazmu) może być łatwiejsze niż leczenie anorgazmii nabytej, ponieważ łatwiej jest zmienić postawę niż skorygować problemy fizjologiczne.1

Skuteczność metod psychologicznych

Ukierunkowana masturbacja (directed masturbation), wprowadzona w latach 70. XX wieku przez Julię Heiman i Josepha LoPiccolo, okazała się wyjątkowo skuteczna w leczeniu anorgazmii pierwotnej.12 Podejście to jest nadal zalecane jako skuteczna metoda leczenia kobiet, które nigdy nie doświadczyły orgazmu.1

Interwencje oparte na uważności (mindfulness) również wykazały skuteczność w leczeniu różnych typów zaburzeń seksualnych u kobiet, w tym niskiego pożądania seksualnego, zaburzeń podniecenia oraz nabytej anorgazmii.12

Skuteczność terapii farmakologicznych

Dane epidemiologiczne wskazują na ograniczoną skuteczność farmakoterapii w leczeniu anorgazmii:12

  • Ograniczone dowody – mimo że niektóre leki były testowane w leczeniu anorgazmii, nie ma wystarczających dowodów potwierdzających ich skuteczność1
  • Terapie hormonalne zastępcze – mogą przynosić pewne korzyści, ale wiążą się z ryzykiem, które wymaga uważnego monitorowania12

Obiecujące wyniki dają badania nad innowacyjnymi metodami farmakologicznymi:1

  • Badania nad donosowym sprejem Tefina prowadzone przez profesor Susan Davis wykazały, że 58% kobiet uczestniczących w badaniu odnotowało 35% wzrost liczby orgazmów podczas przyjmowania leku, w porównaniu do 48% kobiet, którym podawano placebo1

Skuteczność podejść kompleksowych

Dane epidemiologiczne wskazują, że najbardziej skuteczne podejście do leczenia anorgazmii obejmuje kombinację metod psychologicznych i fizjologicznych:1

  • Ocena kombinowana – kobiety z anorgazmią i związanym z nią dystresem osobistym powinny rozważyć poddanie się połączonej ocenie medycyny seksualnej pod kątem psychologicznym i fizjologicznym1
  • Indywidualizacja leczenia – niezależnie od tego, czy anorgazmia ma podłoże psychologiczne czy fizjologiczne, jeśli wiąże się z osobistym dystresem, należy rozważyć połączoną ocenę psychologiczną i fizjologiczną2

Badanie z 2023 roku, które analizowało wszystkie metody leczenia zaburzeń orgazmu u kobiet w wieku przedmenopauzalnym, wykazało, że terapie psychologiczne, szczególnie te obejmujące terapię skoncentrowaną na traumie, dają obiecujące wyniki.1

Znaczenie danych epidemiologicznych dla zdrowia publicznego

Dane epidemiologiczne dotyczące anorgazmii u kobiet mają istotne implikacje dla zdrowia publicznego:12

  • Niedostateczne rozpoznawanie i leczenie – tylko niewielka część przypadków anorgazmii trafia do uwagi klinicystów1
  • Wpływ na jakość życia – zaburzenia funkcji seksualnych są ściśle skorelowane z ogólnym samopoczuciem i satysfakcją ze związku1
  • Potrzeba edukacji – badania wskazują na niedostateczną wiedzę zarówno pacjentek, jak i pracowników służby zdrowia na temat zaburzeń orgazmu u kobiet1

Alarmujące jest to, że bardzo niewielu pacjentów szuka profesjonalnej pomocy, gdy pojawiają się problemy seksualne.1 Prowadzi to do niewykorzystania potencjału terapeutycznego, który mógłby znacząco poprawić jakość życia kobiet doświadczających anorgazmii.

Dane epidemiologiczne dotyczące anorgazmii u kobiet stanowią podstawę do opracowania skutecznych strategii profilaktycznych i terapeutycznych. Zróżnicowana skuteczność różnych interwencji w zależności od rodzaju anorgazmii podkreśla znaczenie indywidualizacji leczenia. Kompleksowe podejście, łączące metody psychologiczne i fizjologiczne, wydaje się być najbardziej obiecującym kierunkiem w terapii zaburzeń orgazmu u kobiet.12

