April 28, 2019

What You Should Know About Anorgasmia

Anorgasmia

Anorgasmia is the medical term for regular difficulty reaching orgasm after ample sexual stimulation.

The lack of orgasms distresses you or interferes with your relationship with your partner.

Orgasms vary in intensity, and women vary in the frequency of their orgasms and the amount of stimulation needed to trigger an orgasm.

Most women require some degree of direct or indirect clitoral stimulation and don't climax from penetration alone. Plus, orgasms often change with age, medical issues or medications you're taking.

If you're happy with the climax of your sexual activities, there's no need for concern.

However, if you're bothered by the lack of orgasm or the intensity of your orgasms, talk to your healthcare provider about anorgasmia.


What are the signs of anorgasmia

An orgasm is a feeling of intense physical pleasure and release of tension, accompanied by involuntary, rhythmic contractions of your pelvic floor muscles. But it doesn't always look or sound  like it does in the movies.

The way an orgasm feels varies among women, and in an individual, it can differ from orgasm to orgasm.

By definition, the major symptoms of anorgasmia are the inability to have an orgasm or long delays in reaching orgasm that's distressing to you.

Different types of anorgasmia:


  1. Lifelong anorgasmia. You've never had an orgasm.
  2. Acquired anorgasmia. You used to have orgasms, but now have difficulty reaching climax.
  3. Situational anorgasmia. You're able to have an orgasm only in certain circumstances, such as during oral sex or masturbation or only with a certain partner.
  4. Generalized anorgasmia. You aren't able to have an orgasm in any situation or with your partner.


What causes anorgasmia

Orgasm is a complex reaction to various physical, emotional and psychological factors. Difficulties in any of these areas can affect your ability to orgasm.

 Physical causes of anorgasmia

A wide range of illnesses, physical changes and medications can interfere with orgasm:

  • Diseases: Serious illnesses, such as multiple sclerosis and Parkinson's disease, and their associated affects on psychological well-being can tamper orgasm.
  • Gynecological issues: Gynecologic surgeries, such as hysterectomy or cancer surgeries, can affect orgasm. Also, lack of orgasm often goes with other sexual concerns, such as uncomfortable or painful intercourse.
  • Medications: Many prescription and over-the-counter medications can inhibit orgasm, including blood pressure medications, antipsychotic drugs, antihistamines and antidepressants — particularly selective serotonin reuptake inhibitors (SSRIs).
  • Alcohol and smoking: Too much alcohol can tamper your ability to climax. Smoking can limit blood flow to your sexual organs.
  • Aging: As you age, normal changes in your anatomy, hormones, neurological system and circulatory system can affect your sexuality. Reduced estrogen levels as you transition to menopause and menopausal symptoms, such as night sweats and mood changes, can have an impact on sexuality.


 Psychological causes of Anorgasmia

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
  • Past sexual or emotional abuse

 Relationship issues of anorgasmia

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


Lifestyle changes and therapy 

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.

👉Understand your body better. Understanding your anatomy and how and where you like to be touched can lead to better sexual satisfaction. If you need a refresher course on your genital anatomy, ask your doctor for a diagram or explore your body in a mirror.

👉Self-stimulation with your hand or a vibrator can help you discover what type of touch feels best to you and can provide information you can share with your partner. If you're uncomfortable with self-exploration, try exploring your body with your partner.

👉Increase sexual stimulation. Women who've never had an orgasm might not be getting enough sexual stimulation. Most women need direct or indirect stimulation of the clitoris to orgasm.

👉Switching sexual positions can produce more clitoral stimulation during vaginal penetration. Using a vibrator or fantasizing during sex also can help trigger an orgasm.

For some women, a device called a clitoral vacuum can improve blood flow and increase stimulation. This device is battery operated and hand-held, with a cup that fits over the clitoris.
Seek couples counseling. A counselor can help you work through conflicts in your relationship that can affect your ability to orgasm.

👉Try sex therapy. Sex therapists specialize in treating sexual concerns. Therapy often includes sex education, help with communication skills and behavioral exercises that you and your partner try at home.

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