Anorgasmia
An orgasm is a physiological and psychological reaction to sexual stimulation that takes place during sexual excitement when the blood flow to the genitals increases, making the area more sensitive. It is characterized by strong pleasurable feelings, muscle contractions, accelerated heart and respiration rates, and a release of sexual tension and it is associated with a sensation of climax and satisfaction. In people with penises, an orgasm is accompanied by ejaculation (the release of semen from the penis), although these processes can occur separately. In people with vaginas, an orgasm involves rhythmic contractions of the pelvic muscle.
Anorgasmia is the inability or difficulty to reach an orgasm, despite adequate sexual arousal and stimulation. It can occur in both people with penises or vaginas.
There are four types of orgasmic dysfunction:
Primary anorgasmia: a condition in which the person has never experienced an orgasm.
Secondary anorgasmia: difficulty reaching orgasm, even though the person has had one before.
Situational anorgasmia: occurs when an orgasm is attained only during specific situations, such as during oral sex or masturbation.
General anorgasmia: an inability to achieve orgasm under any circumstances, even with sufficient sexual stimulation.
Causes:
The causes of anorgasmia can often involve a combination of physical, psychological, and interpersonal factors.
Treatment and tips:
Treatments are always tailored to each individual’s case and preferences. They include:
Counseling or therapy/sex therapy: assists in addressing psychological concerns, such as anxiety, depression, or performance problems.
Medical checkup: medical screening tests and managing existing health conditions.
Medications: to treat the underlying medical condition. Moreover, switching or adjusting medications (e.g. antidepressants) with the guidance of a healthcare provider is essential in some cases.
Promoting a healthy lifestyle: involves maintaining a balanced diet, engaging in regular exercise, refraining from smoking, alcohol, and substance consumption, and focusing on stress management techniques.
Kegel Exercises: strengthen the pelvic floor muscles.
Sensate focus techniques: exercises performed alone or with a partner(s) that lower anxiety related to achieving an orgasm and increase sensitivity to physical sensations to enhance intimacy and connection.
Change in sex positions: targeting a variety of erogenous regions.
Sexual enhancement devices: help improve sexual satisfaction and enhance intimacy (e.g. sex toys).
Written by:
Cristel Lahoud | Sexual health educator, midwife
Cristel Lahoud is a sexual health educator at Marsa, holding a Bachelor's degree in Midwifery and currently pursuing a Master's degree in Clinical Psychology. Her profound dedication lies in raising awareness and promoting advocacy for both sexual and reproductive health.