Overview
Anorgasmia, or female orgasmic disorder, is a condition where a woman experiences significant difficulties with orgasms. Symptoms may include delayed orgasm, absence of orgasm, fewer orgasms, or less-intense orgasms. Anorgasmia can be lifelong, acquired, or situational, and may be caused by various factors such as relationship issues, physical or medical conditions, or medications. Treatments may involve education about sexual stimulation, therapy, and medications.
Understanding the disease
Assessment and Diagnosis
Diagnosis
To diagnose anorgasmia, a healthcare provider will typically conduct a comprehensive medical exam and review the patient's medical history. This may include a physical exam, a general medical exam, and a pelvic exam. The provider may also ask questions about the patient's recent and past sexual experiences, their partner or partners, and the types of stimulation or sexual activity they engage in. A questionnaire may be given to the patient to provide more detailed information about their experiences. If needed, the provider may also want to talk with both the patient and their partner or meet with the partner separately. The goal of this evaluation is to identify any underlying physical or psychological factors contributing to the patient's difficulty experiencing orgasm.
Management and Treatment
Treatment
Treatment for anorgasmia depends on the contributing factors, which can include lifestyle, medical conditions, or psychological factors. The following treatments may be considered:
- Lifestyle changes and therapy: Treatment often begins with understanding your body better, learning what works for you, and changing behaviors. This may involve discussing your experiences with a healthcare provider or therapist and addressing any psychological or emotional issues that may be contributing to the problem.
- Medical treatments: Certain medications and hormone replacement therapies may have some benefits, but their use is not supported by sufficient evidence. Hormone therapies, such as estrogen or testosterone, may improve arousal and orgasms, but they come with risks and side effects. It is crucial to consult with a healthcare provider, such as your primary care provider or gynecologist, to determine the underlying cause and develop an appropriate treatment plan.