Anorgazmia u kobiet
Objawy
Anorgazmia u kobiet to zaburzenie charakteryzujące się opóźnionym, rzadkim lub nieobecnym orgazmem pomimo odpowiedniej stymulacji seksualnej, które powoduje znaczny dyskomfort psychiczny. Wyróżnia się typy pierwotny (4-10% kobiet, skuteczność leczenia 75-90%), wtórny (20-30% kobiet, skuteczność leczenia 10-75%), sytuacyjny (najczęstszy) oraz uogólniony (najtrudniejszy do leczenia). Problem dotyka około 10-15% kobiet, a do 28% w USA i 46% w niektórych krajach azjatyckich zgłasza trudności z orgazmem. Objawy obejmują całkowity brak orgazmu, opóźniony lub mniej intensywny orgazm, a także współwystępujące zaburzenia seksualne, takie jak niskie libido, dyspareunia, suchość pochwy czy pochwica. Czynniki etiologiczne są wieloczynnikowe i obejmują schorzenia neurologiczne, zmiany hormonalne (np. menopauza z obniżeniem poziomu estrogenu), skutki uboczne leków (szczególnie SSRI), zaburzenia mięśni dna miednicy oraz czynniki psychologiczne i relacyjne, takie jak stres, lęk, trauma czy problemy partnerskie.
Definicja i klasyfikacja anorgazmii u kobiet
Anorgazmia u kobiet (lub żeńskie zaburzenie orgazmu) to stan charakteryzujący się opóźnionym, rzadkim lub nieobecnym orgazmem, lub znacząco mniej intensywnymi orgazmami po wystarczającym podnieceniu seksualnym i odpowiedniej stymulacji seksualnej. Diagnoza anorgazmii jest stawiana, gdy kobieta doświadcza problemów z osiąganiem orgazmu i odczuwa z tego powodu znaczny dyskomfort psychiczny.12
Anorgazmia u kobiet może być klasyfikowana według kilku kryteriów:13
- Ze względu na czas występowania:
- Pierwotna (lifelong) – kobieta nigdy nie doświadczyła orgazmu
- Wtórna (acquired) – kobieta wcześniej osiągała orgazm, ale obecnie ma z tym trudności
- Ze względu na okoliczności:
- Sytuacyjna (situational) – problemy z osiąganiem orgazmu tylko w określonych sytuacjach, z określonymi rodzajami stymulacji lub z określonymi partnerami
- Uogólniona (generalized) – problemy z osiąganiem orgazmu w każdej sytuacji
Warto zaznaczyć, że kobiety, które nie zawsze osiągają orgazm podczas stosunków seksualnych, mogą nie odczuwać z tego powodu dyskomfortu. W takim przypadku brak orgazmu nie jest uznawany za zaburzenie.15
Epidemiologia anorgazmii
Anorgazmia jest stosunkowo powszechnym problemem dotykającym wiele kobiet na całym świecie. Badania wskazują na następujące statystyki:67
- Około 10-15% kobiet nigdy nie doświadczyło orgazmu w całym swoim życiu
- Według przeglądu z 2021 roku, do 28% kobiet w USA i 46% kobiet w niektórych krajach azjatyckich zgłasza problemy z orgazmem
- Wśród kobiet, które wcześniej doświadczały orgazmu, wiele nadal zgłasza trudności z jego osiągnięciem
- Około 50% kobiet twierdzi, że okazjonalnie ma problemy z osiągnięciem orgazmu
Szczególnie interesujące są dane dotyczące orgazmu podczas stosunku waginalnego:9
- Tylko 25% kobiet zawsze osiąga orgazm podczas stosunku waginalnego
- Około 50% kobiet czasami osiąga orgazm podczas stosunku
- 20% kobiet rzadko lub prawie nigdy nie osiąga orgazmu podczas stosunku
- Około 5% kobiet nigdy nie osiąga orgazmu podczas stosunku
Problemy z orgazmem zwiększają się wraz z wiekiem, ale mogą dotykać kobiety w każdym wieku. Szczególnie często anorgazmia występuje w okresie menopauzy.310
Objawy anorgazmii u kobiet
Głównym objawem anorgazmii jest niemożność osiągnięcia orgazmu mimo odpowiedniej stymulacji seksualnej. Jednak anorgazmia u kobiet może manifestować się na różne sposoby:1112
- Całkowity brak orgazmu pomimo odpowiedniej stymulacji seksualnej
- Opóźniony orgazm (zajmuje znacznie więcej czasu niż zazwyczaj)
- Rzadsze orgazmy niż wcześniej
- Znacząco mniej intensywne odczuwanie orgazmu
- Brak satysfakcji z osiągniętego orgazmu
Kobiety z anorgazmią mogą doświadczać także innych objawów związanych z życiem seksualnym:1314
- Problemy z podnieceniem seksualnym
- Niskie lub brak pożądania seksualnego
- Ból podczas stosunku lub innej stymulacji seksualnej
- Suchość pochwy lub sromu
- Mimowolne napięcie pochwy (pochwica)
- Obniżona wrażliwość seksualna
- Frustracja lub dystres emocjonalny związany z niemożnością osiągnięcia orgazmu
U kobiet z pierwotną anorgazmią, które nigdy nie doświadczyły orgazmu, może występować znaczny dyskomfort osobisty. Mogą one nie być w stanie osiągnąć orgazmicznego uwolnienia napięcia seksualnego i mogą nawet doświadczać bólu miednicy z powodu przekrwienia naczyń w narządach płciowych.15
Anorgazmia może również wpływać na relacje partnerskie, prowadząc do zmniejszenia intymności i potencjalnych problemów komunikacyjnych między partnerami.14
Wpływ anorgazmii na jakość życia
Anorgazmia może mieć znaczący wpływ na jakość życia kobiety oraz jej relacje z partnerem. Problemy związane z anorgazmią obejmują:1617
- Znaczny dystres emocjonalny
- Uczucie frustracji, rozczarowania i poczucie nieadekwatności
- Wpływ na dynamikę relacji intymnych
- Zmniejszone poczucie przyjemności podczas aktywności seksualnej
- Ogólne poczucie niezadowolenia
- Potencjalne implikacje dla zdrowia psychicznego, przyczyniające się do zwiększonego stresu, lęku lub depresji
Niemożność osiągnięcia orgazmu może być frustrująca i może mieć wpływ na relację. Skupianie się na osiągnięciu orgazmu może dodatkowo pogorszyć problem.18
Przyczyny anorgazmii u kobiet
Orgazm i podniecenie seksualne są złożonymi reakcjami na różne czynniki fizyczne, emocjonalne, sensoryczne i psychologiczne. Trudności w którymkolwiek z tych obszarów mogą wpływać na zdolność do osiągnięcia orgazmu.19
Czynniki fizyczne i medyczne
Fizyczne i medyczne przyczyny anorgazmii u kobiet mogą obejmować:2021
- Schorzenia medyczne: Problemy zdrowotne wpływające na nerwy, przepływ krwi lub poziom energii mogą wpływać na orgazm. Cukrzyca, stwardnienie rozsiane i inne schorzenia związane z nerwami mogą z czasem zmniejszać doznania seksualne.
- Zmiany hormonalne: Menopauza powoduje obniżenie poziomu estrogenu, co prowadzi do suchości pochwy i niskiej wrażliwości. Zaburzenia tarczycy lub niski poziom testosteronu u kobiet mogą również mieć podobny wpływ na funkcje seksualne.
