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An orgasm is the release of intense feelings during sexual stimulation. Orgasmic disorder occurs when a women either has no orgasms or has difficulty reaching orgasm, even when there is sufficient sexual stimulation. Similar to sexual arousal disorder, a woman may experience orgasm dysfunction because of emotional or physical factors. Often a combination of reasons contribute to the inability to orgasm. Treatment for orgasmic disorder depends on the cause of the dysfunction. A thorough review of your medical history and a physical examination can help to determine if the cause is primarily emotional or physical. In addition to treating any underlying medical conditions, counseling can be a helpful tool in treating sexual dysfunction disorders.   

The following emotional and physical problems are a few of the factors that can contribute to this disorder:

  • History of gynecological surgeries, such as a hysterectomy
  • The use of some depression medications (particularly SSRI's)
  • Guilt about enjoying sexual activity
  • Cultural or religious beliefs
  • History of sexual abuse
  • Poor self-esteem
  • History of depression or anxiety
  • Relationship issues

Please remember this information is intended for educational purposes only and should not substitute medical advice from a healthcare provider.