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Female Orgasmic Disorder: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/2185837-overview
    The reported prevalence of female orgasmic problems has ranged from 10% to 42%, depending on factors such as age, culture, and symptom duration and severity. However, these figures may not reflect the true prevalence of FOD, insofar as they do not take into account the diagnostic criterion of associated distress, which is not reported by all women experiencing orgasm difficulties. Variations in how symptoms are assessed also influence reported frequencies. […] The largest US study of female sexual dysfunction, Prevalence of Female Sexual Problems Associated with Distress and Determinants of Treatment Seeking (PRESIDE), including over 30,000 women who responded to standardized questionnaires, placed the prevalence of orgasm dysfunction at around 21%. […] Furthermore, epidemiologic researchers in the field of orgasmic disorders among women must contend with the challenge of investigating outcomes based on subjective patient reports with poor collateral confirmatory evidence. This situation differs from that encountered with men, in whom equivalent pathology can easily be objectively quantified and verified by co-informers.
  • #1 Female Orgasmic Disorder: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/2185837-overview
    In view of the lack of well-controlled studies, the wide variability, and the lack of objective diagnostic markers for FOD, the available epidemiologic evidence is, at best, informative. Further epidemiologic research is needed to derive an accurate estimate of the incidence and prevalence of female orgasmic disorders across age groups, races, cultures, relationship status, and countries. […] The Global Study of Sexual Attitudes and Behaviors (GSSAB) found that for women aged 40-80 years, inability to achieve orgasm varies across world regions, with frequencies ranging from 10% in Northern Europe to 34% in South East Asia. […] There is considerable variation in the prevalence rates of orgasmic dysfunction—from a 16-25% prevalence in Australia, Sweden, the United States, and Canada to 37% in Iran and 72.4% in Ghana.
  • #1 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. […] After hypoactive sexual desire disorder, female orgasmic disorder is the most common sexual disorder among women. As many as 28% of women in the United States, South America and Europe meet criteria for female orgasmic disorder. In Asia, prevalence is as high as 46% (Laan, Rellini Barnes, 2013). […] A high level of comorbidity exists between female orgasmic disorder and other sexual dysfunctions. 31% of women diagnosed with female orgasmic disorder also experience difficulties with sexual arousal. Another half of women also experience problems with lubrication, desire, pain or vaginismus. Anxiety is another disorder diagnosed in more than a quarter of women who meet criteria for female orgasmic disorder. […] More than half of women diagnosed with female orgasmic disorder also meet criteria for depression (Laan, Rellini Barnes, 2013).
  • #1 Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3044590/
    The aim of this crosssectional study was to assess the prevalence and related factors of anorgasmia among reproductive age Iranian women. […] This study showed that the prevalence of anorgasmia among Iranian women in Hesarak, Karaj, was 26.3%. […] The results of this study showed that the prevalence of anorgasmia in Hesarak is high and most of the anorgasmic women were highly unsatisfied with their sexual relationship compared to the normal orgasm group. […] The prevalence of anorgasmia among Iranian women in Hesarak, Karaj, is high and some sociodemographic and psychological factors have a strong relationship with anorgasmia. […] The prevalence of anorgasmia was 26.3%. […] Anorgasmic women were significantly older than women in the normal orgasm group. […] The present study showed that anorgasmia is much less frequent in welleducated women.
  • #1 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. […] The estimated number of women with primary anorgasmia is approximately 4-10%. Several studies spanning from different continents estimate secondary anorgasmia to occur in approximately 20-30% of women. […] Previous studies do not necessarily demonstrate frequency of anorgasmia is linked with age. There are some studies to suggest that patients with psychiatric conditions such as depression or anxiety are more likely to also have anorgasmia.
  • #1 Orgasmic Dysfunction: Causes, Symptoms, and Treatments
    https://www.healthline.com/health/orgasmic-dysfunction
    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. […] Orgasmic dysfunction is also known as anorgasmia or female orgasmic disorder. […] There are four types of orgasmic dysfunction: Primary anorgasmia: A condition in which you’ve never had an orgasm. Secondary anorgasmia: Difficulty reaching orgasm, even though you’ve had one before. Situational anorgasmia: The most common type of orgasmic dysfunction. It occurs when you can only orgasm during specific situations, such as during oral sex or masturbation. General anorgasmia: An inability to achieve orgasm under any circumstances, even when you’re highly aroused and sexual stimulation is sufficient. […] The inability to orgasm can be frustrating and may have an impact on your relationship. However, you may be able to reach climax with proper treatment. It’s important to know that you’re not alone. Many women deal with orgasmic dysfunction at some point in their lives.
  • #1 Anorgasmia: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/24640-anorgasmia
    Anorgasmia in women (also called female orgasmic disorder) is classified into four types: […] Problems with orgasm increase as you age, but it can affect people of any age. Up to 15% of women report never having an orgasm. […] Anorgasmia can affect anyone. Its most common after menopause in women.
  • #1 Anorgasmia – Wikipedia
    https://en.wikipedia.org/wiki/Anorgasmia
    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. […] A significant genetic influence was seen with an estimated heritability for difficulty reaching orgasm during intercourse of 34% and 45% for orgasm during masturbation. […] Secondary anorgasmia is close to 50% among males undergoing prostatectomy; 80% among radical prostatectomies. […] Effective treatment for anorgasmia depends on the cause. In the case of women with psychological sexual trauma or inhibition, psychosexual counselling might be advisable. […] Just as with erectile dysfunction in men, lack of sexual function in women may be treated with hormonal patches or tablets to correct hormonal imbalances, clitoral vacuum pump devices and medication to improve blood flow, sexual sensation and arousal.
  • #1 SciELO Brazil – Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran
    https://www.scielo.br/j/clin/a/Y7hfrqR877cJQtPBgs7kL5t/?lang=en
    Anorgasmic women were significantly older than women in the normal orgasm group. […] The present study showed that anorgasmia is much less frequent in well-educated women. […] The results of this study showed that most of the participants in the anorgasmic group were highly unsatisfied with their sexual relationship compared with the normal orgasm group. […] The rate of anxiety in the anorgasmic group was higher than in the normal orgasm group, and they did not enjoy sexual intercourse as much as the normal orgasm group. […] The prevalence of anorgasmia is high in Hesarak, Iran.
  • #1 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. […] 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. […] 95% of women with primary anorgasmia can be treated successfully.
  • #1 Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran | Clinics