- Leki: Wiele leków przeciwdepresyjnych (SSRI), leków na ciśnienie krwi i niektórych leków przeciwhistaminowych może utrudniać osiągnięcie orgazmu.
- Zaburzenia mięśni dna miednicy: Przewlekły ból lub hipertoniczne (nadmiernie napięte) mięśnie mogą utrudniać osiągnięcie orgazmu.
- Niedawne operacje lub poród: Histerektomia, operacje miednicy lub urazy związane z porodem czasami zaburzają drogi nerwowe i powodują problemy z osiąganiem orgazmu.
U kobiet powyżej 45 roku życia prawdopodobieństwo trudności z osiągnięciem orgazmu jest większe niż u młodszych kobiet. Może to wynikać ze zmian w pochwie i zmian hormonalnych związanych z menopauzą.6
Czynniki psychologiczne i relacyjne
Czynniki psychologiczne i relacyjne mogące prowadzić do anorgazmii obejmują:2324
- Stres i lęk: Obawy o wyniki seksualne, lęk, depresja lub historia traumy mogą tworzyć bariery psychiczne utrudniające osiągnięcie orgazmu
- Problemy relacyjne: Jakość relacji intymnych może znacząco wpływać na zdolność kobiety do osiągnięcia orgazmu
- Obraz ciała: Negatywny obraz własnego ciała może wpływać na doświadczenie seksualne
- Trauma: Historia nadużyć seksualnych lub traumatycznych doświadczeń
- Niewystarczająca edukacja seksualna: Brak wiedzy o własnym ciele i technikach stymulacji
- Czynniki kulturowe i religijne: Przekonania dotyczące seksualności mogą wpływać na zdolność do osiągnięcia orgazmu
Kobiety często doświadczają anorgazmii z powodu niewystarczającego zrozumienia swoich preferencji seksualnych i potrzeb cielesnych. Większość kobiet nie może osiągnąć orgazmu bez bezpośredniej lub pośredniej stymulacji łechtaczki.25
Czynniki ryzyka
Badania wskazują na następujące czynniki ryzyka związane z trudnościami w osiąganiu orgazmu:1326
- Niski poziom wykształcenia
- Niskie dochody
- Zły stan zdrowia
- Depresja i inne problemy ze zdrowiem psychicznym
- Historia traumy, np. wykorzystywanie seksualne
Diagnoza anorgazmii u kobiet
Diagnoza anorgazmii opiera się na wywiadzie medycznym, seksualnym oraz badaniu fizykalnym. W przypadku obaw związanych z brakiem orgazmu, ważne jest skonsultowanie się z lekarzem pierwszego kontaktu lub ginekologiem.2728
Podczas wizyty lekarz może:29
- Zadawać pytania o objawy, kiedy po raz pierwszy pojawiły się problemy z orgazmem i w jakich okolicznościach wystąpiły
- Zbierać informacje o istniejących schorzeniach, przyjmowanych lekach, czynnikach hormonalnych i przebytych operacjach
- Przeprowadzić badanie w poszukiwaniu oznak bólu, problemów z nerwami lub innych czynników fizycznych
- Pytać o stan obecnego związku (jeśli kobieta jest w związku) i poziom zadowolenia z niego
W niektórych przypadkach zlecane są badania laboratoryjne w celu sprawdzenia poziomu hormonów, funkcji tarczycy lub poziomu cukru we krwi.29
Zgodnie z kryteriami diagnostycznymi, aby zdiagnozować anorgazmię (żeńskie zaburzenie orgazmu), objawy muszą utrzymywać się przez co najmniej 6 miesięcy i powodować znaczny dyskomfort. Do zaburzenia nie zalicza się sytuacji, gdy kobieta nie osiąga orgazmu, ale nie odczuwa z tego powodu dyskomfortu.3031
Progresja anorgazmii u kobiet
Anorgazmia u kobiet może mieć różny przebieg w zależności od jej typu oraz przyczyn. Poniżej przedstawiono charakterystyczne cechy progresji tego zaburzenia:1532
Pierwotna anorgazmia
Pierwotna anorgazmia charakteryzuje się tym, że kobieta nigdy nie doświadczyła orgazmu, pomimo odpowiedniej stymulacji seksualnej. Ten stan może utrzymywać się przez całe życie, jeśli nie zostanie podjęte odpowiednie leczenie. Kobiety z pierwotną anorgazmią mogą:33
- Odczuwać pewien poziom podniecenia seksualnego, ale nie być w stanie osiągnąć kulminacji
- Doświadczać frustracji, niepokoju i dyskomfortu z powodu niemożności osiągnięcia orgazmu
- W niektórych przypadkach odczuwać ból miednicy lub uczucie ciężkości w miednicy z powodu przekrwienia narządów płciowych
Dobra wiadomość jest taka, że około 95% kobiet z pierwotną anorgazmią może być skutecznie leczona. Leczenie pierwotnej anorgazmii zwykle przynosi sukces w 75-90% przypadków.934
Wtórna anorgazmia
Wtórna anorgazmia rozwija się u kobiet, które wcześniej doświadczały orgazmów, ale z różnych przyczyn utraciły tę zdolność. Ten typ może być spowodowany:32
- Problemami psychologicznymi, takimi jak uzależnienie od narkotyków lub alkoholu, depresja, żałoba lub strata
- Zmianami hormonalnymi związanymi z menopauzą
- Skutkami ubocznymi leków, szczególnie antydepresantów
- Problemami zdrowotnymi lub następstwami operacji
Leczenie wtórnej anorgazmii było jedynie umiarkowanie skuteczne, ze wskaźnikami powodzenia wahającymi się od 10% do 75%.35
Sytuacyjna anorgazmia
Sytuacyjna anorgazmia to najczęstszy typ zaburzeń orgazmu u kobiet. Charakteryzuje się tym, że kobieta może osiągnąć orgazm tylko w określonych sytuacjach (np. podczas masturbacji) lub z określonymi partnerami, ale nie w innych okolicznościach.1732
Najczęstszą formą dysfunkcji orgazmu u kobiet jest anorgazmia podczas stosunku. Kobiety te mogą osiągać orgazm podczas masturbacji lub innych form stymulacji seksualnej, ale nie podczas stosunku waginalnego.36
Kobiety z sytuacyjną anorgazmią wtórną powinny rozważyć kompleksową ocenę medycyny seksualnej, uwzględniającą aspekty psychologiczne i fizjologiczne.32
Uogólniona anorgazmia
Uogólniona anorgazmia to stan, w którym kobieta nie jest w stanie osiągnąć orgazmu w żadnej sytuacji ani z żadnym partnerem, pomimo odczuwania podniecenia seksualnego. Jest to najbardziej zaawansowana i trudna do leczenia forma anorgazmii.37
Progresja anorgazmii może być związana z wiekiem i zmianami hormonalnymi. Problemy z orgazmem zwiększają się wraz z wiekiem, szczególnie w okresie menopauzy, gdy poziom estrogenu spada, co może prowadzić do suchości pochwy i zmniejszonej wrażliwości.320
Ciąża i okres poporodowy również mogą wpływać na funkcje seksualne. Badania wskazują, że funkcje seksualne ulegają pogorszeniu podczas ciąży i nie wracają do poziomu wyjściowego w okresie poporodowym.38
| Typ anorgazmii | Charakterystyka | Częstość występowania | Skuteczność leczenia |
|---|---|---|---|
| Pierwotna | Nigdy nie doświadczono orgazmu | 4-10% kobiet | 75-90% skuteczności |
| Wtórna | Utrata wcześniejszej zdolności do osiągania orgazmu | 20-30% kobiet | 10-75% skuteczności |
| Sytuacyjna | Orgazm tylko w określonych sytuacjach | Najczęstszy typ | Zmienna |
| Uogólniona | Brak orgazmu w każdej sytuacji | Najmniej powszechny | Najtrudniejsza do leczenia |
Anorgazmia u kobiet a menopauza
Menopauza znacząco wpływa na funkcje seksualne kobiet, w tym na zdolność do osiągania orgazmu. W tym okresie dochodzi do istotnych zmian hormonalnych i fizjologicznych, które mogą prowadzić do anorgazmii lub jej nasilenia.3940
Podczas menopauzy zachodzą następujące zmiany, które mogą utrudniać osiągnięcie orgazmu:39
- Zmniejszenie poziomu estrogenu, co prowadzi do:
