Materiały źródłowe

• #1 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, you’re not alone. Difficulty or inability to orgasm is something many women go through, though few feel comfortable talking about it. In fact, it’s 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, we’ll 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 doesn’t even happen despite getting adequate sexual stimulation and arousal. Doctors call this condition female orgasmic disorder. It’s diagnosed only when a woman rarely or never gets an orgasm. Even if they get one, the intensity is very low. And it’s been happening for at least 6 months.

• #2 Anorgasmia in women – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/anorgasmia-in-women/

  Anorgasmia is delayed, infrequent or absent orgasms or significantly less-intense orgasms after sexual arousal and adequate sexual stimulation. […] Treatments can include education about sexual stimulation, sexual enhancement devices, individual or couple therapy, and medicines. […] 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. […] Treatment for anorgasmia usually begins with one or more approaches to understand your body better, learn what works for you and change behaviors. These treatments may include: Education. Your healthcare professional likely will begin with a discussion of female sexual anatomy and how different parts of the anatomy respond to stimulation.

• #3

  https://www.yourdaye.com/en-us/vitals/cultural-musings/anorgasmia-in-women/?srsltid=AfmBOoryLkF8cWJdZNqeVpws4n0RNeJPXWPNZ0elV_DXIrCJBMIuNZ01

  What I quickly learned doing sex therapy was that I was far from alone in finding difficulty reaching orgasm, and feeling broken as a result. […] In fact, anorgasmia affects an estimated 10-15% of women, while roughly 43% of women experience some type of sexual dysfunction. […] For me, I didn’t need a clinical diagnosis so much as someone to reassure me that no I wasn’t broken and yes there was something I could do about my feeling of sexual disconnect. It started with keeping a pleasure journal, where I wrote down five (non-sexual) things each day that gave me pleasure. In order to build a happier relationship to sex, my sex therapist informed me, I had to begin building a more positive and connected relationship with my body. […] 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.

• #4 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: […] 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. […] Some treatments for anorgasmia include: […] 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. […] With the right treatment, you can enjoy sex and all the physical and emotional benefits without worrying about reaching orgasm.

• #5 Orgasm Issues/Arousal Disorders | Intimate Wellness Institute

  https://iwiva.com/intimate-wellness/arousal-disorders/

  The Intimate Wellness Institute is the foremost center in the region for treatment of sexual dysfunction including orgasmic dysfunction and arousal disorders. IWI has the most comprehensive and most advanced treatments available to overcome all aspects of orgasmic dysfunction and arousal disorders. […] Anorgasmia is when a person has difficulty or cant orgasm even if theyre enjoying sex and it feels good to them. […] With anorgasmia, you can still have a desire for sex and feel pleasure. However, you may feel anguish or emotional distress because you cant have an orgasm. Your IWI team member can help determine the cause of anorgasmia and recommend treatment. […] Anorgasmia in women (also called female orgasmic disorder) is classified into four types: Primary (or lifelong): Youve never had an orgasm.

• #6 A practical guide to female sexual dysfunction: An evidence-based review for physicians in Canada

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5994984/

  For the purpose of this review, the classification of FSD have been divided into four broad categories: sexual pain, low desire, low arousal, and orgasmic dysfunction. […] A symptom-based approach is the most effective means to organize the initial medical evaluation and treatment of women with sexual complaints to encourage collaboration and communication between healthcare providers. […] Treatment is patient-specific and requires a multidisciplinary team. […] A 2017 systematic review of 43 studies, including seven randomized control trials, demonstrated significant reduction in pain and improvement in sexual function with pelvic physiotherapy. […] Many clinicians address vulvar pain prior to treating pelvic muscle floor dysfunction as superficial vulvar pain, which may make pelvic physiotherapy exceedingly difficult.

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

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

  Consider Sex Therapy and Counseling […] Studies have shown that Directed Masturbation Training is very effective. Your sex therapist will guide you through the process. Try to learn how to orgasm solo first. Slow low-pressure touch exercises can encourage experimentation. Try out cognitive-behavioral therapy (CBT) to treat your anxiety, past trauma, or negative beliefs surrounding sex. Psychotherapy (talk therapy) that is targeted at sexual issues has been shown to help women gain or regain the ability to have orgasms. […] You can get better results when you combine medical and therapeutic strategies. It might take some trial and error to find out what works for you, but many options exist.

• #8 Female Orgasmic Disorder Treatment & Management: Approach Considerations, Psychotherapy, Pharmacotherapy

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

  In general, the initial goal of therapy for female orgasmic disorder (FOD) is to enable the patient to reach orgasm as desired under any circumstance. Evidence about the effectiveness of psychoanalytically or psychodynamically oriented therapies in attaining this goal is inconclusive. Of the variety of treatment approaches that have been tested, the most consistent support emerges for directed masturbation, sensate focus, and psychotherapy. […] At present, no medication has been specifically approved by the US Food and Drug Administration (FDA) for the treatment of FOD. In addition, very little information is available about pharmacotherapy specifically targeting disorders of orgasm in women, and it is unclear to what extent pharmacologic data about the treatment of sexual conditions in other female populations (eg, female sexual interest/arousal disorder, premenopausal and postmenopausal problems, and antidepressant-induced sexual disorders) is relevant for this population.

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

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

  Note: If you regularly have problems with orgasm or never had a climax at all, despite being sexually aroused, you may have anorgasmia. And importantly, it can only be considered a medical issue if it bothers you or else not. All women’s bodies are different some get orgasm easily, others get rarely, and a few never ever had an orgasm. If you’re content with your sex life, then there’s no problem to fix. […] 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. […] First Treat The Physical Causes […] If your antidepressant is causing the problem, talk to your doctor about alternatives or dosage changes. If you start managing your diabetes, thyroid disorders, or pelvic floor issues, you can restore your normal sensation. For women whose anorgasmia is due to menopause or hormonal deficiencies, hormone therapy might help. Estrogen therapy systemic via pills/patches, OR localized via vaginal creams or rings.

• #10 Psychological and Behavioral Treatment of Female Orgasmic Disorder – PubMed

  https://pubmed.ncbi.nlm.nih.gov/33069622/

  Female orgasmic disorder (FOD) is defined as the absence, delay, infrequency, or marked diminishment in intensity of orgasm in at least 75% of sexual experiences, persisting for at least 6 months and causing distress, has specified subtypes, and affects up to 28% of women in the United States and up to 46% in countries across Asia. […] Psychological treatment has been shown to be effective in helping women with FOD to gain or regain the ability to have orgasms, with higher success rates overall of treating lifelong or generalized vs acquired or situational FOD. […] Of the variety of treatment approaches that have been tested, the most consistent support emerges for directed masturbation, sensate focus, and psychotherapy. […] While existing research provides a solid foundation of knowledge, treatment of FOD has seen little innovation since the 1980s. […] Future research should aim for broader understanding of etiologies of all types of FOD, understanding reasons for lack of treatment success for women who have not improved with treatment, and identifying ways of tailoring FOD treatment and success rates for multicultural and community populations.

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

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

  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. […] Treatment for anorgasmia usually begins with one or more approaches to understand your body better, learn what works for you and change behaviors. These treatments may include: […] Cognitive behavioral therapy. Individual or couples therapy may help you address your thinking about sex in general or with your partner. Therapy can help with behaviors that may promote good sexual relations, such as learning ways to talk with your partner about sex or communicate your needs during sex. […] 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.