    https://www.elsevier.es/en-revista-clinics-22-articulo-prevalence-related-factors-for-anorgasmia-S1807593222015599
    The results of this study showed that most of the participants in the anorgasmic group were highly unsatisfied with their sexual relationship compared with the normal orgasm group. […] The rate of anxiety in the anorgasmic group was higher than in the normal orgasm group, and they did not enjoy sexual intercourse as much as the normal orgasm group. […] The prevalence of anorgasmia is high in Hesarak, Iran. Some socio-demographic and psychological factors have a strong relationship with anorgasmia.
  • #1 Anorgasmia – wikidoc
    https://www.wikidoc.org/index.php/Anorgasmia
    The prevalence of female orgasmic disorder is 10,000-42,000 per 100,000 (10%-42%) in women. […] Risk factors of female orgasmic disorder include genetic predisposition, multiple sclerosis, medical conditions, medications, mental health, physical health, psychological factors, anxiety, concerns about pregnancy, pelvic nerve damage, relationship problems, sociocultural factors, spinal cord injury, selective serotonin reuptake inhibitors, and vulvovaginal atrophy.
  • #1 Anorgasmia in women
    https://johnsonmemorial.org/jmh-health/disease-conditions/con-20369409
    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. […] Treatment for anorgasmia depends on what’s contributing to the problem. Possible treatments include lifestyle changes, therapy and medicines. If an underlying medical condition is contributing to anorgasmia, your healthcare professional will recommend appropriate treatment. […] Although some medicines have been tested for treating anorgasmia, there’s not enough evidence to support their use. Hormone replacement therapies may have some benefit, but they have risks that require careful monitoring.
  • #1 Female Sexual Dysfunction | Doctor
    https://patient.info/doctor/female-sexual-dysfunction-pro
    Cardiovascular disease (CVD) is associated with an increased prevalence of FSD. […] Sexual dysfunction is highly prevalent in older women. […] The factors associated with an increased risk of FSD include increasing age, menopause (including premature ovarian failure), the postpartum period, genital surgery, genital atrophy, genital mutilation, sexual abuse, psychological factors, relationship problems, alcohol, substance use disorders, smoking, and obesity.
  • #1 Anorgasmia in women
    https://johnsonmemorial.org/jmh-health/disease-conditions/con-20369409
    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. […] Anorgasmia can also be: Lifelong, if you’ve never had an orgasm. Acquired, if you have new problems with having orgasms. Situational, if you have problems with orgasm only in certain situations, with certain kinds of stimulation or with certain partners. Generalized, if you have problems with orgasm in any situation. […] 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.
  • #1
    https://www.nbcnews.com/health/health-news/orgasm-seeking-women-get-little-help-research-flna1c9456326
    Only a fraction of anorgasmia cases come to the attention of clinicians, he said. […] There is no „normal” when it comes to timing or number of orgasms, so clinicians must take into consideration their patients’ age, sexual experience, satisfaction and even the quality of sexual stimulation they receive before making a diagnosis. […] In many cases, the problem is psychological: Past abuse, guilt over sexuality and poor body image are all associated with difficulty orgasming. […] Kidney disorders, fibromyalgia and atherosclerosis (the narrowing of arteries due to cholesterol buildup) are all associated with anorgasmia, the review found. […] So far, there are no drugs approved by the FDA specifically for the treatment of female orgasmic disorder. […] The recent review by IsHak and his colleagues found that a few studies showed promise in hormone therapies and drugs like Viagra, but for the most part, these studies were too small or poorly set up to draw any firm conclusions. […] „We need larger studies with larger samples and adequate dosing of the medicines in order really to test the effect,” IsHak said.
  • #1 What Cause Anorgasmia and How to Treat It?
    https://yourdoctors.online/anorgasmia-causes-and-treatment/
    Recognizing the signs of anorgasmia and seeking treatment can help individuals improve their sexual function and quality of life. […] Many factors can make reaching orgasm difficult. These factors can be physical, mental, emotional, or medical (related to a disease or condition). […] Physical causes of anorgasmia refer to medical conditions, medication side effects, and material changes that affect the bodys ability to experience orgasm during sexual activity. […] Hormonal imbalances, such as low testosterone or estrogen levels, can cause anorgasmia in both men and women. […] Neurological disorders such as Parkinsons disease, multiple sclerosis, and spinal cord injuries can affect the nerves that control sexual function, leading to anorgasmia. […] Certain medications, such as antidepressants, antipsychotics, and blood pressure medications, can interfere with sexual function and cause anorgasmia as a side effect.
  • #1 Understanding Female Orgasmic Disorder & Get Help
    https://firstlightpsych.com/female-orgasmic-disorder/
    There are 4 female orgasmic disorder types that are used to identify symptoms of orgasm in women: Primary anorgasmia: This type is associated with a condition in which the woman never experienced an orgasm. Secondary anorgasmia: Difficulty in achieving orgasm after having no difficulty in the past. Situational anorgasmia: One of the most common types of orgasmic dysfunction is situational female orgasmic disorder (FOD). It occurs when a woman can only orgasm under specific conditions like during oral sex, masturbation, or foreplay that elicit deep sexual fantasies. General Anorgasmia: An absence of the ability to reach orgasm under any possible condition, even when you are highly aroused and sexual stimulation is sufficient. […] To be diagnosed with Female Orgasmic Disorder, the problem must be apparent for a minimum of six months. It must not be connected to another physical or mental health problem. […] If anorgasmia is associated with menopausal symptoms, such as night sweats and hot flashes, systemic estrogen therapy might relieve those symptoms and improve sexual response.
  • #1 Female Orgasmic Disorder | San Diego Sexual Medicine
    https://www.sdsm.info/female-issues/female-orgasmic-disorder
    Anorgasmia is a female sexual orgasmic disorder in which there is persistent and consistent inability to achieve orgasm after adequate stimulation that causes personal distress. Approximately 15% of women report difficulties with orgasm, and approximately 10% of women in the United States have never climaxed. Anorgasmia is more common in women than in men. Anorgasmia is more common in younger women compared to younger men. Primary anorgasmia is used to define the condition of never having experienced orgasm while secondary anorgasmia is used to describe a woman who once experienced orgasm but lost the ability. […] A common cause of anorgasmia in women is the use of anti-depressants, particularly selective serotonin reuptake inhibitors (SSRIs). It is estimated that 15-35% of users of selective serotonin reuptake inhibitors are affected by anorgasmia.
  • #1 Anorgasmia in People with Vulvas: Types, Causes, Tips, More
    https://www.healthline.com/health/healthy-sex/anorgasmia-in-people-who-have-a-vulva