- Ścieńczenia ścian pochwy
- Zmniejszonej elastyczności tkanek pochwy
- Zmniejszenia naturalnego nawilżenia
- Atrofii sromu i pochwy, co może powodować dyskomfort lub ból podczas stosunku
- Zmniejszona reakcja na podniecenie seksualne:
- Słabszy przepływ krwi do narządów płciowych
- Zmniejszona wrażliwość na dotyk
- Mniejsze nawilżenie podczas podniecenia
- Osłabienie mięśni dna miednicy, co może prowadzić do:
- Słabszych skurczów podczas orgazmu
- Mniej intensywnych doznań orgazmicznych
Anorgazmia związana z menopauzą często jest typu wtórnego, gdzie kobieta wcześniej była w stanie osiągać orgazm, ale po wejściu w okres menopauzy doświadcza trudności. Badania pokazują, że problemy z orgazmem są częste u kobiet po menopauzie, a spadek poziomu estrogenu jest jednym z głównych czynników przyczyniających się do tego stanu.4142
Leczenie anorgazmii związanej z menopauzą może obejmować terapię hormonalną (estrogenową lub estrogenowo-progesteronową), która pomaga złagodzić objawy menopauzy i poprawić funkcje seksualne. Miejscowa terapia estrogenowa (kremy, pierścienie dopochwowe) może być szczególnie skuteczna w zwiększaniu przepływu krwi do narządów płciowych, co jest niezbędne do osiągnięcia orgazmu.43
Kobiety w okresie menopauzy z anorgazmią mogą również korzystać z innych metod leczenia, takich jak lubrykanty, urządzenia wspomagające (wibratory), ćwiczenia mięśni dna miednicy oraz terapia seksualna.44
Współwystępujące problemy seksualne
Kobiety doświadczające anorgazmii często cierpią na jeden lub więcej powiązanych problemów seksualnych, które mogą przyczyniać się do trudności z osiąganiem orgazmu lub je komplikować.1330
Do najczęściej współwystępujących zaburzeń seksualnych należą:19
- Problemy z podnieceniem seksualnym – badania wskazują, że 31% kobiet z anorgazmią doświadcza również trudności z podnieceniem seksualnym
- Niskie lub brak pożądania seksualnego – zmniejszone libido często towarzyszy anorgazmii
- Ból podczas stosunku seksualnego (dyspareunia) – może prowadzić do unikania aktywności seksualnej
- Suchość pochwy lub sromu – szczególnie częsta u kobiet w okresie menopauzy
- Pochwica (vaginismus) – mimowolne skurcze mięśni pochwy utrudniające penetrację
Istnieje wysoki poziom współwystępowania między anorgazmią a innymi dysfunkcjami seksualnymi. Około połowa kobiet z anorgazmią doświadcza również problemów z nawilżeniem, pożądaniem, bólem lub pochwicą.30
Ponadto, anorgazmia często współwystępuje z zaburzeniami psychicznymi:3045
- Ponad jedna czwarta kobiet z anorgazmią spełnia również kryteria zaburzeń lękowych
- Ponad połowa kobiet z anorgazmią spełnia również kryteria depresji
- Stres, napięcie i zmęczenie mogą wpływać na zdolność do osiągania orgazmu
Problemy w relacjach partnerskich również często towarzyszą anorgazmii. Trudności komunikacyjne, brak zaufania lub szacunku, problemy w związku mogą wpływać na zdolność do osiągania satysfakcji seksualnej.46
Leczenie anorgazmii powinno uwzględniać wszystkie współwystępujące problemy seksualne i psychiczne, ponieważ często stanowią one złożony zespół zaburzeń, które wzajemnie na siebie wpływają.36
Wpływ leków na anorgazmię u kobiet
Wiele leków może wpływać na zdolność kobiety do osiągania orgazmu. Dysfunkcja orgazmu jako skutek uboczny farmakoterapii jest dobrze udokumentowana i może stanowić istotną przyczynę anorgazmii wtórnej.2036
Do leków najczęściej powodujących zaburzenia orgazmu u kobiet należą:4748
- Leki przeciwdepresyjne, szczególnie selektywne inhibitory wychwytu zwrotnego serotoniny (SSRI) – mogą znacząco opóźniać lub uniemożliwiać osiągnięcie orgazmu
- Leki przeciwpsychotyczne – mogą wpływać na funkcje seksualne poprzez działanie na układ nerwowy
- Leki obniżające ciśnienie krwi – mogą zmniejszać przepływ krwi do narządów płciowych
- Niektóre leki przeciwhistaminowe – mogą powodować suchość pochwy i zmniejszenie wrażliwości
- Leki hormonalne, w tym niektóre środki antykoncepcyjne – mogą wpływać na libido i zdolność do osiągania orgazmu
Wpływ leków na funkcje seksualne może być bezpośredni (poprzez działanie na receptory i neuroprzekaźniki) lub pośredni (poprzez efekty uboczne, takie jak zmęczenie, sedacja, spadek nastroju).41
Jeśli anorgazmia pojawiła się po rozpoczęciu nowej terapii lekowej, należy skonsultować się z lekarzem, który może:49
- Dostosować dawkę leku
- Rozważyć alternatywny lek z tej samej grupy, ale o innym profilu skutków ubocznych
- Zalecić przyjmowanie leku w innym czasie (np. po aktywności seksualnej, a nie przed)
- Zaproponować okresowe „wakacje od leku” (tylko pod ścisłym nadzorem medycznym)
- Przepisać dodatkowy lek łagodzący skutki uboczne dotyczące funkcji seksualnych
Ważne jest, aby pacjentki nie przerywały samodzielnie przyjmowania leków ze względu na skutki uboczne związane z funkcjami seksualnymi, lecz zawsze konsultowały się z lekarzem prowadzącym terapię.47
Podsumowanie
Anorgazmia u kobiet to złożone zaburzenie, które może znacząco wpływać na jakość życia i relacje. Może wynikać z wielu przyczyn, zarówno fizycznych, jak i psychologicznych, a jej objawy mogą obejmować całkowity brak orgazmu, opóźniony orgazm, rzadsze orgazmy lub mniej intensywne orgazmy.111
Kluczowe punkty dotyczące anorgazmii u kobiet to:1117
- Jest stosunkowo powszechnym problemem, dotykającym około 10-15% kobiet, które nigdy nie doświadczyły orgazmu
- Może występować jako pierwotna (lifelong), wtórna (acquired), sytuacyjna (situational) lub uogólniona (generalized)
- Często współwystępuje z innymi problemami seksualnymi, takimi jak zaburzenia podniecenia, ból podczas stosunku czy pochwica
- Może być spowodowana czynnikami fizycznymi (schorzenia medyczne, efekty uboczne leków, zmiany hormonalne) lub psychologicznymi (stres, lęk, trauma, problemy w relacji)
- Często nasila się w okresie menopauzy z powodu zmian hormonalnych
- Jest stanem, który można leczyć poprzez odpowiednie podejście medyczne, psychologiczne i edukacyjne
Istnieje wiele metod leczenia anorgazmii, które mogą być dostosowane do indywidualnych potrzeb kobiety. Kluczowe jest zidentyfikowanie przyczyn leżących u podstaw zaburzenia i opracowanie kompleksowego planu leczenia, który może obejmować terapię, zmiany stylu życia, edukację seksualną oraz, w niektórych przypadkach, interwencje medyczne.5051
Kobiety doświadczające trudności z osiąganiem orgazmu powinny skonsultować się z wykwalifikowanym specjalistą z zakresu zdrowia seksualnego, który pomoże im zrozumieć ich problem i zaproponuje odpowiednie rozwiązania.11
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 Anorgasmia in women – Symptoms and causes – Mayo Clinichttps://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 who don’t always reach orgasm during sexual encounters may not find it distressing. In that case, the lack of an orgasm is not considered a disorder.
