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Orgasmic dysfunction refers to the problems and difficulties encountered in achieving orgasm during intercourse or masturbation. It can happen even if the individual is sexually aroused & there’s enough sexual stimulation. It is very rare in men, and the condition is called male orgasmic dysfunction. In women however, it is more common and is known as female orgasmic dysfunction or anorgasmia.

Causes

Determining the cause of this disorder might be difficult as it can happen due to a lot of reasons.

Most common causes of Orgasmic dysfunction are

-Ageing -Diabetes -Certain medications -Consumption of Selective Serotonin Reuptake Inhibitors -Depression -Religious beliefs -Shyness -Ashamed of enjoying sex -Sexual abuse encountered in the past or post traumatic stress disorder -Low Self Esteem -Relationship problems -Genetics -Hormonal Imbalance -Smoking -Consumption of Alcohol It may so happen that more than one reason may contribute towards difficulty in reaching an orgasm. It can affect the relationship of the couple and cause distress, lack of trust etc. This may cause further difficulty in the future.

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Symptoms

-Low sex drive -Pain -Difficulty in achieving orgasm -Inability to achieve orgasm -Inability to perform sexual activities -Anxiety -Isolation from partner Note: The symptoms vary depending on the type of orgasmic dysfunction.

Types of Orgasmic Dysfunction

Mainly there are 4 types of orgasmic dysfunction and the main basis for categorization the varying degrees of orgasm. -Primary anorgasmia: When a person has never reached an orgasm. -Secondary anorgasmia: When a person faces difficulty in reaching orgasm but has achieved it before. -Situational anorgasmia: Orgasms is achieved only during a certain situation like oral sex or masturbation. This is the most common type of orgasmic dysfunction. -General anorgasmia: A person faces regular difficulty to achieve an orgasm, even if sexual stimulation is sufficient.

Diagnosis

The doctor may have to analyse various aspects to diagnose the disorder. The process begins from the interrogation of medical history and may be followed by a physical examination. A detailed examination of medical history may reveal the contributing causes to these problems. Consulting a gynaecologist or a sexologist for diagnosis and treatment may help you gain confidence and tackle the underlying issue.

Treatment

The treatment options vary depending on the cause of the problem. It is important to follow a healthy diet and lead a healthy lifestyle. Reducing sources of stress and getting sufficient rest is very important. Minimizing the consumption of alcohol, cigarettes and prescription drugs is strongly advised. It is recommended to see a Sexologist/Gynaecologist for a proper diagnosis and treatment plan. However, for the treatment of orgasmic dysfunction, treating the cause of the condition is important.

Counselling

In couple counselling, the doctor will help the couple in resolving any major disagreements and relationship issues. Compromise between the partners will improve their sexual life and make it blissful. In rare cases, the sexologist may suggest undergoing Estrogen hormone therapy (EHT). Estrogen helps to enhance sexual desires and improve the blood flow to the genitals, thereby contributing to increased sensitivity. This therapy may include certain medications, wearing a patch, or applying gel to the genitals.

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