Is orgasmic disorder incurable? Understanding the function of sexual organs can help with the onset of orgasm

After a normal arousal period of sexual activity (estimated to have sufficient stimulation center, intensity, and duration), the orgasm is continuously or repeatedly delayed or absent.

Most patients not only have sexual arousal disorders, but also have orgasmic disorders. Only when there is no or only minor difficulty in arousal (excitement) can sexual desire and orgasm disorders be diagnosed.

The disorder of sexual desire and orgasm can be lifelong or acquired, ordinary or in a certain situation. About 10% of women, regardless of any stimulation or situation, have never reached orgasm. Most women can achieve orgasm through clitoral stimulation, but only 50% of women can achieve orgasm frequently during sexual intercourse. When a woman responds to non sexual clitoral stimulation but is unable to achieve orgasm during sexual intercourse, detailed sexual examination and sometimes psychotherapy trials are needed to determine whether this inability to achieve orgasm is a variation of a normal response or due to individual or interpersonal psychopathological issues.

As long as a woman reaches orgasm once, she generally does not lose that ability, unless it is a negative sexual interaction, a conflict in a relationship, a traumatic experience, a mood disorder, or the intervention of a physical condition.

Etiology

The etiology is similar to sexual arousal disorder. In addition, sexual intercourse is always terminated before a sexually aroused woman reaches orgasm (such as due to insufficient early caress

/Ignorance or premature ejaculation in the anatomy and function of the vagina can lead to resentment, dysfunction, or even disgust caused by frustration. Some women develop sufficient vascular congestion and are afraid of the possibility of "letting go", especially during sexual intercourse. This fear may be due to feeling guilty after a fun experience, becoming addicted to relying on a partner for pleasure, or losing control.

Medications, especially selective ones

5-hydroxytryptamine reuptake inhibitors can inhibit orgasm. Depression is the main cause of weakened sexual arousal and desire, so it is necessary to estimate the patient's mood.

Treatment

Physical illnesses must be treated. If psychological factors are the main factor, it should be advised to remove or reduce this reason; Often spouses should participate.