- #2 Anorgasmia in women | UM Health-Sparrowhttps://www.uofmhealthsparrow.org/departments-conditions/conditions/anorgasmia-women
Anorgasmia is delayed, infrequent or absent orgasms or significantly less-intense orgasms after sexual arousal and adequate sexual stimulation. Women who have problems with orgasms and who feel significant distress about those problems may be diagnosed with anorgasmia. […] 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 who don’t always reach orgasm during sexual encounters may not find it distressing. In that case, the lack of an orgasm is not considered a disorder.
- #3 Anorgasmia: Causes, Symptoms, Diagnosis & Treatmenthttps://my.clevelandclinic.org/health/diseases/24640-anorgasmia
Anorgasmia is when an orgasm is absent, delayed, infrequent or lacks intensity despite being aroused. This disorder causes distress and affects your sexual relationships. Several medical, physical and psychological factors play a role in causing it. […] Anorgasmia in women (also called female orgasmic disorder) is classified into four types: Primary (or lifelong): Youve never had an orgasm. Secondary (or acquired): You were once able to have an orgasm but cant now. This is common with menopause. Situational: You can only reach orgasm in specific situations like with masturbation (self-stimulation). General: You dont reach orgasm in any situation, even when you feel aroused or excited. […] 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.
- #4 Why Canât I Orgasm? It Might Be Anorgasmia In Women | Allo Healthhttps://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/anorgasmia-in-women
Anorgasmia can be classified by timing in your life: […] Primary anorgasmia: When you have never been able to reach an orgasm under any circumstances. This could be you if, for example, youve masturbated or had sex and not once got an orgasm since you have been sexually active. […] Secondary anorgasmia: When you used to get orgasm in the past, but now you cant. This might even happen after a long few years or after any life change (such as childbirth or starting a new medication). […] Anorgasmia can be situational or generalized also. […] Situational means you can climax in some situations but not in others (for instance, you can get an orgasm while you masturbate but not when youre with a partner, or only with oral sex but not during penetrative sex). […] Generalized means you still have the same problem, with any partner or even alone.
- #5 Anorgasmia in women | Beacon Health Systemhttps://www.beaconhealthsystem.org/library/diseases-and-conditions/anorgasmia-in-women?content_id=CON-20369409
Women who don’t always reach orgasm during sexual encounters may not find it distressing. In that case, the lack of an orgasm is not considered a disorder. […] 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.
- #6 Orgasmic dysfunction: Symptoms, causes, diagnosis, and treatmenthttps://www.medicalnewstoday.com/articles/324112
Orgasmic dysfunction is when a person has trouble reaching an orgasm despite sexual arousal and stimulation. […] Orgasmic dysfunction is also known as anorgasmia. […] Researchers estimate that female orgasmic disorder, which is recurrent orgasmic dysfunction, may affect between 11 to 41 percent of women. […] The North American Menopause Society report that 5 percent of all women have difficulty achieving orgasm. […] Orgasmic dysfunction is when someone has difficulty or the inability to reach an orgasm. For some people, reaching a climax can take longer than normal or be unsatisfying. […] The way an orgasm feels or how long it takes to have an orgasm can vary widely. When someone has orgasmic dysfunction, climax can take a long time to reach, be unsatisfying, or be unattainable. […] Also, women over 45 years of age are more likely to have trouble orgasming than women under this age. This may be due to menopause-related hormonal shifts and vaginal changes.
- #7 Why Canât I Orgasm? It Might Be Anorgasmia In Women | Allo Healthhttps://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/anorgasmia-in-women
Approximately 10% to 15% of women have never ever experienced an orgasm in their whole lifetime. Thats right about 1 in 10 women worldwide have never had an orgasm. […] Even among women who have orgasmed before, many still report having such difficulties sometimes. A 2021 review noted that up to 28% of women in the U.S. and 46% of women in some Asian countries have reported having orgasm problems. These numbers show us that this is a widespread issue. […] Its also common for women to have some situational orgasm troubles. About half of all women (50%) say they have orgasm problems occasionally. Many a time, women find it harder to climax after vaginal intercourse alone. In fact, roughly 3 out of 4 women cant orgasm from penetration alone they will need a clitoral touch to finish. Clitoral stimulation is totally normal biology (as the clitoris has the highest number of nerve endings for pleasure). So if intercourse by itself doesnt get you there, it doesnt mean somethings wrong. Its just how your body works. No issue.
- #8 Anorgasmia – Wikipediahttps://en.wikipedia.org/wiki/Anorgasmia
Anorgasmia is a type of sexual dysfunction in which a person cannot achieve orgasm despite adequate sexual stimulation. Anorgasmia is far more common in females (4.6%) than in males and is especially rare in younger men. The problem is greater in women who are post-menopausal. […] About 15% of women report difficulties with orgasm, and 10% of women in the United States have never climaxed. […] Women with this condition can sometimes achieve a relatively low level of sexual excitement. Frustration, restlessness, and pelvic pain or a heavy pelvic sensation may occur because of vascular engorgement. […] Secondary anorgasmia is the loss of the ability to have orgasms (as opposed to primary anorgasmia which indicates a person who has never had an orgasm) or loss of the ability to reach orgasm of past intensity.
- #9 The Orgasm Part 1: Primary Anorgasmia — POYNOR HEALTHhttps://poynorhealthnewyork.com/the-orgasm-part-1-primary-anorgasmia
10% of women have reported difficulty reaching orgasm all or most of the time. […] 29% of women reported orgasmic difficulties. […] An analysis of 33 studies over 80 years found that during vaginal intercourse just 25 percent of women consistently experience an orgasm, about half of women sometimes have an orgasm, 20 percent seldom or ever have orgasms, and about 5 percent never have orgasms. […] Problems reaching an orgasm are generally categorized into two subtypes corresponding to the nature of onset: lifelong versus acquired. […] Women who have never had an orgasm can be treated with success, and the sexual satisfaction of women whose orgasmic difficulties are situational can generally be improved. […] 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.
