Sexual Orgasmic Disorder
Orgasmic Disorder is the difficulty or inability to reach orgasm after sufficient sexual stimulation and
arousal. The condition includes any difficulty or delay in reaching orgasm that causes the woman
personal distress. The condition is divided into two categories:
1. Primary: the woman has never achieved orgasm.
2. Secondary: the woman can no longer achieve orgasm because of surgery, hormone deficiency or
Primary Orgasmic Disorder
- Unresolved history of emotional or sexual abuse or trauma unresolved general emotional conflicts (e.g.
depression, anxiety, low self esteem, poor body image, etc.)
- Medical factors: medications, damage to pelvic arteries during surgery
Secondary Orgasmic Disorder
- Compromised blood flow
- Nerve damage (due to pelvic surgery or pelvic injury)
- Hormone deficiency
- Emotional/sexual trauma or abuse
- Relationship conflicts (e.g. issues of anger, trust, lack of stimulation, communication difficulties, etc.)
What Can You Do?
First, decide whether this difficulty is primary orgasmic disorder or secondary orgasmic disorder. This is
actually an important question to ask regarding all sexual function complaints. Has it always been this
way? Do you remember a time when you didn't have these difficulties? If you have always been struggling,
it is particularly important to be certain that there are not historical and/or present emotional or
relationship issues contributing to the problem. This can be done by not only looking into your own heart,
but by seeking outside help through a qualified general and/or sexual therapist (see The American
Association of Sex Educators, Counselors and Therapists at www.aasect.org). From the medical
standpoint, it is crucial to be evaluated because you may be a candidate for treatment. If this is a
hormonal issue, hormone replacement may be indicated. If it is it is due to compromised blood flow or
nerve damage, there may be some medical interventions that may at least help with response if not totally
restore it (e.g. blood flow enhancing agents/devices like Viagra, Levitra or hormonal creams, etc.)
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