Materiały źródłowe

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

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

  Anorgasmia is delayed, infrequent or absent orgasms or significantly less-intense orgasms after sexual arousal and adequate sexual stimulation. […] Multiple factors may lead to anorgasmia. These include relationship or intimacy issues, cultural factors, physical or medical conditions, and medicines. […] Female orgasmic disorder is another term for the spectrum of problems with orgasms. The word „anorgasmia” specifically refers to not being able to have an orgasm, but it’s also used as shorthand for female orgasmic disorders. […] Anorgasmia, or female orgasmic disorder, is defined as experiencing any of these in a significant way: Delayed orgasm, Absence of orgasm, Fewer orgasms, Less-intense orgasms. […] 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.

• #2 Anorgasmia in women | UM Health-Sparrow

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

  Anorgasmia is delayed, infrequent or absent orgasms or significantly less-intense orgasms after sexual arousal and adequate sexual stimulation. Women who have problems with orgasms and who feel significant distress about those problems may be diagnosed with anorgasmia. […] Multiple factors may lead to anorgasmia. These include relationship or intimacy issues, cultural factors, physical or medical conditions, and medicines. […] Female orgasmic disorder is another term for the spectrum of problems with orgasms. The word „anorgasmia” specifically refers to not being able to have an orgasm, but it’s also used as shorthand for female orgasmic disorders. […] Anorgasmia, or female orgasmic disorder, is defined as experiencing any of these in a significant way: Delayed orgasm, Absence of orgasm, Fewer orgasms, Less-intense orgasms.

• #2 Anorgasmia in women | UM Health-Sparrow

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

  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. […] 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. […] Past experiences, behaviors, background or mental well-being may contribute to problems with orgasms. […] A wide range of illnesses, physical changes and medications can interfere with orgasms: Long-term conditions such as diabetes, overactive bladder or multiple sclerosis may be contributing or complicating factors in orgasm disorders.

• #3 Delayed Orgasm and Anorgasmia

  https://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. […] A focused medical history can shed light on the potential etiologies; which include: medications, penile sensation loss, endocrinopathies, penile hyperstimulation and psychological etiologies, amongst others. […] Unfortunately, there are no excellent pharmacotherapies for delayed orgasm/anorgasmia, and treatment revolves largely around addressing potential causative factors and psychotherapy. […] 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.

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

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

  Anorgasmia is when an orgasm is absent, delayed, infrequent or lacks intensity despite being aroused. This disorder causes distress and affects your sexual relationships. Several medical, physical and psychological factors play a role in causing it. […] Anorgasmia is also called orgasmic dysfunction. […] 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.

• #5 Anorgasmia in women | UM Health-Sparrow

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

  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. […] 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. […] Past experiences, behaviors, background or mental well-being may contribute to problems with orgasms. […] A wide range of illnesses, physical changes and medications can interfere with orgasms: Long-term conditions such as diabetes, overactive bladder or multiple sclerosis may be contributing or complicating factors in orgasm disorders.

• #6 Anorgasmia in women – Hancock Health

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

  Anorgasmia can also be: Lifelong, if youve 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. […] 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. […] Past experiences, behaviors, background or mental well-being may contribute to problems with orgasms. […] A wide range of illnesses, physical changes and medications can interfere with orgasms: Long-term conditions such as diabetes, overactive bladder or multiple sclerosis may be contributing or complicating factors in orgasm disorders.

• #7 Prosayla | Anorgasmia

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

  Female Genital Mutilation […] Medical Conditions- Diabetes, vascular disease, heart disease, cancer, multiple sclerosis, and other neurological problems […] Psychological-Trauma/stress/depression/anxiety/poor body image […] Relationship Issues- Ranging from lack of connection and communication, to trauma from infidelity. […] Pelvic radiation can alter the architecture of the anatomy to this region affecting an individuals sexual function. […] A healthcare provider can help with diagnosing anorgasmia. […] To be categorized as such it must fit specific criteria: […] The orgasmic dysfunction leads to distress or interpersonal problems […] Standard therapies need to be specifically targeted to address the cause of anorgasmia. […] There are no FDA approved devices specifically for anorgasmia; However, vibrators and clitoral suction devices are commonly used to aide in clitoral stimulation.