- #10 Orgasm Issues/Arousal Disorders | Intimate Wellness Institutehttps://iwiva.com/intimate-wellness/arousal-disorders/
Anorgasmia is when a person has difficulty or cant orgasm even if theyre enjoying sex and it feels good to them. […] 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. […] 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. […] Anorgasmia can affect anyone but its most common after menopause. […] It depends on the cause. It may take several months to reach a point of significant, lasting improvement. The good news is that almost all women can orgasm again with proper treatment by the IWI team. […] Anorgasmia can be upsetting and frustrating. It can impact intimacy with your partner and affect your self-esteem. Its also extremely unlikely that you can solve this problem without proper medical care or guidance.
- #11 Anorgasmia: Causes, Symptoms, Diagnosis & Treatmenthttps://my.clevelandclinic.org/health/diseases/24640-anorgasmia
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, and sometimes its hard to determine the root cause(s). […] Anorgasmia can be upsetting and frustrating. It can impact intimacy with your partner and affect your self-esteem. Its also extremely unlikely that you can solve this problem without proper medical care or guidance. Your healthcare provider can help you with anorgasmia so you can enjoy a fulfilling sex life.
- #12 Orgasmic dysfunction Information | Mount Sinai – New Yorkhttps://www.mountsinai.org/health-library/special-topic/orgasmic-dysfunction
Orgasmic dysfunction is when a woman either cannot reach orgasm, or has trouble reaching orgasm when she is sexually excited. […] The symptoms of orgasmic dysfunction include: Being unable to reach orgasm, Taking longer than you want to reach orgasm, Having only unsatisfying orgasms. […] 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.
- #13 Anorgasmia in women – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/anorgasmia/symptoms-causes/syc-20369422
Sexual arousal and orgasms are complex reactions to various physical, emotional, sensory and psychological factors. Difficulties in any of these areas can affect your ability to have an orgasm. […] 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.
- #14 What are the Signs of Anorgasmia? – ISSMhttps://www.issm.info/sexual-health-qa/what-are-the-signs-of-anorgasmia
What are the Signs of Anorgasmia? Anorgasmia is a condition where an individual has difficulty reaching orgasm, even with adequate sexual stimulation. For those experiencing this issue, it can feel frustrating and emotionally distressing. To address the condition effectively, its essential to recognize its signs and know how to collaborate with healthcare providers for proper support and treatment. […] Anorgasmia can manifest in various ways, depending on the individual and the underlying cause. Some common signs include: […] Absence of Orgasm: No orgasm occurs, despite sufficient physical or psychological stimulation. […] Diminished Sensitivity: Individuals may notice a reduction in sexual pleasure, even when theyre aroused. […] Frustration or Emotional Distress: The inability to reach orgasm often leads to frustration, stress, or feelings of inadequacy. […] Partner Relationship Impact: Anorgasmia can cause strain in relationships, leading to a decrease in intimacy and potential miscommunication between partners.
- #15 Female Orgasmic Disorder | San Diego Sexual Medicinehttps://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. Anorgasm is persistent and consistent inability to achieve orgasm after adequate stimulation. Some women with primary anorgasmia have no personal distress. […] Some women with primary anorgasmia have great personal distress. These women cannot achieve orgasmic release of sexual tension and may even experience pelvic pain because of genital vascular engorgement. […] Women with anorgasmia and personal distress should consider undergoing a combined psychologic and physiologic sexual medicine evaluation.
- #16 What Is Anorgasmia In Women? Causes, Symptoms & How to Copehttps://www.marriage.com/advice/physical-intimacy/anorgasmia-in-women/
Anorgasmia in women can lead to significant emotional distress. The persistent inability to achieve orgasm may contribute to feelings of frustration, disappointment, and a sense of inadequacy. […] The impact of anorgasmia often extends beyond an individuals emotional state to affect the dynamics of intimate relationships. […] Anorgasmia significantly influences sexual satisfaction. The inability to reach orgasm can lead to a diminished sense of pleasure during sexual activity, impacting the overall enjoyment and fulfillment derived from intimate moments. […] Beyond the realm of sexual health, anorgasmia can affect a womans overall quality of life. The persistent nature of this condition may contribute to a general sense of dissatisfaction and hinder the ability to fully enjoy life. […] Anorgasmia can have implications for mental health, contributing to conditions such as increased stress, anxiety, or depression.
- #17 Orgasmic Dysfunction: Causes, Symptoms, and Treatmentshttps://www.healthline.com/health/orgasmic-dysfunction
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. […] Resolving these underlying causes can help you reach orgasm in the future.
- #17 Orgasmic Dysfunction: Causes, Symptoms, and Treatmentshttps://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. […] The main symptom of orgasmic dysfunction is the inability to achieve sexual climax. Other symptoms include having unsatisfying orgasms and taking longer than normal to reach climax. […] Women with orgasmic dysfunction may have difficulty achieving orgasm during sexual intercourse or masturbation. […] 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.
- #18 Anorgasmia in womenhttps://www.mymlc.com/health-information/diseases-and-conditions/a/anorgasmia-in-women2/
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. […] Women whoâve never had an orgasm might not be getting enough sexual stimulation. Most women need direct or indirect stimulation of the clitoris to orgasm. […] If anorgasmia is associated with menopausal symptoms, such as night sweats and hot flashes, systemic estrogen therapy â by pill, patch or gel â might relieve those symptoms and improve sexual response. […] Your difficulty reaching orgasm can be frustrating for you and your partner. Plus, concentrating on climax can make the problem worse.
- #19 Anorgasmia in women // Middlesex Healthhttps://middlesexhealth.org/learning-center/diseases-and-conditions/anorgasmia-in-women
Sexual arousal and orgasms are complex reactions to various physical, emotional, sensory and psychological factors. Difficulties in any of these areas can affect your ability to have an orgasm. […] Women experiencing anorgasmia may have one or more related sexual problems. These may contribute to or complicate the problem with having orgasms. […] 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.
- #20 Why Canât I Orgasm? It Might Be Anorgasmia In Women | Allo Healthhttps://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/anorgasmia-in-women
Medical Conditions: Health issues that have an effect on your nerves, blood flow, or energy levels can impact your orgasm. Diabetes, multiple sclerosis, and other nerve-related conditions can reduce your sensations with time. […] Hormonal Changes: Menopause starts lowering estrogen with time and causes vaginal dryness and low sensitivity. Thyroid disorders or low testosterone in women can also have similar effects on your sexual function. […] Medications: Many antidepressants (SSRIs), blood pressure drugs, and some antihistamines can impede orgasm. […] Pelvic Floor Disorders: When you have chronic pain or hypertonic (excessively tight) muscles, it can make orgasm difficult. […] Recent Surgeries or Childbirth: Hysterectomy, pelvic surgeries, or childbirth-related trauma sometimes disrupt nerve pathways and cause problems getting orgasms.
- #21 Anorgasmia: Causes, Symptoms, Consequences, and Treatmentshttps://manhealth.com.pk/anorgasmia/
Anorgasmia is defined as the persistent or recurrent difficulty, delay in, or absence of attaining orgasm after sufficient sexual stimulation. […] The primary symptom of anorgasmia is the inability to reach orgasm despite adequate sexual stimulation. This can lead to frustration, distress, and dissatisfaction with ones sex life. Anorgasmia can also strain relationships, as partners may feel inadequate or blame themselves for their partners inability to climax. […] With proper treatment and support, many people with anorgasmia are able to experience improvement in their sexual function and satisfaction. Working closely with qualified healthcare providers to identify and address underlying causes is key.
