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Orgasmic Disorder

What is Orgasmic Disorder?

Orgasmic dysfunction is the inability for an individual to reach orgasm during sexual stimulation. This disturbance must cause marked distress or interpersonal difficulty. This dysfunction is not better accounted for by another psychological condition, the direct physiological effects of a substance or another general medical condition. A person may be diagnosed with Female Orgasmic Disorder or Male Orgasmic Disorder, though it is less common for men. The condition is referred to as primary when the female has never experienced orgasm through any means of stimulation. It is called secondary if the woman has attained orgasm in the past but is currently non-orgasmic.
For men, the disorder might present itself as an inability to reach orgasm during sexual intercourse or as ejaculation only after prolonged intense non-intercourse stimulation.


Inability to reach orgasm in general or with certain forms of sexual stimulation.


If the onset of the problem coincided with the use of a medication, this should be discussed with the prescribing physician. Interviewing of the couple by a qualified sex therapist is a helpful way to elicit useful information about the situation.
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.
Treatment through education about these principles is helpful. In the treatment of primary anorgasmia, the initial objective is to obtain an orgasm under any circumstance. Incorporating clitoral stimulation into sexual activity may be all that is necessary for a woman to achieve orgasm. Masturbation when the partner is not present (which could cause inhibition) usually results in success. Working with a partner to decrease performance anxiety and maximize communication make it possible for a person to achieve orgasm with a partner.