Have you ever experienced difficulty in reaching orgasm during sex? Do you sometimes have to fake an orgasm in order to make your partner feel good whereas you aren’t exactly reaching “the clouds”? Then you just may be experiencing orgasmic dysfunction.
Orgasmic dysfunction is said to occur in a case where one is experiencing intense difficulty in reaching orgasm. This condition may occur even there is sufficient sexual stimulation in the lady and she is sexually aroused.
Most women experience this condition and for females it is known as female orgasmic dysfunction and although men sometimes experience it, it is however very uncommon for men and when it occurs in Men, it is known male orgasmic dysfunction.
Orgasms occur when there is an intense feeling of release during sex or when there is a sexual stimulation. In terms of intensity, how long it takes and how often it happens; it varies from one woman to another. For some ladies, orgasms can occur with very little stimulation while for other ladies, it would require much more sexual stimulation for it to occur.
There are so many women who experience difficulties reaching orgasms with their partner even after sufficient sexual stimulation. Studies show that orgasmic dysfunction occurs in a large number of women (about 14%-41%).
Other names for Orgasmic dysfunction include agonosmia or female orgasmic disorder.
Causes of orgasmic dysfunction
Orgasmic dysfunction can be very difficult to actually diagnose likewise to determine the underlying cause of this disorder can be very difficult. However, there are several factors of orgasmic dysfunction in women and they include: Emotional factors, physical factors, or psychological factors.
Under these factors, the contributing risk factors include:
- Age: A large percentage of women who are older in age have been seen to experience orgasmic dysfunction.
- Some medical conditions have been known to interfere with the sexual pleasures of the individual. Conditions such as diabetes, dementia, hypertension and so on have been seen to affect the ability of a woman to achieve orgasm.
- A background of gynecological surgeries such as hysterectomy et cetera have been known to cause this disorder. This is because most of the hormones that cause sexual stimulation usually have their primary root from the uterus and a woman who has undergone removal of the uterus will experience little or no hormonal secretion hence no sexual stimulation during sex.
- The use of some certain drugs might be a contributing factor to agonosmia. Drugs such as Selective Serotonin Reuptake inhibitors which are taken for mental issues such as depression have been said to inhibit some ‘pleasure’ hormones in the body.
- Beliefs: Some cultural or religious beliefs may be the cause of the lack of a woman achieving sexual orgasm. Some cultures actually say it is forbidden for a woman to enjoy sex and due to such doctrine and beliefs, the woman ends up growing with that mindset and hence finds it very difficult to actually enjoy.
- Shyness: There are some women who feel uncomfortable having sex. Research has shown that about 2% of young ladies are shy about the activity called sex and hence this has inhibited their freedom to explore or express themselves during sex. This has left them unsatisfied with sex and hence they can’t achieve orgasm.
- Intense Guilt: Apart from being shy, some other ladies have been discovered to feel guilty for having sex and it could be due to a past traumatic experience or based in beliefs.
- History of sexual trauma: Ladies who have underwent a particular traumatic experience such as rape or any other form of sexual abuse have been seen to detest sex. 51% of these ladies according to research end up not engaging in the entire activity, 42% have agonosmia while the remaining 7% who have been through some form of therapy or the other have been seen to overcome this aspect of their minds.
- Mental issues: Severe depression or anxiety can kill the libido in most women. Women have been noticed to not enjoy sexual pleasures when they are either so worried about how it is going to turn out or they are so over excited about the entire sexual activity in the first place.
- Stress: Stress causes a decreased libido hence leading to agonosmia. This is due to the release of cortisol instead of the release of serotonin which increases libido and encourages sexual pleasure.
- Low self-esteem: Low self-esteem have been known to cause either depression or increased levels of anxiety which will tend to reduce the sexual libido of the woman.
- Relationship issues such as unresolved worries have been known to decrease the libido due to the increased level of anxiety and worry. Also, it has been known to cause mental stress which have also been known to cause agonosmia.
For some ladies, they experience a combination of more than two of these factors and this can make attaining sexual pleasure very difficult and sometimes unattainable.
The inability to achieve orgasm can invariably lead to a distressed and worried mind which will further complicate issues and cause attaining of orgasm very difficult.
What then are the symptoms of Agonosmia?
The symptoms of Agonosmia include:
- Inability to achieve sexual orgasm which is invariably the main symptom.
- Unsatisfying climax
- Prolonged orgasms which can end up being unsatisfying even after it comes.
There are four different stages or types of Agonosmia. They include:
- Primary Agonosmia: At this stage, you probably have not attained any level of orgasm at all or you have never had an orgasm before.
- Secondary Agonosmia: At this stage, you find it difficult to attain another level of orgasm even though you have had the initial one.
- Situational Agonosmia: This is usually the most frequently seen type of Agonosmia. This occurs when a lady can only achieve sexual orgasm when placed in a certain condition. For example, there are some ladies who can only attain intense orgasm when they are placed in some certain situations such as oral sex or masturbation.
- General Agonosmia: This is the general inability to achieve sexual pleasures under any condition at all. For women under this category, even after sufficient sexual stimulation and she is highly aroused, they will still find it very difficult to climax.
Diagnosis and treatment
For individuals most especially, ladies who are unable to achieve climax during sex, you should definitely see your doctor to discuss treatment methods. Your doctor will be able to diagnose you accurately and provide you with the best treatment method that is suitable for you.
Your doctor may refer you to a gynecologist who will carry out appropriate tests on you and further recommend treatments that will help you accordingly.
Treatment methods may include:
- The treatment of an underlying medical condition if that has been diagnosed to be the cause of it.
- If you are on antidepressants, your medications may be switched to help suit you better.
- The use of cognitive behavioural therapy or sex therapy have been seen to help the improvement of the condition.
- Increase of clitoral stimulation either through masturbation and/or sexual intercourse.
- You may have to undertake couples counselling as an option.
- Hormonal therapy e.g. estrogen hormonal therapy may be introduced. This is because estrogen has the tendency to help increase sexual desires as well as increase the rate of blood flow to the genitals for increased sexual activity.
- Arousal oils such as Zetra have been seen to help increase the libido and enhance clitoris stimulation. These oils can be used during sexual activity or during masturbation as the case may be.