    Anorgasmia is defined as the inability to achieve orgasm, despite sufficient sexual stimulation and is associated with personal distress, says Dr. Heather Jeffcoat, a doctor of physical therapy who specializes in sexual dysfunction, pain, and incontinence, and author of Sex Without Pain: A Self-Treatment Guide to the Sex Life You Deserve. […] A 2011 study suggests that at least 5 to 10 percent of people with vulvas experience anorgasmia at some point. […] This study in particular suggests that this figure may be higher in certain populations. […] For example, the researchers found that 26.3 percent of the 1,200 people surveyed in Hesarak, Karaj experienced anorgasmia. […] There are many many many medical conditions that can cause anorgasmia. […] Antidepressant and anti-anxiety medications are well-known as being damaging to orgasmic response, says Ossai.
  • #1 What are the Signs of Anorgasmia? – ISSM
    https://www.issm.info/sexual-health-qa/what-are-the-signs-of-anorgasmia
    If you or someone you know is experiencing anorgasmia, its a good idea to talk to a healthcare provider. […] Anorgasmia is a treatable condition, but it requires a comprehensive approach that considers both the physical and psychological aspects of sexual health. By recognizing the signs and working closely with healthcare providers, individuals can regain their confidence and improve their sexual satisfaction. Open communication, professional guidance, and a willingness to explore different treatment options are key steps toward overcoming anorgasmia and enjoying a fulfilling sex life.
  • #1 Female Sexual Dysfunction | Doctor
    https://patient.info/doctor/female-sexual-dysfunction-pro
    Sexual dysfunction in women is a common problem and can significantly affect relationships and quality of life. […] Female sexual dysfunction remains under-recognised and undertreated. […] Low or absent sexual desire is the most common sexual dysfunction in women, and its prevalence peaks during midlife. […] Sexual function is closely correlated with overall well-being and relationship satisfaction. Most women continue to consider sexual function important as they age. However, 45% of midlife women have sexual problems, and 15% have a sexual problem that causes significant personal distress. […] The prevalence of FSD among pregnant women is reported in 50-80% of women, mainly in the first and third trimesters. […] Sexual function declines during pregnancy and does not return to its baseline levels during the postpartum period.
  • #1 Columbia Nursing Participates in Clinical Trial for Women with Sexual Dysfunction | Columbia School of Nursing
    https://www.nursing.columbia.edu/news/columbia-nursing-participates-clinical-trial-women-sexual-dysfunction
    Columbia University School of Nursing is the only site in New York State, and one of only 30 international sites selected to participate in a clinical trial to treat Acquired Female Orgasmic Disorder. […] The clinical trial, which will involve 240 participants in the U.S., Canada and Australia, will evaluate if there is an increase in the occurrence of orgasm over the treatment period compared against baseline levels in women experiencing the orgasmic disorder also known as Female Anorgasmia. […] The disorder is estimated to affect as many as 1 in 5 women worldwide. […] Unfortunately, the causes of female orgasmic disorder are still unknown and conventional methods to address the issue raise the risk of increased side effects and have had only a modest improvement in physical sexual satisfaction. […] This clinical trial will help determine whether this novel approach is a safe and effective treatment for a serious sexual disorder that can impact a women.
  • #1 Your Patient’s Orgasm Has Disappeared – Next Steps – The ObG Project
    https://www.obgproject.com/2016/07/21/patients-orgasm-disappeared/
    Secondary anorgasmia describes a situation in which a woman used to achieve orgasm and over time her response has weakened or dissipated. […] Secondary anorgasmia is fundamentally much easier to treat than primary anorgasmia and can often be resolved with medication or behavioral treatment fairly effectively. […] Secondary anorgasmia can describe a situation in which one of the following scenarios is occurring: It takes a woman significantly more time than it previously did to achieve orgasm; Orgasms are weak or almost non-discernable; A woman cannot reach orgasm at all. […] Selective serotonin re-uptake inhibitors (SSRIs) and Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs) often cause secondary anorgasmia in women. […] Education is important in those cases where, due to medication or age, more direct or higher levels of stimulation are needed so that the patient understand that this is not uncommon. […] DIAGNOSIS CODES: Female Orgasmic Disorder DSM-5 302.73 (F52.31).
  • #1 Lust: New Insights Unlock Mysteries of Anorgasmia | Scientific American
    https://www.scientificamerican.com/article/lust-new-insights-unlock-mysteries-of-anorgasmia/
    In trying to identify the cause of anorgasmia, scientists are exploring different realms: the physiological, the psychological and the chemical. Cindy M. Meston, director of the Sexual Psychophysiology Lab at the University of Texas at Austin, points to a few well-known medical and physiological factors that inhibit orgasm, including the nerve damage that Patricia may have suffered. There are vascular disorders, spinal cord injuries, neuropathy, drug effects from antidepressants and other medicines, Meston says. But, she adds, once you rule those factors out, no scientific evidence supports the idea that anorgasmia arises from dysfunctions in body systems. […] The primacy of the mind in sexual response helps to explain a seemingly counterintuitive finding in clinical practice: treating anorgasmia is easiest in individuals for whom it has been a lifelong condition. The reason is that attitude is easier to alter than physiology.
  • #1 Lust: New Insights Unlock Mysteries of Anorgasmia | Scientific American
    https://www.scientificamerican.com/article/lust-new-insights-unlock-mysteries-of-anorgasmia/
    Directed masturbation, introduced back in the 1970s by Julia Heiman, now director of the Kinsey Institute, and Joseph LoPiccolo, a sex researcher at the University of Missouri, has proved to be remarkably effective in the treatment of lifelong anorgasmia. […] Acquired anorgasmia could require a different kind of toolkit. Sometimes partner conflicts are to blame; they can often be resolved with communication and psychotherapy. […] Patricia, who found her own visit to the clinic massively unhelpful, regained her ability to reach orgasm after about three years. Her nerve damage, the likely cause, healed over time. In the future, better understanding of the brain may help improve diagnosis and treatment for individuals like Patriciashowing which pathways are damaged and perhaps how to redirect them.
  • #1 Sexual Dysfunction in Women: A Practical Approach | AAFP
    https://www.aafp.org/pubs/afp/issues/2015/0815/p281.html
    Female sexual dysfunction is a general term comprising several sexual health concerns that can be distressing for patients, including female sexual interest/arousal disorder, female orgasmic disorder, and genito-pelvic pain/penetration disorder. These sexual health concerns are not considered dysfunctions unless they cause distress. About 12% of women in the United States report distressing sexual health concerns, although as many as 40% report sexual concerns overall. […] Directed masturbation is recommended for lifelong anorgasmia. A [corrected] 2729 […] Lifelong anorgasmia may suggest the patient is unfamiliar or uncomfortable with self-stimulation or sexual communication with her partner. […] DSM-5 criteria for female orgasmic disorder include a marked delay in orgasm, infrequency or absence of orgasm, or less intense orgasm for at least six months in 75% to 100% of sexual interactions.
  • #1 Sexual Dysfunction in Women: A Practical Approach | AAFP
    https://www.aafp.org/pubs/afp/issues/2015/0815/p281.html
