Orgasmic dysfunction: Symptoms, causes, diagnosis, and treatment
In the final phase of lovemaking — after desire and sufficient arousal — a woman often achieves orgasm. But a persistent delay in, or complete absence of, orgasm that causes the woman marked distress has been labeled "female orgasmic disorder" FOD. The condition can be primary, meaning that the woman has never reached an orgasm, or secondary — the woman can no longer achieve orgasm. Such high-pressure expectation alone can prevent orgasm from occurring. Furthermore, as the Bermans frequently acknowledge, there is much more to sex than orgasm.
Primary Orgasmic Dysfunction: Diagnostic Considerations and Review of Treatment
As a diagnostic category, primary orgasmic dysfunction includes all women who have never experienced orgasm under any circumstances except sleep or fantasy. However, the research samples of nonorgasmic women in clinical reports and empirical investigations are heterogeneous with regard to disruption of earlier phases of the sexual response cycle and emotional concomitants of the dysfunction. The major treatment models—systematic desensitization, sensate focus, directed masturbation, and hypnosis—are presented, and empirical support is reviewed. Separate discussion is included for investigations comparing treatment modalities. Finally, a strategy for future programmatic sex therapy research is suggested within the broader context of psychotherapy outcome research.
For one out of four women, orgasm during sex is an elusive goal. According to a new report, medical science isn't doing enough to ensure these women find satisfaction between the sheets. The paper, published online ahead of print in the Journal of Sexual Medicine, reviews studies on female orgasm disorder, a condition in which women have difficulty reaching climax or can't orgasm at all. Despite the fact that inability to orgasm is the second most common female sexual complaint after lack of desire, and orgasm is one of the top 50 reasons we have sex , treatments for the disorder are inadequate, the authors conclude. A common problem To qualify as a disorder, anorgasmia, or the inability to orgasm, must be persistent and must interfere with the patient's quality of life or relationships.