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Inability to Achieve Orgasm

DEFINITION

Difficulty in becoming sexually aroused or achieving an orgasm, in a woman.

SIGNS & SYMPTOMS

  • Lack of sexual desire.
  • Inability to enjoy sex.
  • Failure to achieve orgasm, even when sexually aroused.

CAUSES

  • Inadequate foreplay.
  • Anxiety, preoccupation and worry about other important areas of life.
  • Psychological problems, including depression and poor self-esteem.
  • Feelings of shame or guilt about sex.
  • Fear of pregnancy.
  • Exhaustion.
  • Acute illness.
  • Chronic illness, especially of the central nervous system or hormonal system, as with multiple sclerosis or hypothyroidism.
  • Inexperience or inadequate information about sexuality on the part of either partner.
  • Repressed anger toward the sexual partner that may result from: feelings of being used as a sexual object; physical or emotional abuse; jealousy or fears of disloyalty; or lack of true intimacy.

RISK INCREASES WITH

  • Previous sexual abuse or sexual trauma.
  • Use of some drugs, such as:
    • Female hormones, including oral contraceptives, (although these heighten sexual pleasure in some women).
    • Antihypertensives like Beta-adrenergic blockers & Calcium-channel blockers. Antihistamines.

HOW TO PREVENT

  • Establishing proper communication with your partner about your sexual needs and feelings.
  • Seek counseling to resolve feelings about past sexual trauma or abuse.

DIAGNOSTIC MEASURES

  • Typical history and symptoms.
  • Physical exam by a doctor.

POSSIBLE COMPLICATIONS

  • Permanent inability to enjoy sex.
  • Damage to interpersonal relationships.

TREATMENT

GENERAL MEASURES

  • The first step is to accept that a problem really exist and try to establish open communication with your partner. Pretending that you are aroused or have orgasms leaves the problem unsolved.
  • Reduce stress in your life.

MEDICATION

Medication is not necessary unless the sexual problem is due to some underlying medical condition. There is no known aphrodisiac that is effective and safe.

ACTIVITY

No restrictions. Exercise regularly to reduce stress and improve your self-image. A healthy body and mind make enjoyable sex more likely.

CONTACT YOUR DOCTOR IMMEDIATELY, IF

You have sexual problems and you want help in resolving them.

| Anorgasmia | Vaginismus | Dyspareunia |


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