Anorgasmia

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Anorgasmia
Synonyms	Corgasmia, orgasmic dysfunction
Pronounce	N/A
Specialty	N/A
Symptoms	Difficulty or inability to achieve orgasm
Complications	Sexual frustration, relationship problems, depression
Onset	Can occur at any age
Duration	Can be temporary or long-term
Types	Primary, secondary, situational, generalized
Causes	Psychological factors, medications, hormonal imbalances, neurological disorders
Risks	Anxiety, depression, stress, relationship issues
Diagnosis	Medical history, physical examination, psychological evaluation
Differential diagnosis	Hypoactive sexual desire disorder, erectile dysfunction, dyspareunia
Prevention	Addressing underlying psychological or medical issues
Treatment	Psychotherapy, medication adjustment, hormone therapy, sex therapy
Medication	Bupropion, flibanserin
Prognosis	N/A
Frequency	Common, varies by population
Deaths	Not directly life-threatening

Anorgasmia is a type of sexual dysfunction characterized by a person's persistent inability to achieve orgasm, despite adequate sexual stimulation. Anorgasmia can affect individuals of any gender and age, but it is more commonly reported among women than men. The condition can be classified into several types, including primary anorgasmia, where an individual has never experienced an orgasm; secondary anorgasmia, where an individual who previously experienced orgasms no longer can; situational anorgasmia, where orgasms can only be achieved in certain situations or with specific types of stimulation; and generalized anorgasmia, where an individual is unable to achieve an orgasm under any circumstances.

Causes

The causes of anorgasmia are varied and can include psychological factors, such as anxiety, stress, and relationship issues; physical factors, such as hormonal imbalances, neurological disorders, and the use of certain medications; and lifestyle factors, such as alcohol and drug use. In many cases, a combination of these factors contributes to the condition.

Diagnosis

Diagnosing anorgasmia typically involves a detailed medical and sexual history, a physical examination, and sometimes, laboratory tests to rule out underlying medical conditions. Healthcare providers may also inquire about mental health and relationship issues that could be contributing to the problem.

Treatment

Treatment for anorgasmia depends on the underlying cause and may involve psychotherapy, sex therapy, changes in medication, or lifestyle modifications. In cases where psychological factors play a significant role, therapy may focus on addressing anxiety, improving communication between partners, and increasing sexual stimulation techniques. For some, medical treatments such as hormone therapy or the use of certain medications may be recommended.

Prognosis

The prognosis for individuals with anorgasmia varies. Many people see improvements with appropriate treatment, especially when the condition is caused by psychological factors. However, when anorgasmia is due to physical causes, treatment may be more challenging, and the prognosis depends on the underlying condition.

See also

• Sexual dysfunction
• Libido
• Erectile dysfunction

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