• #12 Female Orgasmic Disorder Treatment & Management: Approach Considerations, Psychotherapy, Pharmacotherapy

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

  Cognitive-behavioral therapy (CBT) for anorgasmia focuses on promoting changes in attitudes and sexually relevant thoughts. The underlying assumption of CBT-based interventions is that orgasmic ability and satisfaction can be increased by reducing sex-associated anxiety and cognitive distortions. […] Following this hypothesis, Masters and Johnsons sensate focus therapy is essentially an anxiety-reduction technique. This treatment is a sequential approach of gradually increased (and focused) body-touching exercises, moving from nonsexual to increasing sexual touching of the patients and partners bodies. […] Behavioral exercises involving directed masturbation have been shown to be effective for treating anorgasmia in a variety of modalities including bibliotherapy, group, individual, or couples therapy. Meston et al reported that masturbation was an empirically valid and effective treatment for women with lifelong, generalized anorgasmia. Directed masturbation may be beneficial for women with acquired anorgasmia who are averse to touching their genitalia. […] The FDA has also approved the Eros Clitoral Therapy Device (EROS-CTD), a vacuum device that increases clitoral enlargement and improves the likelihood of orgasm.

• #13 Anorgasmia in women | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/anorgasmia-in-women?content_id=CON-20369409

  Cognitive behavioral therapy. Individual or couples therapy may help you address your thinking about sex in general or with your partner. Therapy can help with behaviors that may promote good sexual relations, such as learning ways to talk with your partner about sex or communicate your needs during sex. […] 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.

• #14 Anorgasmia in women

  https://www.mymlc.com/health-information/diseases-and-conditions/a/anorgasmia-in-women2/

  Anorgasmia is the medical term for regular difficulty reaching orgasm after ample sexual stimulation. The lack of orgasms distresses you or interferes with your relationship with your partner. […] If you’re bothered by the lack of orgasm or the intensity of your orgasms, talk to your doctor about anorgasmia. […] Treatment for anorgasmia will depend on the cause of your symptoms. It might include lifestyle changes, therapy and medication. […] For most women, a key part of treatment includes addressing relationship issues and everyday stressors. Understanding your body and trying different types of sexual stimulation also can help. […] Seek couples counseling. A counselor can help you work through conflicts in your relationship that can affect your ability to orgasm. […] Try sex therapy. Sex therapists specialize in treating sexual concerns. Therapy often includes sex education, help with communication skills and behavioral exercises that you and your partner try at home.

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

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

  You may not be able to climax with a partner due to physical, emotional, or psychological factors. Treatment may include therapy, medication, and treating underlying causes. […] Treatment for orgasmic dysfunction depends on the cause of the condition. You may need to: […] have cognitive behavioral therapy (CBT) or sex therapy. […] Couples counseling is another popular treatment option. A counselor will help you and your partner work through any disagreements or conflicts you may be having. […] If you have orgasmic dysfunction, you may find therapy to be particularly helpful. Part of individual or couples therapy focuses on how you view sexual intercourse. Meeting with a therapist can help you and your partner learn more about one another’s sexual needs and desires. […] The American Association of Sexuality Educators, Counselors, and Therapists (AASECT) has a directory of certified therapists and resources for women with orgasmic dysfunction.

• #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

  Individual or couples counseling. In addition to helping women work through any emotional issues related to their condition, our highly specialized psychologist and sex therapists can help you work through conflicts in your relationship, help with communication skills and teach you behavioral exercises to do at home.

• #17 Anorgasmia in Women: Types, Causes & Treatments

  https://www.womenshealthaz.com/anorgasmia-in-women/

  Anorgasmia może być leczona na różne sposoby w zależności od rodzaju anorgazmii i przyczyn jej występowania. […] Zalecenia dotyczące leczenia obejmują: […] Zajmowanie się problemami i wyzwaniami w relacjach poprzez poprawę komunikacji, doradztwo w zakresie relacji lub inne środki. […] Zarządzanie stresem i lękiem. […] Zwiększenie ilości stymulacji seksualnej, szczególnie bezpośrednio lub pośrednio do łechtaczki. Wibratory i inne urządzenia mogą być pomocne w tym przypadku. […] Eksperymentowanie seksualne, aby dowiedzieć się, co działa dla Ciebie i lepiej zrozumieć swoje ciało. […] Zbadanie terapii poznawczo-behawioralnej, która może zmienić sposób myślenia o seksie. […] Zbadanie terapii seksualnej. […] Otrzymanie leczenia medycznego dla podstawowych schorzeń, które mogą przyczyniać się do anorgazmii lub ją powodować.

• #18 Sexual Dysfunction in Women: A Practical Approach | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0815/p281.html

  Sexual dysfunction in women is a common and often distressing problem that has a negative impact on quality of life and medication compliance. […] Treatment depends on the etiology. Estrogen is effective for the treatment of dyspareunia associated with genitourinary syndrome of menopause. […] Bupropion has been shown to improve the adverse sexual effects associated with antidepressant use; however, data are limited. […] Psychotherapy or sex therapy is useful for management of the psychological, relational, and sociocultural factors impacting a woman’s sexual function. […] Directed masturbation is recommended for lifelong anorgasmia. […] Group cognitive behavior therapy has been shown to effectively treat low sexual desire. […] Mindfulness-based interventions have been shown to effectively treat low sexual desire and arousal, and acquired anorgasmia.

• #19

  https://www.yourdaye.com/en-us/vitals/cultural-musings/anorgasmia-in-women/?srsltid=AfmBOoryLkF8cWJdZNqeVpws4n0RNeJPXWPNZ0elV_DXIrCJBMIuNZ01

  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. […] To begin with, she continues, it’s important to learn what you like in non-pressurized solo sex, by exploring your body through masturbation and the use of sex toys, and doing that without the goal of orgasm. You want to look at ways of being more in the moment and less distracted during sex, which the application of mindfulness techniques can really help with. […] Fortunately for me, I have been able to overcome my situational anorgasmia with the help of sex therapy and a shaky determination to be more communicative during sex. But it’s not so much the bodily joy of being able to orgasm during partnered sex that has felt so important to me here as much as it’s been the realization that I am a sexual person and that sexual pleasure is a really key component to making me feel connected to my body.

• #20 Treatment of Orgasmic Dysfunction in Women | GLOWM

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

  Women with primary orgasmic dysfunction who are treated with DM have an 80-90% success rate. […] Therapy for secondary anorgasmia has been only moderately successful, with success rates ranging from 10-75% after sex education, communication training, marital therapy, anxiety reduction, and sensate focus. […] 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.

• #21 Sexual Dysfunction in Women: A Practical Approach | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0815/p281.html

  Sexual dysfunction in women is a common and often distressing problem that has a negative impact on quality of life and medication compliance. […] Treatment depends on the etiology. Estrogen is effective for the treatment of dyspareunia associated with genitourinary syndrome of menopause. […] Bupropion has been shown to improve the adverse sexual effects associated with antidepressant use; however, data are limited. […] Psychotherapy or sex therapy is useful for management of the psychological, relational, and sociocultural factors impacting a woman’s sexual function. […] Directed masturbation is recommended for lifelong anorgasmia. […] Group cognitive behavior therapy has been shown to effectively treat low sexual desire. […] Mindfulness-based interventions have been shown to effectively treat low sexual desire and arousal, and acquired anorgasmia.

