Post Date September, 24 2023
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 clitoral stimulation that is not sexual intercourse, but cannot reach the orgasm of sexual intercourse, she needs to make detailed sexual examination, and sometimes use psychotherapy tests to judge that the orgasm of sexual intercourse that cannot be reached is a variation of normal response or is due to personal or interpersonal Psychopathology problems.
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 inhibitor 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.