- #22 What Is an Orgasmic Disorder?https://www.icliniq.com/articles/sexual-health/orgasmic-disorder
Inability to reach orgasm. […] The orgasm attained seems unsatisfying. […] Despite all these factors, a previous episode of anorgasmia itself posts anxiety in the affected individual, thus worsening it further. […] Orgasmic disorder can occur due to several factors, including physical, mental, sexual, and relationship. […] In women above the age of 45, the changes in the vagina and hormonal imbalances brought about by the yet-to-occur menopause create trouble in reaching orgasm. […] Hormonal Therapy: In women, if anorgasmia is caused by a reduction in the level of estrogen, then hormonal therapy using estrogen can produce fruitful benefits. […] The inability to orgasm can be frustrating and may affect the relationship. However, with appropriate treatment, achieving climax is possible. […] Orgasmic disorder is characterized by failure to produce an orgasm.
- #23 What Is Anorgasmia In Women? Causes, Symptoms & How to Copehttps://www.marriage.com/advice/physical-intimacy/anorgasmia-in-women/
Psychological factors play a significant role in the development of female anorgasmia. Stress, anxiety, depression, or a history of trauma can create mental barriers that hinder a womans ability to achieve orgasm. […] 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. This disorder involves recurrent difficulty or absence of orgasm even with sufficient arousal. […] Coping with female anorgasmia is a multifaceted process that combines emotional support, professional guidance, and exploration. […] Seeking professional guidance and support is crucial in addressing both the physical and mental aspects of anorgasmia.
- #24 Understanding Anorgasmia: Causes, Symptoms, and Treatment – Counselling and Life coaching ( a unit of emocare)https://counselling-lifecoaching.com/understanding-anorgasmia-causes-symptoms-and-treatment/
Psychological Causes […] Psychological factors can also contribute to anorgasmia. Stress, anxiety, depression, past trauma, relationship issues, body image concerns, and performance anxiety are some common psychological causes. These factors can create mental barriers that hinder the ability to achieve orgasm. […] Management and Treatment […] The treatment for anorgasmia depends on the underlying cause. In some cases, addressing the medical or physical condition may resolve the issue. For psychological causes, therapy, counseling, or sex therapy can be beneficial. Techniques such as mindfulness, relaxation exercises, communication skills, and sensate focus may be employed to help overcome barriers to orgasm. […] Conclusion […] Anorgasmia can significantly impact an individuals sexual satisfaction and overall well-being. It is essential to seek professional help to identify the underlying causes and develop a personalized treatment plan. With the right support and guidance, many individuals can overcome anorgasmia and experience fulfilling sexual relationships.
- #25 Award-Winning Pleasure Sex Toys and Jewellery – Biirdhttps://it.biird.co/blogs/thenest/what-is-anorgasmia-symptoms-causes-cures
Anorgasmia is a medical term that refers to a womans inability or difficulty with orgasms, even if theyre sufficiently stimulated. If you feel like you cant orgasm or orgasm regularly, despite engaging in regular sexual intercourse and feeling sexually stimulated, you may be suffering from anorgasmia. […] However, you should be concerned if you cant have orgasms at all or if you experience long delays between orgasms. […] The following are the broad categories of orgasms. […] You should consult a gynecologist or doctor if you havent been able to orgasm satisfactorily for several months, despite ample sexual stimulation or efforts on your part. […] Women often experience anorgasmia due to an insufficient understanding of their sexual preferences and bodily needs. […] Most women cant orgasm without direct or indirect clitoral stimulation, which you can do with your fingers or a sex toy.
- #26 Anorgasmia In Women :- Symptoms, Causes,risk Factors, And Complications – Run To Winhttps://www.runtowin.in/diseases-conditions/symptoms-causes/anorgasmia-in-women-symptoms-causesrisk-factors-and-complications/pkgupta9452/
Generalized: Difficulty achieving orgasm in any situation. […] Women with anorgasmia might also experience: Difficulty getting aroused […] Low libido […] Pain during sex […] Vaginal dryness […] Involuntary vaginal muscle contractions (vaginismus). […] Certain factors increase the likelihood of experiencing orgasmic difficulties: Lower levels of education and income […] Poor overall health […] Depression or other mental health conditions […] History of sexual abuse or trauma. […] If experiencing anorgasmia causes distress, treatments are available. Consulting a doctor or therapist can help identify underlying causes and explore solutions.
- #27 Anorgasmia in women – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/anorgasmia/diagnosis-treatment/drc-20369428
Your primary care professional or gynecologist will review your medical history and conduct a general medical exam and pelvic exam. These exams may identify physical conditions that contribute to problems having orgasms. […] 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. […] 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.
- #28 Anorgasmia in women – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/anorgasmia/diagnosis-treatment/drc-20369428
If your lack of orgasm from sexual activity distresses you, make an appointment with your primary care professional or your gynecologist. […] Make a list of the following items that are important to share with your healthcare professional: Your symptoms, when you first began having problems with orgasms and under what circumstances the problems occurred. […] In addition to the information you prepare, your healthcare professional will likely ask questions to understand your sexual experiences, your ability to reach orgasm and your thoughts about your sexual relationship.
- #29 Why Canât I Orgasm? It Might Be Anorgasmia In Women | Allo Healthhttps://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/anorgasmia-in-women
Sexual Pain Disorders: If you feel pain during sex, in the case of dyspareunia (painful intercourse) or vaginismus (involuntary tightening of vaginal muscles), getting an orgasm can be troublesome. […] The diagnosis of anorgasmia is usually done while the patient tells about the problems, and it may include a physical check-up. Heres what happens: […] Your doctor might ask about when you first noticed the problem, any past orgasms you had, and what youve tried so far. […] Some existing health conditions, medications, hormonal factors, and any surgeries might be relevant. So tell your conditions to your doctor. […] Your doctor might check for signs of pain, nerve issues, or other physical contributors. […] Your doctor might want to know the state of your current relationship (if you have one) and how satisfied you are with it.
- #30 Female Orgasmic Disorder DSM-5 302.73 (F52.31)https://www.theravive.com/therapedia/female-orgasmic-disorder-dsm–5-302.73-(f52.31)
Female orgasmic disorder is a sexual dysfunction disorder that effects as many as 42% of women at some time during the lifespan. According to the DSM-5, female orgasmic disorder is characterized by a significant change in orgasm such as delay, reduction of intensity or cessation. […] Female orgasmic disorder is marked by a significant change in orgasm. The DSM-5 explains that these changes can be reduced intensity, delay, infrequency or absence of orgasm. The symptom must last for at least six months and not be related to other physical, mental or relational problem. […] For some women, the problematic change in orgasm occurred after a period of normal sexual activity and enjoyment. For other women, the condition is lifelong as has persisted since her first sexual encounter. In some cases, the disturbance may only happen with some sexual activities or partners but not persist in other situations. For some women, the condition persists in all sexual encounters.
- #30 Female Orgasmic Disorder DSM-5 302.73 (F52.31)https://www.theravive.com/therapedia/female-orgasmic-disorder-dsm–5-302.73-(f52.31)
The presence of distress is necessary for proper diagnosis of female orgasmic disorder. One study found that more than half of married women report arousal or orgasm problems. Of these, more than three quarters reported they were satisfied with their sexual relationships. […] 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.
- #31 Prosayla | Anorgasmiahttps://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. In order for it to be considered under the category of Female Orgasmic Disorder rather than just orgasmic dysfunction, symptoms must cause clinically significant distress. […] Signs of primary anorgasmia is never having had an orgasm. Secondary anorgasmia, on the other hand, presents as a loss of the ability to orgasm after previously being able to do so. Anorgasmia can also be experienced in certain specific situations or settings. This is called situational anorgasmia. For example, some patients will report that they are able to orgasm on their own, but not with a partner.