• #22 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. […] Important goals when treating problems with orgasms are: A healthy attitude toward sex, and education about sexual stimulation and response. […] Treatment can involve education and learning to reach orgasm by focusing on pleasurable stimulation and directed masturbation. […] Most women require clitoral stimulation to reach an orgasm. Including clitoral stimulation in sexual activity may be all that is necessary. […] If this does not solve the problem, then teaching the woman to masturbate may help her understand what she needs to become sexually excited. […] Treatment may include sexual counseling that includes a series of couples’ exercises to: Learn and practice communication, Learn more effective stimulation and playfulness. […] 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.

• #23 Female Orgasmic Disorder Treatment & Management: Approach Considerations, Psychotherapy, Pharmacotherapy

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

  Cognitive-behavioral therapy (CBT) for anorgasmia focuses on promoting changes in attitudes and sexually relevant thoughts. The underlying assumption of CBT-based interventions is that orgasmic ability and satisfaction can be increased by reducing sex-associated anxiety and cognitive distortions. […] Following this hypothesis, Masters and Johnsons sensate focus therapy is essentially an anxiety-reduction technique. This treatment is a sequential approach of gradually increased (and focused) body-touching exercises, moving from nonsexual to increasing sexual touching of the patients and partners bodies. […] Behavioral exercises involving directed masturbation have been shown to be effective for treating anorgasmia in a variety of modalities including bibliotherapy, group, individual, or couples therapy. Meston et al reported that masturbation was an empirically valid and effective treatment for women with lifelong, generalized anorgasmia. Directed masturbation may be beneficial for women with acquired anorgasmia who are averse to touching their genitalia. […] The FDA has also approved the Eros Clitoral Therapy Device (EROS-CTD), a vacuum device that increases clitoral enlargement and improves the likelihood of orgasm.

• #24

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

  Treatment for anorgasmia usually begins with one or more approaches to understand your body better, learn what works for you and change behaviors. These treatments may include: Education. Your healthcare professional likely will begin with a discussion of female sexual anatomy and how different parts of the anatomy respond to stimulation. […] Directed masturbation. This program of instruction and at-home exercises helps you become familiar with your own body and explore self-directed sexual stimulation. […] Sensate focus. This approach for couples provides instruction and at-home exercises. It begins with non-erotic touch and gradually introduces more intimate touch and sexual stimulation. […] Cognitive behavioral therapy. Individual or couples therapy may help you address your thinking about sex in general or with your partner. Therapy can help with behaviors that may promote good sexual relations, such as learning ways to talk with your partner about sex or communicate your needs during sex. […] 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.

• #25

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

  Treatment for anorgasmia usually begins with one or more approaches to understand your body better, learn what works for you and change behaviors. These treatments may include: Education. Your healthcare professional likely will begin with a discussion of female sexual anatomy and how different parts of the anatomy respond to stimulation. […] Directed masturbation. This program of instruction and at-home exercises helps you become familiar with your own body and explore self-directed sexual stimulation. […] Sensate focus. This approach for couples provides instruction and at-home exercises. It begins with non-erotic touch and gradually introduces more intimate touch and sexual stimulation. […] Cognitive behavioral therapy. Individual or couples therapy may help you address your thinking about sex in general or with your partner. Therapy can help with behaviors that may promote good sexual relations, such as learning ways to talk with your partner about sex or communicate your needs during sex. […] 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.

• #26 Orgasmic Disorder

  https://www.ashasexualhealth.org/orgasmic-disorder/

  For some women, reaching orgasm can be difficult. Fortunately, there are steps you can take to address the problem and have a more satisfying sex life. […] 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. When psychological or relationship factors are the cause, therapy or counseling may be the answer. Sex therapy can teach you to understand your own body better and learn what gives you pleasure. Couples counseling can also help couples improve communication skills and address any conflicts that may be entering with trust and intimacy. Couples might also explore a technique called sensate focus, which involves a series of exercises that focus on both nonsexual and sexual touching to improve intimacy and understand what produces pleasure in each partner.

• #27 Anorgasmia in Women: Types, Causes & Treatments

  https://www.womenshealthaz.com/anorgasmia-in-women/

  Anorgasmia może być leczona na różne sposoby w zależności od rodzaju anorgazmii i przyczyn jej występowania. […] Zalecenia dotyczące leczenia obejmują: […] Zajmowanie się problemami i wyzwaniami w relacjach poprzez poprawę komunikacji, doradztwo w zakresie relacji lub inne środki. […] Zarządzanie stresem i lękiem. […] Zwiększenie ilości stymulacji seksualnej, szczególnie bezpośrednio lub pośrednio do łechtaczki. Wibratory i inne urządzenia mogą być pomocne w tym przypadku. […] Eksperymentowanie seksualne, aby dowiedzieć się, co działa dla Ciebie i lepiej zrozumieć swoje ciało. […] Zbadanie terapii poznawczo-behawioralnej, która może zmienić sposób myślenia o seksie. […] Zbadanie terapii seksualnej. […] Otrzymanie leczenia medycznego dla podstawowych schorzeń, które mogą przyczyniać się do anorgazmii lub ją powodować.

• #28 Female Orgasmic Disorder Treatment & Management: Approach Considerations, Psychotherapy, Pharmacotherapy

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

  Cognitive-behavioral therapy (CBT) for anorgasmia focuses on promoting changes in attitudes and sexually relevant thoughts. The underlying assumption of CBT-based interventions is that orgasmic ability and satisfaction can be increased by reducing sex-associated anxiety and cognitive distortions. […] Following this hypothesis, Masters and Johnsons sensate focus therapy is essentially an anxiety-reduction technique. This treatment is a sequential approach of gradually increased (and focused) body-touching exercises, moving from nonsexual to increasing sexual touching of the patients and partners bodies. […] Behavioral exercises involving directed masturbation have been shown to be effective for treating anorgasmia in a variety of modalities including bibliotherapy, group, individual, or couples therapy. Meston et al reported that masturbation was an empirically valid and effective treatment for women with lifelong, generalized anorgasmia. Directed masturbation may be beneficial for women with acquired anorgasmia who are averse to touching their genitalia. […] The FDA has also approved the Eros Clitoral Therapy Device (EROS-CTD), a vacuum device that increases clitoral enlargement and improves the likelihood of orgasm.

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

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

  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. If it is, they can help you treat both. […] For people with anorgasmia, the best advice is to stop focusing on orgasm altogether, says Ossai. Instead, she says, the point should be pleasure. Pressure is, after all, an orgasm-block. […] Jeffcoat recommends everyone, anorgasmic or not, get familiar with their own anatomy by: […] Masturbation can help you learn what kinds of touch bring you pleasure, regardless of whether your solo sex sessions result in orgasm, says Jeffcoat. […] Jeffcoat recommends that folks with anorgasmia opt for a rumbly vibrator, as these will stimulate the entire clitoral structure even the parts you cant see.

• #30 Female Orgasmic Disorder Treatment & Management: Approach Considerations, Psychotherapy, Pharmacotherapy

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

  In general, the initial goal of therapy for female orgasmic disorder (FOD) is to enable the patient to reach orgasm as desired under any circumstance. Evidence about the effectiveness of psychoanalytically or psychodynamically oriented therapies in attaining this goal is inconclusive. Of the variety of treatment approaches that have been tested, the most consistent support emerges for directed masturbation, sensate focus, and psychotherapy. […] At present, no medication has been specifically approved by the US Food and Drug Administration (FDA) for the treatment of FOD. In addition, very little information is available about pharmacotherapy specifically targeting disorders of orgasm in women, and it is unclear to what extent pharmacologic data about the treatment of sexual conditions in other female populations (eg, female sexual interest/arousal disorder, premenopausal and postmenopausal problems, and antidepressant-induced sexual disorders) is relevant for this population.