    Orgasmic difficulties may be lifelong (present since sexual debut) or acquired (starting after a period of no dysfunction). Lifelong anorgasmia may suggest the patient is unfamiliar or uncomfortable with self-stimulation or sexual communication with her partner, or lacks adequate sex education. […] Mindfulness-based interventions have been shown to effectively treat several types of female sexual dysfunction, including low sexual desire and arousal, and acquired anorgasmia.
  • #1
    https://www.sbs.com.au/news/article/anorgasmia-the-condition-affecting-more-women-than-you-may-think/rs1agtnwg
    According to the MayoClinic, as many as one in five women suffer with anorgasmia, the inability to orgasm, and as many as one in ten claim never to have climaxed at all. […] Professor Susan Davis from the Department of Epidemiology and Preventive Medicine at Monash University has been at the reins of a trial of nasal spray, Tefina. […] The results so far have been promising. 58 per cent of women in the trial reported a 35 per cent increase in orgasms while taking the drug, in comparison to 48 per cent who were given a placebo. […] Dsire Spierings, Director at Sexual Health Australia, understands this. „There are both physical and psychological factors that contribute to anorgasmia,” she says. […] „If menopause plays a role, there are treatments for vaginal atrophy or dryness. But for others, I recommend body exploration, possibly with a vibrator.”
  • #1 Female Orgasmic Disorder | San Diego Sexual Medicine
    https://www.sdsm.info/female-issues/female-orgasmic-disorder
    Women with anorgasmia and personal distress should consider undergoing a combined psychologic and physiologic sexual medicine evaluation. […] Whether a woman has psychologic-based or physiologic-based anorgasmia, if she has associated personal distress a combined psychologic and physiologic sexual medicine evaluation should be considered. […] Should situational secondary anorgasmia cause personal distress, a combined psychologic and physiologic sexual medicine evaluation should be considered. […] In many cases the combined psychologic and physiologic approaches to resolving the orgasmic dysfunction make the most sense.
  • #1 What Is Anorgasmia: It’s Causes, Symptoms, And Solutions For Overcoming It | Allo Health
    https://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/what-is-anorgasmia
    Anorgasmia is the medical term for the inability to get an orgasm during any sexual activity despite arousal and ample stimulation. It is a type of sexual dysfunction seen in both men and women, although more common in women. Anorgasmia refers to a persistent and ongoing inability to orgasm not if it is a one or two time occurrence. […] Anorgasmia can happen due to many reasons- physical, psychological, and emotional factors. Some most common causes: […] Anorgasmia can profoundly affect both partners in a relationship. It can make them feel frustrated, inadequate, and emotionally distressed. If one partner in an intimate relationship feels embarrassed or ashamed to talk about not being able to orgasm can make the other feel frustrated too. […] A 2023 study explored all the treatments for orgasmic dysfunction in premenopausal women and found that psychological therapies, particularly those involving trauma-focused therapy showed promising results.
  • #1
    https://www.archivesofmedicalscience.com/Prevalence-of-sexual-dysfunctions-and-associated-risk-factors-in-Poland,109330,0,2.html
    In this research, 40% of women and 36.5% of men had at least one sexual dysfunction. Analysis of the total population showed that decreased sexual desire (29.0%), occasional climaxing (28.5%) and anorgasmia (21.0%) were the dysfunctions most frequently reported by women. […] Sexual dysfunctions are highly prevalent in the Polish population. Of note, it is alarming that only very few patients seek professional help when sexual problems occur. […] Data available on the prevalence of sexual dysfunctions are limited. Those related to sexual interest and desire disorders in men and most aspects of female sexual dysfunction (FSD) receive particularly scarce attention. […] The prevalence of orgasmic dysfunction in women varies considerably in epidemiologic reports, ranging from 10% in Northern Europe to 34% in Southeast Asia.
  • #2
    https://www.archivesofmedicalscience.com/Prevalence-of-sexual-dysfunctions-and-associated-risk-factors-in-Poland,109330,0,2.html
    In this research, 40% of women and 36.5% of men had at least one sexual dysfunction. Analysis of the total population showed that decreased sexual desire (29.0%), occasional climaxing (28.5%) and anorgasmia (21.0%) were the dysfunctions most frequently reported by women. […] Sexual dysfunctions are highly prevalent in the Polish population. Of note, it is alarming that only very few patients seek professional help when sexual problems occur. […] Data available on the prevalence of sexual dysfunctions are limited. Those related to sexual interest and desire disorders in men and most aspects of female sexual dysfunction (FSD) receive particularly scarce attention. […] The prevalence of orgasmic dysfunction in women varies considerably in epidemiologic reports, ranging from 10% in Northern Europe to 34% in Southeast Asia.
  • #2 Orgasmic Disorder
    https://www.ashasexualhealth.org/orgasmic-disorder/
    Problems reaching orgasm are fairly common among women. About 3 out of 4 women say they cant orgasm through vaginal penetration alone. But there is a difference between an occasional issue and a more persistent problem female orgasmic disorder, or FOD. […] The problem affects a sizable number of women. In the largest US study of female sexual dysfunction, including responses from over 30,000 women, the prevalence of FOD was approximately 21%. […] There are many physical and psychological factors that may be involved in FOD. […] The problem causes significant distress and problems in her relationships. […] Treatment will depend on the cause of the problem. If a medical condition or medication is to blame, a healthcare provider can look at ways to address the underlying issue or explore a medication change. […] For any woman having problems reaching orgasm, there are also some steps they can take toward a more satisfying sex life.
  • #2 Anorgasmia – wikidoc
    https://www.wikidoc.org/index.php/Anorgasmia
    The prevalence of female orgasmic disorder is 10,000-42,000 per 100,000 (10%-42%) in women. […] Risk factors of female orgasmic disorder include genetic predisposition, multiple sclerosis, medical conditions, medications, mental health, physical health, psychological factors, anxiety, concerns about pregnancy, pelvic nerve damage, relationship problems, sociocultural factors, spinal cord injury, selective serotonin reuptake inhibitors, and vulvovaginal atrophy.
  • #2 Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran | Clinics
    https://www.elsevier.es/en-revista-clinics-22-articulo-prevalence-related-factors-for-anorgasmia-S1807593222015599
    Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran. […] The aim of this cross-sectional study was to assess the prevalence and related factors of anorgasmia among reproductive age Iranian women. […] This study showed that the prevalence of anorgasmia among Iranian women in Hesarak, Karaj, was 26.3%. […] The results of this study showed that the prevalence of anorgasmia in Hesarak is high and most of the anorgasmic women were highly unsatisfied with their sexual relationship compared to the normal orgasm group. […] The prevalence of anorgasmia among Iranian women in Hesarak, Karaj, is high and some socio-demographic and psychological factors have a strong relationship with anorgasmia. […] The present study showed that anorgasmia is much less frequent in well-educated women.
  • #2 Female Orgasmic Disorder | San Diego Sexual Medicine
    https://www.sdsm.info/female-issues/female-orgasmic-disorder