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

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

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

• #9 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. […] Assess whether the secondary anorgasmia is due to side effects of medications. […] Selective serotonin re-uptake inhibitors (SSRIs) and Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs) often cause secondary anorgasmia in women. […] Oral contraceptives can also affect a woman’s ability to achieve orgasm. […] 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.

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

  https://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. […] Past experiences, behaviors, background or mental well-being may contribute to problems with orgasms. […] A wide range of illnesses, physical changes and medications can interfere with orgasms: Health conditions, Gynecological treatments, Medicines, Alcohol and smoking, Age-related changes to the body. […] Women experiencing anorgasmia may have one or more related sexual problems. These may contribute to or complicate the problem with having orgasms.

• #11 Anorgasmia in women | Altru Health System

  https://www.altru.org/health-library/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. […] Past experiences, behaviors, background or mental well-being may contribute to problems with orgasms. […] A wide range of illnesses, physical changes and medications can interfere with orgasms: Long-term conditions such as diabetes, overactive bladder or multiple sclerosis may be contributing or complicating factors in orgasm disorders. […] Many prescription and nonprescription medications can inhibit orgasm, including blood pressure medicines, antipsychotic medicines, antihistamines and antidepressants particularly selective serotonin reuptake inhibitors (SSRIs). […] Women experiencing anorgasmia may have one or more related sexual problems. These may contribute to or complicate the problem with having orgasms.

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

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

  The female sexual response is mediated primarily via spinal cord reflexes under the tonic descending inhibitory control of the brainstem. Afferent signals from clitoral stimulation are transmitted via the pudendal nerve. Signals from vaginal stimulation are transmitted via the pelvic nerve alongside the pudendal and hypogastric nerves. […] The nucleus paragigantocellaris in the ventral medulla, which has direct projections to the pelvic efferent neurons and interneurons in the lumbosacral spinal cord, appears to be an important regulatory site mediating orgasm. […] Sympathetic nervous system (SNS) activation facilitates the female sexual response. […] This sympathetic dominance is reversed in men, in whom SNS activation inhibits the sexual response. […] There is a relatively low correlation between psychophysiological measures of vaginal blood flow and verbal reports of sexual arousal. This indicates either that women are less sensitive than men to changes in the genital blood flow or, alternatively, that women value external stimulus information alongside internal physiologic changes in their assessment of sexual arousal.

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

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

  Clinical studies have been conducted to study orgasmic responses in women with complete spinal cord injury at the level of T10 or higher. Such women were able to experience orgasms by means of vaginal-cervical mechanical self-stimulation (CSS). This finding suggests that the vagus nerve, bypassing the spinal cord, might provide the afferent pathway for orgasmic perception. […] Additional evidence for this hypothesis comes from PET and fMRI studies, which show that CSS activates the region of the medulla oblongata to which the vagus nerves project (ie, the nucleus of the solitary tract). […] Brain regions activated during orgasm include the following: Hypothalamus, Parts of the limbic system (medial amygdala, hippocampus, cingulate cortex, insular cortex, and the region of the nucleus accumbensbed nucleus of the stria terminalispreoptic area), Neocortex (including the parietal and frontal cortices), Basal ganglia (especially the putamen), Cerebellum, Lower brainstem (central gray matter, mesencephalic reticular formation, and the nucleus of the solitary tract).