• #31 A practical guide to female sexual dysfunction: An evidence-based review for physicians in Canada

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5994984/

  A multidisciplinary approach to low desire is important. […] In the U.S., flibanserin (Addyi) has been approved for the treatment of low desire in premenopausal women with acquired, generalized low desire. […] The Endocrine Society recommends a trial of testosterone therapy for 36 months in postmenopausal women with low androgen levels that are comfortable with off-label use and close monitoring. […] The management of comorbid conditions, such as diabetes and hypertension, should be optimized. […] There has been mixed evidence that phosphodiesterase inhibitors may benefit women with poor arousal (by improving pelvic blood flow) and a trial of on-demand phosphodiesterase type 5 inhibitor may be of benefit for some women. […] The medical treatment of orgasmic problems is challenging, although there have been reports of success with mindfulness, yoga, the use of sex toys, and sex therapy. […] Directed masturbation has demonstrated efficacy for women with lifelong anorgasmia. […] Some clinicians have experimented with the off-label use of testosterone, dopamine agonists, and yohimbine hydrochloride with encouraging results, although there are no clinical trials to currently support their usage.

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

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

  Estrogen therapy. If you are receiving treatment for menopausal symptoms, the treatment may also have some effect on improved sexual experience. […] Testosterone therapy. For some women in menopause who have testosterone levels lower than what is considered typical for women, testosterone replacement may improve arousal and orgasms. […] Talk with your healthcare professional before trying natural therapies, which can cause side effects and interact with other medicines.

• #33 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

  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 treatments we recommend will depend on our findings during the evaluation and may include: […] Hormone therapy. For certain women, estrogen therapy may increase blood flow to the vagina and help improve sexual arousal. 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. […] Treat medical conditions. If a physical problem is discovered during the evaluation, our team will treat the condition or refer you to a specialist who can. Often, treating the underlying problem will resolve symptoms of anorgasmia.

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

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

  Estrogen therapy. If you are receiving treatment for menopausal symptoms, the treatment may also have some effect on improved sexual experience. […] Testosterone therapy. For some women in menopause who have testosterone levels lower than what is considered typical for women, testosterone replacement may improve arousal and orgasms. […] Talk with your healthcare professional before trying natural therapies, which can cause side effects and interact with other medicines.

• #35 A practical guide to female sexual dysfunction: An evidence-based review for physicians in Canada

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5994984/

  A multidisciplinary approach to low desire is important. […] In the U.S., flibanserin (Addyi) has been approved for the treatment of low desire in premenopausal women with acquired, generalized low desire. […] The Endocrine Society recommends a trial of testosterone therapy for 36 months in postmenopausal women with low androgen levels that are comfortable with off-label use and close monitoring. […] The management of comorbid conditions, such as diabetes and hypertension, should be optimized. […] There has been mixed evidence that phosphodiesterase inhibitors may benefit women with poor arousal (by improving pelvic blood flow) and a trial of on-demand phosphodiesterase type 5 inhibitor may be of benefit for some women. […] The medical treatment of orgasmic problems is challenging, although there have been reports of success with mindfulness, yoga, the use of sex toys, and sex therapy. […] Directed masturbation has demonstrated efficacy for women with lifelong anorgasmia. […] Some clinicians have experimented with the off-label use of testosterone, dopamine agonists, and yohimbine hydrochloride with encouraging results, although there are no clinical trials to currently support their usage.

• #36 Female Orgasmic Disorder Treatment & Management: Approach Considerations, Psychotherapy, Pharmacotherapy

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

  As a rule, pharmacologic interventions for secondary anorgasmia should consider the underlying medical etiology, as follows: Antidepressant-induced anorgasmia A reduction in the antidepressant dose or a switch to a different medication is indicated; augmentation with bupropion is an alternative. […] Bupropion has emerged as an alternative treatment for FOD, mostly because case reports and case series indicate that bupropion might improve low libido secondary to depression or antidepressant-induced sexual dysfunction. […] In their 2004 review, Meston et al concluded that no pharmacologic agents have been proved to demonstrate long-term beneficial effects on orgasmic function in women with FOD, beyond a placebo effect.

• #37 Sexual Dysfunction in Women: A Practical Approach | AAFP

  https://www.aafp.org/pubs/afp/issues/2015/0815/p281.html

  Sexual dysfunction in women is a common and often distressing problem that has a negative impact on quality of life and medication compliance. […] Treatment depends on the etiology. Estrogen is effective for the treatment of dyspareunia associated with genitourinary syndrome of menopause. […] Bupropion has been shown to improve the adverse sexual effects associated with antidepressant use; however, data are limited. […] Psychotherapy or sex therapy is useful for management of the psychological, relational, and sociocultural factors impacting a woman’s sexual function. […] Directed masturbation is recommended for lifelong anorgasmia. […] Group cognitive behavior therapy has been shown to effectively treat low sexual desire. […] Mindfulness-based interventions have been shown to effectively treat low sexual desire and arousal, and acquired anorgasmia.

• #38 Female Orgasmic Disorder Treatment & Management: Approach Considerations, Psychotherapy, Pharmacotherapy

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

  As a rule, pharmacologic interventions for secondary anorgasmia should consider the underlying medical etiology, as follows: Antidepressant-induced anorgasmia A reduction in the antidepressant dose or a switch to a different medication is indicated; augmentation with bupropion is an alternative. […] Bupropion has emerged as an alternative treatment for FOD, mostly because case reports and case series indicate that bupropion might improve low libido secondary to depression or antidepressant-induced sexual dysfunction. […] In their 2004 review, Meston et al concluded that no pharmacologic agents have been proved to demonstrate long-term beneficial effects on orgasmic function in women with FOD, beyond a placebo effect.

• #39 A practical guide to female sexual dysfunction: An evidence-based review for physicians in Canada

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5994984/

  A multidisciplinary approach to low desire is important. […] In the U.S., flibanserin (Addyi) has been approved for the treatment of low desire in premenopausal women with acquired, generalized low desire. […] The Endocrine Society recommends a trial of testosterone therapy for 36 months in postmenopausal women with low androgen levels that are comfortable with off-label use and close monitoring. […] The management of comorbid conditions, such as diabetes and hypertension, should be optimized. […] There has been mixed evidence that phosphodiesterase inhibitors may benefit women with poor arousal (by improving pelvic blood flow) and a trial of on-demand phosphodiesterase type 5 inhibitor may be of benefit for some women. […] The medical treatment of orgasmic problems is challenging, although there have been reports of success with mindfulness, yoga, the use of sex toys, and sex therapy. […] Directed masturbation has demonstrated efficacy for women with lifelong anorgasmia. […] Some clinicians have experimented with the off-label use of testosterone, dopamine agonists, and yohimbine hydrochloride with encouraging results, although there are no clinical trials to currently support their usage.

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

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

  Although these medications have been explored for the treatment of anorgasmia, there is insufficient evidence to support their usage. Hormone replacement therapy may have certain benefits, but some risks should be carefully evaluated as well. Among them are: […] Therapy with testosterone: For certain postmenopausal women with testosterone levels below typical for women, testosterone replacement therapy may increase arousal and orgasms. Other potential adverse effects include acne, increased body hair, a decrease in HDL, or „good” cholesterol, and risks similar to those related to oestrogen replacement treatment.