- #32 Female Orgasmic Disorder | San Diego Sexual Medicinehttps://www.sdsm.info/female-issues/female-orgasmic-disorder
Some women who once had the ability to have orgasm develop secondary anorgasmia from psychologic issues such as drug addiction or alcoholism, depression, grief or loss. […] 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. […] Women may develop a situational form of secondary anorgasmia in which the woman is more easily orgasmic in some situations (certain partner and certain type of foreplay) and cannot achieve orgasm in other situations. […] Should situational secondary anorgasmia cause personal distress, a combined psychologic and physiologic sexual medicine evaluation should be considered.
- #33 Delayed Orgasm and Anorgasmiahttps://pmc.ncbi.nlm.nih.gov/articles/PMC4816679/
Delayed orgasm/anorgasmia defined as the persistent or recurrent difficulty, delay in, or absence of attaining orgasm after sufficient sexual stimulation, which causes personal distress. […] Delayed orgasm and anorgasmia are associated with significant sexual dissatisfaction. […] By definition, primary anorgasmia begins from the males first sexual experiences and lasts throughout his life. Whereas, secondary anorgasmia is preceded by a period of normal sexual experiences before the problem manifests. […] DO is further classified as lifelong/acquired, generalized/situational, and mild/moderate/severe. […] The best definition is probably that of the World Health Organization 2nd Consultation on Sexual Dysfunction defines DO as the persistent or recurrent difficulty, delay in, or absence of attaining orgasm after sufficient sexual stimulation, which causes personal distress.
- #34 Orgasmic Disorder | Psychology Todayhttps://www.psychologytoday.com/us/conditions/orgasmic-disorder
The symptoms cause clinically significant distress in the individual. […] Difficulty achieving orgasm is very common and its often not indicative of a mental disorder. […] Many factors can disrupt the ability to orgasm. These include hormonal status, lack of sexual desire or arousal, pain during intercourse, relationship quality, mental health conditions such as anxiety or PTSD, and social stigmas around sex. […] 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.
- #35 Treatment of Orgasmic Dysfunction in Women | GLOWMhttps://www.glowm.com/section-view/heading/Treatment%20of%20Orgasmic%20Dysfunction%20in%20Women/item/431
The first task for the physician presented with such a patient is to differentiate between relatively clear-cut cases of primary anorgasmia and those of situational or secondary anorgasmia. […] Treatment can be quite straightforward for primary anorgasmia. […] Directed masturbation (DM) is the treatment of choice. […] Treatment for secondary anorgasmia has been only moderately successful, with success rates ranging from 10-75%. […] 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.
- #36 Treatment of Orgasmic Dysfunction in Women | GLOWMhttps://www.glowm.com/section-view/heading/Treatment%20of%20Orgasmic%20Dysfunction%20in%20Women/item/431
The most common form of female orgasmic dysfunction, anorgasmia during coitus, occurs in this category. […] The major etiologic contributions to anorgasmia can be grouped broadly under three headings: physical, psychological, and interpersonal. […] Disease-based orgasmic dysfunctions in women are uncommon. […] Some orgasmic problems can be attributed to a medical condition alone, particularly those that affect the nerve supply to the pelvis. […] Aging, apart from health problems, does not produce a decline in orgasmic capacity. […] Although psychological factors seem to be implicated in most orgasmic complaints, no particular psychiatric diagnosis has been found to correlate with these difficulties. […] Women today expect their gynecologists and obstetricians to know not only about clinical problems but also about functional sexual difficulties.
- #37 Anorgasmia in Women: Types, Causes & Treatmentshttps://www.womenshealthaz.com/anorgasmia-in-women/
Orgasms vary in intensity and duration and can present differently from woman to woman. However, for those who suffer from anorgasmia, it can be difficult, or even impossible, to reach orgasm at all. […] Essentially, anorgasmia is a sexual dysfunction where orgasm cant be reached even with ample sexual stimulation. […] Anorgasmia can present itself in many different forms. Here are a few you may experience: […] Women who previously were able to achieve orgasm are no longer able or have trouble reaching climax. […] Women with lifelong or generalized anorgasmia are unable (and never have been able) to reach climax and experience an orgasm in any situation. […] Women with situational anorgasmia can only achieve orgasm during specific circumstances and possibly even with a specific partner.
- #38 Female Sexual Dysfunction | Doctorhttps://patient.info/doctor/female-sexual-dysfunction-pro
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. […] Cardiovascular disease (CVD) is associated with an increased prevalence of FSD. […] Sexual dysfunction, like erectile dysfunction in men, is related to the severity of CVD. […] Sexual desire/arousal and orgasm are mediated by central and spinal nerve pathways and involve sympathetic, parasympathetic and somatic nerve activity. […] Psychological factors (history of sexual abuse, depression, anxiety, obsessive-compulsive disorders), sociocultural issues (beliefs regarding sexual activity) and interpersonal issues (partner availability, partner function, relationship with partner, communication with partner) affect sexual function in all age groups.
- #39 Can You Have an Orgasm After Menopause? – Evernowhttps://www.evernow.com/learn/how-does-menopause-affect-orgasm?srsltid=AfmBOopf561HBzP0Ntlicg1nhpuAOdTGsZPOh1zlORa1J_xAkTyXnoce
For many people, the menopause transition comes with a number of sexual changes including difficulty achieving orgasm and less physically-intense orgasms. […] During menopause, your hormone balance shifts significantly as estrogen and progesterone levels fall. This leads to a number of physical changes that can make penetrative vaginal sex and orgasm more difficult: […] First, the walls of your vagina may become thinner, drier, and less flexible. You may also produce less natural lubrication than you used to. This is known as vulvovaginal atrophy, and it can make sex uncomfortable or painful. […] Second, your body’s response to sexual arousal may be less pronounced. […] After menopause, however, research shows that this response tends to be weaker. This reduction in blood flow may make you feel less aroused in your genitals, drier, and less sensitive to physical touch.
- #40 Anorgasmia: Causes and Treatment in Males and Femaleshttps://www.verywellhealth.com/anorgasmia-causes-and-treatment-options-2328525
Anorgasmia, also known as Coughlan’s syndrome, occurs when a person is unable to achieve an orgasm despite adequate sexual stimulation. It affects both males and females but is far more common in females. […] In females, anorgasmia commonly occurs after menopause when estrogen levels drop. […] Anorgasmia is not uncommon in females. In fact, some studies suggest that anywhere from 10% to 15% of females have never had an orgasm. […] Physiological causes specific to females include: Menopause (characterized by a steep drop in estrogen levels). […] 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. […] Anorgasmia is the inability to achieve orgasm despite sexual stimulation. There are both physiological and psychological causes that often intertwine.
- #41 Unlocking Pleasure: Understanding Female Anorgasmia and Its Causeshttps://www.myupchar.com/en/sexual-health/female-anorgasmia
Certain types of medicines can also cause female anorgasmia. High blood pressure, antipsychotic, antihistamine and antidepressant medicines can affect orgasm. […] If a woman consumes alcohol or smokes, she may have to face symptoms of anorgasmia. […] After a certain age, women have to go through menopause. Menstruation stops in women during menopause. In this situation the level of estrogen in women also starts decreasing. Because of this, many changes start taking place in the body of women. Vaginal dryness and pain during sex may occur. In this situation the woman may also have to face symptoms of anorgasmia. […] Treatment of female anorgasmia depends on its cause. First the doctor finds out its cause, only then starts the treatment – During menopause, the level of estrogen in women’s bodies starts decreasing. In such a situation, doctors may prescribe estrogen therapy to treat anorgasmia. Estrogen therapy improves blood flow to the genitals.
