Anorgasmia: The Female Orgasmic Disorder

Anorgasmia is the term for usual difficulty attaining orgasm after adequate sexual stimulation, causing you personal torment. It is a common condition, affecting a wide range of women.

Orgasms generally differ in intensity, and women differ in the frequency of their orgasms and the amount of stimulation required to cause an orgasm.

In fact, a vast majority of women don’t usually have orgasms with vaginal penetration alone. They need a certain level of direct or indirect clitoral stimulation.

Moreover, orgasms often modify with age, health issues, or medicines you’re taking.

If you’re satisfied with the climax of your sexual acts, there’s no need to worry. However, if you’re distressed by the lack of orgasm or the intensity of your orgasms, consult your doctor about anorgasmia. Making slight lifestyle changes or sex therapy can help cure your condition with ease.

Anorgasmia is also known as Orgasmic Dysfunction or Female Orgasmic Disorder.

What Causes Anorgasmia?

It may be challenging to find out the underlying cause of anorgasmia in women. Women may have trouble reaching orgasm because of emotional, physical or psychological factors. Some of the common anorgasmia causes are listed below:

  • Older age
  • A history with gynaecological surgeries such as hysterectomy
  • Diabetes
  • Shyness
  • Cultural or religious beliefs
  • History of sexual abuse
  • Guilt about enjoying sexual activity
  • Poor self-esteem
  • Stress, anxiety or depression
  • Relationship issues such as lack of trust or unresolved conflicts
  • Taking certain medications such as selective serotonin reuptake inhibitors (SSRIs) for depression

What Are The Types Of Anorgasmia?

Anorgasmia is the inability to get an orgasm or experiencing significant delays in attaining orgasm. However, there are certain types of anorgasmia as well, which are listed below:

  • Primary Anorgasmia – Refers to a condition when you have never experienced an orgasm.
  • Secondary Anorgasmia – Refer to a condition when you used to get an orgasm, but now facing issues reaching climax.
  • Situational Anorgasmia – Refers to a condition when you are able to get orgasm only in certain specific terms such as masturbation or oral sex. It is ubiquitous in women. Many women require adequate clitoral stimulation to reach orgasm. 
  • General Anorgasmia – In this condition, you are unable to get orgasm with any partner or any situation.

How Is Anorgasmia Diagnosed?

The diagnosis of anorgasmia includes the following:

  • Detailed Medical History: Your doctor may ask about your relationship with your partner, sexual history as well as surgical history. Your answers will help the doctor in determining the underlying cause of your condition. So, don’t hesitate to give correct answers or else you won’t get cured soon.
  • A Physical Exam: The doctor may also take your physical exam to check if any physical causes are responsible for your condition, such as some medical condition. The doctor may also examine your genital region to check if there’s some apparent physical or anatomical cause for lack of orgasm.

Also Read: The Ultimate Guide To Female Orgasms: What And How

How Is Anorgasmia Treated?

Anorgasmia treatment that would be most suitable for you depends upon the cause of your symptoms. It might include lifestyle changes, therapies or medications.

Lifestyle Changes And Therapy

1. Understand Your Body Better: Understand your body – where and how it likes to be touched. It can help you get desired sexual satisfaction. If you require a refresher course on your genital anatomy, consult your doctor for a diagram or try exploring your body in a mirror.

Use your hand or a vibrator for self-stimulation and know what type of touches feel the best to you. You can then share the same information with your partner. 

Some people are not comfortable with self-exploration – in that case, involve your partner in the activity.

2. Increase Sexual Stimulation: Women who have never experienced an orgasm might not be getting adequate sexual stimulation. Most women need direct or indirect stimulation of the clitoris for reaching climax. 

It is found that during vaginal penetration, switching sexual positions may help induce more clitoral stimulation.

3. Seek A Good Couple’s Counsellor: For some women, a clitoral vacuum device may help increase blood flow and enhance stimulation. It is a hand-held, battery-operated device, with a cup that fits over the clitoris.

4. Consult A Sex Therapist: Sex therapists are experts in treating sexual concerns. Therapy usually includes providing sex education, help with communication skills and behavioural exercises that you can perform with your partner at home.

5. Consult A Couple’s Counsellor: A counsellor can help you resolve conflicts in your relationship that may be affecting your ability to reach orgasm.

Medical Treatments

1. Treating Underlying Medical Conditions: If a medical condition is obstructing your ability to reach orgasm, treating the underlying cause might address your issue. Changing or modifying medications known to impede orgasm also might treat your anorgasmia symptoms.

2. Estrogen Therapy: If your anorgasmia is associated with menopausal symptoms, like hot flashes and night sweats, systemic estrogen therapy — by pill, gel or patch — may ease those symptoms and enhance sexual response.

Local estrogen therapy through a vaginal cream or a slow-releasing suppository or ring that you insert in your vagina, may improve blood flow to the vagina and help enhance sexual arousal.

3. Testosterone Therapy: Testosterone has a role in female sexual function, but how significant the role is dubious. Replacing testosterone in women is questionable, and it’s not authorized by the Food and Drug Administration (FDA) for treating female sexual dysfunction.

Further, it can cause specific side effects, including excessive body hair, acne, male-pattern baldness etc. Testosterone appears to be very useful for women with inadequate testosterone levels as a consequence of oophorectomy (surgical removal of ovaries).

If you opt to go for this therapy, your healthcare specialist should closely monitor its effects on you.

Alternative Medications

Some natural products that contain L-arginine are commercialized for improving the sex lives of women. But there is not enough evidence to support its effectiveness in female sexual dysfunction and is also not approved by the FDA. If you are planning to try some natural therapies, kindly inform your doctor to prevent side effects and interactions with other medications. 


Tags: Why Can’t I Orgasim Anymore After Menopause, What Is An Orgasim For A Woman And How Does It Feel, Difference Between Climax And Coming

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Natasha Patel

Natasha Patel is the senior writer for the women’s health edition at She worked as a primary care provider before joining the writer’s panel of the blog. She is also trained in routine obstetrics and continues to practice in Oklahoma, where she lives with her family.