• #41 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

  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 treatments we recommend will depend on our findings during the evaluation and may include: […] Hormone therapy. For certain women, estrogen therapy may increase blood flow to the vagina and help improve sexual arousal. 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. […] Treat medical conditions. If a physical problem is discovered during the evaluation, our team will treat the condition or refer you to a specialist who can. Often, treating the underlying problem will resolve symptoms of anorgasmia.

• #42 A practical guide to female sexual dysfunction: An evidence-based review for physicians in Canada

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5994984/

  A multidisciplinary approach to low desire is important. […] In the U.S., flibanserin (Addyi) has been approved for the treatment of low desire in premenopausal women with acquired, generalized low desire. […] The Endocrine Society recommends a trial of testosterone therapy for 36 months in postmenopausal women with low androgen levels that are comfortable with off-label use and close monitoring. […] The management of comorbid conditions, such as diabetes and hypertension, should be optimized. […] There has been mixed evidence that phosphodiesterase inhibitors may benefit women with poor arousal (by improving pelvic blood flow) and a trial of on-demand phosphodiesterase type 5 inhibitor may be of benefit for some women. […] The medical treatment of orgasmic problems is challenging, although there have been reports of success with mindfulness, yoga, the use of sex toys, and sex therapy. […] Directed masturbation has demonstrated efficacy for women with lifelong anorgasmia. […] Some clinicians have experimented with the off-label use of testosterone, dopamine agonists, and yohimbine hydrochloride with encouraging results, although there are no clinical trials to currently support their usage.

• #43 A practical guide to female sexual dysfunction: An evidence-based review for physicians in Canada

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5994984/

  For the purpose of this review, the classification of FSD have been divided into four broad categories: sexual pain, low desire, low arousal, and orgasmic dysfunction. […] A symptom-based approach is the most effective means to organize the initial medical evaluation and treatment of women with sexual complaints to encourage collaboration and communication between healthcare providers. […] Treatment is patient-specific and requires a multidisciplinary team. […] A 2017 systematic review of 43 studies, including seven randomized control trials, demonstrated significant reduction in pain and improvement in sexual function with pelvic physiotherapy. […] Many clinicians address vulvar pain prior to treating pelvic muscle floor dysfunction as superficial vulvar pain, which may make pelvic physiotherapy exceedingly difficult.

• #44 ANORGASMIA – DIFFICULTY ORGASMING – Comprehensive Urology

  https://comprehensive-urology.com/womens-health/difficulty-orgasming/

  Top Anorgasmia Treatment in Women: 1. ThermiVa Radio Frequency Treatment 2. Bioidentical Hormone Replacement Therapy BHRT 3. Couples Therapy or Sex Therapy. […] Comprehensive Urology also offers ThermiVa®, a non-surgical vaginal rejuvenation therapy from ThermiGen LLC. ThermiVa uses radiofrequency energy to promote natural tissue regeneration. This improves sensation, reduces dryness, and improves orgasms.

• #45 Understanding Anorgasmia: Causes & Solutions

  https://myvagina.com/orgasmic-disorder/

  Depending on the cause of anorgasmia, masturbation can be a great start for many people, since it starts the process that builds on itself. The more sexual stimulation you get, the more you will want, and so on, or so the theory goes. […] Vibrators or other sex aids may be of great assistance, but fantasy written, visual, auditory or mental is a useful tool to get your body on the same page as your desire to orgasm. […] Foreplay cannot be underestimated. It is thought that at least 20 minutes good quality foreplay is mandatory, and gives a woman an 80 per cent chance of orgasming, and anything less than that leaves her with just a 20 per cent chance of orgasming. […] Not orgasming isnt a life choice. Learning how to orgasm is something many women need to actively work on.

• #46 ANORGASMIA – DIFFICULTY ORGASMING – Comprehensive Urology

  https://comprehensive-urology.com/womens-health/difficulty-orgasming/

  Top Anorgasmia Treatment in Women: 1. ThermiVa Radio Frequency Treatment 2. Bioidentical Hormone Replacement Therapy BHRT 3. Couples Therapy or Sex Therapy. […] Comprehensive Urology also offers ThermiVa®, a non-surgical vaginal rejuvenation therapy from ThermiGen LLC. ThermiVa uses radiofrequency energy to promote natural tissue regeneration. This improves sensation, reduces dryness, and improves orgasms.

• #47 ANORGASMIA – DIFFICULTY ORGASMING – Comprehensive Urology

  https://comprehensive-urology.com/womens-health/difficulty-orgasming/

  Top Anorgasmia Treatment in Women: 1. ThermiVa Radio Frequency Treatment 2. Bioidentical Hormone Replacement Therapy BHRT 3. Couples Therapy or Sex Therapy. […] Comprehensive Urology also offers ThermiVa®, a non-surgical vaginal rejuvenation therapy from ThermiGen LLC. ThermiVa uses radiofrequency energy to promote natural tissue regeneration. This improves sensation, reduces dryness, and improves orgasms.

• #48 Anorgasmia: Causes and Treatment in Males and Females

  https://www.verywellhealth.com/anorgasmia-causes-and-treatment-options-2328525

  Anorgasmia can be difficult to treat, and there is no „one-size-fits-all” solution. The specific approach depends on the underlying causes and often requires a multi-provider approach. […] Some of the options that may be considered include: […] Psychotherapy to overcome sexual performance anxiety or past sexual trauma […] Couples counseling, which may help resolve relationship issues […] Sex therapy to address functional sexual problems […] The treatment of anorgasmia in females might also involve: […] Estrogen replacement therapy […] Clitoral vacuum pump (a device that helps engorge the clitoris to increase sensitivity) […] Treatments in males might include: […] Testosterone replacement therapy […] Penile vibrators (attached to the underside of the penis just below the head)

• #49 Female Anorgasmia: Causes and Treatment | Tantric Bodywork

  https://tantricbodywork.co.uk/anorgasmia-in-women-causes-treatment/

  If you suspect any of the above could be true for you, it is recommended that you consult your GP. They may recommend switching medications to a different brand, or place you on hormone therapy to increase estrogen, and sometimes testosterone, levels. This can in some cases increase both the sexual desire, and the amount of blood flowing to the genitals, making it easier to reach orgasm. […] A tantric therapy session can also help by releasing tension from the physical body, especially the pelvic area, through massage. […] Below can be addressed through a combination of talking therapy and bodywork. This can be with a sex therapist, a sexological bodyworker or tantric therapist. […] Yoni massage. As part of a full body treatment, a Yoni massage can help to directly identify blocks to orgasm, and work through them.

• #50 Treatment of Orgasmic Dysfunction in Women | GLOWM

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

  Women with primary orgasmic dysfunction who are treated with DM have an 80-90% success rate. […] Therapy for secondary anorgasmia has been only moderately successful, with success rates ranging from 10-75% after sex education, communication training, marital therapy, anxiety reduction, and sensate focus. […] 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.