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

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

  The fMRI data suggest that different brain regions are activated in sequence. The earliest activation in response to CSS occurs in the medial amygdala, the insula, the basal ganglia, and the cingulate cortex. At the time of orgasm, the nucleus accumbens, the paraventricular nucleus of the hypothalamus, and the hippocampus are also activated. […] Although the fMRI findings are interesting, they do not help in differentiating between activation that may occur uniquely at orgasm and gradually increasing activity that exceeds an arbitrary detection threshold at orgasm. […] In general, neuroimaging studies of female orgasm are limited by the small samples and the lack of control groups. Additional research is necessary to confirm the purported anatomic-physiologic substrate of female orgasm in heterogeneous populations and to facilitate additional state or group comparisons between brain activation during orgasm and sexual arousal without orgasm, as well as to assess orgasm associated with different eliciting mechanisms (eg, clitoral/vaginal stimulation vs imagery-based elicitation). […] To the authors knowledge, no researchers have yet performed neuroimaging studies of FOD.

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

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

  Erotic stimulation resulting in female orgasm can originate from a variety of genital and nongenital sites. Although the clitoris and vagina are the most common sites of stimulation that result in an orgasm, stimulation of other body sites (eg, periurethral glans, breast, nipple, or mons) can trigger an orgasm, as can mental imagery, fantasy, or hypnosis. […] Both estrogens and androgens have been implicated in the regulation of libido and sexual responsiveness. The role of testosterone in sexual dysfunction in women is not well established; decreased estradiol levels have been associated with decreased sexual interest and arousal. […] It is noteworthy that consciousness seems not to be an absolute requirement for orgasms to occur; orgasms in mature women have been reported to occur during sleep.

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

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

  Lifelong anorgasmia may suggest the patient is unfamiliar or uncomfortable with self-stimulation or sexual communication with her partner. […] Delayed or less intense orgasms may be a natural process of aging due to decreased genital blood flow and dulled genital sensations. […] Directed masturbation is recommended for lifelong anorgasmia. […] Orgasmic difficulties may be lifelong (present since sexual debut) or acquired (starting after a period of no dysfunction). Lifelong anorgasmia may suggest the patient is unfamiliar or uncomfortable with self-stimulation or sexual communication with her partner, or lacks adequate sex education. […] Delayed or less intense orgasms may be related to decreased genital blood flow and dulled genital sensations occurring naturally with aging.

• #17 Delayed Orgasm and Anorgasmia

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4816679/

  A Finnish population-based, twin study found there was no evidence of a genetic influence on DO/AO but there was a moderate familial effect with shared environments, which accounted for 24% of the variance. […] The role of prolactin in men is not fully understood. However, it is well understood that prolactin levels above normal, hyperprolactinemia, may result in an inhibitory effect on sexual desire. […] Mild forms of hyperprolactinemia generally do not have an impact on sexual function; however, severe hyperprolactinemia can have significant effects on sexual function, including erectile dysfunction and testosterone production suppression. […] Some men obtain greater pleasure from masturbation than they do with sexual intercourse and may continue deep-rooted habits such as frequent masturbation or using idiosyncratic masturbation techniques.

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

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

  Shame is a huge factor in sexual dysfunction including anorgasmia, says Nefertari Sloan, a radical sex educator and LGBTQ+ activist. […] For someone who experienced orgasm during sexual trauma, orgasm can become a trauma trigger, explains Ossai. So if someone begins to feel an orgasm coming, the body can begin to shut down. […] Poor pelvic floor muscle awareness, and pelvic floor muscle overactivity and underactivity, can all cause anorgasmia, says Jeffcoat. […] Its going to be difficult for people to achieve orgasm if theyre experiencing pain. Makes sense, right? […] Its definitely treatable. […] However, it may be harder for folks with primary anorgasmia, explains Ossai. Its a tall hill to climb. Its definitely climbable, but it may take time. […] For folks with secondary anorgasmia, part of treatment is learning to manage your expectations of your orgasm. […] 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.

