An orgasm is sexual satisfaction, the receipt of which depends on many objective and subjective factors. Anorgasmia is a constant or recurring difficulty, delay or lack of orgasm after sufficient sexual stimulation.
Disease Description
Sexual dysfunction can occur in both men and women. However, based on studies, it was found that the disorder is more common among women. Anorgasmia can cause disappointment, provoke a decrease in libido, problems in relationships, worsening self-esteem. In some cases, sexual dysfunction can ultimately lead to a limited or complete lack of arousal.
Sometimes anorgasmia and frigidity are mistakenly compared. However, frigidity is a completely different sexual disorder. It is characterized by a lack of sexual desire, indifference to sexual intercourse, sometimes disgust.
One of the main problems associated with anorgasmia in men is infertility. This disease is characterized by the absence or difficulty with ejaculation in people of reproductive age. Along with this disorder, anxiety and frustration can appear. All this in the end can lead to other sexual problems, such as erectile dysfunction and loss of sex drive.
Anorgasmia can also be combined with the complete disappearance of sexual desire or a partial decrease in attraction to the opposite sex - hypolibidymia.
Classification
The following varieties of anorgasmia are distinguished:
- Primary (congenital).
- Secondary (acquired).
- Situational.
- Coital.
Primary anorgasmia is characterized by a lack of orgasm for the entire duration of sexual activity. In this condition, low levels of sexual arousal may be present, but without the peaks necessary to obtain an orgasm. By definition, primary anorgasmia begins with the first sexual experience and lasts a lifetime. While secondary anorgasmia is preceded by a period of normal sexual relations before the problem manifests itself. Typically, the causes of this condition range from physical trauma to psychological problems. Depression and grief are common examples of psychological complications that lead to secondary anorgasmia. Taking various medications or drugs can be factors contributing to the development of a lack of orgasm. Major health problems can also reduce a person's ability to feel sexually aroused.
The situational type is the most common and most treatable. In this case, a person gets an orgasm only in a certain situation. For example, it can be some type of foreplay, a type of stimulation, a setting or a specific person.
With coital anorgasmia, a person can get an orgasm by any means excluding sexual intercourse. Most often with the help of masturbation.
In most cases, lack of orgasm is a matter of sexual preference and is rarely classified as some kind of problem.
Symptoms
Anorgasmia is a sexual disorder. Symptoms of the disease are inability or prolonged delays in reaching a climax. Every woman has difficulty getting an orgasm at some point in her life. In addition, the intensity and frequency of sexual satisfaction often changes with changes in lifestyle, age and maturity, medical issues and prescribed medications. However, for some women, anorgasmia becomes chronic.
A symptom of anorgasmia in men may be the absence of an orgasm at the end of sexual intercourse, but with the preservation of ejaculation.
Etiology of the disease
The source of anorgasmia is still not clear and remains the subject of research for many scientists. Every woman and every man reacts to stimulation in completely different ways and achieve sexual satisfaction in various ways. Thus, scientists have identified some indicators that significantly affect orgasm.
Causes of anorgasmia in women
Achieving sexual pleasure requires a combination of physical, emotional, and psychological factors working together in synchronous harmony. If any of them is violated, the ability to achieve orgasm decreases. More than 90% of cases of female anorgasmia are associated with psychological and emotional factors. Meanwhile, only 5% have physical causes.
These include:
- diseases (diabetes, pelvic prolapse);
- advanced age (decreased estrogen levels, loss of natural lubrication in the vagina);
- medical procedures (hysterectomy, oophorectomy or cancer surgery);
- other sexual dysfunctions (vaginal dryness, dyspareunia);
- a side effect of taking medication (antidepressants, birth control pills, beta-blockers, opioids);
- alcohol abuse.
Emotional reasons are:
- poor communication with a partner;
- disinterest or conflict in a relationship;
- lack of contact with a partner;
- domestic violence or abuse.
There are psychological factors of anorgasmia:
- stress;
- sexual, physical, emotional abuse in the past;
- low self-esteem, embarrassment;
- cultural / religious beliefs related to sexuality;
- mental health conditions (e.g., depression and anxiety).
Causes of anorgasmia in men
According to studies, only 25% of men achieve orgasm in all sexual contacts. With age, this percentage decreases. The causes of anorgasmia in men can be:
- problems of the endocrine system (increased testosterone, hypothyroidism, hyperprolactinemia);
- side effect of taking medications (antidepressants, antipsychotics, opioids);
- diseases and problems of the nervous system (spinal cord injuries, multiple sclerosis and Parkinson's disease, nerve damage in prostatectomy);
- erectile disfunction;
- psychosexual reasons;
- hyperstimulation (masturbation);
- loss of sensation of the penis (old age, frequent masturbation);
- alcohol abuse.
The psychological factor in men
The vast majority (about 90%) of cases of male sexual dysfunction are directly related to psychological problems. In this case, men fail in sexual terms not because of any diseases or deviations. Most of them do not know how to please a woman.
Many sexual problems can arise as a result of stress: at work, in the family, life's troubles, and depression. Other causes may be rooted in the development of negative attitudes towards sex. There is also a link between male anorgasmia and childhood sexual abuse or older rape.
Treatment
Anorgasmia is the inability to achieve orgasm during intercourse. The diagnosis and subsequent treatment is carried out by a sexologist. You may also need to consult a gynecologist, urologist, endocrinologist, neuropathologist and psychologist. The success rate in the treatment of situational anorgasmia is about 80-90%, and in the secondary - 10-75%.
How to cure anorgasmia? First you need to determine the etiology of the occurrence of sexual dysfunction. And depending on the reasons, appropriate treatment may be prescribed. It could be:
- drug therapy (hormonal drugs, antidepressants);
- physiotherapy (massage, reflexology, electrical stimulation);
- psychotherapy.
Psychotherapy
The most common cause of lack of orgasm is psychological problems. To solve them, you need a consultation with a psychologist. One of the most important parts of therapy is the normalization of the condition, the solution of problems and stressful situations in everyday life. In this case, they resort to the treatment of anorgasmia with antidepressants. Above all, you should look for various ways that can be useful for stimulation and orgasm. Sometimes women are taught masturbation exercises during sex therapy. This technique is used to better study your own body, to search for specific points, the stimulation of which will lead to orgasm.
Counseling couples primarily aimed at teaching the technique of arousal:
- focusing on the emotional factors of both partners;
- relaxation;
- choice of stimulation method;
- the use of various auxiliary devices.
Treatment of anorgasmia in men
Treatment options for male sexual dysfunction also vary depending on the cause. The doctor first determines whether the origin of the disorder is psychological or physical. Diagnosis consists in a full physical examination, a blood test (checking thyroid function, hormonal balance, sugar level).
In the treatment of anorgasmia that has arisen against the background of psychological problems, a man will need a consultation with a sexopathologist.
Quitting alcohol, tobacco, and drugs is also an integral part of treatment.
Finally
Orgasm is a complex neurobiological process that occurs as a result of sexual activity or arousal. Anorgasmia is a condition when a person cannot achieve full sexual satisfaction, even with prolonged sexual stimulation. The disorder is more common in women than in men. Anorgasmia can have many different causes, such as trauma to the genitals, complications after surgery or childbirth, the use of alcohol or drugs, various diseases, for example, multiple sclerosis. Sexual dysfunction can also be caused by a psychological condition, such as anxiety, depression, or dependence. Anorgasmia is usually a temporary condition. With timely access to a specialist, the disorder responds well to treatment.