• #51 Psychological and Behavioral Treatment of Female Orgasmic Disorder – PubMed

  https://pubmed.ncbi.nlm.nih.gov/33069622/

  Female orgasmic disorder (FOD) is defined as the absence, delay, infrequency, or marked diminishment in intensity of orgasm in at least 75% of sexual experiences, persisting for at least 6 months and causing distress, has specified subtypes, and affects up to 28% of women in the United States and up to 46% in countries across Asia. […] Psychological treatment has been shown to be effective in helping women with FOD to gain or regain the ability to have orgasms, with higher success rates overall of treating lifelong or generalized vs acquired or situational FOD. […] Of the variety of treatment approaches that have been tested, the most consistent support emerges for directed masturbation, sensate focus, and psychotherapy. […] While existing research provides a solid foundation of knowledge, treatment of FOD has seen little innovation since the 1980s. […] Future research should aim for broader understanding of etiologies of all types of FOD, understanding reasons for lack of treatment success for women who have not improved with treatment, and identifying ways of tailoring FOD treatment and success rates for multicultural and community populations.

• #52 Treatment of Orgasmic Dysfunction in Women | GLOWM

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

  Women with primary orgasmic dysfunction who are treated with DM have an 80-90% success rate. […] Therapy for secondary anorgasmia has been only moderately successful, with success rates ranging from 10-75% after sex education, communication training, marital therapy, anxiety reduction, and sensate focus. […] 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.

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

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

  95% of women with primary anorgasmia can be treated successfully. […] Treatment of orgasmic difficulties in women must begin with a thorough assessment of the relative roles psychological, physical, and interpersonal issues play in each individual. […] Treatment can be quite straightforward for primary anorgasmia. […] Directed masturbation (DM) is the treatment of choice. Women with primary orgasmic dysfunction who are treated with DM have an 80-90% success rate. […] Bibliotherapy can help pre-orgasmic women achieve their first climax. […] The goal of DM is to gradually introduce the pleasurable exploration of her own body. […] The use of a vibrator is suggested. […] Pelvic floor therapy may also be beneficial.

• #54 Treatment of Orgasmic Dysfunction in Women | GLOWM

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

  Women with primary orgasmic dysfunction who are treated with DM have an 80-90% success rate. […] Therapy for secondary anorgasmia has been only moderately successful, with success rates ranging from 10-75% after sex education, communication training, marital therapy, anxiety reduction, and sensate focus. […] 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.

• #55 Treatment of Orgasmic Dysfunction in Women | GLOWM

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

  Women with primary orgasmic dysfunction who are treated with DM have an 80-90% success rate. […] Therapy for secondary anorgasmia has been only moderately successful, with success rates ranging from 10-75% after sex education, communication training, marital therapy, anxiety reduction, and sensate focus. […] 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.

• #56 Orgasmic Disorder | Psychology Today

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

• #57 Orgasmic Disorder | Psychology Today

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

• #58 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. Various treatment options can be offered and discussed with the patient. […] Treatment options include: […] Bupropion HCl, particularly if anorgasmia is caused by antidepressants […] Testosterone Treatment […] If secondary anorgasmia determined to be due to medication side effects, consider modification: […] 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. […] Generally, referral to a psychotherapist may not be required as this is rarely a purely psychological issue. […] Referral to a sex therapist if patient interaction does not allow time for discussion, or to benefit from expertise to discuss vibrator use.

• #59 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. […] 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. […] Psychologic approaches to improving orgasmic function focus on the woman exploring psychologic factors such as hypoactive sexual desire disorder, depression, poor arousal, anxiety, fatigue, emotional concerns, past trauma and abuse history, cultural and religious prohibitions feeling excess pressure to have sex, or a partners sexual dysfunction such as erectile dysfunction or premature ejaculation. […] In many cases the combined psychologic and physiologic approaches to resolving the orgasmic dysfunction make the most sense.

• #60 What Cause Anorgasmia and How to Treat It?

  https://yourdoctors.online/anorgasmia-causes-and-treatment/

  Its important to note that some physical causes of anorgasmia can be addressed with medical treatment or lifestyle changes, while others may require ongoing management or support. […] Please consult one of our doctors online to determine the underlying cause of anorgasmia and develop an appropriate treatment plan. […] Medical treatment options for anorgasmia depend on the underlying cause and may be used with other treatments such as counseling, therapy, or pelvic floor exercises. […] Hormone therapy for anorgasmia: If anorgasmia is related to hormonal imbalances, hormone therapy may be recommended. […] Certain medications, such as sildenafil (Viagra), tadalafil (Cialis), or bupropion (Wellbutrin), have been shown to improve sexual function and may be prescribed by a healthcare provider to treat anorgasmia.

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

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

  95% of women with primary anorgasmia can be treated successfully. […] Treatment of orgasmic difficulties in women must begin with a thorough assessment of the relative roles psychological, physical, and interpersonal issues play in each individual. […] Treatment can be quite straightforward for primary anorgasmia. […] Directed masturbation (DM) is the treatment of choice. Women with primary orgasmic dysfunction who are treated with DM have an 80-90% success rate. […] Bibliotherapy can help pre-orgasmic women achieve their first climax. […] The goal of DM is to gradually introduce the pleasurable exploration of her own body. […] The use of a vibrator is suggested. […] Pelvic floor therapy may also be beneficial.

• #62 A practical guide to female sexual dysfunction: An evidence-based review for physicians in Canada

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5994984/

  For the purpose of this review, the classification of FSD have been divided into four broad categories: sexual pain, low desire, low arousal, and orgasmic dysfunction. […] A symptom-based approach is the most effective means to organize the initial medical evaluation and treatment of women with sexual complaints to encourage collaboration and communication between healthcare providers. […] Treatment is patient-specific and requires a multidisciplinary team. […] A 2017 systematic review of 43 studies, including seven randomized control trials, demonstrated significant reduction in pain and improvement in sexual function with pelvic physiotherapy. […] Many clinicians address vulvar pain prior to treating pelvic muscle floor dysfunction as superficial vulvar pain, which may make pelvic physiotherapy exceedingly difficult.

• #63 Anorgasmia in Women: Types, Causes & Treatments

  https://www.womenshealthaz.com/anorgasmia-in-women/

  Anorgasmia może być leczona na różne sposoby w zależności od rodzaju anorgazmii i przyczyn jej występowania. […] Zalecenia dotyczące leczenia obejmują: […] Zajmowanie się problemami i wyzwaniami w relacjach poprzez poprawę komunikacji, doradztwo w zakresie relacji lub inne środki. […] Zarządzanie stresem i lękiem. […] Zwiększenie ilości stymulacji seksualnej, szczególnie bezpośrednio lub pośrednio do łechtaczki. Wibratory i inne urządzenia mogą być pomocne w tym przypadku. […] Eksperymentowanie seksualne, aby dowiedzieć się, co działa dla Ciebie i lepiej zrozumieć swoje ciało. […] Zbadanie terapii poznawczo-behawioralnej, która może zmienić sposób myślenia o seksie. […] Zbadanie terapii seksualnej. […] Otrzymanie leczenia medycznego dla podstawowych schorzeń, które mogą przyczyniać się do anorgazmii lub ją powodować.

• #64

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

  Treatment for anorgasmia usually begins with one or more approaches to understand your body better, learn what works for you and change behaviors. These treatments may include: Education. Your healthcare professional likely will begin with a discussion of female sexual anatomy and how different parts of the anatomy respond to stimulation. […] Directed masturbation. This program of instruction and at-home exercises helps you become familiar with your own body and explore self-directed sexual stimulation. […] Sensate focus. This approach for couples provides instruction and at-home exercises. It begins with non-erotic touch and gradually introduces more intimate touch and sexual stimulation. […] Cognitive behavioral therapy. Individual or couples therapy may help you address your thinking about sex in general or with your partner. Therapy can help with behaviors that may promote good sexual relations, such as learning ways to talk with your partner about sex or communicate your needs during sex. […] 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.