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

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

  Your pelvic-floor muscles contract and relax during arousal and increase blood flow to the clitoris and vagina to increase the likelihood of orgasm, Dr. Howell says. […] Of course, sex isn’t only physical, and there are a number of psychological and emotional factors that can affect your sex life. […] More seriously, having sex after experiencing any kind of sexual abuse or trauma can be emotionally painful. […] If you’ve talked to your doctor and explored your body—and still don’t climax—then working with a therapist or a dedicated sex therapist can help you uncover and work through possible emotional factors, including depression, negative body image, and trauma. […] Ultimately, it may take some time to figure out why you aren’t orgasming. Working with a variety of medical experts can help you figure out if you have anorgasmia as well as possible solutions.

• #20 Delayed Orgasm From Lumbosacral Disc Disease: Role of the Urologist – American Urological Association

  https://auanews.net/issues/articles/2023/september-extra-2023/delayed-orgasm-from-lumbosacral-disc-disease-role-of-the-urologist

  Urologists should be knowledgeable regarding contemporary pathophysiology and management strategies for female and male patients with complaints of delay in orgasm. […] Delayed orgasm is a multifactorial, biopsychosocial sexual dysfunction. Pharmacologic, endocrinologic, and neurologic biologic mechanisms have been identified as associated with delayed orgasm. […] The mechanism of the delay in orgasm is likely secondary to the interference in the cauda equina with the genital sensory trajectory to the brain. […] Either genital hypersensitivity or genital hyposensitivity, both associated with lumbosacral disc disease, can result in delayed orgasm. The mechanism of delayed orgasm in genital hypersensitivity is interference with the pattern of sensory stimulation necessary to recruit the high intensity rhythmical neural activity required to initiate orgasm.

• #21 Anorgasmia – Wikipedia

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

  Anorgasmia is a type of sexual dysfunction in which a person cannot achieve orgasm despite adequate sexual stimulation. Anorgasmia is far more common in females (4.6%) than in males and is especially rare in younger men. The problem is greater in women who are post-menopausal. […] The condition is sometimes classified as a psychiatric disorder. However, it can also be caused by physiological problems such as diabetic neuropathy, multiple sclerosis, Parkinson’s disease, genital mutilation on any gender, complications from genital surgery, pelvic trauma, hormonal imbalances, total hysterectomy, spinal cord injury, cauda equina syndrome, uterine embolisation, childbirth trauma, vulvodynia and cardiovascular disease. […] Primary anorgasmia is a condition where one has never experienced an orgasm. This is significantly more common in women, although it can occur in men who lack the gladipudendal (bulbocavernosus) reflex. 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.

• #22 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. […] Anorgasmia can be caused by psychologic problems. Anorgasmia can also be caused by medical problems such as diabetic neuropathy, multiple sclerosis, genital mutilation or complications from spinal cord injury, genital surgery, total hysterectomy, pelvic trauma, hormonal issues such as low testosterone, low estrogen or low thyroid. A common cause of anorgasmia in women is the use of anti-depressants, particularly selective serotonin reuptake inhibitors (SSRIs). […] Very often anorgasmia is secondary to both psychologic and physiologic causes. […] 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. Some women develop secondary anorgasmia from physiologic issues such as diminished genital sensation, pelvic surgery or injuries, sexual pain, vaginal dryness, reduced sexual arousal, hypoactive sexual desire disorder, medications especially SSRIs and oral contraceptives, chronic illnesses, or low testosterone, low estrogen, and/or low thyroid hormonal states.

• #23 (PDF) Disorders of Orgasm in Women: A Literature Review of Etiology and Current Treatments

  https://www.academia.edu/16462220/Disorders_of_Orgasm_in_Women_A_Literature_Review_of_Etiology_and_Current_Treatments

  Disorders of orgasm in women, defined as the persistent or recurrent delay in or absence of orgasm, affect up to a quarter of the female population. […] For example, in a study of patients with multiple sclerosis, anorgasmia or hyporgasmia (defined by the authors as loss of the capacity to achieve and/or difficulty in achieving orgasm and/or reduction of orgasmic sensation) was reported in 37.1% of women. […] Results with sildenafil have been mixed, with one trial of postmenopausal women finding that it reduced orgasm latency in a specific subpopulation of women, a second trial finding that it increased orgasm frequency in premenopausal women with sexual arousal disorder, a third study finding reversal of antidepressant-induced anorgasmia, and a fourth open-label study of women with sexual dysfunction showing no improvement in ability to achieve orgasm.