- #42 Orgasms, Testosterone, and the Causes of Anorgasmia – BioBalance Healthhttps://biobalancehealth.com/understanding-of-the-female-orgasm/
Both patients were in menopause and one had had a hysterectomy. But because their anorgasmia predated the hysterectomy and the menopause, I was able to dismiss these as contributing factors. […] The blood work showed that both of these women had very low testosterone and estradiol levels. […] This is highly suggestive that they had never had adequate testosterone which is necessary for both libido and orgasm. […] We have been extremely successful with helping women become orgasmic for the first time as well as those who develop this problem with age.
- #43 Can You Have an Orgasm After Menopause? – Evernowhttps://www.evernow.com/learn/how-does-menopause-affect-orgasm?srsltid=AfmBOopf561HBzP0Ntlicg1nhpuAOdTGsZPOh1zlORa1J_xAkTyXnoce
And third, your pelvic floor muscles may lose strength after menopause. […] If you’re experiencing weaker pelvic floor contractions after menopause, that could make your orgasms feel less intense. […] Vaginal estrogen is a very effective treatment for increasing genital blood flow, which is necessary for achieving orgasm. […] For many people struggling to orgasm during menopause, the right vibrator is a perfect solution. […] Research has shown that this treatment improves lubrication and orgasm, reduces pain, and improves overall sexual satisfaction after menopause. […] Not addressing the issue can have a very detrimental effect on quality of life and relationship satisfaction.
- #44https://www.womenshealthmag.com/uk/health/sexual-health/a708913/anorgasmia/
Psychological causes of anorgasmia include: Worry over sexual performance, Depression, Anxiety, Fear of or lack of knowledge about sex, A previous traumatic sexual experience, Relationship problems, Stress symptoms. […] First up, if you think you might be experience female orgasmic dysfunction, book in with your GP. […] If they are experiencing vaginal dryness, a lubricant can be applied to the vulva, vagina and their partners finger or penis to keep the vagina moist. […] Anorgasmia is a problem if it is bothering you: if you usually orgasm but for some reason are now struggling to or if it is making you feel a sense of failure, embarrassment or shame. […] Try to identify the root cause be it physical or emotional (a professional such as a Relate counsellor can help) and remember that sometimes all these problems need is time.
- #45 Compassionate Care for Women with Anorgasmia | Orgasmic Disorders | Female Sexual Health | University Hospitals | Cleveland, OH | University Hospitalshttps://www.uhhospitals.org/services/obgyn-womens-health/conditions-and-treatments/female-sexual-health/conditions-and-treatments/anorgasmia
Orgasm is a complex physical, emotional and psychological response to intimate, sexual contact. Because it involves both body and mind, problems in either area can result in anorgasmia – the inability to reach a satisfactory climax. […] When a woman comes to us with symptoms of anorgasmia, our team of female sexual health professionals will conduct a thorough evaluation that includes a medical, surgical and sexual history and a physical exam to look for potential physical causes of her condition. […] The genitals will also be examined to look for any anatomical reasons that might be contributing to an inability to orgasm. […] The treatments we recommend will depend on our findings during the evaluation and may include: […] If anorgasmia began with the start of menopause, estrogen therapy may lessen symptoms such as night sweats and hot flashes that can interfere with sexual enjoyment. […] Often, treating the underlying problem will resolve symptoms of anorgasmia.
- #46 Difficulty reaching female orgasm | healthdirecthttps://www.healthdirect.gov.au/difficulty-reaching-female-orgasm
Its common for females to not always have orgasms during sexual activity. […] Anorgasmia is the medical term for not having orgasms. […] Even if you used to have orgasms you might have times when they are absent. […] If you are unhappy about difficulty reaching orgasm talk to your doctor about possible causes. […] Anorgasmia (lack of orgasms) might be part of a difficulty in relaxing or letting go, sexually and more generally. […] You can enjoy a sexual relationship without having an orgasm. But you might find this makes you feel unhappy or frustrated. […] There are many things that can cause difficulty in reaching female orgasm. […] Some possible psychological or relationship causes of difficulty reaching orgasm are: poor communication about sexual needs, not being stimulated enough, not being stimulated in a way that works for you, worries or fears about having sex, lack of self confidence, lack of trust or respect, relationship problems, history of trauma or unwanted sexual contact.
- #47 Difficulty reaching female orgasm | healthdirecthttps://www.healthdirect.gov.au/difficulty-reaching-female-orgasm
Some physical causes of difficulty reaching orgasm may include: hormone change for example after childbirth, perimenopause or after menopause, certain medical conditions including thyroid problems, stress, anxiety and depression, painful sex, taking some medicines such as antidepressants and antipsychotic medicines, use of recreational drugs, alcohol or smoking, growing older. […] You should visit your doctor if you have any concerns about your sexual performance. This is especially important if it has changed for no apparent reason. […] Your doctor will treat any underlying medical conditions. […] Mindfulness therapy may help if you have stopped being able to reach orgasm. […] Some people find couples counselling or sex therapy helpful. […] Leading a healthy life may improve your chances of having a healthy sex life.
- #48 Female Orgasmic Disorderhttps://labs.la.utexas.edu/mestonlab/female-orgasmic-disorder/
Medical conditions that affect women’s orgasmic ability include damage to the sacral/pelvic nerves, multiple sclerosis, Parkinson’s disease, epilepsy, hysterectomy complications, vulvodynia, hypothalamus-pituitary disorders, kidney disease, fibromyalgia, and sickle-cell anemia. […] A number of psychotherapeutic drugs have been noted to affect the ability of women to attain orgasm. […] The psychological factors associated with FOD include sexual guilt, anxiety related to sex, childhood loss or separation from the father, and relationship issues. […] Younger women, aged 18 to 24 years, compared to older women are more likely to report orgasm problems, during both masturbation and partnered sexual activity. […] A negative relation between high religiosity and orgasmic ability in women is frequently reported in the clinical literature.
- #49 Why Canât I Orgasm? It Might Be Anorgasmia In Women | Allo Healthhttps://www.allohealth.com/blog/sexual-dysfunction/anorgasmia/anorgasmia-in-women
Lab tests are prescribed (if needed) to know about hormone levels, thyroid function, or blood sugar. […] Be honest while answering. Doctors will use this information as clues to find the cause of your problem. If no single cause stands out, its called female orgasmic disorder. Try to consult a professional to get checked if your concerns are valid. […] 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.
- #50 Anorgasmia in women | UM Health-Sparrowhttps://www.uofmhealthsparrow.org/departments-conditions/conditions/anorgasmia-women
Treatment for anorgasmia depends on what’s contributing to the problem. Possible treatments include lifestyle changes, therapy and medicines. […] Treatment for anorgasmia usually begins with one or more approaches to understand your body better, learn what works for you and change behaviors. […] Although some medicines have been tested for treating anorgasmia, there’s not enough evidence to support their use.
- #51https://www.kuh.ku.edu.tr/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/anorgasmia-in-women
Talk to your healthcare professional if you have concerns about your sex life, especially if you’re concerned about your ability to have an orgasm. […] 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. Directed masturbation. Sensate focus. Changes in sexual positions. Sexual enhancement devices. Cognitive behavioral therapy. […] 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.