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.