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

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

  Secondary anorgasmia is most common in women: Who have recently gave birth or went through menopause, Who have had genital surgery, Were assaulted later in life, Recently started a new medication, Have experienced a change in weight, Have recently been injured. […] Situational anorgasmia occurs when you aren’t able to orgasm during certain sexual activities. […] Environmental, emotional, mental, spiritual, and physiological factors all work together to mediate a vulva owner’s sexual response. […] Poor pelvic floor muscle awareness, and pelvic floor muscle overactivity and underactivity, can all cause anorgasmia. […] Some orgasmic problems can be attributed to a medical condition alone, particularly those that affect the nerve supply to the pelvis (such as multiple sclerosis, spinal cord tumors or trauma, and diabetic neuropathy) and circulatory disorders affecting the pelvic region.

• #25 Anorgasmia in women | Beacon Health System

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

  Many prescription and nonprescription medications can inhibit orgasm, including blood pressure medicines, antipsychotic medicines, antihistamines and antidepressants particularly selective serotonin reuptake inhibitors (SSRIs). […] Women experiencing anorgasmia may have one or more related sexual problems. […] Risk factors linked to having trouble with orgasm include: Low education level, Low income, Poor health, Depression and other mental health conditions, History of trauma, such as sexual abuse. […] Treatment for anorgasmia depends on what’s contributing to the problem. Possible treatments include lifestyle changes, therapy and medicines. […] 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. […] Natural products, such as those made with L-arginine or Russian olive tree extract, are marketed for improving women’s sex lives.

• #26 Orgasmic dysfunction in women: MedlinePlus Medical EncyclopediaLock

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

  Orgasmic dysfunction is when a woman either cannot reach orgasm, or has trouble reaching orgasm when she is sexually excited. […] About 10% to 15% of women have never had an orgasm. Surveys suggest that up to one half of women are not satisfied with how often they reach orgasm. […] Many factors can lead to problems reaching orgasm. They include: A history of sexual abuse or rape, boredom in sexual activity or a relationship, fatigue, stress or depression, lack of knowledge about sexual function, negative feelings about sex (often learned in childhood or teen years), shyness or embarrassment about asking for the type of touching that works best, partner issues. […] Health problems that can cause problems reaching orgasm include: Certain drugs that are prescribed. The most common drugs used to treat depression (SSRIs or selective serotonin reuptake inhibitors) may cause this problem. These include fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft). Hormonal disorders or changes, such as menopause. Chronic illnesses that affect health and sexual interest. Chronic pelvic pain, such as from endometriosis. Damage to the nerves that supply the pelvis due to conditions such as multiple sclerosis, diabetic nerve damage, and spinal cord injury. Spasm of the muscles surrounding the vagina that occurs against your will (vaginismus). Vaginal dryness.

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

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

  Women can retain a normal capacity for orgasm even after the loss of genital tissue or pelvic organs. […] There are many medical conditions that can cause anorgasmia. […] Prescription medications for hypertension and psychiatric disorders have been found to contribute to orgasmic difficulties, particularly methyldopa at higher doses, fluoxetine, phenelzine, sertraline, trazodone, and clomipramine. […] Antidepressant and anti-anxiety medications are well-known as being damaging to orgasmic response. […] Although psychological factors seem to be implicated in most orgasmic complaints, no particular psychiatric diagnosis has been found to correlate with these difficulties. […] 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.

