Female orgasmic disorder occurs when a woman is unable to consistently achieve orgasm during sexual stimulation. Orgasmic disorder is most commonly referred to as anorgasmia which means absence of orgasm. FOD can be primary, secondary, situation, or general.
• Primary is lifelong anorgasmia where an individual have never experience orgasm from masturbation or with a sexual partner.
• Secondary is acquired anorgasmia where an individual was able achieve orgasm previously but currently have lost the ability to achieve orgasm due to illness or side effects from certain prescribed medication.
• Situational anorgasmia is when an individual is able to achieve orgasm in some situations but not in others. A woman may be able to achieve orgasm from masturbation but unable to do so with a partner or she may be able to achieve orgasm with one partner but not with another.
• General anorgasmia is when an individual is not able to achieve orgasm in any situations or with different partners.
FOD can cause distress in women but some have learned to enjoy the experience of been able to get aroused from sexual stimulation and are happy with their sexual activity without the presence of orgasm. Women with orgasmic disorder are usually young, unmarried, and have less education than women without orgasmic disorder.
Most sex therapist indicates that women who enjoy sexual intercourse and experience orgasm do not develop orgasmic disorder. Even though not all women experience orgasm from sexual intercourse alone, this is not considered orgasmic disorder as some prefer manual or oral stimulation of the clitoris to achieve orgasm.
Causes of Female Orgasmic Disorder
FOD can be caused by a combination of physical and psychological factors. Physical caused of FOD may include the following.
• Old age
• Low blood pressure
• Medication side effects
• Nerve damage in the pelvic area
• Circulation problems caused by damaged blood vessels
• Alcohol and drug abuse
Psychological caused of FOD may include the following
• Stress and anxiety
• Fear of getting pregnant
• Religious beliefs
• Guilt about sex
• Self-image problems
• Relationship problems
• Sexual abuse
• Emotional abuse
Types of Treatment
Psychological caused of FOD can be treated with psychotherapy, sex therapy, and couples therapy. In general psychotherapy focus on treating emotion related problems, sex therapy focus on treating orgasmic problems caused by emotion distress, and couples therapy focus on sexual exploration, sexual techniques, and sexual communication to improve orgasm.
Physical caused of FOD can be treated with estrogen therapy and
testosterone replacement therapy. Estrogen therapy involves the use of pills, patches, skin gel, vaginal
cream, and vaginal ring for treating FOD. Testosterone therapy is used
to treat woman with low level of testosterone and it also involved the
use of pills, patches, skin gel, and injection. Estrogen and
testosterone can help to increase sex drive and pleasure from sexual
stimulation that lead to orgasm.
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