Anorgasm

Anorgasm




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Anorgasm

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Orgasm occurs after stimulation of the genitals or erogenous zones. It’s the peak of sexual arousal and causes intense feelings of pleasure. Orgasms have several positive effects on overall health. Everyone experiences sexual climax differently, which is normal and healthy. But some factors can make it difficult to achieve orgasm.


American Psychological Association. Understanding Orgasm. (https://www.apa.org/monitor/2011/04/orgasm) Accessed 5/9/2022.
Britannica. Orgasm. (https://www.britannica.com/science/orgasm) Accessed 5/9/2022.
Eisenman R. Scientific Insights Regarding the Orgasm. (https://ejop.psychopen.eu/index.php/ejop/article/view/430/html) Europe’s Journal of Psychology. 2008:4(2). Accessed 5/9/2022.
Planned Parenthood. Orgasms. (https://www.plannedparenthood.org/learn/sex-pleasure-and-sexual-dysfunction/sex-and-pleasure/orgasms) Accessed 5/9/2022.


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An orgasm is the height or peak of sexual arousal when the body releases sexual tension and pressure. It involves very intense feelings of pleasure in your genitals and throughout your body.
An orgasm usually lasts a few seconds and feels very good.
Orgasm occurs during sexual stimulation of your genitals and sexual (erogenous) zones of your body. These include the:
An orgasm can occur during masturbation or during sex with a partner. It is one of four stages in the body’s sexual response cycle :
Having an orgasm is also called climaxing, cumming, or having the “big O.”

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Certain things happen throughout your body during orgasm:
Muscle contractions play an important role in orgasm. For example, the muscles of your vagina and uterus often contract. This may cause a small amount of fluid to release from your genitals. Likewise, the muscles at the base of your penis contract, which usually leads to ejaculation (when the body releases semen).
In the few minutes after orgasm, your body slowly returns to its normal state. As you recover:
Some people may become sexually aroused again a few minutes after orgasm and can have multiple orgasms. Some need more time before they can orgasm again. This differs widely from person to person.
There are different kinds of orgasms, including:
Orgasm is generally intense and pleasurable. But it can feel different for everyone, and it can even feel different for a person each time. All of the differences are normal and healthy.
During orgasm, your body releases dopamine, known as “the feel-good hormone,” and oxytocin, sometimes called “the love drug.” These hormones increase feelings of happiness and other positive emotions, and they counteract the “stress hormone,” cortisol.
Many people have to experiment with different methods and communicate well with their partners before they can achieve orgasm.
Other factors also can interfere with the ability to reach sexual climax:
If you have trouble having an orgasm and it bothers you, talk to a healthcare provider. Some people have sexual dysfunction , disorders that interfere with orgasm. You can speak to a primary care provider (PCP) to learn more. Or, to address sexual dysfunction in females , you may want to visit a gynecologist.
Research indicates that orgasms have several health benefits, including improvements in:
An orgasm is a pleasurable feeling at the height of sexual arousal. Everyone experiences orgasm differently, and many factors can affect your ability to climax. Talk to a healthcare provider if trouble reaching orgasm is bothering you.
Last reviewed by a Cleveland Clinic medical professional on 05/09/2022.

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Bradford A. Female orgasmic disorder: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis. https://www.uptodate.com/contents/search. Accessed Jan. 11, 2022.
Sexual dysfunctions. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. American Psychiatric Association; 2013. https://dsm.psychiatryonline.org. Accessed Jan. 13, 2022.
Partin AW, et al., eds. Sexual function and dysfunction in the female. In: Campbell-Walsh-Wein Urology. 12th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Jan. 11, 2022.
Agronin M. Sexual dysfunction in older adults. https://www.uptodate.com/contents/search. Accessed Jan. 11, 2022.
Bradford A. Treatment of female orgasmic disorder. https://www.uptodate.com/contents/search. Accessed Jan. 11, 2021.
Rubin ES, et al. A Clinical Reference Guide on Sexual Devices for Obstetrician-Gynecologists. Obstetrics & Gynecology. 2019; doi:10.1097/AOG.0000000000003262.
Shifren JL. Overview of sexual dysfunction in women: Management. https://www.uptodate.com/contents/search. Accessed Jan. 14, 2022.
L-arginine. Natural Medicines. https://naturalmedicines.therapeuticresearch.com. Accessed Jan. 14, 2022.