• #28 Delayed Orgasm and Anorgasmia

  https://pmc.ncbi.nlm.nih.gov/articles/PMC4816679/

  In a study by Corona et al, approximately 2000 male patients were evaluated for the sexual effects of anti-depressant therapy. […] The incidence of orgasm dysfunction and worsened sexual function at week 8 was statistically significantly higher in the escitalopram vs bupropion and escitalopram vs placebo groups. […] Management should begin with a good medical/psychosexual history, social/religious history, medication list, and physical exam. […] Focusing on the major etiologic factors is a useful starting point. […] Furthermore, identifying the onset of the DO is critical, whether lifelong or acquired. […] The dopamine agonist cabergoline has been shown to augment plasma prolactin levels and was studied for its utility in treating psychogenic erectile dysfunction. […] Testosterone plays an important role in sexual response and motivation with effects at both the central and peripheral levels. […] Delayed orgasm and anorgasmia are associated with significant sexual dissatisfaction.

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

  https://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. […] The causes of anorgasmia can be described as being either physiological (related to the biological functions of the body) or psychological (related to the mind). Many cases involve both. […] Many of the physiological causes of anorgasmia are shared by females and males. But there are some that are specific to each sex. […] 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).

• #30 Anorgasmia in women

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

  As you age, normal changes in your anatomy, hormones, neurological system and circulatory system can affect your sexuality. Waning estrogen levels as you transition to menopause and menopausal symptoms, such as night sweats and mood changes, can have an impact on sexuality. […] Many psychological factors play a role in your ability to orgasm, including mental health problems, such as anxiety or depression, poor body image, stress and financial pressures, cultural and religious beliefs, embarrassment, guilt about enjoying sex, and past sexual or emotional abuse. […] Couples’ problems outside of the bedroom can affect their sexual relationship. Issues might include lack of connection with your partner, unresolved conflicts, poor communication of sexual needs and preferences, infidelity or breach of trust, and intimate partner violence.

• #31 Female Sexual Dysfunction | Doctor

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

  Sexual dysfunction is highly prevalent in older women. […] Many women experience a change in their sexual function during the years immediately before and after menopause. […] Hormones, particularly androgens and oestrogens, are involved in the sexual response, particularly in terms of the integrity and sensitivity of genital tissues. […] Sexual function worsens with advancing menopause status. […] The prevalence of FSD among pregnant women is reported in 50-80% of women, mainly in the first and third trimesters. […] Cardiovascular disease (CVD) is associated with an increased prevalence of FSD. […] Atherosclerosis affecting the hypogastric/pudendal arterial bed decreases the blood flow to the clitoris and vagina; this is called clitoral vascular insufficiency syndrome. […] Sexual desire/arousal and orgasm are mediated by central and spinal nerve pathways and involve sympathetic, parasympathetic and somatic nerve activity.

• #32 Female Sexual Dysfunction | Doctor

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

  Neurological conditions can therefore interfere with female sexual function. […] 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. […] Sexual difficulties in chronic pain are frequent and wide-ranging. […] Medications that are associated with female sexual dysfunction include antidepressants, cancer therapies, antihypertensives, antiepileptics, and benzodiazepines. […] The factors associated with an increased risk of FSD include increasing age, menopause, the postpartum period, genital surgery, genital atrophy, genital mutilation, sexual abuse, psychological factors, relationship problems, alcohol, substance use disorders, smoking, and obesity.

• #33 Lust: New Insights Unlock Mysteries of Anorgasmia | Scientific American

  https://www.scientificamerican.com/article/lust-new-insights-unlock-mysteries-of-anorgasmia/

  Today scientists are hard at work to understand the causes of anorgasmia and inhibited sexual response. […] Before scientists can figure out how to help people who cannot have orgasms, though, they need to better understand what happens in the brains and bodies of people who can. […] In trying to identify the cause of anorgasmia, scientists are exploring different realms: the physiological, the psychological and the chemical. […] A likelier culprit is the brain’s frontal lobe. This part of the brain is responsible for executive functionallocation of the mind’s attention and control as circumstances require. […] Those linkages may account for a barrier to orgasm that Masters and Johnson called spectatoringstaying outside of a sexual encounter to monitor and judge it instead of fully experiencing it.

