Learn more about anorgasmia

Knowledge about a sexual disease that prevents the peak of sexual pleasure and is called anorgasmia in medical terms. We will introduce this disease to you more. Please note that sexual intercourse is considered one of the most important problems in married life. If one of the couples has a problem in this matter, their lives may be in danger, so any kind of sexual problem should be considered unimportant. Do not assume

Anorgasmia in women and its complications

Anorgasmia is a medical term for difficulty reaching orgasm regularly after intense sexual stimulation. Lack of orgasm makes you sad or interferes with your relationship with your partner.

Orgasms vary in intensity, and women vary in frequency of orgasms and the amount of stimulation required to produce an orgasm. Most women require some degree of direct or indirect clitoral stimulation and will not climax through penetration alone. Additionally, orgasm often changes with age, medical issues, or medications.

According to the Mayo Clinic, if you are satisfied with the peak of your sexual activities, there is no need to worry. However, if you are concerned about the lack or intensity of your orgasms, talk to your doctor about anorgasmia.

Anorgasmia is very common and at least one out of every five women in the world suffers from this condition. The intensity of orgasms varies greatly among women, and women also differ from each other in terms of the number of orgasms or the amount of stimulation required to reach orgasm.

Orgasm, from a medical point of view, means a feeling of intense physical pleasure and release of tension, which is accompanied by involuntary and rhythmic contractions of the pelvic floor muscles. But orgasm is not always like this. Some women feel pelvic floor muscles contract or uterus vibrates during orgasm. Some women also describe the orgasm as a feeling of warmth in the whole body, and others describe it as a sensation such as murmuring. By definition, the main symptoms of anorgasmia include the inability to experience orgasm or long delays in reaching orgasm. But there are different types of anorgasmia:

Primary anorgasmia:

This condition means that the woman has never experienced orgasm.

Secondary anorgasmia:

This condition means that the woman has experienced orgasm before, but now she has difficulty reaching it.

Positional anorgasmia:

This situation means that a woman can experience orgasm only in certain situations. This complication is very common in women. In fact, about 80% of women experience orgasm only as a result of clitoral stimulation.

General anorgasmia:

This condition means that the woman cannot reach orgasm in any situation.

Causes of anorgasmia

Orgasm as a complex reaction depends on various physical, emotional and psychological factors. Problems in any of these areas can affect your ability to orgasm.

Physical causes

A wide variety of diseases, physical changes, and medications can interfere with orgasm:

diseases. Serious diseases such as multiple sclerosis and Parkinson’s and their effects on mental health can disrupt orgasm.

Obstetrics and Gynecology issues. Gynecological surgeries such as hysterectomy or cancer surgery can affect orgasm, and lack of orgasm is often associated with other sexual concerns such as uncomfortable or painful sex.

medicines. Many prescription and over-the-counter medications, including blood pressure medications, antipsychotics, antihistamines, and antidepressants, especially selective serotonin reuptake inhibitors (SSRIs), can inhibit orgasm.

Alcohol and smoking. Drinking too much alcohol can impair your ability to get high. Smoking restricts blood flow to the genitals.

old age As we age, natural changes in anatomy, hormones, nervous system, and circulatory system can affect libido. The decrease in estrogen levels during the transition to menopause and the occurrence of its symptoms such as night sweats and mood changes can affect gender.

What is the reason for not reaching sexual climax?

The climax of sexual pleasure or orgasm is a complex process and in fact, it is a reaction to many physical, emotional and psychological factors. Having problems in any of the following areas may interfere with reaching orgasm.

1) Physical causes

A wide variety of diseases, physical changes, and medications may impair orgasm:


Any disease may affect this part of the sexual cycle, including diabetes, neurological diseases such as MS, etc.

Orgasm may also be impaired as a result of gynecological surgeries such as hysterectomy or surgery for gynecological cancers. In addition, not experiencing orgasm is often associated with other sexual problems such as painful intercourse.


Many drugs interfere with reaching the peak of sexual pleasure. Among these drugs, we can mention antihypertensive drugs, antihistamine drugs (antiallergic) and antidepressant drugs – especially selective serotonin reuptake inhibitor drugs such as fluoxetine. Antidepressants in men may also cause not reaching the peak of sexual pleasure and erectile dysfunction.

Alcohol and drugs:

Excessive consumption of alcohol and psychoactive substances can disrupt orgasm.

Aging process:

With age, there are natural changes in the body, hormones, nervous system and circulatory system that affect sexual activity. The decrease in the level of the female sex hormone estrogen that occurs during the transition to menopause may especially affect women’s peak sexual pleasure.

The low amount of female hormones in the body can reduce the sensitivity of the clitoris, nipples and skin and disturb the blood supply to the vagina and clitoris. However, not reaching the peak of sexual pleasure is not limited to older women, and many women even say that their sexual experience becomes more satisfying as they age.

2) Psychological factors

Many psychological factors are involved in the ability to reach orgasm or the peak of sexual pleasure:

  • Mental health problems, such as anxiety and depression
  • Anxiety during marital relationship
  • Stress and economic pressures
  • Specific cultural beliefs
  • Fear of pregnancy or sexually transmitted diseases
  • Confusion and confusion

3) Communication factors

Many couples who have marital disputes also have problems in sexual activities. Among the effective communication factors on the peak of sexual pleasure, the following can be mentioned:

  • Not having an emotional bond with your spouse
  • Unresolved conflicts and disputes
  • Lack of proper communication with spouse in terms of sexual needs and preferences
  • Lack of loyalty and loss of trust between husband and wife.

How is anorgasmia treated?