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

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

  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. If it is, they can help you treat both. […] For people with anorgasmia, the best advice is to stop focusing on orgasm altogether, says Ossai. Instead, she says, the point should be pleasure. Pressure is, after all, an orgasm-block. […] Jeffcoat recommends everyone, anorgasmic or not, get familiar with their own anatomy by: […] Masturbation can help you learn what kinds of touch bring you pleasure, regardless of whether your solo sex sessions result in orgasm, says Jeffcoat. […] Jeffcoat recommends that folks with anorgasmia opt for a rumbly vibrator, as these will stimulate the entire clitoral structure even the parts you cant see.

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

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

  The reality is there are so many other ways to experience pleasure. […] For folks with secondary anorgasmia, Ossai recommends asking yourself the following Qs: […] Orgasms arent the point of sex, but they can be enjoyable. […] So, if you havent had or currently arent having one, take comfort in knowing that anorgasmia can be treatable with the right care.

• #67 Orgasmic Disorder

  https://www.ashasexualhealth.org/orgasmic-disorder/

  For any woman having problems reaching orgasm, there are also some steps they can take toward a more satisfying sex life: Communicate. Make sure to tell your partner what you like and what feels good. Experiment. See what turns you on and what kind of clitoral stimulation feels best. Most women need some direct clitoral stimulation to reach orgasm. Try sex toys or vibrators as part of the experiment, with or without a partner. Use mental imagery and fantasy. Fantasy can be a powerful motivator and help bring about orgasm. Let go of expectations. While reaching orgasm is great and an important goal, focusing on orgasm exclusively can create pressure and anxiety and make it more difficult to achieve. Instead, focus on mutual pleasure and intimacy as a goal.

• #68 Understanding Anorgasmia: Causes & Solutions

  https://myvagina.com/orgasmic-disorder/

  Depending on the cause of anorgasmia, masturbation can be a great start for many people, since it starts the process that builds on itself. The more sexual stimulation you get, the more you will want, and so on, or so the theory goes. […] Vibrators or other sex aids may be of great assistance, but fantasy written, visual, auditory or mental is a useful tool to get your body on the same page as your desire to orgasm. […] Foreplay cannot be underestimated. It is thought that at least 20 minutes good quality foreplay is mandatory, and gives a woman an 80 per cent chance of orgasming, and anything less than that leaves her with just a 20 per cent chance of orgasming. […] Not orgasming isnt a life choice. Learning how to orgasm is something many women need to actively work on.

• #69 Orgasmic Disorder

  https://www.ashasexualhealth.org/orgasmic-disorder/

  For any woman having problems reaching orgasm, there are also some steps they can take toward a more satisfying sex life: Communicate. Make sure to tell your partner what you like and what feels good. Experiment. See what turns you on and what kind of clitoral stimulation feels best. Most women need some direct clitoral stimulation to reach orgasm. Try sex toys or vibrators as part of the experiment, with or without a partner. Use mental imagery and fantasy. Fantasy can be a powerful motivator and help bring about orgasm. Let go of expectations. While reaching orgasm is great and an important goal, focusing on orgasm exclusively can create pressure and anxiety and make it more difficult to achieve. Instead, focus on mutual pleasure and intimacy as a goal.

• #70 Anorgasmia in women – Hancock Health

  https://www.hancockhealth.org/mayo-health-library/anorgasmia-in-women/

  Cognitive behavioral therapy. Individual or couples therapy may help you address your thinking about sex in general or with your partner. Therapy can help with behaviors that may promote good sexual relations, such as learning ways to talk with your partner about sex or communicate your needs during sex. […] 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. […] If your lack of orgasm from sexual activity distresses you, make an appointment with your primary care professional or your gynecologist.

• #71 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: […] Encourage the patient to take time to explore her own body and learn what arouses her […] Book recommendations that can be very helpful to patients: […] Strong vibrators can be extremely helpful in these situations […] If the patient expresses unease with the above, a referral to a sex therapist may be beneficial […] 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. […] Basic psychoeducation can include discussion of the following:

• #72 Orgasmic Disorder

  https://www.ashasexualhealth.org/orgasmic-disorder/

  For any woman having problems reaching orgasm, there are also some steps they can take toward a more satisfying sex life: Communicate. Make sure to tell your partner what you like and what feels good. Experiment. See what turns you on and what kind of clitoral stimulation feels best. Most women need some direct clitoral stimulation to reach orgasm. Try sex toys or vibrators as part of the experiment, with or without a partner. Use mental imagery and fantasy. Fantasy can be a powerful motivator and help bring about orgasm. Let go of expectations. While reaching orgasm is great and an important goal, focusing on orgasm exclusively can create pressure and anxiety and make it more difficult to achieve. Instead, focus on mutual pleasure and intimacy as a goal.

• #73 Orgasmic Disorder

  https://www.ashasexualhealth.org/orgasmic-disorder/

  For any woman having problems reaching orgasm, there are also some steps they can take toward a more satisfying sex life: Communicate. Make sure to tell your partner what you like and what feels good. Experiment. See what turns you on and what kind of clitoral stimulation feels best. Most women need some direct clitoral stimulation to reach orgasm. Try sex toys or vibrators as part of the experiment, with or without a partner. Use mental imagery and fantasy. Fantasy can be a powerful motivator and help bring about orgasm. Let go of expectations. While reaching orgasm is great and an important goal, focusing on orgasm exclusively can create pressure and anxiety and make it more difficult to achieve. Instead, focus on mutual pleasure and intimacy as a goal.

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

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

  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. If it is, they can help you treat both. […] For people with anorgasmia, the best advice is to stop focusing on orgasm altogether, says Ossai. Instead, she says, the point should be pleasure. Pressure is, after all, an orgasm-block. […] Jeffcoat recommends everyone, anorgasmic or not, get familiar with their own anatomy by: […] Masturbation can help you learn what kinds of touch bring you pleasure, regardless of whether your solo sex sessions result in orgasm, says Jeffcoat. […] Jeffcoat recommends that folks with anorgasmia opt for a rumbly vibrator, as these will stimulate the entire clitoral structure even the parts you cant see.

• #75 Orgasmic Disorder

  https://www.ashasexualhealth.org/orgasmic-disorder/

  For any woman having problems reaching orgasm, there are also some steps they can take toward a more satisfying sex life: Communicate. Make sure to tell your partner what you like and what feels good. Experiment. See what turns you on and what kind of clitoral stimulation feels best. Most women need some direct clitoral stimulation to reach orgasm. Try sex toys or vibrators as part of the experiment, with or without a partner. Use mental imagery and fantasy. Fantasy can be a powerful motivator and help bring about orgasm. Let go of expectations. While reaching orgasm is great and an important goal, focusing on orgasm exclusively can create pressure and anxiety and make it more difficult to achieve. Instead, focus on mutual pleasure and intimacy as a goal.

• #76 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. […] Important goals when treating problems with orgasms are: A healthy attitude toward sex, and education about sexual stimulation and response. […] Treatment can involve education and learning to reach orgasm by focusing on pleasurable stimulation and directed masturbation. […] Most women require clitoral stimulation to reach an orgasm. Including clitoral stimulation in sexual activity may be all that is necessary. […] If this does not solve the problem, then teaching the woman to masturbate may help her understand what she needs to become sexually excited. […] Treatment may include sexual counseling that includes a series of couples’ exercises to: Learn and practice communication, Learn more effective stimulation and playfulness. […] 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.