• #34 Prosayla | Anorgasmia

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

  Anorgasmia is a general term used to describe the absence of orgasm during sexual activity. Anorgasmia falls under the broader categories of Female Orgasmic Disorder. It is typically defined as the absence of orgasm in all or almost sexual encounters over a minimum duration of 6 months. […] Anorgasmia can also be specific to certain situations, or be generalized. […] Although the causes of anorgasmia were originally thought to all be psychological, more recent data has acknowledged that there are many different causes. Furthermore, it is usually a result of many different things. […] Medication Antidepressants, anti-seizure medications, antihistamines, antipsychotic medications, birth control, chemotherapy, other cancer treatments […] Anatomical causes like clitoral adhesions (a condition where the hood of the clitoris may become stuck to the end of the clitoris, leading to other issues)

• #35 Prosayla | Anorgasmia

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

  Female Genital Mutilation […] Medical Conditions- Diabetes, vascular disease, heart disease, cancer, multiple sclerosis, and other neurological problems […] Psychological-Trauma/stress/depression/anxiety/poor body image […] Relationship Issues- Ranging from lack of connection and communication, to trauma from infidelity. […] Pelvic radiation can alter the architecture of the anatomy to this region affecting an individuals sexual function. […] A healthcare provider can help with diagnosing anorgasmia. […] To be categorized as such it must fit specific criteria: […] The orgasmic dysfunction leads to distress or interpersonal problems […] Standard therapies need to be specifically targeted to address the cause of anorgasmia. […] There are no FDA approved devices specifically for anorgasmia; However, vibrators and clitoral suction devices are commonly used to aide in clitoral stimulation.

• #36 Understanding female orgasm disorders

  https://drserena.com/female-orgasm-disorders/

  When we study women who struggle with orgasmic function, several risk factors have been identified including lower educational attainment, a higher prevalence of mental health disorders, and more importantly a poorer health status. Women with depression are two- to four-times more likely than non-depressed women to report problems in reaching orgasm, and yet simultaneously many medications that treat mood disorders have a clear suppressive effect on orgasmic function. […] Although FOD may manifest as a complete absence of orgasm some women report delayed orgasm, meaning they require longer or more intense stimulation to reach orgasm, or report feeling a less intense experience of orgasm despite the same level of stimulus. […] The first step in evaluating orgasm concerns in women is a candid conversation evaluating sexual experiences, beliefs around sexuality, discussing relationship status, body image, general medical health, mental health, and medications that are being taken.

• #37 Anorgasmia – ELNA Sexual Wellness

  https://elnasexualwellness.com/conditions/anorgasmia/

  Czynniki psychologiczne mogą obejmować: stres, przeszłe nadużycia seksualne, fizyczne, emocjonalne, negatywny obraz siebie, wstyd, przekonania kulturowe/religijne związane z seksualnością, stany zdrowia psychicznego (takie jak depresja i lęk). […] Leczenie anorgazmii pomoże w Twojej intymności emocjonalnej, wizerunku siebie i zdrowiu seksualnym. […] Niezdolność do osiągnięcia orgazmu może być frustrująca i może mieć wpływ na Twoje relacje.

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

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

  Relationship factors can contribute to anorgasmia by creating emotional or physical barriers to sexual function. […] A lack of intimacy or emotional connection in a relationship can create anxiety, tension, or disinterest in sexual activity, leading to difficulty achieving orgasm. […] Open communication with a partner can be essential to coping with anorgasmia. It can help reduce stress, improve intimacy, and enhance sexual experiences. […] Seeking support from friends and family can be a valuable part of coping with anorgasmia and help individuals feel less alone and more supported in their journey toward recovery. […] It is essential to seek medical help for anorgasmia if it persists over time, causes distress or relationship problems, is accompanied by other symptoms, is a new symptom, or is experienced by both partners. […] Its important to note that overcoming anorgasmia may take time and patience and require a combination of approaches.