    Anorgasmia is a female sexual orgasmic disorder in which there is persistent and consistent inability to achieve orgasm after adequate stimulation that causes personal distress. Approximately 15% of women report difficulties with orgasm, and approximately 10% of women in the United States have never climaxed. Anorgasmia is more common in women than in men. Anorgasmia is more common in younger women compared to younger men. Primary anorgasmia is used to define the condition of never having experienced orgasm while secondary anorgasmia is used to describe a woman who once experienced orgasm but lost the ability. […] A common cause of anorgasmia in women is the use of anti-depressants, particularly selective serotonin reuptake inhibitors (SSRIs). It is estimated that 15-35% of users of selective serotonin reuptake inhibitors are affected by anorgasmia.
  • #2 Orgasm Issues/Arousal Disorders | Intimate Wellness Institute
    https://iwiva.com/intimate-wellness/arousal-disorders/
    Anorgasmia in women (also called female orgasmic disorder) is classified into four types: […] Problems with orgasm increase as you age, but it can affect people of any age. Up to 15% of women never have an orgasm. […] Anorgasmia can affect anyone but its most common after menopause. […] The main symptom of anorgasmia is not reaching sexual climax (orgasm). Other symptoms are delayed climaxing (it takes a long time to orgasm) or not feeling fulfillment from sexual climax. […] Many factors can make reaching orgasm difficult. These factors can be physical, mental, emotional or medical (related to a disease or condition). In many cases, a combination of factors make orgasm difficult. […] Even in women testosterone is the main hormone needed to have a good libido. Low testosterone is often overlooked in women and can affect the ability to orgasm due to lack of interest and sexual response.
  • #2 Anorgasmia: Causes, Symptoms, Diagnosis & Treatment
    https://my.clevelandclinic.org/health/diseases/24640-anorgasmia
    Anorgasmia in women (also called female orgasmic disorder) is classified into four types: […] Problems with orgasm increase as you age, but it can affect people of any age. Up to 15% of women report never having an orgasm. […] Anorgasmia can affect anyone. Its most common after menopause in women.
  • #2 The Orgasm Part 1: Primary Anorgasmia — POYNOR HEALTH
    https://poynorhealthnewyork.com/the-orgasm-part-1-primary-anorgasmia
    Anorgasmia is defined as the inability to achieve orgasm, despite sufficient sexual stimulation and can lead to personal distress. […] Primary anorgasmia is used to describe the experience never having an orgasm, even after sufficient stimulation. […] It is estimated that around 10-15 percent of women have never had an orgasm. […] Difficulty reaching orgasm is the second most common sexual complaint reported by women. […] Lifelong or primary anorgasmia was reported by 4% of all women in one survey and was highest among young, single women, in whom the prevalence was reported to be 8%; earlier estimates ranged from 610% or 11%. […] Only 25% of women always reach orgasm during intercourse, and 30% climax only sometimes or less frequently during sex with their primary partner. […] 7% of women have never had an orgasm during sex.
  • #2 SciELO Brazil – Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran Prevalence and related factors for anorgasmia among reproductive aged women in Hesarak, Iran
    https://www.scielo.br/j/clin/a/Y7hfrqR877cJQtPBgs7kL5t/?lang=en
    Anorgasmic women were significantly older than women in the normal orgasm group. […] The present study showed that anorgasmia is much less frequent in well-educated women. […] The results of this study showed that most of the participants in the anorgasmic group were highly unsatisfied with their sexual relationship compared with the normal orgasm group. […] The rate of anxiety in the anorgasmic group was higher than in the normal orgasm group, and they did not enjoy sexual intercourse as much as the normal orgasm group. […] The prevalence of anorgasmia is high in Hesarak, Iran.
  • #2 Anorgasmia in women
    https://johnsonmemorial.org/jmh-health/disease-conditions/con-20369409
    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. […] Treatment for anorgasmia depends on what’s contributing to the problem. Possible treatments include lifestyle changes, therapy and medicines. If an underlying medical condition is contributing to anorgasmia, your healthcare professional will recommend appropriate treatment. […] Although some medicines have been tested for treating anorgasmia, there’s not enough evidence to support their use. Hormone replacement therapies may have some benefit, but they have risks that require careful monitoring.
  • #2 Anorgasmia in women // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/anorgasmia-in-women
    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. […] Treatment for anorgasmia depends on what’s contributing to the problem. Possible treatments include lifestyle changes, therapy and medicines. If an underlying medical condition is contributing to anorgasmia, your healthcare professional will recommend appropriate treatment. […] Although some medicines have been tested for treating anorgasmia, there’s not enough evidence to support their use. Hormone replacement therapies may have some benefit, but they have risks that require careful monitoring.
  • #2 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. […] The estimated number of women with primary anorgasmia is approximately 4-10%. Several studies spanning from different continents estimate secondary anorgasmia to occur in approximately 20-30% of women. […] Previous studies do not necessarily demonstrate frequency of anorgasmia is linked with age. There are some studies to suggest that patients with psychiatric conditions such as depression or anxiety are more likely to also have anorgasmia.
  • #2 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. […] Anorgasmia can also be: Lifelong, if you’ve never had an orgasm. Acquired, if you have new problems with having orgasms. Situational, if you have problems with orgasm only in certain situations, with certain kinds of stimulation or with certain partners. Generalized, if you have problems with orgasm in any situation. […] 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.
  • #2 Female Sexual Dysfunction | Doctor
    https://patient.info/doctor/female-sexual-dysfunction-pro
    Cardiovascular disease (CVD) is associated with an increased prevalence of FSD. […] Sexual dysfunction is highly prevalent in older women. […] The factors associated with an increased risk of FSD include increasing age, menopause (including premature ovarian failure), the postpartum period, genital surgery, genital atrophy, genital mutilation, sexual abuse, psychological factors, relationship problems, alcohol, substance use disorders, smoking, and obesity.
  • #2
    https://www.nbcnews.com/health/health-news/orgasm-seeking-women-get-little-help-research-flna1c9456326
    Only a fraction of anorgasmia cases come to the attention of clinicians, he said. […] There is no „normal” when it comes to timing or number of orgasms, so clinicians must take into consideration their patients’ age, sexual experience, satisfaction and even the quality of sexual stimulation they receive before making a diagnosis. […] In many cases, the problem is psychological: Past abuse, guilt over sexuality and poor body image are all associated with difficulty orgasming. […] Kidney disorders, fibromyalgia and atherosclerosis (the narrowing of arteries due to cholesterol buildup) are all associated with anorgasmia, the review found. […] So far, there are no drugs approved by the FDA specifically for the treatment of female orgasmic disorder. […] The recent review by IsHak and his colleagues found that a few studies showed promise in hormone therapies and drugs like Viagra, but for the most part, these studies were too small or poorly set up to draw any firm conclusions. […] „We need larger studies with larger samples and adequate dosing of the medicines in order really to test the effect,” IsHak said.