Treatment of anorgasmia can be difficult. Your treatment will depend on the underlying cause of your symptoms, but your doctor may use a variety of methods to treat you.

Treatment of anorgasmia in most women requires more than simple medication. It is very important to pay attention to communication problems with your spouse and daily stressful factors. It can also help to get to know your body and try different types of sexual stimulation.

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Symptoms of anorgasmia

Orgasm is a feeling of intense physical pleasure and release of tension, which is accompanied by involuntary and rhythmic contractions of the pelvic floor muscles, but it does not always look like the movies. The feeling of orgasm is different in women and orgasm is different in every person.

According to the definition, the main symptoms of anorgasmia are the inability to orgasm or long delays in reaching orgasm that are uncomfortable for you. But there are different types of anorgasmia:

  • Lifelong anorgasmia: You have never had an orgasm.
  • Acquired anorgasmia: You used to have orgasms, but now you have trouble reaching climax.
  • Situational anorgasmia: You can only have an orgasm in certain situations, such as oral sex or masturbation, or only with a certain person.
  • General anorgasmia: You cannot have an orgasm under any circumstances or with any partner.

Know your body:

It is important to understand your body’s anatomy and what type of tactile stimulation gives you the best sexual satisfaction. You can ask your doctor to guide you about the anatomy of your genitals or introduce you to resources to learn about it.

Increased sexual arousal:

Many women do not reach the peak of sexual pleasure because they do not receive enough sexual stimulation during intercourse. Many women need direct or indirect stimulation of the clitoris to reach orgasm, and this issue should be considered in sexual activity.

Counseling and treatment:, differences and conflicts with spouse can be the basis of sexual problems. Seeing a counselor can help you resolve these conflicts and tensions and get your sex life back on track.

Specialists in the treatment of sexual disorders are psychotherapists who specialize in the treatment of sexual problems. Although visiting these specialists may be embarrassing for you, these experts can help you a lot in the treatment of anorgasmia.

This type of therapy often includes sex education, communication skills, and behavioral exercises that you and your partner can try at home.

Time to see a doctor for the treatment of anorgasmia

Consult your doctor if you have questions about orgasm or concerns about your ability to achieve one.

Medical treatments

There is no guarantee that hormone treatments will cure anorgasmia, but they may help. It also helps you treat underlying diseases.

Treatment of the underlying disease:

If you have a specific medical condition that affects your ability to achieve sexual climax, treatment will solve your sexual problem. Changing the medications or their dosage will relieve your symptoms.

Treatment with the sex hormone estrogen:

Estrogen therapy in the form of skin patch pills or gel can have a positive effect on brain function and mood factors and affect your sexual response. Topical estrogen therapy in the form of vaginal creams or slow-release suppositories or rings may increase vaginal blood flow and help improve libido. In some cases, your doctor will prescribe a combination of estrogen and progesterone hormones orally.

Treatment with testosterone hormone:

Male sex hormones such as testosterone, which are produced in small amounts in women’s bodies, may play a role in women’s sexual function. Therefore, the administration of testosterone can help solve the problem of female orgasm, especially if the treatment with estrogen and progesterone hormones is not effective. Of course, the use of testosterone for the treatment of women is controversial and has not been approved by medical organizations. In addition, testosterone sometimes causes unwanted side effects such as acne, hairiness, and mood and personality changes.

Testosterone seems to be most effective in women whose levels of this hormone have dropped as a result of surgical removal of the ovaries. If your doctor chooses this treatment, he will carefully monitor you to make sure that you do not experience side effects.

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Relationship issues

Couples’ problems outside of the bedroom can affect their sexual relationship. Issues may include:

  • Lack of communication with your partner
  • Unresolved conflicts
  • Poor communication of sexual needs and preferences
  • Betrayal or breach of trust
  • Intimate partner violence

Psychological effects of not satisfying a woman sexually

Many divorces are due to lack of sexual satisfaction. Most married men and women do not enjoy their sexual relations. This problem is especially true for women, so mutual pleasure is required.

Sexual intercourse is not just intercourse and penetration. The sexual pleasure of touch and physical satisfaction is included in the category of sexual desires, but so are emotions, dreams, and fantasy. For many people, sexual intercourse with a person has spiritual dimensions as well.

Sexual intercourse is harmony between humans, that’s why it can be difficult as well as exciting. What is pleasant and satisfying for one person may not be so for another person.

If only one person is always satisfied in a relationship, a workplace will be crippled. In many cases, there is a simple solution to solve this problem, and that is communication with each other. It doesn’t have to be a verbal communication, but you need to show the other person what you enjoy doing in some way.

Many women are afraid to express their needs and interests, so it is likely to be difficult to satisfy. If you want to make love or a certain type of sexual motivation for orgasm, you should bring it up. With this, there is a possibility that the other party will also talk to you about his desires and interests.

A positive influence in the presence of communication in sexual intercourse is talking about means, methods of preventing pregnancy and protection against infectious diseases. Silence creates misunderstandings, so dialogue is an effective way to overcome problems in this area.

Prejudices and simplicities are often rooted in fear and the desire to control. Man wants to control sexual desires because these desires are powerful and have a transformative force. Men have dominated the society for a long time, so women’s sexuality has been under strict control, prejudices have arisen for this. Today, people are questioning old assumptions about gender and sexuality, and this is considered a positive move.

Complications of women not being satisfied after stimulation

Unsatisfaction of women has various complications that appear in their personal and marital life. One of the most important side effects of this problem is the occurrence of mental illnesses such as depression and anxiety. Also, this problem can cool their view of sex and generally cause problems in married life.

Translation and report: Elaha Zarei

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