• #39 Difficulty reaching female orgasm | healthdirect

  https://www.healthdirect.gov.au/difficulty-reaching-female-orgasm

  Anorgasmia is the medical term for not having orgasms. […] Anorgasmia (lack of orgasms) might be part of a difficulty in relaxing or letting go, sexually and more generally. […] 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. […] 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. […] Your doctor may refer you to a sexual therapist or counsellor who deals with sexual issues. […] Mindfulness therapy may help if you have stopped being able to reach orgasm. […] Some people find couples counselling or sex therapy helpful.

• #40 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 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: 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.

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

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

  Your primary care professional or gynecologist will review your medical history and conduct a general medical exam and pelvic exam. These exams may identify physical conditions that contribute to problems having orgasms. […] 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.

• #42 Understanding Female Orgasmic Disorder & Get Help

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

  Taking particular types of medication. […] Spinal cord lesions. […] Chronic illness. […] Damage to the pelvic blood vessels. […] Substance abuse problems. […] Genetics. […] If anorgasmia is associated with menopausal symptoms, such as night sweats and hot flashes, systemic estrogen therapy might relieve those symptoms and improve sexual response.

• #43 Anorgasmia in women – Hancock Health

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

  Treatment for anorgasmia depends on whats 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, theres 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.

• #44 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. […] Following this hypothesis, Masters and Johnsons sensate focus therapy is essentially an anxiety-reduction technique. […] A review of studies suggested that sex education, training in communication skills, and Kegel exercises may be beneficial adjuncts to therapy. […] 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. […] 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. […] 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.

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

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

  Evaluation of the physical contributions to the difficulty should be made, with particular attention given to undiagnosed sexual pain and the impact of prescription or recreational drug use. […] 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. […] The goal of DM is to gradually introduce the pleasurable exploration of her own body. […] The use of a vibrator is suggested. […] Women with anorgasmia should opt for a rumbly vibrator, as these will stimulate the entire clitoral structure. […] Pelvic floor therapy may also be beneficial.

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

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

  Natural products, such as those made with L-arginine or Russian olive tree extract, are marketed for improving women’s sex lives. They have been studied in very small trials using multiple herbal products or combined with other drugs or lifestyle management programs. There isn’t enough data to know if they have any treatment effect.

• #47 (PDF) Disorders of Orgasm in Women: A Literature Review of Etiology and Current Treatments

  https://www.academia.edu/16462220/Disorders_of_Orgasm_in_Women_A_Literature_Review_of_Etiology_and_Current_Treatments

  Female orgasmic dysfunction is a complex condition influenced by a range of cultural, psychological, physiological, and socio-relational factors. […] A comprehensive, individualized sexological approach that includes medical, psychological, and relational interventions is often the most effective method of treatment.

• #48 Female Orgasmic Disorder: Solutions for No-Show O’s

  https://www.theoriginway.com/blog/female-orgasmic-disorder

  Female orgasmic disorder or anorgasmia is characterized by not being able to orgasm at all, having trouble orgasming, taking a very long time to orgasm, or having orgasms that feel muted in sensation. […] Primary anorgasmia is when you’ve never been able to have an orgasm. […] Secondary anorgasmia is when you used to be able to orgasm, and now your experience is different. […] Physical causes of female orgasmic disorder or anorgasmia are typically linked to muscles, nerves, or injuries. […] One potential physical cause of anorgasmia in women is pelvic floor muscle dysfunction. […] Various medical conditions can play a role in developing a female orgasmic disorder, even if they aren’t directly linked to the genitalia. […] The mind-body connection is strong, especially when it comes to sex.

Zobacz więcej