Orgasm disorders describe a group of conditions where a person has difficulty achieving sexual climax (orgasm). An orgasm disorder can happen to anybody of any gender. It can describe someone who has never been able to reach orgasm, taking a longer time to climax, having infrequent orgasms, or having unsatisfactory orgasms despite sexual stimulation. An orgasm disorder causes distress to the person and can affect their sexual relationship.
Orgasm disorders are categorised into subtypes based on a person’s sex.
Orgasm disorders in females include:
Orgasm disorders in males include:
The symptoms of an orgasm disorder include:
An orgasm is a complex response of hormones, sexual stimulation, and emotions. It can be affected by physical, social, psychological, or medical issues. Thus, there are several factors that contribute to orgasm disorders. For a particular patient, one or more factors could be responsible.
Some physical factors can include:
Some medications that can affect orgasms include:
Some psychological issues that can affect orgasm include:
Anybody can have an orgasm disorder. Women, especially post-menopausal women, are more likely to have it.
The diagnosis of an orgasm disorder starts with being honest with a healthcare provider about what is happening. Patients may feel ashamed, shy, or embarrassed about their symptoms. A healthcare provider can help a person feel comfortable talking about it.
Once aware of the symptoms of concern, the healthcare provider may need to examine the patient and request blood tests, an ECG, or urine tests.
The most common complication associated with an orgasm disorder is the psychological impact it can have on the person and their sexual partner.
Treatment for an orgasm disorder depends on what is causing it. A clinician may prescribe medications or change medications that a patient is already taking. Treatment may include psychological counselling for both the patient and their partner. Seeing a sex therapist (a counsellor who specialises in helping people with sexual disorders) may also be helpful. Treatment may include further education on sexual function and encouraging better communication between sexual partners. A clinician may also recommend masturbation so the patient is able to communicate their preferences to their partner.
Orgasm disorders cannot always be prevented. However, general health practices, such as eating a healthy diet and getting plenty of rest can help. Open and honest communication with a person’s sexual partner is a good foundation for a relationship.