• #77 Understanding Anorgasmia: Causes & Solutions

  https://myvagina.com/orgasmic-disorder/

  Depending on the cause of anorgasmia, masturbation can be a great start for many people, since it starts the process that builds on itself. The more sexual stimulation you get, the more you will want, and so on, or so the theory goes. […] Vibrators or other sex aids may be of great assistance, but fantasy written, visual, auditory or mental is a useful tool to get your body on the same page as your desire to orgasm. […] Foreplay cannot be underestimated. It is thought that at least 20 minutes good quality foreplay is mandatory, and gives a woman an 80 per cent chance of orgasming, and anything less than that leaves her with just a 20 per cent chance of orgasming. […] Not orgasming isnt a life choice. Learning how to orgasm is something many women need to actively work on.

• #78 Anorgasmia in Women: Types, Causes & Treatments

  https://www.womenshealthaz.com/anorgasmia-in-women/

  Anorgasmia może być leczona na różne sposoby w zależności od rodzaju anorgazmii i przyczyn jej występowania. […] Zalecenia dotyczące leczenia obejmują: […] Zajmowanie się problemami i wyzwaniami w relacjach poprzez poprawę komunikacji, doradztwo w zakresie relacji lub inne środki. […] Zarządzanie stresem i lękiem. […] Zwiększenie ilości stymulacji seksualnej, szczególnie bezpośrednio lub pośrednio do łechtaczki. Wibratory i inne urządzenia mogą być pomocne w tym przypadku. […] Eksperymentowanie seksualne, aby dowiedzieć się, co działa dla Ciebie i lepiej zrozumieć swoje ciało. […] Zbadanie terapii poznawczo-behawioralnej, która może zmienić sposób myślenia o seksie. […] Zbadanie terapii seksualnej. […] Otrzymanie leczenia medycznego dla podstawowych schorzeń, które mogą przyczyniać się do anorgazmii lub ją powodować.

• #79 Orgasmic Disorder

  https://www.ashasexualhealth.org/orgasmic-disorder/

  For any woman having problems reaching orgasm, there are also some steps they can take toward a more satisfying sex life: Communicate. Make sure to tell your partner what you like and what feels good. Experiment. See what turns you on and what kind of clitoral stimulation feels best. Most women need some direct clitoral stimulation to reach orgasm. Try sex toys or vibrators as part of the experiment, with or without a partner. Use mental imagery and fantasy. Fantasy can be a powerful motivator and help bring about orgasm. Let go of expectations. While reaching orgasm is great and an important goal, focusing on orgasm exclusively can create pressure and anxiety and make it more difficult to achieve. Instead, focus on mutual pleasure and intimacy as a goal.

• #80 Psychological and Behavioral Treatment of Female Orgasmic Disorder – PubMed

  https://pubmed.ncbi.nlm.nih.gov/33069622/

  Female orgasmic disorder (FOD) is defined as the absence, delay, infrequency, or marked diminishment in intensity of orgasm in at least 75% of sexual experiences, persisting for at least 6 months and causing distress, has specified subtypes, and affects up to 28% of women in the United States and up to 46% in countries across Asia. […] Psychological treatment has been shown to be effective in helping women with FOD to gain or regain the ability to have orgasms, with higher success rates overall of treating lifelong or generalized vs acquired or situational FOD. […] Of the variety of treatment approaches that have been tested, the most consistent support emerges for directed masturbation, sensate focus, and psychotherapy. […] While existing research provides a solid foundation of knowledge, treatment of FOD has seen little innovation since the 1980s. […] Future research should aim for broader understanding of etiologies of all types of FOD, understanding reasons for lack of treatment success for women who have not improved with treatment, and identifying ways of tailoring FOD treatment and success rates for multicultural and community populations.

• #81 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. […] Women who have never had an orgasm can be treated with almost certain success, and the sexual satisfaction of women whose orgasmic difficulties are situational can generally be improved. […] Treatment can be quite straightforward for primary anorgasmia. Directed masturbation (DM) is the treatment of choice. […] The goal of DM is to gradually introduce the woman to the pleasurable exploration of her own body. […] Treatment for Secondary or Situational Orgasmic Difficulty […] The treatment strategy is not as straightforward for cases in which the patient was able to have orgasms with one partner but does not have this ability with the current partner (secondary), or for cases in which the goal is coital orgasm (situational).

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

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

  95% of women with primary anorgasmia can be treated successfully. […] Treatment of orgasmic difficulties in women must begin with a thorough assessment of the relative roles psychological, physical, and interpersonal issues play in each individual. […] Treatment can be quite straightforward for primary anorgasmia. […] Directed masturbation (DM) is the treatment of choice. Women with primary orgasmic dysfunction who are treated with DM have an 80-90% success rate. […] Bibliotherapy can help pre-orgasmic women achieve their first climax. […] The goal of DM is to gradually introduce the pleasurable exploration of her own body. […] The use of a vibrator is suggested. […] Pelvic floor therapy may also be beneficial.

• #83 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. […] Women who have never had an orgasm can be treated with almost certain success, and the sexual satisfaction of women whose orgasmic difficulties are situational can generally be improved. […] Treatment can be quite straightforward for primary anorgasmia. Directed masturbation (DM) is the treatment of choice. […] The goal of DM is to gradually introduce the woman to the pleasurable exploration of her own body. […] Treatment for Secondary or Situational Orgasmic Difficulty […] The treatment strategy is not as straightforward for cases in which the patient was able to have orgasms with one partner but does not have this ability with the current partner (secondary), or for cases in which the goal is coital orgasm (situational).

• #84 Sex & Relationship Therapy| Gaithersburg, Maryland & DC

  https://www.joannebagshaw.com/blog/what-you-need-to-know-about-anorgasmia-in-cis-gender-women

  The truth is there is a name for the distance that exists between many women and their orgasms. Its called anorgasmia. […] The reality is that anorgasmia doesnt have a single cause or a single solution. A womans vulva and clitoris are as unique as they are. How it responds or doesnt respond results from any number of physical and/or psychological concerns. […] Firstdont give in to shame. You are not alone in this and there is support for you physically, emotionally, and relationally. […] Now, the next best step is to work with safe people who can help you work out some solutions: […] If something physical is causing your anorgasmia, your physician and/or gynocologist is a good place to start. […] The help of a compassionate sex therapist can make all the difference now. […] Allow your therapist to share techniques, ideas, and methods that can support the discovery or recovery of your orgasm.

• #85 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. […] If this is the case, there are ways to work toward potentially having regular and fulfilling orgasms, according to Janelle Howell, D.P.T., pelvic physical therapist at Northwestern Medicine. […] Read on to determine if anorgasmia could be why you don’t climax as much as you might want to, learn about possible anorgasmia treatment options, and better understand why the condition is such a complex one to begin with. […] The term describes a situation wherein people are unable to reach orgasm even after significant sexual stimulation and, crucially, feel distressed when they don’t get there, according to the Mayo Clinic. […] 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. […] Dr. Shepherd believes that people don’t tend to talk about anorgasmia with their physicians for several reasons, including embarrassment or because they don’t know it’s a diagnosable condition. […] The real thing to point out is, anorgasmia is something to be discussed and there are ways to get help.

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