Orgasm Difficulties

Orgasm Difficulties in Women

Orgasm difficulties, or no orgasms, also called anorgasmia, is generally very responsive to treatment. This condition is caused by sexual inexperience or the lack of sufficient stimulation and is common in women who have never experienced orgasm. A reduction or lack of orgasm can also be caused by medications or supplements, a medical condition, a psychological issue, or relationship matter. We will do a complete assessment, history, exam and laboratory “work up” to rule out a medical condition or potential medication interference.

Additional treatment can involve education, cognitive behavioral therapy, teaching orgasm by focusing on pleasurable stimulation, and directed masturbation. Most women require clitoral stimulation to reach an orgasm. Incorporating this into sexual activity may be all that is necessary. If this doesn’t solve the problem, then teaching the woman to masturbate may help her understand what she needs to become sexually excited.

A series of couple exercises to practice communication, more effective stimulation, and playfulness can help. If relationship difficulties play a role, treatment may include communication training and relationship enhancement work with a couples therapist.