  • #2 What Cause Anorgasmia and How to Treat It?
    https://yourdoctors.online/anorgasmia-causes-and-treatment/
    Recognizing the signs of anorgasmia and seeking treatment can help individuals improve their sexual function and quality of life. […] Many factors can make reaching orgasm difficult. These factors can be physical, mental, emotional, or medical (related to a disease or condition). […] Physical causes of anorgasmia refer to medical conditions, medication side effects, and material changes that affect the bodys ability to experience orgasm during sexual activity. […] Hormonal imbalances, such as low testosterone or estrogen levels, can cause anorgasmia in both men and women. […] Neurological disorders such as Parkinsons disease, multiple sclerosis, and spinal cord injuries can affect the nerves that control sexual function, leading to anorgasmia. […] Certain medications, such as antidepressants, antipsychotics, and blood pressure medications, can interfere with sexual function and cause anorgasmia as a side effect.
  • #2 Anorgasmia in People with Vulvas: Types, Causes, Tips, More
    https://www.healthline.com/health/healthy-sex/anorgasmia-in-people-who-have-a-vulva
    Anorgasmia is defined as the inability to achieve orgasm, despite sufficient sexual stimulation and is associated with personal distress, says Dr. Heather Jeffcoat, a doctor of physical therapy who specializes in sexual dysfunction, pain, and incontinence, and author of Sex Without Pain: A Self-Treatment Guide to the Sex Life You Deserve. […] A 2011 study suggests that at least 5 to 10 percent of people with vulvas experience anorgasmia at some point. […] This study in particular suggests that this figure may be higher in certain populations. […] For example, the researchers found that 26.3 percent of the 1,200 people surveyed in Hesarak, Karaj experienced anorgasmia. […] There are many many many medical conditions that can cause anorgasmia. […] Antidepressant and anti-anxiety medications are well-known as being damaging to orgasmic response, says Ossai.
  • #2 Your Patient’s Orgasm Has Disappeared – Next Steps – The ObG Project
    https://www.obgproject.com/2016/07/21/patients-orgasm-disappeared/
    Secondary anorgasmia describes a situation in which a woman used to achieve orgasm and over time her response has weakened or dissipated. […] Secondary anorgasmia is fundamentally much easier to treat than primary anorgasmia and can often be resolved with medication or behavioral treatment fairly effectively. […] Secondary anorgasmia can describe a situation in which one of the following scenarios is occurring: It takes a woman significantly more time than it previously did to achieve orgasm; Orgasms are weak or almost non-discernable; A woman cannot reach orgasm at all. […] Selective serotonin re-uptake inhibitors (SSRIs) and Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs) often cause secondary anorgasmia in women. […] Education is important in those cases where, due to medication or age, more direct or higher levels of stimulation are needed so that the patient understand that this is not uncommon. […] DIAGNOSIS CODES: Female Orgasmic Disorder DSM-5 302.73 (F52.31).
  • #2 What Is Anorgasmia In Women? Causes, Symptoms & How to Cope
    https://www.marriage.com/advice/physical-intimacy/anorgasmia-in-women/
    Understanding the diverse causes of anorgasmia in women is vital for tailoring appropriate interventions. […] Psychological factors play a significant role in the development of female anorgasmia. […] Certain medications, despite their intended purposes, may contribute to anorgasmia in women. […] Hormonal imbalances can disrupt the delicate interplay of hormones involved in sexual function. […] The quality of intimate relationships can significantly impact a womans ability to achieve orgasm. […] Female orgasmic disorder is a specific condition categorized under anorgasmia causes. […] Coping with female anorgasmia is a multifaceted process that combines emotional support, professional guidance, and exploration. […] Consulting with healthcare professionals, including gynecologists or sex therapists, is a pivotal step in coping with anorgasmia.
  • #2 Female Orgasmic Disorder: Practice Essentials, Background, Pathophysiology
    https://emedicine.medscape.com/article/2185837-overview
    In view of the lack of well-controlled studies, the wide variability, and the lack of objective diagnostic markers for FOD, the available epidemiologic evidence is, at best, informative. Further epidemiologic research is needed to derive an accurate estimate of the incidence and prevalence of female orgasmic disorders across age groups, races, cultures, relationship status, and countries. […] The Global Study of Sexual Attitudes and Behaviors (GSSAB) found that for women aged 40-80 years, inability to achieve orgasm varies across world regions, with frequencies ranging from 10% in Northern Europe to 34% in South East Asia. […] There is considerable variation in the prevalence rates of orgasmic dysfunction—from a 16-25% prevalence in Australia, Sweden, the United States, and Canada to 37% in Iran and 72.4% in Ghana.
  • #2 Columbia Nursing Participates in Clinical Trial for Women with Sexual Dysfunction | Columbia School of Nursing
    https://www.nursing.columbia.edu/news/columbia-nursing-participates-clinical-trial-women-sexual-dysfunction
    Columbia University School of Nursing is the only site in New York State, and one of only 30 international sites selected to participate in a clinical trial to treat Acquired Female Orgasmic Disorder. […] The clinical trial, which will involve 240 participants in the U.S., Canada and Australia, will evaluate if there is an increase in the occurrence of orgasm over the treatment period compared against baseline levels in women experiencing the orgasmic disorder also known as Female Anorgasmia. […] The disorder is estimated to affect as many as 1 in 5 women worldwide. […] Unfortunately, the causes of female orgasmic disorder are still unknown and conventional methods to address the issue raise the risk of increased side effects and have had only a modest improvement in physical sexual satisfaction. […] This clinical trial will help determine whether this novel approach is a safe and effective treatment for a serious sexual disorder that can impact a women.
  • #2 What are the Signs of Anorgasmia? – ISSM
    https://www.issm.info/sexual-health-qa/what-are-the-signs-of-anorgasmia
    If you or someone you know is experiencing anorgasmia, its a good idea to talk to a healthcare provider. […] Anorgasmia is a treatable condition, but it requires a comprehensive approach that considers both the physical and psychological aspects of sexual health. By recognizing the signs and working closely with healthcare providers, individuals can regain their confidence and improve their sexual satisfaction. Open communication, professional guidance, and a willingness to explore different treatment options are key steps toward overcoming anorgasmia and enjoying a fulfilling sex life.
  • #2 Lust: New Insights Unlock Mysteries of Anorgasmia | Scientific American
    https://www.scientificamerican.com/article/lust-new-insights-unlock-mysteries-of-anorgasmia/