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Your primary care provider or gynecologist will review your medical history and conduct a general medical exam and pelvic exam. These exams may identify physical conditions that contribute to problems having orgasms.
Your provider may ask you questions about your experiences with orgasms and other related issues. You may also receive a questionnaire to fill out that answers these questions. You may be asked about:
Your provider may want to talk with both you and your partner or meet with your partner separately.
Treatment for anorgasmia depends on what's contributing to the problem. Possible treatments include lifestyle changes, therapy and medication. If an underlying medical condition is contributing to anorgasmia, your provider will recommend appropriate treatment.
Treatment for anorgasmia usually begins with one or more approaches to understand your body better, learn what works for you and change behaviors. These treatments may include:
Although some medications have been tested for treating anorgasmia, there's not enough evidence to support their use. Hormone replacement therapies may have some benefit, but they have risks that require careful monitoring. These include:
Natural products, such as those made with L-arginine or Russian olive tree extract, are marketed for improving women's sex lives. They have been studied in very small trials using multiple herbal products or combined with other drugs or lifestyle management programs. There isn't enough data to know if they have any treatment effect.
Talk with your provider before trying natural therapies, which can cause side effects and interact with other medications.
If your lack of orgasm from sexual activity distresses you, make an appointment with your primary care provider or your gynecologist. Here's some information to help you prepare for your appointment.
Make a list of the following items that are important to share with your provider:
In addition to the information you prepare, your health care provider will likely ask questions to understand your sexual experiences, your ability to reach orgasm and your thoughts about your sexual relationship. You might think about answers to the following questions:
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From Wikipedia, the free encyclopedia
Inability to achieve orgasm despite adequate stimulation
This article needs additional citations for verification . Please help improve this article by adding citations to reliable sources . Unsourced material may be challenged and removed. Find sources: "Anorgasmia" – news · newspapers · books · scholar · JSTOR ( June 2007 ) ( Learn how and when to remove this template message )

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Adjustment disorder with depressed mood

Physiological and physical behavior

Nonorganic dyspareunia
Nonorganic vaginismus

Psychoactive substances, substance abuse and substance-related
Anorgasmia is a type of sexual dysfunction in which a person cannot achieve orgasm despite adequate stimulation. Anorgasmia is far more common in females (4.6 percent) [1] than in males and is especially rare in younger men. The problem is greater in women who are post- menopausal . [1] In males, it is most closely associated with delayed ejaculation . Anorgasmia can often cause sexual frustration .

The condition is sometimes classified as a psychiatric disorder . However, it can also be caused by physiological problems such as diabetic neuropathy , multiple sclerosis , Parkinson's disease , [2] genital mutilation on any gender, complications from genital surgery, pelvic trauma (such as from a straddle injury caused by falling on the bars of a climbing frame, bicycle or gymnastics beam), hormonal imbalances, total hysterectomy , spinal cord injury , cauda equina syndrome , uterine embolisation, childbirth trauma (vaginal tearing through the use of forceps or suction or a large or unclosed episiotomy ), vulvodynia and cardiovascular disease . [3]

A common cause of anorgasmia, in both men and women, is the use of anti-depressants , particularly selective serotonin reuptake inhibitors (SSRIs). Though reporting of anorgasmia as a side effect of SSRIs is not precise, studies have found that 17–41% of users of such medications are affected by some form of sexual dysfunction. [4] [5]

Another cause of anorgasmia is cocaine use [6] and opiate addiction , particularly to heroin . [7]

Primary anorgasmia is a condition where one has never experienced an orgasm. This is significantly more common in women, although it can occur in men who lack the gladipudendal (bulbocavernosus) reflex . [8] Women with this condition can sometimes achieve a relatively low level of sexual excitement. Frustration, restlessness, and pelvic pain or a heavy pelvic sensation may occur because of vascular engorgement. On occasion, there may be no obvious reason why orgasm is unobtainable. In such cases, women report that they are unable to orgasm even if they have a caring, skilled partner, adequate time and privacy, and an absence of medical issues which would affect sexual satisfaction.

About 15% of women report difficulties with orgasm, and 10% of women in the United States have never climaxed. [9] [10] 29% of women always have orgasms with their partner. [11]

Some social theorists [ who? ] believe that inability to orgasm may be related to residual psychosocial perceptions that female sexual desire is somehow 'wrong', and that this stems from the age of Victorian repression. It is thought that this view may impede some women – perhaps those raised in a more repressed environment – from being able to experience natural and healthy sexual feeling. [12]

Secondary anorgasmia is the loss of the ability to have orgasms (as opposed to primary anorgasmia which indicates a person who has never had an orgasm) or loss of the ability to reach orgasm of past intensity. The cause may be alcoholism, depression, grief, pelvic surgery (such as total hysterectomy) or injuries, certain medications, death-grip , illness, estrogen deprivation associated with menopause , or rape.

Secondary anorgasmia is close to 50% among males undergoing prostatectomy ; [13] 80% among radical prostatectomies. [14] This is generally caused by damage to the primary nerves serving the penile area, which pass near the prostate gland. Removal of the prostate frequently damages or even completely removes these nerves, making sexual response unreasonably difficult. [15] Radical prostatectomies are usually given to younger males who are expected to live more than 10 years. At more advanced ages, the prostate is less likely to grow during that person's remaining lifetime. [15]

People who are orgasmic in some situations may not be in others. A person may have an orgasm from one type of stimulation but not from another, achieve orgasm with one partner but not another, or have an orgasm only under certain conditions or only with a certain type or amount of foreplay. These common variations are within the range of normal sexual expression and should not be considered problematic.

A person who is troubled by experiencing situational anorgasmia should be encouraged to explore alone and with their partner those factors that may affect whether or not they are orgasmic, such as fatigue, emotional concerns, feeling pressured to have sex when they are not interested, or a part
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