    In trying to identify the cause of anorgasmia, scientists are exploring different realms: the physiological, the psychological and the chemical. Cindy M. Meston, director of the Sexual Psychophysiology Lab at the University of Texas at Austin, points to a few well-known medical and physiological factors that inhibit orgasm, including the nerve damage that Patricia may have suffered. There are vascular disorders, spinal cord injuries, neuropathy, drug effects from antidepressants and other medicines, Meston says. But, she adds, once you rule those factors out, no scientific evidence supports the idea that anorgasmia arises from dysfunctions in body systems. […] The primacy of the mind in sexual response helps to explain a seemingly counterintuitive finding in clinical practice: treating anorgasmia is easiest in individuals for whom it has been a lifelong condition. The reason is that attitude is easier to alter than physiology.
  • #2 Sexual Dysfunction in Women: A Practical Approach | AAFP
    https://www.aafp.org/pubs/afp/issues/2015/0815/p281.html
    Female sexual dysfunction is a general term comprising several sexual health concerns that can be distressing for patients, including female sexual interest/arousal disorder, female orgasmic disorder, and genito-pelvic pain/penetration disorder. These sexual health concerns are not considered dysfunctions unless they cause distress. About 12% of women in the United States report distressing sexual health concerns, although as many as 40% report sexual concerns overall. […] Directed masturbation is recommended for lifelong anorgasmia. A [corrected] 2729 […] Lifelong anorgasmia may suggest the patient is unfamiliar or uncomfortable with self-stimulation or sexual communication with her partner. […] DSM-5 criteria for female orgasmic disorder include a marked delay in orgasm, infrequency or absence of orgasm, or less intense orgasm for at least six months in 75% to 100% of sexual interactions.
  • #2
    https://www.sbs.com.au/news/article/anorgasmia-the-condition-affecting-more-women-than-you-may-think/rs1agtnwg
    „Therapy can help you to become more sexually confident and provide you with specific tips on how to reach orgasm, either with or without a partner,” she says. […] „Biofeedback gives the woman the power to use her thoughts to control her body, and to let go and enjoy the sensations,” she says. […] „Mindfulness allows us to achieve orgasm by learning to shut out the myriad of noise and distractions from the outside world – it is an internal escape and good for the soul!”
  • #2 Female Orgasmic Disorder | San Diego Sexual Medicine
    https://www.sdsm.info/female-issues/female-orgasmic-disorder
    Women with anorgasmia and personal distress should consider undergoing a combined psychologic and physiologic sexual medicine evaluation. […] Whether a woman has psychologic-based or physiologic-based anorgasmia, if she has associated personal distress a combined psychologic and physiologic sexual medicine evaluation should be considered. […] Should situational secondary anorgasmia cause personal distress, a combined psychologic and physiologic sexual medicine evaluation should be considered. […] In many cases the combined psychologic and physiologic approaches to resolving the orgasmic dysfunction make the most sense.
  • #2
    https://www.nbcnews.com/health/health-news/orgasm-seeking-women-get-little-help-research-flna1c9456326
    For one out of four women, orgasm during sex is an elusive goal. […] According to a new report, medical science isn’t doing enough to ensure these women find satisfaction between the sheets. […] The paper, published online ahead of print in the Journal of Sexual Medicine, reviews 101 studies on female orgasm disorder, a condition in which women have difficulty reaching climax or can’t orgasm at all. […] Despite the fact that inability to orgasm is the second most common female sexual complaint after lack of desire, and orgasm is one of the top 50 reasons we have sex, treatments for the disorder are inadequate, the authors conclude. […] A 2001 study found that 24 percent of women reported months-long stretches in which they couldn’t climax during sex. […] The complaint is most common in women in their 20s to 40s, IsHak said.
  • #2 What Is Anorgasmia: It’s Causes, Symptoms, And Solutions For Overcoming It | Allo Health
    https://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/what-is-anorgasmia
    Anorgasmia can be a challenging condition but with medical treatment, therapy, or lifestyle changes, this issue can be treated. Open communication, empathy, and professional guidance are key to overcoming anorgasmia and restoring intimacy in your relationships. […] A review by the International Journal of Impotence Research talked about how emerging technologies are used as therapeutic interventions for sexual dysfunction like anorgasmia. Devices like these may help people with anorgasmia by stimulating their genital area and improving sexual response.
  • #3 Prevalence and etiology of orgasm disorders in women
    https://brieflands.com/articles/jkums-79545
    The prevalence of orgasm disorder was 26.3%. […] This research showed that prevalence of anorgasmia was rather higher than the expected level.
  • #3 The Orgasm Part 1: Primary Anorgasmia — POYNOR HEALTH
    https://poynorhealthnewyork.com/the-orgasm-part-1-primary-anorgasmia
    Anorgasmia is defined as the inability to achieve orgasm, despite sufficient sexual stimulation and can lead to personal distress. […] Primary anorgasmia is used to describe the experience never having an orgasm, even after sufficient stimulation. […] It is estimated that around 10-15 percent of women have never had an orgasm. […] Difficulty reaching orgasm is the second most common sexual complaint reported by women. […] Lifelong or primary anorgasmia was reported by 4% of all women in one survey and was highest among young, single women, in whom the prevalence was reported to be 8%; earlier estimates ranged from 610% or 11%. […] Only 25% of women always reach orgasm during intercourse, and 30% climax only sometimes or less frequently during sex with their primary partner. […] 7% of women have never had an orgasm during sex.
  • #3
    https://www.nbcnews.com/health/health-news/orgasm-seeking-women-get-little-help-research-flna1c9456326
    Only a fraction of anorgasmia cases come to the attention of clinicians, he said. […] There is no „normal” when it comes to timing or number of orgasms, so clinicians must take into consideration their patients’ age, sexual experience, satisfaction and even the quality of sexual stimulation they receive before making a diagnosis. […] In many cases, the problem is psychological: Past abuse, guilt over sexuality and poor body image are all associated with difficulty orgasming. […] Kidney disorders, fibromyalgia and atherosclerosis (the narrowing of arteries due to cholesterol buildup) are all associated with anorgasmia, the review found. […] So far, there are no drugs approved by the FDA specifically for the treatment of female orgasmic disorder. […] The recent review by IsHak and his colleagues found that a few studies showed promise in hormone therapies and drugs like Viagra, but for the most part, these studies were too small or poorly set up to draw any firm conclusions. […] „We need larger studies with larger samples and adequate dosing of the medicines in order really to test the effect,” IsHak said.
  • #4 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. […] 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. […] 95% of women with primary anorgasmia can be treated successfully.

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anorgazmia uogólniona selektywny inhibitor wychwytu zwrotnego serotoniny dyspareunia anorgazmia pierwotna ukierunkowana masturbacja anorgazmia wtórna inhibitor wychwytu zwrotnego serotoniny i noradrenaliny zaburzenie hormonalne fibromialgia lek przeciwdepresyjny terapia hormonalna zastępcza zaburzenie zdrowia psychicznego lek przeciwlękowy niskie pożądanie seksualne waginizm badanie epidemiologiczne pochwica menopauza lek przeciwnadciśnieniowy miażdżyca anorgazmia sytuacyjna suchość pochwy zaburzenie orgazmu u kobiet choroba Parkinsona stwardnienie rozsiane